Translating a child care based intervention for online delivery: development and randomized pilot study of Go NAPSACC

BMC Public Health

Research Article

Amber E. Vaughn¹  Regan Burney¹  Stephanie Mazzucca²  Dianne S. Ward³ 

[1] Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, 1700 Martin L. King Jr. Blvd., CB 7426, 27599-7426, Chapel Hill, NC, USA;Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 1700 Martin L. King Jr. Blvd., CB 7426, 27599-7426, Chapel Hill, NC, USA;Department of Nutrition, Gillings School of Global Public Health, and Fellow, Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, 2202 McGavran-Greenberg Hall, CB 7461, 27599-7461, Chapel Hill, NC, USA;

关键词: Web-based;    Children;    Nutrition environment;    Implementation;   

DOI  :  10.1186/s12889-017-4898-z

 received in 2017-03-01, accepted in 2017-11-09,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundAs part of childhood obesity prevention initiatives, Early Care and Education (ECE) programs are being asked to implement evidence-based strategies that promote healthier eating and physical activity habits in children. Translation of evidence-based interventions into real world ECE settings often encounter barriers, including time constraints, lack of easy-to-use tools, and inflexible intervention content. This study describes translation of an evidence-based program (NAPSACC) into an online format (Go NAPSACC) and a randomized pilot study evaluating its impact on centers’ nutrition environments.MethodsGo NAPSACC retained core elements and implementation strategies from the original program, but translated tools into an online, self-directed format using extensive input from the ECE community. For the pilot, local technical assistance (TA) agencies facilitated recruitment of 33 centers, which were randomized to immediate (intervention, n = 18) or delayed (control, n = 15) access groups. Center directors were oriented on Go NAPSACC tools by their local TA providers (after being trained by researchers), after which they implemented Go NAPSACC independently with minimal TA support. The Environment and Policy Assessment and Observation instrument (self-report), collected prior to and following the 4-month intervention period, was used to assess impact on centers’ nutrition environments. Process data were also collected from a sample of directors and all TA providers to evaluate program usability and implementation.ResultsDemographic characteristics of intervention and control centers were similar. Two centers did not complete follow-up measures, leaving 17 intervention and 14 control centers in the analytic sample. Between baseline and follow-up, intervention centers improved overall nutrition scores (Cohen’s d effect size = 0.73, p = 0.15), as well as scores for foods (effect size = 0.74, p = 0.16), beverages (effect size = 0.54, p = 0.06), and menus (effect size = 0.73, p = 0.08), but changes were not statistically significant.ConclusionsCore elements of NAPSACC were effectively translated into online tools and successfully implemented by center directors. Results suggest that the online program may have retained its ability to drive change in centers’ nutrition environments using a streamlined, self-directed, and flexible implementation approach. Results need to be confirmed in a larger more definitive trial.Trial registrationNCT02889198 (retrospectively registered).

【 授权许可】

CC BY   
© The Author(s). 2017