Benjamin Sara E, Ammerman Alice, Sommers Janice, Dodds Janice, Neelon Brian, Ward Dianne S
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA.
J Nutr Educ Behav. 2007 May-Jun;39(3):142-9. doi: 10.1016/j.jneb.2006.08.027.
To determine the feasibility, acceptability, and reported impact of a nutrition and physical activity environmental intervention in child care.
Self-assessment instrument completed pre- and post-intervention by randomly assigned intervention and comparison child care centers.
Child care centers in 8 counties across North Carolina.
A convenience sample of 19 child care centers (15 intervention and 4 comparison).
Intervention centers completed the self-assessment instrument at baseline and then selected 3 environmental improvements to make over the 6-month intervention period with assistance from a trained NAP SACC Consultant.
Changes in pre- and post-intervention self-assesment of the nutrition and physical activity child care environment with additional process measures to evaluate project implementation, feasibility and acceptability.
Comparison of pre- and post-test scores for the intervention group using a Wilcoxon signed-rank test and descriptions of environmental changes.
Intervention centers rated themselves higher at follow-up than at baseline, and relative to comparison centers, reported a variety of environmental nutrition and physical activity improvements confirmed by research staff.
The NAP SACC pilot intervention shows promise as an approach to promote healthy weight environments in preschool settings. Additional evaluation of the project is needed using a greater number of centers and a more objective outcome measure.
确定儿童保育机构营养与身体活动环境干预措施的可行性、可接受性及报告的影响。
通过随机分配的干预组和对照组儿童保育中心在干预前后完成自我评估工具。
北卡罗来纳州8个县的儿童保育中心。
19个儿童保育中心的便利样本（15个干预组和4个对照组）。
干预中心在基线时完成自我评估工具，然后在经过培训的北卡罗来纳州儿童保育与营养促进项目（NAP SACC）顾问的协助下，在6个月的干预期内选择3项环境改善措施。
干预前后营养与身体活动儿童保育环境自我评估的变化，以及用于评估项目实施、可行性和可接受性的额外过程指标。
使用Wilcoxon符号秩检验比较干预组前后测得分，并描述环境变化。
干预中心在随访时对自身的评分高于基线时，且相对于对照组中心，报告了研究人员确认的各种环境营养与身体活动改善情况。
北卡罗来纳州儿童保育与营养促进项目（NAP SACC）试点干预措施有望成为促进学前环境中健康体重环境的一种方法。需要使用更多中心并采用更客观的结果指标对该项目进行进一步评估。
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