Process Evaluation of an Early Care and Education Intervention: The California Childhood Obesity Research Demonstration Study (CA-CORD)
| Autor: | Jamie Moody, Shih-Fan Lin, Lucy A. Horton, Thomas L. McKenzie, Amy Binggeli-Vallarta, Griselda Cervantes, Janette Angulo, Guadalupe X. Ayala |
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| Rok vydání: | 2018 |
| Předmět: |
Gerontology
Education intervention Pediatric Obesity Nursing (miscellaneous) media_common.quotation_subject education Fidelity Health Promotion Childhood obesity California 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Intervention (counseling) medicine Humans 030212 general & internal medicine Child Recreation Exercise media_common Public Health Environmental and Occupational Health Child Day Care Centers medicine.disease Obesity United States Child Preschool Process evaluation Psychology Body mass index |
| Zdroj: | Health promotion practice. 21(2) |
| ISSN: | 1524-8399 |
| Popis: | Given the widespread use of out-of-home child care in the United States, early care and education (ECE) providers offer ideal settings to promote health behaviors among Hispanic/Latino children whose obesity prevalence remains high. This study details the process evaluation of ECE intervention strategies of a childhood obesity research demonstration study (California Childhood Obesity Research Demonstration [CA-CORD]) to prevent and control obesity among Hispanic/Latino children aged 2 to 12 years. Participating ECE providers received the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) materials and action planning sessions with a trained interventionist; Sports, Play, and Active Recreation for Kids (SPARK) physical activity (PA), health behavior, and body mass index assessment trainings; and health behavior toolkit, cooking kit, water dispensers, and posters to promote healthy eating, PA, water consumption, and quality sleep. Intervention logs and director/lead teacher interviews evaluated how well 14 center-based and 9 private ECE providers implemented policy, system, and environmental changes. NAP SACC was implemented with higher fidelity than other strategies, and participation in SPARK trainings was lower than health behavior trainings. ECE directors/lead teachers reported that the intervention activities and materials helped them promote the targeted behaviors, especially PA. Results demonstrated that the use of NAP SACC, trainings, and toolkit had high fidelity and were potentially replicable for implementation in ECE settings among Hispanic/Latino communities. |
| Databáze: | OpenAIRE |
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