Evaluation of the Healthy Apple Program in San Francisco
1 other identifier
interventional
3,493
1 country
1
Brief Summary
This randomized controlled trial uses administrative public health screening data to test whether the Healthy Apple program (HAP), designed to support local implementation of national Let's Move! Child Care guidelines in San Francisco (SF), improves child care center nutrition and physical activity practices and child weight change.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2011
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2015
CompletedFirst Submitted
Initial submission to the registry
June 10, 2016
CompletedFirst Posted
Study publicly available on registry
June 14, 2016
CompletedJune 14, 2016
June 1, 2016
3.8 years
June 10, 2016
June 10, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
BMI percentile change
Annually, child BMI percentile is measured in Fall and about 6 months later in Spring.
Fall to Spring (about 6 months)
Secondary Outcomes (1)
Incident overweight or obesity
6 months
Other Outcomes (1)
Number of best practices
6 months
Study Arms (2)
Usual Services
ACTIVE COMPARATORThis group of child care centers receives standard services from the San Francisco Department of Public Health Child Care Health Program. CCHP offers services to child care centers annually. The standard services include nurse consultation, health education, monitoring of nutrition and physical activity resource need, vision, hearing, oral health, and height and weight screenings.
Usual services + HAP
EXPERIMENTALThis group of child care centers receives all the standard services plus invitation to participate in the voluntary Healthy Apple Program (HAP). The Healthy Apple program involves child care provider self-assessment, followed by an iterative process of goal setting, technical assistance/training, and re-assessment.
Interventions
The HAP process includes child care center providers completing a self-assessment(s), setting improvement goals, receiving technical assistance materials, attending topic-specific workshops, improving best practices, re-self-assessment and qualification for a HAP award.
Eligibility Criteria
You may qualify if:
- Child care center received nutrition screening services from the SFDPH Child Care Health Program in 2011-2012.
You may not qualify if:
- Child care center declines CCHP services in 2012-2015.
- Child care center is ineligible for CCHP services (based on funding source)
- Child care center is closed or not serving children
- Child or family decline the voluntary services
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
San Francisco Department of Public Health
San Francisco, California, 94102, United States
Related Publications (2)
Ammerman AS, Ward DS, Benjamin SE, Ball SC, Sommers JK, Molloy M, Dodds JM. An intervention to promote healthy weight: Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) theory and design. Prev Chronic Dis. 2007 Jul;4(3):A67. Epub 2007 Jun 15.
PMID: 17572971BACKGROUNDAlkon A, Crowley AA, Neelon SE, Hill S, Pan Y, Nguyen V, Rose R, Savage E, Forestieri N, Shipman L, Kotch JB. Nutrition and physical activity randomized control trial in child care centers improves knowledge, policies, and children's body mass index. BMC Public Health. 2014 Mar 1;14:215. doi: 10.1186/1471-2458-14-215.
PMID: 24580983BACKGROUND
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jodi Stookey, PhD
San Francisco Department of Public Health
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior Epidemiologist
Study Record Dates
First Submitted
June 10, 2016
First Posted
June 14, 2016
Study Start
September 1, 2011
Primary Completion
June 1, 2015
Study Completion
June 1, 2015
Last Updated
June 14, 2016
Record last verified: 2016-06
Data Sharing
- IPD Sharing
- Will not share
The data used for this analysis are public health program screening data.