Fig. 2

Flow of eligible child care centers through the Healthy Apple Program pilot. CONSORT: Consolidated Standards of Reporting Trials; CCHP: Child Care Health Program; HAP: Healthy Apple Program. Figure 2 was adapted from the CONSORT 2010 flow diagram [13]. Figure 2 describes the number of child care centers assessed for eligibility to participate, excluded from participation, randomized to CCHP + HAP or CCHP + HAP Delayed intervention groups, given allocated services and resources, followed in 2013–2014, and given resources in Implementation year 2 (2014–2015). The intention-to-treat analysis box reports the number of child care centers and mean (SE) number of children per child care center included in the analysis. The total number of children included in the analysis each year is reported in Table 2. It was not possible to estimate the cluster size of child care centers that were excluded from analyses, because enrollment data for non-participating centers were unavailable. After randomization, several child care centers became Head Start centers, which made them ineligible to receive CCHP services. All CCHP + HAP and CCHP + HAP Delayed centers were offered two free BMI screenings each year. The BMI screenings were offered every year, regardless of whether or not the child care center had previously declined BMI screening services. Child care centers that did not participate in both annual CCHP BMI screenings were missing data regarding annual BMI change and were excluded from analyses for that year. For this reason, the number of child care centers included in the analysis varied from year to year