Healthy apple program to support child care centers to alter nutrition and physical activity practices and improve child weight: a cluster randomized trial

Table 1 Intervention components for the HAP pilot evaluation

Abbreviation or acronym	Name of resource	Resource content
CCHP	Child Care Health Program	• Bi-annual BMI screenings offered by public health nurses or health workers at child care centers • Individual child health referral • Nutrition education (circle time for children)
HAP	Healthy Apple Program	• Free self-assessment materials, information about over 80 best practices, and technical assistance resources for child care providers • Citywide coordination of quality improvement processes for child care providers • Tailored workshops and award incentives for child care providers to adopt nutrition and physical activity best practices
CCHP + HAP	Child Care Health Program Plus Healthy Apple Program	• Bi-annual BMI screenings offered by public health nurses or health workers at child care centers • Individual child health referral • Nutrition education (circle time for children) • Linkage of child care providers with HAP • Individualized technical assistance for providers • Free self-assessment materials, information about over 80 best practices, and technical assistance resources for child care providers • Citywide coordination of quality improvement processes for child care providers • Tailored workshops and award incentives for child care providers to adopt nutrition and physical activity best practices

The Healthy Apple Program adapted resources developed by the University of North Carolina Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) program. NAP SACC resources include information about over 80 evidence-based nutrition and physical activity best practices for child care providers serving preschool aged children. NAP SACC materials support providers to engage in an iterative quality improvement process, which involves self-assessment, choice of practices to improve, goal setting, action, and re-self-assessment

ISSN: 1471-2458