Table 2 EPAO scores pre and post intervention among 8 early childcare centers in Greenville, South Carolina, USA, 2016–2018 ^a

EPAO subscale items

Mean ± SD

Mean ± SD

Mean ± SD

p value

Total nutrition score

9.76 ± 2.47

11.72 ± 2.79

1.96 ± 2.48

0.06

 Nutrition policy

9.17 ± 6.11

13.75 ± 6.77

4.58 ± 4.34

0.02*

 Nutrition training and education

5 ± 2.83

6 ± 4.28

1 ± 4.66

0.56

 Staff nutrition behavior

11.75 ± 5.33

14.16 ± 2.67

2.41 ± 5.18

0.23

 Nutrition environment

8.33 ± 6.9

11.88 ± 4.8

3.54 ± 4.91

0.08

 Fruits and vegetables provided

10.25 ± 3.65

12 ± 3.85

1.75 ± 3.62

0.21

 Grains, beans and lean meat provided

3.92 ± 4.7

8.29 ± 6.45

4.38 ± 5.7

0.07

 High fat/high sugar provided

15.63 ± 3.34

14.63 ± 3.54

1.31 ± 2.09

0.47

 Beverage

12.27 ± 3.79

13.05 ± 4.88

0.77 ± 4.29

0.63

Total physical activity score

11.76 ± 1.54

13 ± 2.18

1.24 ± 2.34

0.17

 Physical activity policy

10 ± 9.26

17.5 ± 7.07

7.5 ± 8.86

0.048*

 Physical activity training and education

2.81 ± 3.88

10.94 ± 7.43

8.13 ± 10.42

0.06

 Staff physical activity behaviors

17.08 ± 2.78

12.51 ± 6.61

4.58 ± 6.16

0.07

 Active opportunities

13.13 ± 3.95

12.5 ± 1.7

0.63 ± 5.79

0.77

 Sedentary opportunities

18.33 ± 3.09

17.92 ± 4.69

.42 ± 6.28

0.86

 Sedentary environment

13.33 ± 3.56

11.67 ± 5.90

1.67 ± 3.08

0.17

 Portable play equipment

10.71 ± 4.52

11.43 ± 4.04

0.72 ± 3.97

0.63

 Fixed play equipment

8.66 ± 3.4

9.54 ± 3.05

0.88 ± 2.51

0.36