Preventing Obesity in Infants and Toddlers (Baby NAP SACC)
The Baby NAP SACC study aims to provide a greater understanding of the effectiveness of a combined child care and home-based intervention to help prevent obesity in very young children. Via a cluster randomized controlled trial, we will enroll 80 center directors from licensed child care centers in North Carolina, and 640 children in their care. Centers will receive either the Baby NAP SACC Intervention or the Back to Sleep Intervention. Measurements at the child, family, and center level will be taken at baseline and immediately post-intervention 6 months later. The goal is to evaluate the ability of the Baby NAP SACC intervention to show smaller gains in child adiposity, improve child dietary intake and physical activity, and enhance the child care center and home environment.
In 2009, we conducted a pilot evaluation of this intervention in 32 child care centers in Massachusetts and found the intervention was successful in improving the environments in the child care center, especially as they relate to support of physical activity. The ongoing large-scale evaluation will allow us to see if the intervention affects child-level outcomes, including weight status and adiposity.