SEARCHRCTpediatrics, public health

RCT·pediatrics, public health, nutrition, epidemiology, clinical trial·PMC10398919

Protocol to evaluate the effectiveness and cost-effectiveness of an environmental nutrition and physical activity intervention in nurseries (Nutrition and Physical Activity Self Assessment for Child Care - NAP SACC UK): a multicentre cluster randomised controlled trial

BMC Public Health · 25 authors, 9 centres

AI SUMMARY

FIDELITY 100%

POPULATIONChildren aged 2 years or over attending UK nurseries for ≥12 or ≥15 h/week during term time, their parents, and nursery staff

INTERVENTION12-month NAP SACC UK intervention involving nursery manager self-assessment with a public health Partner, staff training workshops on physical activity and nutrition, and goal-setting with ongoing support

COMPARISONUsual practice

This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.

AGENT 01 · STRUCTURED SUMMARY

TRACE TO SOURCE

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TL;DR

This is a protocol for a multi-centre cluster randomised controlled trial evaluating the NAP SACC UK intervention, a 12-month environmental nutrition and physical activity programme delivered in UK nurseries to children aged 2 years and over.

Full summary

496 CHARS

The 12-month intervention involves nursery managers self-assessing policies with a public health Partner, staff attending training workshops, and setting goals with ongoing support over two 6-month phases. Primary outcomes are accelerometer-assessed mean total activity time on nursery days and average total energy intake per eating occasion. Process and economic evaluations are included. The trial was paused from March 2020 to January 2022 due to COVID-19 and restarted with refined measures.

PICO

PPOPULATION

Children aged 2 years or over attending UK nurseries for ≥12 or ≥15 h/week during term time, their parents, and nursery staff

IINTERVENTION

12-month NAP SACC UK intervention involving nursery manager self-assessment with a public health Partner, staff training workshops on physical activity and nutrition, and goal-setting with ongoing support

OOUTCOME

Accelerometer-assessed mean total activity time, average total energy intake per eating occasion, moderate-to-vigorous physical activity, sedentary time, zBMI, and other nutritional and physical activity measures

STUDY TYPE

RCT

SPECIALTY

pediatrics

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10398919

Protocol to evaluate the effectiveness and cost-effectiveness of an environmental nutrition and physical activity intervention in nurseries (Nutrition and Physical Activity Self Assessment for Child Care - NAP SACC UK): a multicentre cluster randomised controlled trial

BMC Public Health

READ THE FULL PAPER

ABSTRACT

Background One in seven UK children have obesity when starting school, with higher prevalence associated with deprivation. Most pre-school children do not meet UK recommendations for physical activity and nutrition. Formal childcare settings provide opportunities to deliver interventions to improve nutritional quality and physical activity to the majority of 3–4-year-olds. The nutrition and physical activity self-assessment for childcare (NAP SACC) intervention has demonstrated effectiveness in the USA with high acceptability in the UK. The study aims to evaluate the effectiveness and cost-effectiveness of the NAP SACC UK intervention to increase physical activity, reduce sedentary time and improve nutritional intake. Methods Multi-centre cluster RCT with process and economic evaluation. Participants are children aged 2 years or over, attending UK early years settings (nurseries) for ≥ 12 h/week or ≥ 15 h/week during term time and their parents, and staff at participating nurseries. The 12-month intervention involves nursery managers working with a Partner (public health practitioner) to self-assess policies and practices relating to physical activity and nutrition; nursery staff attending one physical activity and one nutrition training workshop and setting goals to be achieved within 6 months. The Partner provides support and reviews progress. Nursery staff receive a further workshop and new goals are set, with Partner support for a further 6 months. The comparator is usual practice. Up to 56 nurseries will be stratified by area and randomly allocated to intervention or comparator arm with minimisation of differences in level of deprivation. Primary outcomes: accelerometer-assessed mean total activity time on nursery days and average total energy (kcal) intake per eating occasion of lunch and morning/afternoon snacks consumed within nurseries. Secondary outcomes: accelerometer-assessed mean daily minutes of moderate-to-vigorous physical activity and sedentary time per nursery day, total physical activity on nursery days compared to non-nursery days, average serving size of lunch and morning/afternoon snacks in nursery per day, average percentage of core and non-core food in lunch and morning/afternoon snacks, zBMI, proportion of children who are overweight/obese and child quality-of-life. A process evaluation will examine fidelity, acceptability, sustainability and context. An economic evaluation will compare costs and consequences from the perspective of the local government, nursery and parents. Trial registration ISRCTN33134697, 31/10/2019.

CITATION EXPORT

Ruth Kipping, Miranda Pallan, Kim Hannam et al.. Protocol to evaluate the effectiveness and cost-effectiveness of an environmental nutrition and physical activity intervention in nurseries (Nutrition and Physical Activity Self Assessment for Child Care - NAP SACC UK): a multicentre cluster randomised controlled trial. BMC Public Health. (2023). https://doi.org/10.1186/s12889-023-16229-y

AUTHORS

25 · 9 CENTRES

Ruth Kipping, Miranda Pallan, Kim Hannam, Kate Willis, Alex Dobell, Chris Metcalfe, Russell Jago, Laura Johnson, Rebecca Langford, Corby K. Martin, William Hollingworth, Madeleine Cochrane, James White, Pete Blair, Zoi Toumpakari, Jodi Taylor, Dianne Ward, Laurence Moore, Tom Reid, Megan Pardoe, Liping Wen, Marie Murphy, Anne Martin, Stephanie Chambers, Sharon Anne Simpson

1grid.5337.20000 0004 1936 7603University of Bristol, Bristol, UK
2grid.6572.60000 0004 1936 7486University of Birmingham, Birmingham, UK
3grid.422197.b0000 0004 0496 6574NatCen Social Research, London, UK
4grid.250514.70000 0001 2159 6024Pennington Biomedical Research Center, Baton Rouge, USA
5grid.5600.30000 0001 0807 5670Cardiff University, Cardiff, Wales
6grid.5337.20000 0004 1936 7603Bristol Trials Centre, University of Bristol, Bristol, UK
7grid.410711.20000 0001 1034 1720University of North Carolina, Chapel Hill, USA
8grid.8756.c0000 0001 2193 314XMRC / CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK
9grid.8756.c0000 0001 2193 314XSchool of Social and Political Sciences and MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK