Kipping, R. et al. (2023) 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, 23, 1475. (doi: 10.1186/s12889-023-16229-y) (PMID:37532982) (PMCID:PMC10398919)
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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.
| Item Type: | Articles |
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| Additional Information: | The NAP SACC UK study is funded by the UK National Institute for Health and Care Research (NIHR) Public Health Research Programme (12/75/51). This study was designed and delivered in collaboration with the Bristol Trials Centre (BTC), a UKCRC Registered Clinical Trials Unit which is in receipt of NIHR CTU Support Funding. Pennington Biomedical’s Remote Food Photography Method© was utilised during the study, and Pennington Biomedical is supported by NORC Center Grant P30 DK072476 entitled “Nutrition and Metabolic Health Through the Lifespan” sponsored by the National Institute of Diabetes and Digestive and Kidney Disease and by grant U54 GM104940 from the National Institute of General Medical Sciences, which funds the Louisiana Clinical and Translational Science Center. |
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Martin, Dr Anne and Chambers, Dr Stephanie and Moore, Professor Laurence and Simpson, Professor Sharon |
| Authors: | Kipping, R., Pallan, M., Hannam, K., Willis, K., Dobell, A., Metcalfe, C., Jago, R., Johnson, L., Langford, R., Martin, C. K., Hollingworth, W., Cochrane, M., White, J., Blair, P., Toumpakari, Z., Taylor, J., Ward, D., Moore, L., Reid, T., Pardoe, M., Wen, L., Murphy, M., Martin, A., Chambers, S., and Simpson, S. A. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU College of Social Sciences > School of Social and Political Sciences > Sociology Anthropology and Applied Social Sciences |
| Journal Name: | BMC Public Health |
| Publisher: | BioMed Central |
| ISSN: | 1471-2458 |
| ISSN (Online): | 1471-2458 |
| Copyright Holders: | Copyright © 2023 The Authors |
| First Published: | First published in BMC Public Health 23: 1475 |
| Publisher Policy: | Reproduced under a Creative Commons License |
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