An interventional study of Usual services + HAP and Usual services in Childhood Obesity, sponsored by San Francisco Department of Public Health. Completed at 1 site in United States. Open to participants aged 2 Years to 5 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-06-14.
Sponsored by San Francisco Department of Public Health · Not applicable, Interventional, and Prevention
This randomized controlled trial uses administrative public health screening data to test whether the Healthy Apple program (HAP), designed to support local implementation of national Let's Move! Child Care guidelines in San Francisco (SF), improves child care center nutrition and physical activity practices and child weight change.
In the USA, First Lady Michelle Obama started a nationwide child care initiative called 'Let's Move! Child Care' which aims to improve nutrition and physical activity practices in child care centers to promote healthy weight for children ages 0-5y.
The San Francisco Child Care Wellness Collaborative, including the San Francisco Department of Public Health (SFDPH) and SF Children's Council, developed a citywide Healthy Apple Program (HAP) to support local implementation of the Let's Move! initiative.
The San Francisco Department of Public Health (SFDH) has an existing Child Care Health Program (CCHP) which provides nurse consultation and health education materials for child care centers and annual health screenings for children.
The aim of this analysis is to see whether child care centers offered the HAP in addition to usual CCHP services can improve child care center nutrition and physical activity practices and child weight change better than usual CCHP services alone.
1,126 studies on the registry are indexed under Pediatric Obesity; 189 are open to participants now.
This study's enrollment of 3,493 is above the median of 103 across 869 interventional studies indexed under Pediatric Obesity.
Browse Pediatric Obesity studies →San Francisco Department of Public Health is the lead sponsor of 14 studies on the registry; 2 are open to participants now.
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Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
This group of child care centers receives standard services from the San Francisco Department of Public Health Child Care Health Program. CCHP offers services to child care centers annually. The standard services include nurse consultation, health education, monitoring of nutrition and physical activity resource need, vision, hearing, oral health, and height and weight screenings.
Behavioral: Usual services
This group of child care centers receives all the standard services plus invitation to participate in the voluntary Healthy Apple Program (HAP). The Healthy Apple program involves child care provider self-assessment, followed by an iterative process of goal setting, technical assistance/training, and re-assessment.
Behavioral: Usual services + HAP
The HAP process includes child care center providers completing a self-assessment(s), setting improvement goals, receiving technical assistance materials, attending topic-specific workshops, improving best practices, re-self-assessment and qualification for a HAP award.
Control condition
BMI percentile change
Annually, child BMI percentile is measured in Fall and about 6 months later in Spring.
Time frame: Fall to Spring (about 6 months)
Incident overweight or obesity
New cases of overweight or obesity that developed between the Fall and Spring screening during the school year. % of children who are normal weight in Fall who become overweight or obese by Spring.
Time frame: 6 months
Number of best practices
Child care center best practices, including use of physical activity curricula or pitchers of drinking water, and staff practice of joining in active play with children.
Time frame: 6 months
Plan to share: No — The data used for this analysis are public health program screening data.
This study is completed, as verified in Jun 2016. You cannot join it, but the record below documents what was studied.
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San Francisco Department of Public Health