Table 2.
Change in self-reported nutrition and physical activity policy and best practicea adoption among 8 childcare programs participating in a 6-week Healthy Child Care Georgia policy training and technical assistance intervention, Clarke County, Georgia, June-October 2015
| Nutrition and Physical Activity Policy and Practice Domains | Total No. of Nutrition Policies/Practices in Each Domain (Maximum Possible Score)a | Pre-Intervention | Post-Intervention | P Valuec | ||
|---|---|---|---|---|---|---|
| No. of Childcare Programs Reporting Having the Policy (n = 8) | Mean Scoreb (SD) | No. of Childcare Programs Reporting Having the Policy (n = 8) | Mean Scoreb (SD) | |||
| Nutrition policies and practices | ||||||
| Breastfeeding and infant feeding | 3 (6) | 6 | 2.5 (1.8) | 7 | 3.7 (1.9) | .043 |
| Eating environment | 2 (4) | 8 | 3.0 (1.1) | 8 | 3.4 (1.1) | .197 |
| Caregiver behaviors | 3 (6) | 8 | 5.3 (0.7) | 8 | 5.3 (0.9) | >.99 |
| Nutrition education | 2 (4) | 8 | 2.0 (1.3) | 8 | 3.3 (1.4) | .019 |
| Foods to increase | 2 (4) | 8 | 3.3 (0.9) | 8 | 3.4 (1.2) | .785 |
| Foods to limit | 3 (6) | 7 | 4.4 (2.2) | 8 | 5.0 (1.3) | .386 |
| Beverages | 4 (8) | 7 | 6.7 (1.6) | 7 | 7.3 (1.0) | .103 |
| Caregiver and parent nutrition training | 1 (2) | 8 | 1.1 (1.0) | 8 | 1.6 (0.7) | .228 |
| Nutrition policies | 3 (6) | 8 | 4.1 (2.3) | 8 | 4.4 (1.8) | .798 |
| Physical activity policies and practices | ||||||
| Scheduled physical activity | 3 (6) | 8 | 5.0 (0.9) | 8 | 5.4 (0.7) | .080 |
| Caregiver behaviors | 3 (6) | 8 | 5.5 (0.5) | 8 | 5.5 (0.8) | >.99 |
| Physical activity education | 2 (4) | 8 | 2.8 (0.9) | 8 | 3.4 (0.9) | .095 |
| Sedentary activity | 2 (4) | 7 | 3.7 (0.8) | 8 | 3.9 (0.4) | .356 |
| Screen time | 2 (4) | 7 | 3.6 (0.8) | 8 | 3.8 (0.5) | .689 |
| Caregiver and parent physical activity | 4 (8) | 7 | 3.4 (2.9) | 8 | 4.3 (2.3) | .411 |
| Physical activity policies | 2 (4) | 7 | 2.0 (2.0) | 8 | 2.9 (1.5) | .093 |
aBased on the Georgia Quality Rated Nutrition and Physical Activity Assessment, which uses a 3-level self-report scale to measure progress toward 23 national recommendations for nutrition and physical activity in the childcare setting (0 = no adoption, 1 = partial adoption, 2 = full adoption). For each domain, the maximum possible score is the number of policies multiplied by 2, which is the maximum score for each policy. For a comprehensive list of obesity prevention best practices for use in childcare, on which the assessment is based, see http://cfoc.nrckids.org/WebFiles/PreventingChildhoodObesity2nd.pdf.
bThe mean score of policy/practice adoption was calculated by adding the maximum score of policies/practices adopted in each domain by each childcare program and dividing by total number of childcare programs that reported having the policy.
cPaired t tests were used to compare mean scores for self-reported policy/practice adoption in each domain pre- and post-intervention. Significant at P < .05.