"My wellbeing-their wellbeing "- An eHealth intervention for managing obesity in early care and education: Protocol for the Go NAPSACC Cares cluster randomized control trial

To fully leverage the potential of the early care and education (ECE) setting for childhood obesity prevention, initiatives must not intervene solely at the organizational level, but rather they should also address the health needs of the ECE workers. Workers suffer disproportionately high rates of...

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Published in:	PloS one Vol. 18; no. 7; p. e0286912
Main Authors:	Willis, Erik A, Burney, Regan, Hales, Derek, Ilugbusi, LeAndra O, Tate, Deborah F, Nezami, Brooke, Clarke, Emily C, Moore, Renee H, Mathews, Emma, Thompson, Meredith, Beckelheimer, Brittany, Ward, Dianne S
Format:	Journal Article
Language:	English
Published:	United States Public Library of Science 07-07-2023 Public Library of Science (PLoS)
Subjects:	Analysis Biology and Life Sciences Care and treatment Caregivers Children Children & youth Classrooms Consumer electronics industry Diabetes Diet Dietary intake Directors Early childhood education Eating behavior Education Evaluation Exercise Food intake Health aspects Health behavior Health care Lifestyles Medical care Medicine and Health Sciences Nutrition research Obesity Obesity in children Participation People and Places Prevention Quality management Quality of life Schedules Study Protocol Teachers Telemedicine Type 2 diabetes Weight control Wellness programs Workers United States
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Summary:	To fully leverage the potential of the early care and education (ECE) setting for childhood obesity prevention, initiatives must not intervene solely at the organizational level, but rather they should also address the health needs of the ECE workers. Workers suffer disproportionately high rates of obesity, and have reported low confidence in modeling and promoting healthy eating and activity behaviors. However, information regarding the effectiveness of improving ECE workers' health behaviors or whether such improvements elicit meaningful change in the ECE environment and/or the children in their care is limited. The proposed study will integrate a staff wellness intervention into a nationally recognized, ECE obesity prevention initiative (Go NAPSACC). Go NAPSACC+ Staff Wellness program will be assessed using a clustered randomized controlled trial including 84 ECE centers, 168 workers, and 672 2-5-year-old children. Centers will be randomly assigned to 1) standard "Go NAPSACC" or 2) Go NAPSACC+ Staff Wellness. Outcome measures will assess impact on dietary intake and PA behaviors of 2-5-year-old children at 6 months (primary aim) and 12 months. Secondarily, we will compare the impact of the intervention on centers' implementation of healthy weight practices and the effect on ECE workers' diet quality and PA at 6- and 12 months. This trial expects to increase our understanding of how ECE worker's personal health behaviors impact the health behaviors of the children in their care and the ECE environment. ClinicalTrials.gov: NCT05656807, registered on 19 December 2022. Protocol version 1.0, 22 March 2023.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 Competing Interests: The authors have declared that no competing interests exist.
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0286912