Evaluation of Child Care Staff Weight Management Program

The goal of this 12-month cluster clinical trial is to evaluate if improving child care providers' health behaviors using an online provider weight management program elicits meaningful change in dietary and physical activity behaviors in 2-5-year-old preschool children in their care and the child care environment.The study sample will include 84 child care centers. Including: 84 center directors, 168 2-5-year-old classroom teachers, 672 2-5-year old children.Some centers will do only the online Nutrition and Physical Activity Self-Assessment for Child Care (Go NAPSACC) program. This program works with child care center directors to make changes to their center around child nutrition and physical activity to foster healthier habits for the children enrolled in their care. Other centers will do Go NAPSACC Enhanced. This will include center directors doing Go NAPSACC and 2-5 year old teachers doing an online weight management program with support.Researchers will compare centers in Go NAPSACC with centers in Go NAPSACC Enhanced to see if there are greater improvements in children's diet quality and physical activity, as well as the nutrition and physical activity environment of centers in the Go NAPSACC Enhanced group. Additionally, they will see if there are greater improvements in teachers' weight, diet quality, and physical activity in centers using Go NAPSACC Enhanced.

Inclusion Criteria:Child Care Centers:Be open year-roundLicensed with no plans to close in the next 2 yearsBeen in operation for at least 1 yearHave at least two classrooms serving children 2-5 years-oldServe at least lunch to the 2-5-year old childrenHave no history of Go NAPSACC participation in the past 6 monthsTwo 2-5-year-old classroom providers and 4 parents from each classroom must provide consent to participate in the studyChild Care Providers (Directors and Teachers):Ability to provide informed consent.Age 18 years or older.Teacher only: Be a teacher in a 2-5-year-old classroom.Teacher only: Not pregnant, nor planning to become pregnant in the next yearChildren:Be in a classroom with a participating child care teacher.Be 2-5 years old.The consenting primary caregiver must be able to read EnglishExclusion Criteria:Child Care Centers:Serve only non-English speaking families