Smart Start and NAP SACC – A Statewide Collaboration to Address Childhood Overweight in Child Care. 2008 National Smart Start Conference Koury Center, Greensboro, NC. Cynthia D. Turner, MS, NCPC’s Health Consultant Sarah Ball, MPH, RD, NAP SACC Project Coordinator. Objectives.
2008 National Smart Start Conference
Koury Center, Greensboro, NC
Cynthia D. Turner, MS, NCPC’s Health Consultant
Sarah Ball, MPH, RD, NAP SACC Project Coordinator
Learn about unique collaboration between Smart Start and NAP SACC
Recognize the need to improve children’s nutrition and physical activity environments in child care settings
Encourage increased participation in NAP SACC Program
Every child reaches his or her potential and is prepared for success in a global community
The Problem: National and State Obesity Epidemic
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Source: Behavioral Risk Factor Surveillance System, CDC.
Behavioral Factors - large portion sizes, fast food, high sugar beverages, high calorie snack foods,
decrease in children’s physical activity,
increase in screen time
Environmental Factors – family role models at home; child care provide healthy eating and physical activity practices; lack of community sidewalks, bike paths and parks
Genetic Factors - may increase a child’s chance for being overweight; exists in conjunction with environmental and behavioral factors
Medical risks - cardiovascular disease, hypertension, asthma, type 2 diabetes, premature death;
Psychosocial risks - low self-esteem, depression, hinders academic and social functioning;
Economic Cost - increase in medical expenses, reduction in economic, opportunity / productivity, time lost from work or school, increased child care costs, annual cost to NC taxpayers = $2.1 Billion
What’s it all about?
Principles Guiding NAP SACC Development
NAP SACC Toolkit
Why Smart Start’s Collaboration with NAP SACC?
NC’s childhood overweight / obesity epidemic
Smart Start’s support of nutrition and physical activities
Smart Start’s commitment to CCHC projects
NAP SACC’s research and evaluation data
NAP SACC’s strong support and commitment
Five Step Implementation Plan:
Grantees contacted by Grant Owner
Webcasts to “walk-through” project
Site visits and/or conference calls
Ongoing technical assistance – Spanish version materials
NAP SACC Pilot Grant Requirements:
Smart Start Grantees/Partnerships
Child Care Centers
Consultants (CCHC / RDs)
Two on-site visits/yr to NAP SACC Grantees
Quarterly “Check-ins” each year
Smart Start Partnerships:
A minimum of ten 3-star licensed centers with at least 20 children enrolled in each center; OR
A sufficient number of 3 to 5-star licensed centers that have at least 75% of the total children enrolled in all 3 to 5-star licensed centers must participate OR
A minimum of 200 children (2-5 year olds) to participate.
Community collaboration, supervision, financial contribution, etc.
Child Care Centers:
Commit to participate in NAP SACC for at least six months.
Participation is limited to centers that have not previously participated in NAP SACC.
Ensure that key staff complete five, mandatory trainings
Personnel / Consultants:
State-trained Child Care Health Consultants (CCHC) or pediatric-trained Registered Dieticians (RD
CCHC/RDs must complete a 4-hour NAP SACC training OR
complete web-training available after January 2008
CCHC/RDs must be hired by Nov. 16, 2007
Increase the number of early care and education environments implementing healthy nutrition and physical activity practices.
75% of child care centers that participate will complete their Action Plan to incorporate improved nutrition and physical activity practices.
75% of child care centers that complete their Action Plan will demonstrate improvement in nutrition and physical activity practices as measured by pre- and post-assessment scores.
Grantee Owner to provide ongoing technical assistance to NAP SACC Grantees:
Tour of NAP SACC project
Purpose of Evaluation:
To learn if NAP SACC is making a difference in the nutrition and physical activity practices in child care centers.
To ensure that NAP SACC programs are reaching the intended target population.
Pre- and Post-Self Assessments
Center Profile Cover Sheet
Outputs / Counts:
Outcomes / Results
Narrative / Success Stories
Type of Reports:
Programmatic / Evaluation Reports
Grantees to submit written and electronic reports to NCPC / contracted evaluator
NCPC will report to Key Stakeholders (e.g., General Assembly)
NAP SACC Grantees:
Guilford County Partnership for Children
Orange County Partnership for Children
Person County Partnership for Children
Stanly County Smart Start Partnership for Children
Cynthia Turner, MA, Health Consultant
The North Carolina Partnership for Children, Inc.
Planning and Program Department
Sarah Ball, MPH, RD, Project Director
Center for Health Promotion and Disease Prevention
University of North Carolina at Chapel Hill
Phone: 919-966-6035; [email protected]
“Don’t step on it…it makes you cry.”