Assessment of nutrition and physical activity practices using self-report and observation in early care and education across multiple US states.
Assessment of nutrition and physical activity practices using self-report and observation in early care and education across multiple US states.
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使用自我报告和观察来评估美国多个州早期护理和教育中的营养和身体活动实践。
DOI：
10.1017/s1368980017000155
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发表时间：
2017
影响因子：
3.2
通讯作者：
Yaroch,AmyL
中科院分区：
文献类型：
--
作者：
Smith,TeresaM;Blaser,Casey;GenoRasmussen,Cristy;Shuell,Julie;Plumlee,Catherine;Yaroch,AmyL
目标国家早期保育和教育学习合作组织 (ECELC) 项目旨在促进多个州早期保育和教育 (ECE) 项目中健康的身体活动和营养环境、政策和实践。本试点研究旨在利用环境与政策评估和观察 (EPAO) 来评估参与 ECELC 的 ECE 项目子样本中身体活动和营养实践的变化。此外，它还试图将结果与儿童保育营养和身体活动自我评估（NAP SACC）进行比较。设计准实验性前后试点研究，其中配对样本t检验检查从评估前到评估后身体活动和营养实践的变化（P<0·05）。 Pearson 相关系数检查了 EPAO 与 NAP SACC 分数的变化，统计显着性设置在 P<0·10 的两侧 α 水平上，以说明样本量。设置该研究在 ECE 计划中进行。受试者观察了美国四个州 19 个 ECE 计划的学前教室。结果EPAO 数据显示从预评估到后评估的总分有所增加 (150 (sd 30) 至 176) （标准差 35））。 NAP SACC 变化得分与 EPAO 领域变化得分关系不大，但营养政策和体育活动政策除外（分别为 r=−0·4 和 −0·6）。 结论 通过 EPAO 报告的总体改进表明，参与 ECELC 导致了关键营养和体育活动相关实践的变化。然而，与 EPAO 相比，使用 NAP SACC 报告的数据存在相当大的差异，这表明应谨慎解释主观数据，并在可行时应使用客观测量。
ObjectiveThe National Early Care and Education Learning Collaboratives (ECELC) Project aims to promote healthy physical activity and nutrition environments, policies and practices in early care and education (ECE) programmes across multiple states. The present pilot study sought to assess changes to the physical activity and nutrition practices in a sub-sample of ECE programmes participating in the ECELC using the Environment and Policy Assessment and Observation (EPAO). Additionally, it sought to compare results with the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC).DesignQuasi-experimental pre–post pilot study where paired-sample t tests examined changes to physical activity and nutrition practices from pre-assessment to post-assessment (P<0·05). Pearson correlation coefficients examined change scores from EPAO compared with NAP SACC with statistical significance set at a two-sided α level of P<0·10 to account for sample size.SettingThe study occurred among ECE programmes.SubjectsPre-school classrooms in nineteen ECE programmes across four US states were observed.ResultsEPAO data demonstrated an increase in total score from pre-assessment to post-assessment (150 (sd 30) to 176 (sd 35)). NAP SACC change scores demonstrated little relationship with EPAO domain change scores, with exceptions in Nutrition Policy and Physical Activity Policy (r=−0·4 and −0·6, respectively).ConclusionsThe overall improvements reported through the EPAO suggest participation in the ECELC resulted in changes in critical nutrition- and physical activity-related practices. However, considerable differences in data reported using the NAP SACC compared with the EPAO suggest subjective data should be interpreted with caution and objective measurement should be used when feasible.