Education and Human Sciences, College of (CEHS)


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A THESIS Presented to the Faculty of The Graduate College at the University of Nebraska In Partial Fulfillment of Requirements For the Degree of Master of Science, Major: Nutrition and Health Sciences, Under the Supervision of Professor Shinya Takahashi. Lincoln, Nebraska: July 2013

Copyright (c) 2013 Katie K. Bolte


Nebraska is the first state to utilize NAP SACC and to modify the evidence-based program for family child care homes (FCCHs). The purpose of this study was to conduct a secondary data analysis to assess the effectiveness of a modified version of the NAP SACC approach in achieving changes in physical activity behavior, policy, and environment in Nebraska FCCHs caring for children ages 2-5 years. Results from this study will be used to improve the NAP SACC physical activity components for FCCHs and will help to inform trainers and the Nebraska Department of Health and Human Services, Nutrition and Activity for Health Program of additional training needs of providers to effectively implement physical activity strategies in current and future NAP SACC FCCH sites.

The training, intervention, and data collection occurred November 2010 - June 2012, as part of the Nebraska Healthy Child Care Initiative project. The participants were providers in family child care homes enrolled in Child and Adult Care Food Program (CACFP). A variety of evaluation methods were utilized to assess the impact of NAP SACC in the FCCHs. Frequencies, means, paired sample t-test, and percent changes were found for the physical activity data using IBM® SPSS® Statistics 21 software, from January 2013 - June 2013.

The most common goal, increase active play time, was also one of the most improved physical activity areas. Providers also reported an increase in their own physical activity levels. Differences in goals selected and improvements made were seen between facilities located in rural and urban counties, and between FCCH-I and FCCH-II facilities. The least interest and improvements were seen for Physical Activity Key Areas four and five. Most of the providers found the resources to be very helpful. Licensed, FCCHs enrolled in CACFP made positive changes to their physical activity policies and environments utilizing a modified version of the NAP SACC approach.

Advisor: Shinya Takahashi