Preventing Chronic Disease | Training and Technical Assistance for Compliance With Beverage and Physical Activity Components of New York City’s Regulations for Early Child Care Centers - CDC

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Preventing Chronic Disease | Training and Technical Assistance for Compliance With Beverage and Physical Activity Components of New York City’s Regulations for Early Child Care Centers - CDC

Training and Technical Assistance for Compliance With Beverage and Physical Activity Components of New York City’s Regulations for Early Child Care Centers

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• Abstract
• Introduction
• Methods
• Results
• Discussion
• Acknowledgments
• Author Information
• References
• Tables

Jakub Kakietek, PhD; Lillian Dunn, MPH; Sarah Abood O’Dell, MPH; Jan Jernigan, PhD; Laura Kettel Khan, PhD

Suggested citation for this article: Kakietek J, Dunn L, O’Dell SA, Jernigan J, Kettel Khan L. Training and Technical Assistance for Compliance With Beverage and Physical Activity Components of New York City’s Regulations for Early Child Care Centers. Prev Chronic Dis 2014;11:130434. DOI: http://dx.doi.org/10.5888/pcd11.130434.

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Abstract

Introduction
In 2006, the New York City Department of Health and Mental Hygiene (DOHMH) passed regulations for child care centers that established standards for beverages provided to children and set a minimum amount of time for daily physical activity. DOHMH offered several types of training and technical assistance to support compliance with the regulations. This article analyzes the association between training and technical assistance provided and compliance with the regulations in a sample of 174 group child care centers.

Methods
Compliance was measured by using a site inventory of beverages stored on premises and a survey of centers’ teachers regarding the amount of physical activity provided. Training and technical assistance measures were based on the DOHMH records of training and technical assistance provided to the centers in the sample and on a survey of center directors. Ordinal logistic regression was used to assess the association between training and technical assistance measures and compliance with the regulations.

Results
Measures of training related to physical activity the center received: the number of staff members who participated in Sport, Play and Active Recreation for Kids (SPARK) and other training programs in which a center participated were associated with better compliance with the physical activity regulations. Neither training nor technical assistance were associated with compliance with the regulations related to beverages.

Conclusion
Increased compliance with regulations pertaining to physical activity was not related to compliance with beverage regulations. Future trainings should be targeted to the specific regulation requirements to increase compliance.

Acknowledgments

The project was funded by grant no. 65425 from the Robert Wood Johnson Foundation to the CDC Foundation. Technical assistance was provided by CDC’s Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity. ICF International was the lead contractor for the study in conjunction with the New York City DOHMH. Beth Dixon was a consultant on the project.

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Author Information

Corresponding Author: Jakub Kakietek, ICF International, 1725 I St NW #1000, Washington, DC 20006. Telephone: 202-862-1254. E-mail address:jKakietek@icfi.com.

Author Affiliations: Lillian Dunn, New York City Department of Health and Mental Hygiene, New York, New York; Sarah Abood O’Dell, ICF International, Atlanta, Georgia; Jan Jernigan, Laura Kettel Khan, Centers for Disease Control and Prevention, Atlanta, Georgia.

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References

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