Preventing Chronic Disease | Evaluation Design of New York City’s Regulations on Nutrition, Physical Activity, and Screen Time in Early Child Care Centers - CDC
Evaluation Design of New York City’s Regulations on Nutrition, Physical Activity, and Screen Time in Early Child Care Centers
Andrew Breck, MPA; Ken Goodman, MA; Lillian Dunn, MPH; Robert L. Stephens, PhD, MPH; Nicola Dawkins, PhD; Beth Dixon, PhD, MPH; Jan Jernigan, PhD; Jakub Kakietek, PhD, MPH; Catherine Lesesne, PhD, MPH; Laura Lessard, PhD, MPH; Cathy Nonas, MPH; Sarah Abood O’Dell, MPH; Thearis A. Osuji, MPH; Bernice Bronson, MPH; Ye Xu; Laura Kettel Khan, PhD
Suggested citation for this article: Breck A, Goodman K, Dunn L, Stephens RL, Dawkins N, Dixon B, et al. Evaluation Design of New York City’s Regulations on Nutrition, Physical Activity, and Screen Time in Early Child Care Centers. Prev Chronic Dis 2014;11:130431. DOI: http://dx.doi.org/10.5888/pcd11.130431.
This article describes the multi-method cross-sectional design used to evaluate New York City Department of Health and Mental Hygiene’s regulations of nutrition, physical activity, and screen time for children aged 3 years or older in licensed group child care centers. The Center Evaluation Component collected data from a stratified random sample of 176 licensed group child care centers in New York City. Compliance with the regulations was measured through a review of center records, a facility inventory, and interviews of center directors, lead teachers, and food service staff. The Classroom Evaluation Component included an observational and biometric study of a sample of approximately 1,400 children aged 3 or 4 years attending 110 child care centers and was designed to complement the center component at the classroom and child level. The study methodology detailed in this paper may aid researchers in designing policy evaluation studies that can inform other jurisdictions considering similar policies.
The project was funded by grant no. 65425 from the Robert Wood Johnson Foundation (RWJF) to the National Foundation for the Centers for Disease Control and Prevention. Technical assistance was provided by the CDC National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity. ICF International served as the lead contractor for the study in conjunction with the DOHMH. Dr Dixon served as a consultant on the project. Special thanks for their support and contributions to the study go to Laura Leviton, RWJF; Tamara Dumanovsky, DOHMH; and Julia Ruben and David Cotton, ICF International.
The findings and conclusions in this report are those of the authors do not necessarily represent the official position of CDC or any of the other project agencies.
Corresponding Author: Laura Kettel Khan, PhD, Senior Scientist, Office of the Director, Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS K-24, Atlanta, GA 30341. Telephone: 770-488-6018. E-mail: LDK7@cdc.gov.
Author Affiliations: Andrew Breck, Bernice Bronson, National Foundation for the Centers for Disease Control and Prevention, Atlanta, Georgia; Ken Goodman, Robert L. Stephens, Nicola Dawkins, Jakub Kakietek, Catherine Lesesne, Sarah Abood O’Dell, Thearis A. Osuji, Ye Xu, ICF International, Atlanta, Georgia; Lillian Dunn, Cathy Nonas, New York City Department of Health and Mental Hygiene, New York, New York; Beth Dixon, New York University, New York, New York; Jan Jernigan, Laura Kettel Khan, Centers for Disease Control and Prevention, Atlanta, Georgia; Laura Lessard, Arcadia University, Glenside, Pennsylvania.