Preventing Chronic Disease | Measurement of Compliance With New York City’s Regulations on Beverages, Physical Activity, and Screen Time in Early Child Care Centers - CDC
Measurement of Compliance With New York City’s Regulations on Beverages, Physical Activity, and Screen Time in Early Child Care Centers
Laura Lessard, PhD, MPH; Catherine Lesesne, PhD, MPH; Jakub Kakietek, PhD, MPH; Andrew Breck, MPA; Jan Jernigan, PhD; Lillian Dunn, MPH; Cathy Nonas, MPH; Sarah Abood O’Dell, MPH; Robert L. Stephens, PhD, MPH; Ye Xu; Laura Kettel Khan, PhD
Suggested citation for this article: Lessard L, Lesesne C, Kakietek J, Breck A, Jernigan J, Dunn L, et al. Measurement of Compliance With New York City’s Regulations on Beverages, Physical Activity, and Screen Time in Early Child Care Centers. Prev Chronic Dis 2014;11:130433. DOI: http://dx.doi.org/10.5888/pcd11.130433
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Abstract
Introduction
Policy interventions designed to change the nutrition environment and increase physical activity in child care centers are becoming more common, but an understanding of the implementation of these interventions is yet to be developed. The objective of this study was to explore the extent and consistency of compliance with a policy intervention designed to promote nutrition and physical activity among licensed child care centers in New York City.
Policy interventions designed to change the nutrition environment and increase physical activity in child care centers are becoming more common, but an understanding of the implementation of these interventions is yet to be developed. The objective of this study was to explore the extent and consistency of compliance with a policy intervention designed to promote nutrition and physical activity among licensed child care centers in New York City.
Methods
We used a multimethod cross-sectional approach and 2 independent components of data collection (Center Evaluation Component and Classroom Evaluation Component). The methods were designed to evaluate the impact of regulations on beverages served, physical activity, and screen time at child care centers. We calculated compliance scores for each evaluation component and each regulation and percentage agreement between compliance in the center and classroom components.
We used a multimethod cross-sectional approach and 2 independent components of data collection (Center Evaluation Component and Classroom Evaluation Component). The methods were designed to evaluate the impact of regulations on beverages served, physical activity, and screen time at child care centers. We calculated compliance scores for each evaluation component and each regulation and percentage agreement between compliance in the center and classroom components.
Results
Compliance with certain requirements of the beverage regulations was high and fairly consistent between components, whereas compliance with the physical activity regulation varied according to the data collection component. Compliance with the regulation on amount and content of screen time was high and consistent.
Compliance with certain requirements of the beverage regulations was high and fairly consistent between components, whereas compliance with the physical activity regulation varied according to the data collection component. Compliance with the regulation on amount and content of screen time was high and consistent.
Conclusion
Compliance with the physical activity regulation may be a more fluid, day-to-day issue, whereas compliance with the regulations on beverages and television viewing may be easier to control at the center level. Multiple indicators over multiple time points may provide a more complete picture of compliance — especially in the assessment of compliance with physical activity policies.
Compliance with the physical activity regulation may be a more fluid, day-to-day issue, whereas compliance with the regulations on beverages and television viewing may be easier to control at the center level. Multiple indicators over multiple time points may provide a more complete picture of compliance — especially in the assessment of compliance with physical activity policies.
Acknowledgments
The project was funded by grant no. 65425 from the Robert Wood Johnson Foundation to the National Foundation for the Centers for Disease Control and Prevention. Technical assistance was provided by the National Center for Chronic Disease Prevention and Health Promotion’s Division of Nutrition, Physical Activity, and Obesity at the Centers for Disease Control and Prevention. ICF International served as the lead contractor for the study in conjunction with the New York City Department of Health and Mental Hygiene. Beth Dixon served as a consultant on the project. The findings and conclusions of this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention or any of the other project agencies.
Author Information
Corresponding Author: Laura Lessard, PhD, MPH, Arcadia University, 450 S Easton Rd, Glenside, PA 19038. Telephone: 215-517-2597. E-mail:LessardL@Arcadia.edu.
Author Affiliations: Catherine Lesesne, Jakub Kakietek, Sarah Abood O’Dell, Robert L. Stephens, Ye Xu, ICF International, Atlanta, Georgia; Andrew Breck, National Foundation for the Centers for Disease Control and Prevention, Atlanta, Georgia; Jan Jernigan, Laura Kettel Khan, Centers for Disease Control and Prevention, Atlanta, Georgia; Lillian Dunn, New York City Department of Education, New York, New York; Cathy Nonas, New York City Department of Health and Mental Hygiene, New York, New York.
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