Intervention
Upon completion of the pre-test NAP SACC, child care centers were awarded their grant money; they were not allowed to purchase the requested equipment until the workshops were complete. They worked closely with the local health department to determine areas of weakness identified in the NAP SACC. From each center's pre-test information, the health department consultants assisted directors in setting goals and developing action plans. Directors were asked to choose three specific focus areas, one specific to nutrition, one specific to physical activity, and a third of their choice (e.g., a second nutrition goal or physical activity goal). Centers were also asked to focus their goals on changing/updating policy concerning nutrition and physical activity guidelines and practices rather than just on implementation of environmental changes. The focus on policy was an effort to make changes become more sustainable. After goals were set, the consultants presented a series of three workshops, 2 h in length, covering five topic areas. These workshop materials and NAP SACC Consultant training are provided at the Center for Training and Research Translation (Center TRT). Workshops were held within the first two weeks (Tuesday evenings and Saturday mornings) of the intervention and designed to improve child care staff's knowledge of nutrition and physical activity and present strategies to change current practices and policies. Workshops were held in each county at a school or church large enough to accommodate all staff. Workshop topics included the following: Working with Families, Child Care Center Environment, Healthy Eating, Physical Activity, and Staff Wellness. To receive their grant money, child care center staffs were required to have 100% attendance at all workshops. As an incentive, staffs were provided with continuing education units (CEU) for participation in the workshops.