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What is NAP SACC? The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) is a practice-based intervention designed to enhance policies, practices, and environments in child care by improving the nutritional quality of food served, the amount and quality of physical activity, staff-child interactions, and the facilities’ nutrition and physical activity polices, practices, and overall wellness. Why target Child Care? Over 12 million preschoolers attend child care. Up to 5 meals/snacks are consumed each day. Improving the child care environment (nutrition and physical activity) can help prevent the childhood obesity epidemic. Key Elements of NAP SACC: 1. Online Self-Assessment 2. Goal Setting and Action Planning 3. Workshop Delivery 4. Targeted Technical Assistance 5. Evaluate, Revise and Repeat The NAP SACC Partnership: The Nebraska SNAP-Ed program partnered with the Nebraska Department of Health and Human Services to offer a pilot of NAP SACC across Nebraska. The program was available to child care providers that served limited-resource audiences. The NAP SACC pilot program was funded by SNAP-Ed and the Nebraska Department of Health and Human Services and will be sustained using funds from SNAP-Ed, Team Nutrition and the Department of Health and Human Services. Results: Ten SNAP-Ed staff were trained to implement the NAP SACC program in the spring of 2014. The NAP SACC pilot program was available to child care centers and in-home daycares in 15 counties. During the pilot phase, SNAP-Ed/Extension NAP SACC trainers trained 88 child care providers on NAP SACC, reaching 12 different child care facilities. Going forward, over 25 NAP SACC trainers will be available to child care centers and in- home daycares in 45 counties in Nebraska. Serving Nebraska’s Childcare Providers with the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) - A Pilot Program SNAP-Ed NAP SACC Evaluation Plans: The role of SNAP-Ed within NAP SACC is to provide consultation and technical assistance in creating appropriate organizational or environmental changes in child care centers and homes. It is ultimately the responsibility of the child care center or home to adopt, maintain, and enforce the environmental change. Some examples of areas that will be monitored in the center or homes to determine if environmental change is likely include: Reach: The number of SNAP-Ed youth reached by the change in the child care center or home. Adoption: The number of nutrition and physical activity related policies that the child care center or home adopted as a result of the NAP SACC intervention. Effectiveness: The number of settings with improved food or physical activity scores using a reliable and consistent environmental assessment tool. Extension is a Division of the Institute of Agriculture and Natural Resources at the University of Nebraska–Lincoln cooperating with the Counties and the U.S. Department of Agriculture (USDA). University of Nebraska– Lincoln Extension’s educational programs abide with the nondiscrimination policies of the University of Nebraska–Lincoln and the USDA. The USDA prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal and, where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or if all or part of an individual's income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.) If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at [email protected]. Individuals who are deaf, hard of hearing, or have speech disabilities and wish to file either an EEO or program complaint please contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (in Spanish). Persons with disabilities who wish to file a program complaint, please see information above on how to contact us by mail directly or by email. If you require alternative means of communication for program information (e.g., Braille, large print, audiotape, etc.) please contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). USDA is an equal opportunity provider and employer. Funded in part by USDA’s SNAP-Ed Program. *Donnia Behrends, MS, RD; Natalie Sehi, MS, RD, LMNT; Jean Ann Fischer, MS, RD, LMNT; University of Nebraska–Lincoln, 119A Ruth Leverton Hall, Lincoln, NE 68583-0806. Emily Hulse, MS; Holly Dingman, MS, RD; Nebraska Department of Health and Human Services, Lincoln, NE. Zainab Rida, PhD, RD; Nebraska Department of Education, Lincoln, NE. NAP SACC Impact: A formal statistical report that summarizes the findings of the pilot phase will be available soon, but preliminary average figures show: OVERALL average results indicated: At pre-self assessment the facilities were achieving or nearly achieving 58.4% of NAP SACC best practices; at post self-assessment they improved to 91.2% of best practices. Improvements of the percentage of best practices ACHIEVED within each component are: PRE POST 0 10 20 30 40 50 60 Breastfeeding and Infant Feeding BEST Practices PRE POST 0 10 20 30 40 50 60 70 80 Child Nutrition BEST Practices PRE POST 0 10 20 30 40 50 60 Infant and Child Physical Activity BEST Practices PRE POST 0 10 20 30 40 50 60 Outdoor Play and Learning BEST Practices PRE POST 0 5 10 15 20 25 30 35 40 Screen Time BEST Practices

What is NAP SACC? The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) is a practice- based intervention designed to enhance policies,

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Page 1: What is NAP SACC? The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) is a practice- based intervention designed to enhance policies,

What is NAP SACC?The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) is a practice-based intervention designed to enhance policies, practices, and environments in child care by improving the nutritional quality of food served, the amount and quality of physical activity, staff-child interactions, and the facilities’ nutrition and physical activity polices, practices, and overall wellness.

Why target Child Care?• Over 12 million preschoolers attend child care.• Up to 5 meals/snacks are consumed each day.• Improving the child care environment (nutrition and physical activity) can help prevent

the childhood obesity epidemic.

Key Elements of NAP SACC:1. Online Self-Assessment2. Goal Setting and Action Planning3. Workshop Delivery4. Targeted Technical Assistance5. Evaluate, Revise and Repeat

The NAP SACC Partnership:The Nebraska SNAP-Ed program partnered with the Nebraska Department of Health and Human Services to offer a pilot of NAP SACC across Nebraska. The program was available to child care providers that served limited-resource audiences. The NAP SACC pilot program was funded by SNAP-Ed and the Nebraska Department of Health and Human Services and will be sustained using funds from SNAP-Ed, Team Nutrition and the Department of Health and Human Services.

Results:Ten SNAP-Ed staff were trained to implement the NAP SACC program in the spring of 2014. The NAP SACC pilot program was available to child care centers and in-home daycares in 15 counties. During the pilot phase, SNAP-Ed/Extension NAP SACC trainers trained 88 child care providers on NAP SACC, reaching 12 different child care facilities. Going forward, over 25 NAP SACC trainers will be available to child care centers and in-home daycares in 45 counties in Nebraska.

Serving Nebraska’s Childcare Providers with the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) - A Pilot Program

SNAP-Ed NAP SACC Evaluation Plans:The role of SNAP-Ed within NAP SACC is to provide consultation and technical assistance in creating appropriate organizational or environmental changes in child care centers and homes. It is ultimately the responsibility of the child care center or home to adopt, maintain, and enforce the environmental change. Some examples of areas that will be monitored in the center or homes to determine if environmental change is likely include:

Reach: The number of SNAP-Ed youth reached by the change in the child care center or home.

Adoption: The number of nutrition and physical activity related policies that the child care center or home adopted as a result of the NAP SACC intervention.

Effectiveness: The number of settings with improved food or physical activity scores using a reliable and consistent environmental assessment tool.

Extension is a Division of the Institute of Agriculture and Natural Resources at the University of Nebraska–Lincoln cooperating with the Counties and the U.S. Department of Agriculture (USDA). University of Nebraska–Lincoln Extension’s educational programs abide with the nondiscrimination policies of the University of Nebraska–Lincoln and the USDA.The USDA prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal and, where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or if all or part of an individual's income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.)If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at [email protected]. Individuals who are deaf, hard of hearing, or have speech disabilities and wish to file either an EEO or program complaint please contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (in Spanish). Persons with disabilities who wish to file a program complaint, please see information above on how to contact us by mail directly or by email. If you require alternative means of communication for program information (e.g., Braille, large print, audiotape, etc.) please contact USDA's TARGET Center at (202) 720-2600 (voice and TDD).USDA is an equal opportunity provider and employer.

Funded in part by USDA’s SNAP-Ed Program.

*Donnia Behrends, MS, RD; Natalie Sehi, MS, RD, LMNT; Jean Ann Fischer, MS, RD, LMNT; University of Nebraska–Lincoln, 119A Ruth Leverton Hall, Lincoln, NE 68583-0806. Emily Hulse, MS; Holly Dingman, MS, RD; Nebraska Department of Health and Human Services, Lincoln, NE. Zainab Rida, PhD, RD; Nebraska Department of Education, Lincoln, NE.

NAP SACC Impact:A formal statistical report that summarizes the findings of the pilot phase will be available soon, but preliminary average figures show:OVERALL average results indicated: At pre-self assessment the facilities were achieving or nearly achieving 58.4% of NAP SACC best practices; at post self-assessment they improved to 91.2% of best practices. Improvements of the percentage of best practices ACHIEVED within each component are:

PRE POST0

10

20

30

40

50

60

Breastfeeding and Infant Feeding BEST Practices

PRE POST0

10

20

30

40

50

60

70

80

Child Nutrition BEST Practices

PRE POST0

10

20

30

40

50

60

Infant and Child Physical Activity BEST Practices

PRE POST0

10

20

30

40

50

60

Outdoor Play and Learning BEST Prac-tices

PRE POST0

5

10

15

20

25

30

35

40

Screen Time BEST Practices