Potential Public Health Impact
The NAP SACC intervention has a high potential for public health impact.
Reach: With approximately three quarters of US children spending time in out-of-home child care, this intervention has potential for efficiently reaching a large number of children.
Effectiveness: Data available at the time of the review suggest that, compared to a control group, intervention centers are more likely to make significant changes in nutrition policies, environments and practices and some positive (but statistically non-significant) changes in physical activity policies, environments and practices.
Adoption: There was good adoption of the intervention, with an adoption rate of 73% (41/56) for the statewide evaluation study. At the time of review, NAP SACC had been adopted/adapted in several other states.
Implementation: This intervention was designed for dissemination — training, intervention materials, implementation guidance and technical support for implementation are available. The intervention is relatively easy to implement at a relatively low cost. The intervention has been replicated in other states. It seems reasonable to expect that the intervention could be implemented as intended (with fidelity) in similar settings with similar infrastructure.
Maintenance: It was not possible to assess long-term maintenance of the intervention at the time of this review. Given the use of existing infrastructure (child care health consultants in NC), the nature of some of the changes in infrastructure, and the relatively low cost of implementation, it is reasonable to expect that the intervention could be sustained over time.