# A hybrid effectiveness-implementation trial of Go NAPSACC: a childcare-based obesity prevention program

> **NIH NIH R01** · UNIV OF NORTH CAROLINA CHAPEL HILL · 2020 · $734,253

## Abstract

ABSTRACT
Child care settings play a significant role in shaping the eating and physical activity habits of many young children. These
programs can foster healthy behaviors by serving healthy foods and limiting access to unhealthy foods, integrating time
for active play, limiting screen time, providing healthy role models, and teaching children the knowledge and skills
needed to make healthy lifestyle choices. National efforts to address childhood obesity increasingly call upon child care
programs to implement these evidence-based practices; however, compliance remains low. Implementation studies
represent a critical next step in helping to advance child care-based health promotion and obesity prevention efforts. The
proposed study (submitted in response to Dissemination and Implementation Research in Health, PAR-16-238), will
address these gaps using a randomized controlled trial and hybrid effectiveness-implementation design to evaluate the
impact of Go NAPSACC on centers' implementation of evidence-based practices and assess the reach, adoption,
implementation, and maintenance that can be achieved with an Enhanced vs. Basic implementation model. We will target
child care centers in Kentucky, the state with the sixth highest rate of child obesity in the U.S. We will work with The
Kentucky Department of Health and eight of their existing regional technical assistance (TA) providers to recruit 97 child
care centers (~12 centers per region). Regional TA providers delivering Enhanced Go NAPSACC will integrate steps
from the Quality Implementation Framework to support general and intervention-specific capacity building by child care
centers, which are hypothesized to improve the implementation of evidence-based best practices. Outcomes, guided by
RE-AIM and Consolidated Framework for Implementation Research, will assess centers' implementation of evidence-
based practices, changes in the diet quality and physical activity of children while at child care, markers of Go NAPSACC
implementation, contextual factors influencing implementation, and costs.

## Key facts

- **NIH application ID:** 9986009
- **Project number:** 5R01HL137929-03
- **Recipient organization:** UNIV OF NORTH CAROLINA CHAPEL HILL
- **Principal Investigator:** Dianne Stanton Ward
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $734,253
- **Award type:** 5
- **Project period:** 2018-08-15 → 2022-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9986009

## Citation

> US National Institutes of Health, RePORTER application 9986009, A hybrid effectiveness-implementation trial of Go NAPSACC: a childcare-based obesity prevention program (5R01HL137929-03). Retrieved via AI Analytics 2026-05-21 from https://api.ai-analytics.org/grant/nih/9986009. Licensed CC0.

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