title: Evaluation design of New York City's regulations on nutrition, physical activity, and screen time in early child care centers.
abstract: This article describes the multi-method cross-sectional design used to evaluate New York City Department of Health and Mental Hygiene's regulations of nutrition, physical activity, and screen time for children aged 3 years or older in licensed group child care centers. The Center Evaluation Component collected data from a stratified random sample of 176 licensed group child care centers in New York City. Compliance with the regulations was measured through a review of center records, a facility inventory, and interviews of center directors, lead teachers, and food service staff. The Classroom Evaluation Component included an observational and biometric study of a sample of approximately 1,400 children aged 3 or 4 years attending 110 child care centers and was designed to complement the center component at the classroom and child level. The study methodology detailed in this paper may aid researchers in designing policy evaluation studies that can inform other jurisdictions considering similar policies.
authors.affiliation: National Foundation for the Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Andrew
authors.initials: A
authors.lastname: Breck
authors.affiliation: ICF International, Atlanta, Georgia.
authors.forename: Ken
authors.initials: K
authors.lastname: Goodman
authors.affiliation: New York City Department of Health and Mental Hygiene, New York, New York.
authors.forename: Lillian
authors.initials: L
authors.lastname: Dunn
authors.affiliation: ICF International, Atlanta, Georgia.
authors.forename: Robert L
authors.initials: RL
authors.lastname: Stephens
authors.affiliation: ICF International, Atlanta, Georgia.
authors.forename: Nicola
authors.initials: N
authors.lastname: Dawkins
authors.affiliation: New York University, New York, New York.
authors.forename: Beth
authors.initials: B
authors.lastname: Dixon
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia; Laura Lessard, Arcadia University, Glenside, Pennsylvania.
authors.forename: Jan
authors.initials: J
authors.lastname: Jernigan
authors.affiliation: ICF International, Atlanta, Georgia.
authors.forename: Jakub
authors.initials: J
authors.lastname: Kakietek
authors.affiliation: ICF International, Atlanta, Georgia.
authors.forename: Catherine
authors.initials: C
authors.lastname: Lesesne
authors.affiliation: Arcadia University, Glenside, Pennsylvania.
authors.forename: Laura
authors.initials: L
authors.lastname: Lessard
authors.affiliation: New York City Department of Health and Mental Hygiene, New York, New York.
authors.forename: Cathy
authors.initials: C
authors.lastname: Nonas
authors.affiliation: ICF International, Atlanta, Georgia.
authors.forename: Sarah Abood
authors.initials: SA
authors.lastname: O'Dell
authors.affiliation: ICF International, Atlanta, Georgia.
authors.forename: Thearis A
authors.initials: TA
authors.lastname: Osuji
authors.affiliation: National Foundation for the Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Bernice
authors.initials: B
authors.lastname: Bronson
authors.affiliation: ICF International, Atlanta, Georgia.
authors.forename: Ye
authors.initials: Y
authors.lastname: Xu
authors.affiliation: Office of the Director, Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS K-24, Atlanta, GA 30341. E-mail: LDK7@cdc.gov.
authors.forename: Laura
authors.initials: L
authors.lastname: Kettel Khan
mesh_terms: D001628:Beverages; D002656:Child Day Care Centers / Q000331:legislation & jurisprudence* / Q000592:standards*; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005522:Food Services / Q000592:standards; D006801:Humans; D009043:Motor Activity; D009519:New York City; D018673:Nutrition Policy; D063766:Pediatric Obesity / Q000517:prevention & control; D015995:Prevalence; D012111:Residence Characteristics