title: Training and technical assistance for compliance with beverage and physical activity components of New York City's regulations for early child care centers.
abstract: BACKGROUND
  In 2006, the New York City Department of Health and Mental Hygiene (DOHMH) passed regulations for child care centers that established standards for beverages provided to children and set a minimum amount of time for daily physical activity. DOHMH offered several types of training and technical assistance to support compliance with the regulations. This article analyzes the association between training and technical assistance provided and compliance with the regulations in a sample of 174 group child care centers.
  
  
  METHODS
  Compliance was measured by using a site inventory of beverages stored on premises and a survey of centers' teachers regarding the amount of physical activity provided. Training and technical assistance measures were based on the DOHMH records of training and technical assistance provided to the centers in the sample and on a survey of center directors. Ordinal logistic regression was used to assess the association between training and technical assistance measures and compliance with the regulations.
  
  
  RESULTS
  Measures of training related to physical activity the center received: the number of staff members who participated in Sport, Play and Active Recreation for Kids (SPARK) and other training programs in which a center participated were associated with better compliance with the physical activity regulations. Neither training nor technical assistance were associated with compliance with the regulations related to beverages.
  
  
  CONCLUSIONS
  Increased compliance with regulations pertaining to physical activity was not related to compliance with beverage regulations. Future trainings should be targeted to the specific regulation requirements to increase compliance.
authors.affiliation: ICF International, 1725 I St NW #1000, Washington, DC 20006. Telephone: 202-862-1254. E-mail address: jKakietek@icfi.com.
authors.forename: Jakub
authors.initials: J
authors.lastname: Kakietek
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: Sarah Abood
authors.initials: SA
authors.lastname: O'Dell
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Jan
authors.initials: J
authors.lastname: Jernigan
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia.
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; D005522:Food Services / Q000331:legislation & jurisprudence / Q000592:standards; D019983:Guideline Adherence / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D009043:Motor Activity; D009519:New York City; D018673:Nutrition Policy; D013663:Teaching