We thank all the children, parents/carers, nursery staff, health visitors and trainers (specifically Jessica Williams, Mike Squire, Hayley Burton and Auriol Barker) who took part in NAP SACC UK. We thank all the NAP SACC UK staff including fieldworkers (with particular thanks to Sarah Harding, Tom Reid and Manmita Rai and Jane Collingwood), administrative staff, computing and data management staff (with particular thanks to Xabier Baquedano, Mai Baquedano and Sam Story), research governance staff (Anna Brooke) and finance staff (Alex Mikulski and Kathryn Mellor). We thank Becky Pollard and Jon Roberts (North Somerset Council), Julie Bishop (Public Health Wales), Janine Newbury (North Somerset Community Partnership), Sarah Scott and Ruth Lewis (Gloucestershire County Council) and Jane Hayhurst (Gloucestershire Care Services NHS Trust) and their staff for their support for the study. We also thank the chairperson and members of the TSC for their advice and support: Professor Russell Viner, University College London and London NHS Foundation Trust; Professor Sian Robinson, University of Southampton; Justine Britton, University of Bristol; Dr Brad Metcalf, University of Exeter; Claire Wilson, Health Visitor.
This study was designed and delivered in collaboration with the Bristol Randomised Trials Collaboration, a UK Clinical Research Collaboration (UKCRC) Registered Clinical Trials Unit in receipt of NIHR CTU support funding. The work was undertaken with the support of The Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), a UKCRC Public Health Research Centre of Excellence. Joint funding (MR/KO232331/1) from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the Welsh Government and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. Funding from the Elizabeth Blackwell Institute at the University of Bristol paid for work in collaboration with PBRC for the remote food photography substudy.
Contributions of authors
Dr Ruth Kipping (Senior Research Fellow, Public Health) was the principal investigator, obtained the funds for the study and wrote the first draft of the monograph.
Dr Rebecca Langford (Research Associate, Public Health) undertook the process evaluation, collected and analysed the data wrote the results for publication and wrote the process evaluation methods and results sections of the monograph.
Dr Rowan Brockman (Research Associate, Public Health) collected and analysed data from the phase 1, wrote the phase 1 methods and results sections of the monograph and contributed to adapting the NAP SACC intervention and writing the mediator questionnaires.
Ms Sian Wells (Trial Manager, Public Health) managed the study and the ethics applications, collected phase 1 data, was involved with adapting the NAP SACC intervention, adapting the self-assessment tool and the EPAO and contributed to writing the monograph.
Professor Chris Metcalfe (Professor, Medical Statistics) was co-applicant, co-designed the study, oversaw the data analysis and interpretation and contributed to writing the monograph.
Dr Angeliki Papadaki (Senior Lecturer, Nutrition) was co-applicant, co-designed the study, advised on the diet data analysis and interpretation and contributed to writing the monograph.
Dr James White (Senior Lecturer, Public Health) was co-applicant, co-designed the study, advised on the data analysis and interpretation and contributed to writing the monograph.
Professor William Hollingworth (Professor, Health Economics) was co-applicant, co-designed the study, oversaw the data analysis and interpretation of the economic and health-related quality-of-life interpretation and contributed to writing the monograph.
Professor Laurence Moore (Professor, Public Health) was co-applicant, co-designed the study, advised on the management of the study, data analysis and interpretation and contributed to writing the monograph.
Professor Dianne Ward (Professor, Nutrition and Physical Activity) was co-applicant, co-designed the study, advised on the management of the study, data analysis and interpretation and contributed to writing the monograph.
Professor Rona Campbell (Professor, Public Health) was co-applicant, co-designed the study, advised on the management of the study, data analysis and interpretation and contributed to writing the monograph.
Mr Bryar Kadir (Research Associate, Medical Statistics) conducted the analysis of the data.
Ms Laura Tinner (PhD student, Public Health) conducted the analysis of the health economic and health-related quality-of-life data, EPAO as well as the cost of intervention delivery data. She undertook the design, data collection and analysis of the nursery food photography feasibility substudy.
Dr Vanessa Er (Research Associate, Public Health) conducted the analysis and interpretation of the diet data, and contributed to writing the diet section of the monograph.
Ms Kaiseree Dias (PhD student, Public Health) conducted the design, data collection and analysis of the mediators’ questionnaire test retest substudy.
Ms Heide Busse (PhD student, Public Health) undertook the design, data collection and analysis of the nursery food photography feasibility substudy.
Ms Jane Collingwood (Trial Co-ordinator, Public Health) co-ordinated the study, undertook data collection and contributed to writing the monograph.
Dr Alexandra Nicholson (Trial Co-ordinator, Public Health) managed the study and contributed to writing the monograph.
Dr Laura Johnson (Senior Lecturer, Nutrition) co-designed the nursery food photography feasibility substudy and contributed to the data analysis, interpretation and contributed to writing the monograph.
Professor Russell Jago (Professor, Physical Activity) was co-applicant, co-designed the study, advised on the management of the study, data analysis and interpretation and contributed to writing the monograph.
All authors reviewed various sections of the monograph and made critical revisions to relevant sections. All approved the final submission.
Publications
Brockman R, Jago R, White J, Campbell R, Hollingworth W, Metcalfe C, et al. NAP SACC UK: Adapting a US Environmental Intervention in UK Nurseries to Increase Physical Activity and Healthy Eating in 2–4 Year Olds. Oral Presentation. Bristol: South West Public Health Scientific Conference 2016; 2016.
Langford R, Jago R, White J, Moore L, Papadaki A, Hollingworth W, et al. A physical activity, nutrition and oral health intervention in nursery settings: process evaluation of the NAP SACC UK feasibility cluster RCT. BMC Public Health 2019;19:865.
Brockman R, Jago R, White J, Campbell R, Hollingworth W, Metcalfe C, et al. NAP SACC UK: Adapting a US Environmental Intervention in UK Nurseries to Increase Physical Activity and Healthy Eating in 2–4 Year Olds. Oral Presentation. Norwich: UKCRC 2016 Conference; 2016.
Brockman R, Jago R, White J, Campbell R, Hollingworth W, Metcalfe C, et al. Parents’ and staff’s views of adapting the Nutrition and Physical Activity Self-Assessment for Childcare in UK nurseries to improve physical activity and healthy eating. Lancet 2016;388:S22.
Kipping R, Jago R, Metcalfe C, White J, Papadaki A, Campbell R, et al. NAP SACC UK: protocol for a feasibility cluster randomised controlled trial in nurseries and at home to increase physical activity and healthy eating in children aged 2–4 years. BMJ Open 2016;6:e010622.
Kipping R, Langford R, White J, Metcalfe C, Papadaki A, Hollingworth W, et al. NAP SACC UK: Feasibility Cluster Randomised Controlled Trial and Process Evaluation of an Environmental Intervention in Nurseries and a Web-Based Home Intervention to Increase Physical Activity, Oral Health and Healthy Eating in Children Aged 2–4 years. Oral Presentation. Bristol: South West Public Health Scientific Conference 2017; 2017.
Kipping R, Langford R, White J, Metcalfe C, Papadaki A, Hollingworth W, et al. NAP SACC UK: Feasibility Cluster Randomised Controlled Trial and Process Evaluation of an Environmental Intervention in Nurseries and a Web-Based Home Intervention to Increase Physical Activity, Oral Health and Healthy Eating in Children Aged 2–4 years. Oral Presentation. Victoria, BC: ISBNPA conference 2017; 2017.
Kipping R, Langford R, White J, Metcalfe C, Papadaki A, Hollingworth W, et al. NAP SACC UK: Feasibility Cluster Randomised Controlled Trial and Process Evaluation of an Environmental Intervention in Nurseries and a Web-Based Home Intervention to Increase Physical Activity, Oral Health and Healthy Eating in Children Aged 2–4 years. Poster Presentation. Manchester: Society of Social Medicine conference 2017; 2017.
Er V, Dias K, Papadaki A, White J, Metcalfe C, Jago R, et al. Are Diet and Physical Activity Associated with zBMI in 2–4-year olds in North Somerset and Gloucestershire: A Cross-Sectional Study. Oral Presentation. Bristol: South West Public Health Scientific Conference 2018; 2018.
Tinner L, Kipping R, White J, Jago R, Metcalfe C, Hollingworth W, et al. Are Quality of Life and Family Expenditure on Physical Activity Associated with Physical Activity in 2–4-year-olds in North Somerset and Gloucestershire? Oral Presentation. Bristol: South West Public Health Scientific Conference 2018; 2018.
Data-sharing statement
All data requests should be submitted to the corresponding author for consideration. Access to anonymised data may be granted following review.
Disclaimers
This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the PHR programme or the Department of Health and Social Care. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the PHR programme or the Department of Health and Social Care.