CHOICES, Contra Costa Child Care Council’s Best Practices

California Department of Public Health

Overview

The CHOICES intervention provides tools to assess and develop nutrition and physical activity policies in child care settings. The CHOICES team developed the Self-Assessment Questionnaire (SAQ) and the Best Practices Manual to help childcare centers develop comprehensive written nutrition and physical activity policies. The SAQ is a list of 35 best practices for childcare nutrition and physical activity environments. The four sections of the SAQ address nutrition, child feeding practices, foods served, physical activity, and staff and parent training.

Target Behavior: Breastfeeding, Healthy Eating, Physical Activity

Intervention Type: PSE Change

Intervention Reach and Adoption

CHOICES helps early childcare centers evaluate and implement best practices for childcare nutrition and physical activity. CHOICES provides a manual for self-assessment and policy development. This manual is publicly available and can be used by rural and urban childcare centers throughout the United States.

Setting: Early Childcare Centers

Target Audience: Preschool (<5 years old)

Race/Ethnicity: All

Intervention Components

The CHOICES intervention consists of a manual that helps childcare centers or childcare homes implement comprehensive nutrition and physical activity policies. The four-section manual consists of a 35-question Self-Assessment Questionnaire (SAQ) and a Best Practices Manual that address the following topics:

  • Nutrition
  • Child feeding practices
  • Food served
  • Physical activity
  • Staff and parenting training

Intervention Materials

The manual is the main component of this intervention. It consists of best practices, resources for policy development and implementation, tracking tools, and a self-assessment questionnaire.

The link to the English manual is: http://www.healthybeveragesinchildcare.org/bestpractices/BestPracticesHandbook.pdf

The link to the Spanish manual is:

https://www.cocokids.org/child-health-nutrition/wp-content/uploads/sites/3/2013/11/CHOICE-en-Espanol.pdf

Evidence Summary

None available.

Classification: Emerging

Evaluation Indicators

Based on the SNAP-Ed Evaluation Framework, the following outcome indicators can be used to evaluate intervention progress and success.

Readiness and Capacity – Short Term (ST) Changes – Medium Term (MT) Effectiveness and Maintenance – Long Term (LT) Population Results (R)
Individual
Environmental Settings ST5, ST6, ST7 MT5, MT6 LT5, LT6, LT7, LT8, LT9, LT10, LT11
Sectors of Influence

Evaluation Materials

Additional Information

Website: The CHOICES website (http://www.healthybeveragesinchildcare.org/bestpractices/BestPracticesHandbook.pdf) includes a manual with self-assessment questionnaire, best practices for child care nutrition and physical activity environments.

Contact Person(s):
Paula James, Mary Ann Ferrera, or Kitty Lenhart
1035 Detroit Avenue, Suite 200
Concord, CA 94518
Phone: (925) 676-5442
Email: choicesaq@gmail.com