Childcare That Counts: Pilot Demonstrates Health Improvements in Quality Improvement Project


Impact Statement: 
Using QI, Skagit County improved their implementation of the Coordinated Approach to Child Health (CATCH) Kids Club Program as a strategy for addressing childhood obesity in their community, which resulted in a 71% increase in physical activity among the program participants.

The Skagit Childcare Nutrition and Activity Pilot (SNAP) Quality Improvement (QI) Project proposed to increase physical activity for school-age children through a community process that identified and prioritized evidence-based strategies, followed by implementation of a pilot project to test the theory. Sixteen childcare sites were recruited to participate. The Coordinated Approach to Child Health (CATCH) Kids Club Program (CKC) for kindergarten through fifth grades was used. Training was provided to childcare staff, and equipment kits were purchased for each site. Baseline data consisted of documentation of the number of minutes of physical activity in the month before CKC implementation, the height and weight for each child at all sites, the fitness testing using the YMCA Youth Fitness Testing protocol for selected sites, and the administration of the CKC survey to grades 3 through 5. Site leaders kept daily records of attendance and program implementation to document what program elements were used and the amount (in minutes) of activity. Staff participated in a process evaluation, and an instructor survey was administered. As a result, children participated in an average of 29 minutes of daily activity, a 71% increase in physical activity. No nutrition education was provided prior to CKC; with CKC, there was an average of 23 minutes of nutrition education per week.

Organization that conducted the QI initiative: 
Skagit County Public Health Department

Browning, P. Public Health Quality Improvement Exchange. Childcare That Counts: Pilot Demonstrates Health Improvements in Quality Improvement Project. Wed, 05/28/2014 - 22:13. Available at Accessed March 3, 2024.

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dianasmith's picture
Submitted by dianasmith on

There are so many wonderful resources included with this quality improvement initiative! I am excited to hear about how others make use of these resources. 

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Submitted by ahayes on

Is there any follow-up information regarding YMCA's continued use of CKC or the youth activity programming that was mentioned in the future plans section?

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Alexandra Hayes, MA. LSSGB

Submitted by Monica.Smith on

I love seeing that 93% of staff would recommend the nutrition component & 88% the physical activity component even though there was mandated participation and the Health Department noted there were staff who did not regularly practice physical activity or value nutrition personally. Given that statement I would've expected a lower score, so 93% is great.

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