Guided by the social cognitive theory, this randomized controlled trial tested the "Make a Move," a provider-led intervention for Head Start parents aimed to produce changes in the outcomes of knowledge, attitude, and behavior of physical activity and healthy eating. Participants were parents of children ages 3-5 years enrolled in a Head Start program. Participants completed a 57-item questionnaire at baseline and postintervention. The Wilcoxon rank-sum test revealed a statistically significant difference between the intervention and control groups in scores on knowledge of healthy eating ( z = 1.99, p = .05), attitude of physical activity ( z = 2.71, p < .01), and behavior of physical activity ( z = 2.03, p = .04). Ten participants (77%) completed all four intervention sessions. This study provided new insights into the relationship of a provider-led intervention with respect to knowledge, attitude, and behaviors in healthy eating and physical activity.

Escalating obesity rates among children across the nation has prompted interest in investigating the role of afterschool programs in the promotion of healthy eating and physical activity among participating children. This approach facilitates intervention programs that will be supported in daily routines of staff. Children need positive role models; the work could be a challenging process and will require staff willingness and assistance.

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Recent national directives called for investigations to identify effective approaches to sustain and integrate childhood obesity interventions in health, education, and care systems taking into consideration measures of equity and long-term impact [13][14][15]. Findings from studies involving multi-component interventions indicate that it is possible to achieve multiple health-promoting changes in school children [16][17][18]. However, studies are limited by lack of readiness of both leaders and staff to implement these interventions; it remains unclear which component(s) has the most impact on behavior change [14].