Purpose: The population of skipped-generation households is increasing both nationally and in Kansas. This qualitative study explored the nutrition-related practices and attitudes of Kansas older skipped-generation caregivers and the children under their care.Design and Methods: Twenty-three Kansas caregivers representing 19 households were interviewed using a semi-structured approach. The interviewer asked questions from five categories: participant background information; nutrition-related attitudes; nutrition education experiences; nutrition-related practices including children's eating and physical activity, and food safety; and perceived usefulness of future population-specific nutrition education materials.Interviews were recorded on audiotape and transcribed verbatim. Transcribed quotes were sorted categorically according to the researchers' primary questions and additional emerging categories. The categorized quotes were then coded. Pattern recognition and repetition were used to identify themes.Results: Nutrition-related practices and attitudes changed over time. Compared to when they were parenting the first time, skipped-generation caregivers reported that they are more nutrition and food safety conscious. Their grandchildren appeared to be adversely affected by an on-the-go lifestyle and the use of more electronics. Caregivers have shifted their parenting style.Their sources of child feeding advice are based mostly on tradition. Caregivers believed that nutrition and safe food handling are important; they held beliefs that nutritious food is expensive; and most did not believe they would use population-specific nutrition education materials.Additional findings detailed the caregivers' descriptions of the children, their advice to other caregivers, the challenges and advantages of caregiving, and the children's diets and physical and nutrition-related leisure activities. The preferred distribution of nutrition education materials was through grandparent support groups. Implications:Research was exploratory in nature with a limited sample size. This population could benefit from education incorporating topics on infant, child, adolescent, and sports nutrition; healthful recipes and snack ideas; quick and inexpensive healthful meals that are low in fat, sugar, and salt; healthful fast food and packaged food options; the importance of checking the internal temperatures of meat when cooking; ways to feed "picky eaters;" benefits of eating together as a family; tips to limit children's sedentary time; and intergenerational gardening and cooking.