Exclusive breastfeeding is recommended for the first 6 months of life, and up to 1 year with complementary food. Breastfeeding rates have improved over the last 20 years, but exclusive breastfeeding, and breastfeeding to 6 months have not yet met Healthy People 2020 goals. Given that the majority of women return to work shortly after delivery, workplace support for breastfeeding could facilitate breastfeeding continuance. The Patient Protection and Affordable Care Act (ACA) was the first federal legislation to address breastfeeding in the workplace. This article examines employee breastfeeding behavior before and after implementation of workplace breastfeeding support policies and practices. Breastfeeding behavior change over time was assessed by comparing employees' responses by age of their youngest children. Results indicated that breastfeeding among employees and breastfeeding after returning to work improved after initiation of breastfeeding support policies in this university setting.
Initial findings suggest common achievements included developing school gardens and establishing multi-component education programs (such as 'Harvest of the Month') while challenges related to staff turnover and lack of dedicated personnel resources. School districts often described lessons learned in terms of increasing program outreach and sustainability by developing core activity areas. Conclusions and Implications: Findings from this study inform support services for future grant recipients and enable OCFS to further develop resources for partnering school districts, state and local agencies, tribal organizations, and non-profit entities. Results will also be used to describe effective practices for other schools planning and implementing farm to school activities.
SNAP‐Ed increases the ability of low‐income families to make healthy food choices with the long‐term objective of preventing diet‐related diseases through nutrition education. As a national program, SNAP‐Ed needs to make the best use of its available resources. The dosage of nutrition education lessons needed to achieve measurable behavior change is unknown. This study aims to define the minimum nutrition education dosage needed to achieve measurable behavior change in SNAP‐Ed participants. Self‐reported (n=28) degrees of behavior change on four indicators on fruits and vegetables consumption were measured using the Ohio SNAP‐Ed Fruit and Vegetable Retrospective Questionnaire at four time points (baseline, after 1 lesson, after 3 lessons, and after 6 lessons). Univariate repeated measures ANOVA showed a positive and significant dosage effect from 1 lesson to 6 lessons on “eating fruits and vegetables of different colors each day” (p ≤ 0.011); “eating more than one kind of fruit each day” (p ≤ 0.003); and “eating fruits and vegetables as snacks” (p ≤ 0.008). The effect of dosage for “eating more than one kind of vegetable each day” approached significance (p ≤ 0.077). These findings indicate that more lessons on fruits and vegetables consumption leads to greater behavior change in up to six lessons. At this point we are unable to identify a ceiling beyond 6 lessons.
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