Engaging Parents to Promote Children’s Nutrition and Health

Dev, Dipti A.; Byrd-Williams, Courtney E.; Ramsay, Samantha; McBride, Brent A.; Srivastava, Deepa; Murriel, Ashleigh L.; Arcan, Chrisa; Adachi-Mejia, Anna M.

doi:10.1177/0890117116685426

Cited by 57 publications

(80 citation statements)

References 32 publications

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“…However, we did not ask sites if serving food, in general, was cost prohibitive. Previous studies have shown providers have limited funding to support improving the nutritional quality of menus 23 or experience increased food costs when menu quality increases. 24,25 Limitations Survey results may not fully capture practices at each site, as providers reported on a single day of foods and beverages served and may have biased reporting in favor of desirable rather than actual practice.…”

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confidence: 99%

Compliance with the New 2017 Child and Adult Care Food Program Standards for Infants and Children before Implementation

et al. 2018

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confidence: 99%

Compliance with the New 2017 Child and Adult Care Food Program Standards for Infants and Children before Implementation

et al. 2018

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“…Lack of parental support or lack of parent engagement is ubiquitous across studies similar to this one (Lyn et al, 2014;Rosenthal et al, 2013). However, one interesting difference we found was that the providers in this study did not express trepidation in offending parents as others have expressed (Dev, Byrd-Williams, et al, 2017;Sisson et al, 2017). This may have been a result of the CCC providers feeling empowered to deliver the HC2 health messages to parents as a result of receiving training and education on how to do so from a university-led trainthe-trainers team.…”

Section: Discussionmentioning

confidence: 75%

Barriers and facilitators to obesity prevention dissemination and implementation efforts in the childcare centre setting from the provider perspective

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Sardinas

et al. 2020

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Background It has been established that the childcare centre (CCC) is a setting suitable for healthy weight promotion efforts. As the field advances, it is important to understand the barriers and facilitators to early childhood obesity prevention implementation and dissemination efforts from the CCC providers' perspective. This is especially true among those who serve low‐income and diverse populations to maximize scalability success. Methods Focus groups were held in English or Spanish with CCC providers across six CCCs who implemented healthy caregivers–healthy children (HC2), an early childhood healthy weight promotion programme targeting 2‐ to 5‐year‐olds from low‐resource backgrounds. Centres represented both rural and urban environments. Focus groups were audio recorded, transcribed, and coded. A thematic analysis that combined a deductive and inductive approach was conducted. Codes were analysed using Dedoose to identify general themes and subthemes. Results CCC providers stated that (a) children understood the nutritional benefits of healthy foods; (b) improved cognitive development as a result of HC2; (c) parents were barriers to HC2 implementation efforts, particularly in terms of cooperative healthy lifestyle efforts; and (d) modelling healthy eating and making healthy CCC environmental changes facilitated HC2 implementation. Overall, HC2 was well received by CCC teachers, and they shared creative classroom HC2 adaptions and improvements. Conclusions CCC providers can provide valuable insight to guide early childhood healthy weight promotion programme dissemination and implementation efforts. Although they value the implementation of HC2 programme in their classroom settings, they perceive parents as somewhat obstructive. This information is critical to informing future healthy weight promotion efforts in this setting, especially among low‐resource families. It is important to continue to include the CCC provider viewpoint in future obesity prevention efforts to maximize scalability and sustainability efforts.

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“…Parents and supervisors can, for instance, make agreements on the foods that should be offered to the child. However, there are numerous barriers for communication between child-care providers and parents, including parents being too busy and child-care providers being afraid to offend parents [ 52 ]. Clear, written policies can facilitate communication [ 52 ], giving child-care workers a tool they can refer to and fall back on.…”

Section: Discussionmentioning

confidence: 99%

Energy balance-related parenting and child-care practices: The importance of meso-system consistency

et al. 2018

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BackgroundOur knowledge of the role of parental and child-care staff behavior in the development and prevention of obesity is rapidly increasing. Potential interaction between both settings in so-called meso-systems, as hypothesized by the ecological systems perspective, is however often ignored. Specifically, inconsistency between home and child-care is hypothesized to have negative effects on child outcomes.MethodsParticipants were recruited through 23 child-care centers in the Netherlands. Data regarding 161 child-parent-child-care staff triads were available. Parenting and child care practices were assessed using validated questionnaires for parents (Child Feeding Practices Questionnaire, Preschooler Physical Activity Parenting Practices instrument) and child-care staff (Child-care Food and Activity Practices Questionnaire), using similar items in both settings. Absolute difference scores between parents and child-care staff were calculated for each triad as a measure of meso-system consistency. Child outcomes were physical activity (as assessed by accelerometry), dietary intake (from the parental questionnaire), and measured BMI z-scores. Paired t-tests were used to examine consistency between practices in both settings. Linear regression analyses were used to explore the association of parenting practices, child-care practices and difference scores on the one hand, and child outcomes on the other.ResultsSignificant differences between settings were found for almost all practices, and in most cases child-care staff scores more favorable on the practices than parents. Inconsistencies were mostly associated with unhealthy dietary intake and lower physical activity levels, but not with BMI.ConclusionThe current study showed that inconsistencies in parenting and child-care practices exist, and that these inconsistencies seem to be associated with unhealthy behavior in children. The results underline the importance of studying meso-system influences on behavior in general, and children’s energy balance-related behavior specifically.

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Engaging Parents to Promote Children’s Nutrition and Health

Abstract: Policy and environmental changes were recommended for fostering a respectful relationship and building a bridge between providers and parents to improve communication about children's nutrition and health.

Cited by 57 publications

References 32 publications

Compliance with the New 2017 Child and Adult Care Food Program Standards for Infants and Children before Implementation

Compliance with the New 2017 Child and Adult Care Food Program Standards for Infants and Children before Implementation

Barriers and facilitators to obesity prevention dissemination and implementation efforts in the childcare centre setting from the provider perspective

Energy balance-related parenting and child-care practices: The importance of meso-system consistency

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