Healthy caregivers-healthy children (HC2) phase 2: Integrating culturally sensitive childhood obesity prevention strategies into childcare center policies

Messiah, Sarah; Lebron, Cynthia; R, Moise; Mathew, M. Sunil; Sardinas, Krystal; Chang, Catherina; Palenzuela, Joanne; Walsh, Jennifer; Shelnutt, Karla P.; Spector, Rachel E.; Altare, Frédéric; Natale, Ruby

doi:10.1016/j.cct.2016.12.011

Cited by 28 publications

(25 citation statements)

References 33 publications

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“…The instrument has been used in numerous previous studies to assess child care environments (Benjamin Neelon et al, 2016b; Messiah et al, 2017; LaRowe et al, 2016; O’Neill, Dowda, Benjamin Neelon, Neelon, & Pate, 2017). We collected EPAO data during two-day onsite visits to family child care homes.…”

Section: Methodsmentioning

confidence: 99%

“…We used the previously developed Environment and Policy Assessment and Observation (EPAO) (Ward et al, 2008) instrument that was modified to assess the family child care home nutrition environment (Vaughn et al, 2017). The instrument has been used in numerous previous studies to assess child care environments (Benjamin Neelon et al, 2016b; Messiah et al, 2017; LaRowe et al, 2016; O’Neill, Dowda, Benjamin Neelon, Neelon, & Pate, 2017). We collected EPAO data during two-day onsite visits to family child care homes.…”

Section: Methodsmentioning

confidence: 99%

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The family child care home environment and children's diet quality

et al. 2018

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The family child care home environment and children's diet quality

et al. 2018

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“…Policy-based interventions have the potential to improve healthy eating in ECE and may be more sustainable than other types of behavioral interventions (Larson et al 2011;Lessard and Breck, 2015). Moreover, a recent study highlighted the need for culturally sensitive policies within ECE (Messiah et al 2017). There is also evidence that states use the benchmarks in drafting their regulations.…”

Section: Discussionmentioning

confidence: 99%

State Regulations to Support Children’s Cultural and Religious Food Preferences in Early Care and Education

Looby

Frost²,

Gonzalez-Nahm

et al. 2019

Matern Child Health J

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Objective In July 2018 the Academy of Nutrition and Dietetics released a benchmark encouraging early care and education (ECE) programs, including child care centers and family child care homes, to incorporate cultural and religious food preferences of children into meals. We examined the extent to which states were already doing so through their ECE licensing and administrative regulations prior to the release of the benchmark. This review may serve as a baseline to assess future updates, if more states incorporate the benchmark into their regulations. Methods For this cross-sectional study, we reviewed ECE regulations for all 50 states and the District of Columbia (hereafter states) through June 2018. We assessed consistency with the benchmark for centers and homes. We conducted Spearman correlations to estimate associations between the year the regulations were updated and consistency with the benchmark. Results Among centers, eight states fully met the benchmark, 11 partially met the benchmark, and 32 did not meet the benchmark. Similarly for homes, four states fully met the benchmark, 13 partially met the benchmark, and 34 did not meet the benchmark. Meeting the benchmark was not correlated with the year of last update for centers (P = 0.54) or homes (P = 0.31). Conclusions Most states lacked regulations consistent with the benchmark. Health professionals can help encourage ECE programs to consider cultural and religious food preferences of children in meal planning. And, if feasible, states may consider additional regulations supporting cultural and religious preferences of children in future updates to regulations.

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“…3), provided only recommendations for implementation (n ¼ 2), or described only the development of an intervention or framework (n ¼ 4). Individual-focused approaches Social cognitive theory (SCT) Disciplinary approval 33 Empirical support 33,34 Constructs of interest [34][35][36] Implementation strategies 36 Description of a change process [37][38][39] Design implementation strategies [33][34][35][36][37][38][39][40][41][42][43][44] Identify factors 36 Focus on individual-level determinants is a limitation of SCT 33 Individual-level change must be supported by environmental intervention efforts 33,37 Cultural and environmental factors affect program outcomes 38 Success might be explained by professional and interactive workshops-inviting personal reflection 44 Assess actual skills 34 ; measure changes in constructs, such as improvements in self-efficacy 33 Assess influence of perception and motivation on obesity prevention, 41 collective efficacy, 36 parental pressures, and an academic teaching climate 33 Theoretical Domains Framework (TDF)…”

Section: Selection Use and Report Of Tmfs Across Studiesmentioning

confidence: 99%

Implementation of Healthy Eating Interventions in Center-Based Childcare: The Selection, Application, and Reporting of Theories, Models, and Frameworks

et al. 2020

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Purpose: To explore the selection, use, and reporting of theories, models, and frameworks (TMFs) in implementation studies that promoted healthy eating in center-based childcare. Data Source: We searched 11 databases for articles published between January 1990 and October 2018. We also conducted a hand search of studies and consulted subject matter experts. Study Inclusion and Exclusion Criteria: We included studies in center-based settings for preschoolers that addressed the development, delivery, or evaluation of interventions or implementation strategies related to healthy eating and related subjects and that explicitly used TMF. Exclusion criteria include not peer reviewed or abstracts and not in English, French, German, and Korean. Data Extraction: The first author extracted the data using extraction forms. A second reviewer verified data extraction. Data Synthesis: Direct content analysis and narrative synthesis. Results: We identified 8222 references. We retained 38 studies. Study designs included quasi-experimental, randomized controlled trials, surveys, case studies, and others. The criteria used most often for selecting TMFs were description of a change process (n = 12; 23%) or process guidance (n = 8; 15%). Theories, models, and frameworks used targeted different socioecological levels and purposes. The application of TMF constructs (e.g., factors, steps, outcomes) was reported 69% (n = 34) of times. Conclusion: Reliance on TMFs focused on individual-level, poor TMF selection, and application and reporting for the development of implementation strategies could limit TMF utility.

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Healthy caregivers-healthy children (HC2) phase 2: Integrating culturally sensitive childhood obesity prevention strategies into childcare center policies

Cited by 28 publications

References 33 publications

The family child care home environment and children's diet quality

The family child care home environment and children's diet quality

State Regulations to Support Children’s Cultural and Religious Food Preferences in Early Care and Education

Implementation of Healthy Eating Interventions in Center-Based Childcare: The Selection, Application, and Reporting of Theories, Models, and Frameworks

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