Improving the nutrition and screen time environment through self-assessment in family childcare homes in Nebraska

Dev, Dipti A.; Williams, Natalie A.; Iruka, Iheoma U.; Garcia, Aileen S.; Guo, Yage; Patwardhan, Irina; Cummings, Katrina P.; Hulse, Emily; Sedani, Ami

doi:10.1017/s1368980018001416

Cited by 13 publications

(19 citation statements)

References 25 publications

(39 reference statements)

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“…Although, significantly more urban CCCs (43%) were implementing family style dining than urban FCCH (23%), the level of implementation of this recommend practice was even lower in CCCs (36%) and FCCH (20%) in rural areas. Furthermore, in a previous study in Nebraska regarding Nutrition and Physical Activity Self-Assessment in Child Care (Go NAP SACC), FCCHs did not exceed minimum standards for implementing family style dining at post-intervention, (Dev et al, 2018) suggesting challenges to its implementation.…”

Section: Discussionmentioning

confidence: 99%

Provider reported implementation of nutrition-related practices in childcare centers and family childcare homes in rural and urban Nebraska

Dev

Garcia

Dzewaltowski

et al. 2020

Preventive Medicine Reports

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Approximately 15 million children under age 6 are in childcare settings, offering childcare providers an opportunity to influence children’s dietary intake. Childcare settings vary in organizational structure – childcare centers (CCCs) vs. family childcare homes (FCCHs) – and in geographical location – urban vs. rural. Research on the nutrition-related best practices across these childcare settings is scarce. The objective of this study is to compare nutrition-related best practices of CCCs and FCCHs that participate in the Child and Adult Care Food Program (CACFP) in rural and urban Nebraska. Nebraska providers (urban n = 591; rural n = 579) reported implementation level, implementation difficulty and barriers to implementing evidence-informed food served and mealtime practices. Chi-square tests comparing CCCs and FCCHs in urban Nebraska and CCCs and FCCHs in rural Nebraska showed sub-optimal implementation for some practices across all groups, including limiting fried meats and high sugar/ high fat foods, using healthier foods or non-food treats for celebrations and serving meals family style. Significant differences (p < .05) between CCCs and FCCHs also emerged, especially with regard to perceived barriers to implementing best practices. For example, CCCs reported not having enough money to cover the cost of meals for providers, lack of control over foods served and storage problems, whereas FCCHs reported lack of time to prepare healthier foods and sit with children during mealtimes. Findings suggest that policy and public health interventions may need to be targeted to address the unique challenges of implementing evidence-informed practices within different organizational structures and geographic locations.

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Section: Discussionmentioning

confidence: 99%

Provider reported implementation of nutrition-related practices in childcare centers and family childcare homes in rural and urban Nebraska

Dev

Garcia

Dzewaltowski

et al. 2020

Preventive Medicine Reports

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“…CACFP guidelines encourage childcare settings to serve more than 1 serving/day of whole grains 46 , and the DGA advises that at least half of the grains should be whole 41 ; however, only one quarter of the grains were whole grains. This is consistent with previous studies in CC 14,19,47 and FCCH 26 , underscoring that these diets exceed refined grain recommendations.…”

Section: Contribution Of Food Sources To Major Food Groupssupporting

confidence: 92%

“…FCCH are a specific type of childcare in which non-relative providers care for the children in their own home instead of a separate facility 45,46 . In comparison to CC, FCCH are smaller, have lower enrollment fees, offer more flexible hours and, usually, only one provider takes care of the children 47 . These characteristics might be more appealing to lowincome families and parents who work longer shifts 47 .…”

Section: Ethnic Disparities In Preschool Children Dietmentioning

confidence: 99%

“…In comparison to CC, FCCH are smaller, have lower enrollment fees, offer more flexible hours and, usually, only one provider takes care of the children 47 . These characteristics might be more appealing to lowincome families and parents who work longer shifts 47 . In addition, FCCH serve ethnic minorities and they are usually run by ethnically diverse providers.…”

Section: Ethnic Disparities In Preschool Children Dietmentioning

confidence: 99%

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Dietary Contributors to Food Group Intake in Preschool Children Attending Family Childcare Homes

Ramirez-Sanabria¹

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This achievement belongs to several people. First, I would like to thank my family, who has supported me from the moment I decided to study my master' abroad. To my parents, who taught me the value of effort and dedication, while reminding me the importance kindness for others. To Alejandro, for his endless advice, for always reminding me about the important things in life, and for supporting me when I needed it the most. To Luis Diego, for his support and patience, for always being there for me. I would like to thank my major advisor, Dr. Alison Tovar, for giving me the privilege of working under her guidance; it has been an honor to complete my master's degree by your side. Your trust, your inspiring words and your relentless feedback, has truly guided me towards becoming a better researcher. Thank you for all the opportunities provided, for your patience and understanding and for the amazing working environment you have created in the lab. I would also like to thank my committee members, Dr. Maya Vadiveloo and Dr. Mary Greaney, for your assistance and feedback during this entire process. I would like to extend a warm thank you to the professors I have worked with as a TA: Robyn, Sarah L, Sarah A and Amanda. I have learnt tremendously under your instruction and understanding. Without my special, foster, graduate family, I would not have been able to complete successfully this hard work. I would like to thank all my friends in the lab, Noereem, Amy, Katelyn and Maggi, for all the inspiring conversations, the advice and vi support. I would also like to thank Sarah J, Janette, Carolina, Helena, Dara and Alyssa: you added friendship and copious amounts of joy to this journey. Finally, but certainly not least, my friends from back home. I have come to realize how fortunate I am to count on such an incredible bunch. To Mariela and Jose, who received me in their home since day one. I have no words to explain how grateful I am for you. Paola, thank you for your endless help and support during the development of this research.

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“…16 Child care providers in Nebraska who participated in Go NAP SACC have demonstrated significant improvements in their nutrition practices, such as serving healthier foods and practicing responsive feeding with children. 17 Over 4−6 months, providers participating in Go NAP SACC complete self-assessments; receive training, technical assistance, and incentives such as resources and in-service hours; and establish best practices for healthy environments in child care. 17 These factors associated with Go NAP SACC participation could influence providers' motivation and preferences for attending professional development.…”

Section: Introductionmentioning

confidence: 99%

Contextual Factors Influence Professional Development Attendance Among Child Care Providers in Nebraska

Dev

Garcia

Tovar

et al. 2020

Journal of Nutrition Education and Behavior

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Objective: To examine contextual factors that may influence child care providers' motivators for attending nutrition-related training and their preferences and barriers to attending professional development training. Design: Cross-sectional survey completed between January and April 2017. Setting: Licensed child care programs (n = 1,490) across urban and rural Nebraska. Participants: Child care center directors (n = 336) and family child care home providers (n = 1,154). Main Outcome Measures: Motivators, preferences, and barriers of child care providers for attending professional development. Analysis: Descriptive statistics and multiple logistic regression analyses were conducted. Results: Top motivators for attending nutrition-related training included meeting licensure requirements and improving job performance. Child care providers most commonly selected preferences for receiving training included in-person and online delivery. Top barriers to obtaining training were schedule conflicts, accessibility, and cost. Child care centers and participants in the Child and Adult Care Food Program (CACFP) and Nutrition and Physical Activity Self-Assessment in Child Care (Go NAP SACC) were more likely to be motivated by licensure requirements. Rural providers were also more likely to report barriers such as inability to travel and limited access to training. Results revealed that child care type, geographic location, CACFP and Go NAP SACC participation can influence child care providers' motivators, preferences, and barriers to attending training. Conclusions and Implications: Results highlight the importance of offering professional development training that best fits child care providers' needs and preferences.

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Improving the nutrition and screen time environment through self-assessment in family childcare homes in Nebraska

Cited by 13 publications

References 25 publications

Provider reported implementation of nutrition-related practices in childcare centers and family childcare homes in rural and urban Nebraska

Provider reported implementation of nutrition-related practices in childcare centers and family childcare homes in rural and urban Nebraska

Dietary Contributors to Food Group Intake in Preschool Children Attending Family Childcare Homes

Contextual Factors Influence Professional Development Attendance Among Child Care Providers in Nebraska

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