Staff Food-Related Behaviors and Children’s Tastes of Food Groups during Lunch at Child Care in Oklahoma

Anundson, Katherine; Sisson, Susan B.; Anderson, Michael P.; Horm, Diane; Soto, Jill; Hoffman, Leah

doi:10.1016/j.jand.2017.07.023

Cited by 22 publications

(23 citation statements)

References 20 publications

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“…These findings are similar to studies in child care centers where providers rarely used these practices. 18,55,56 However in this study, providers were less likely to report letting children decide for themselves how much they should eat, asking children if they were hungry before serving them seconds, and waiting to give children seconds until they had finished other food. It appears that providers in FCCHs are aware of many positive and negative nutrition practices; yet they may not fully be aware of practices related to selfregulation, such as not pressuring children to finish all of food on their plate, that could help children develop internal rather than external satiety cues.…”

Section: Discussionmentioning

confidence: 60%

“…Other qualitative and survey-based studies with FCCPs have similarly found a high proportion of providers reporting such practices. 18,[20][21][22][23][24]36,[52][53][54] Furthermore, in this study, most providers reported rarely engaging in negative practices such as using rewards, allowing screen time during meals and snacks, and eating unhealthy foods in front of children. These findings are similar to studies in child care centers where providers rarely used these practices.…”

Section: Discussionmentioning

confidence: 65%

“…These items were included given that some of these practices have been found to be associated with children's healthy eating (positive practices), while some practices have been associated with less healthy eating (negative practices). 18,20,24,25,[39][40][41][42] Additional items assessed agreement (agree strongly to disagree strongly) with statements about seeking professional nutrition training and provider communication with parents and children regarding healthy eating ( Table 2).…”

Section: Methodsmentioning

confidence: 99%

“…[10][11][12] The foods child care providers serve, [13][14][15][16][17] and the nutrition-related practices they implement can impact children's dietary behaviors. 7,8,10,[18][19][20][21][22][23][24][25] However, most of these studies have been conducted in child care centers and not family child care homes (FCCHs), which are the second most utilized form of nonrelative child care, caring for >1.6 million US children. 26,27 Children enrolled in FCCHs may be at increased risk of obesity compared with children in center-based care, 28,29 highlighting the need to better understand how family child care providers (FCCPs) influence children's dietary behaviors.…”

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confidence: 99%

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Nutrition-Related Practices of Family Child Care Providers and Differences by Ethnicity

et al. 2019

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Background: Child care settings play an important role in shaping children's eating behaviors; yet few studies have included family child care homes (FCCHs). We examined provider-reported nutrition-related practices in FCCHs and observed adherence to nutrition guidelines from the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC), exploring differences by provider ethnicity. Methods: We assessed baseline data from a cluster-randomized trial, including surveys with FCCH providers and observational data collected at the FCCH. We examined provider-reported nutrition-related practices and if providers met NAP SACC guidelines using observational data. Differences by ethnicity were assessed using chi-square and multivariate log-linear analysis adjusting for education. Results: Providers completed a telephone survey (n = 166, 100% female and 72% Hispanic) and participated in 2 full-day observations (n = 119). Many providers reported engaging in positive nutrition-related practices. Significant differences by ethnicity included the following: Hispanic providers less likely to report feeding practices that were responsive to children's self-regulation, but also less likely to report eating and drinking unhealthy foods/beverages in front of children and having screens on during meals and more likely to report seeking nutrition trainings. Using observational data, only 10 of 26 NAP SACC practices were met by >60% of providers. Few ethnic differences in meeting guidelines were found (7 of 26 practices). Conclusions: While providers engage in some positive nutrition practices, improvement is needed to ensure that all providers actually meet evidence-based guidelines. Ethnic differences in certain practices underscore the need for culturally relevant trainings. Trial registration number: NCT02452645.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 65%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Nutrition-Related Practices of Family Child Care Providers and Differences by Ethnicity

et al. 2019

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“…Another instrument, the Environmental Policy Assessment and Observation (EPAO) Self Report, includes subscales assessing educator feeding practices and has examined test-retest reliability and validity [ 28 , 29 ] including predictive value of EPAO-measured provider behaviors on children’s dietary intake. [ 30 ] These items focus on whether the teacher sits with the children, what the teacher eats in the classroom, and the teacher’s strategies to encourage healthy eating. Additional development of feeding assessments that are specific to the ECE setting represents an opportunity to capture the complexity of feeding children in group settings and the distinct challenges and teachable moments related to eating and mealtime in which ECE staff participate daily.…”

Section: Introductionmentioning

confidence: 99%

About feeding children: factor structure and internal reliability of a survey to assess mealtime strategies and beliefs of early childhood education teachers

Swindle

Sigman‐Grant

Branen

et al. 2018

Int J Behav Nutr Phys Act

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BackgroundChildren spend a substantial amount of time in early care and education (ECE) settings and may eat a majority of their diet in this setting. While there are several instruments focused on measuring factors of the ECE environment that may influence diet and weight outcomes, there are few comprehensive, valid, and reliable measures for collecting self-report of ECE providers’ feeding practices. The purpose of this study was to establish the factor structure and internal reliability of a survey developed to measure practices and beliefs of ECE providers relative to feeding children.MethodsLicensed ECE centers from CA, CO, ID and NV were included in this cross-sectional survey study. The sample was stratified by states and census regions to yield equal numbers of centers from each category. The total sample distribution included 1600 randomly selected centers and up to 8000 staff members (who represented teachers, aides, assistants, or cooks); 1178 surveys were completed. We conducted an exploratory, unrestricted factor analysis as well as parallel analyses to inform the number of factors to be extracted.ResultsFactors within Structural Mealtime Strategies included Adult Control of Foods Consumed (Kuder-Richardson [KR] = 0.67), Bribing with Sweet Foods (KR = 0.70), and Supportive Adult Roles at Mealtime (KR = 0.55). Factors in Verbal Mealtime Strategies included Supporting Children’s Eating Self-regulation (KR =0.61), Pressure to Eat (KR = 0.58), and Social Comparisons (KR = 0.59). Beliefs about Mealtime factors were Autonomy Promoting (α = 0.64), Coercive Beliefs (α = 0.77), and Concern-Based Control (α = 0.60).ConclusionsThe AFC Strategies and Beliefs Survey provides a promising self-report instrument with a strong factor structure consistent with the extant literature to measure practices and beliefs related to feeding and mealtimes in the ECE setting. Feeding young children in group settings differs in many ways from feeding in a family setting; hence it is important that measures such as the AFC Strategies and Beliefs Survey capture unique aspects of the ECE feeding environment.

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Implementation of Guidelines for Food and Meals in Kindergartens: Perspectives from Norwegian Kindergarten Staff

Fjæra,

Lekhal,

Lekhal

et al. 2024

Glob Implement Res Appl

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Establishing dietary food habits in the early years is crucial. Kindergarten is a significant public health arena that can foster healthy eating habits regardless of socioeconomic status. In Norway, 93.4% of children aged 1–5 years attend kindergarten, and since most of their daily food intake is in kindergarten, it is important to make healthy food available. National guidelines on food and meals in kindergartens encourage kindergartens to engage in food and meal practices that promote health, well-being, development, and learning. Despite the guidelines, food and meal practices in kindergartens are highly varied, and implementation of the guidelines is lacking. To understand the challenges in implementing the guidelines, we conducted semi-structured interviews with sixteen staff representing sixteen kindergartens throughout Norway. Both public and private kindergartens were included. All interviews were recorded and transcribed verbatim, and content analysis was performed. The analysis identified three primary themes reflecting staff perceptions of challenges in implementing the national guidelines: priority and structural work with food and meals, pedagogical approach to food and meals, and external expectations and social pressure regarding food and meals. The themes were seen in light of the Consolidated Framework for Implementation Research in the discussion. While external conditions, including municipal prioritization, external expectations, and social pressure, play significant roles, our findings suggest that the most substantial influences on implementation are internal factors, particularly leadership and individual factors.

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Staff Food-Related Behaviors and Children’s Tastes of Food Groups during Lunch at Child Care in Oklahoma

Cited by 22 publications

References 20 publications

Nutrition-Related Practices of Family Child Care Providers and Differences by Ethnicity

Nutrition-Related Practices of Family Child Care Providers and Differences by Ethnicity

About feeding children: factor structure and internal reliability of a survey to assess mealtime strategies and beliefs of early childhood education teachers

Implementation of Guidelines for Food and Meals in Kindergartens: Perspectives from Norwegian Kindergarten Staff

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