Nutrition Standards For Infants and Young Children can be Implemented by Family Child Care Home Providers

The study evaluated an educational intervention with family child care home (FCCH) providers to implement nutrition standards. A convenience sample of licensed California FCCH providers (n = 30) attended a 2-hour, in-person group training in English or Spanish on nutrition standards for infants and children aged 1 to 5 years. Provider surveys and researcher observations during meals/snacks were conducted pre- and 3 months post-intervention. Providers rated the training as excellent (average score of 4.9 on a scale of 1-5). Adherence, assessed by survey and observation and compared over time using paired t-tests, increased from an average of 36% pre-intervention to 44% post-intervention ( P = .06) of providers (n = 12) for infant standards and from 59% to 68% ( P < .001) of providers (n = 30) for child standards. One-third (39%) of providers rated infant standards and 19% of providers rated child standards as difficult to implement. Nutrition standards can be implemented by FCCH providers after an educational intervention; a larger study is warranted with a representative group of providers.

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Self-Efficacy for Healthy Eating Moderates the Impact of Stress on Diet Quality Among Family Child Care Home Providers

Journal of Nutrition Education and Behavior ◽

10.1016/j.jneb.2021.01.005 ◽

2021 ◽

Vol 53 (4) ◽

pp. 309-315

Author(s):

Phillip Dobson ◽

Regan Burney ◽

Derek Hales ◽

Amber Vaughn ◽

Alison Tovar ◽

...

Keyword(s):

Child Care ◽

Healthy Eating ◽

Diet Quality ◽

Self Efficacy ◽

Care Home ◽

Family Child Care ◽

The Impact

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Family Child Care Home Provider Experiences with the Child and Adult Care Food Program

Journal of Nutrition Education and Behavior ◽

10.1016/j.jneb.2018.04.063 ◽

2018 ◽

Vol 50 (7) ◽

pp. S23 ◽

Cited By ~ 1

Author(s):

Susan B. Sisson ◽

Ashley M. Brice ◽

Leah A. Hoffman ◽

Naneida Lazarte-Alcala ◽

LuAnn Faulkner-Schnieder ◽

...

Keyword(s):

Child Care ◽

Care Home ◽

Family Child Care ◽

Adult Care ◽

Provider Experiences

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O20 Family Child Care Home Menu Quality: Happy Healthy Homes Baseline

Journal of Nutrition Education and Behavior ◽

10.1016/j.jneb.2021.04.029 ◽

2021 ◽

Vol 53 (7) ◽

pp. S9-S10

Author(s):

Susan Sisson ◽

Hope Hetrick ◽

Emily Stinner ◽

Alicia Salvatore ◽

Bethany Williams ◽

...

Keyword(s):

Child Care ◽

Care Home ◽

Family Child Care ◽

Healthy Homes

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Exploratory Factor Analysis of Observed Feeding Practices Among Family Child Care Home Providers (OR03-01-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz048.or03-01-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Alison Tovar ◽

Augustine Kang ◽

Laura Dionne ◽

Alison Tovar ◽

Kim Gans ◽

...

Keyword(s):

Factor Analysis ◽

Child Care ◽

Exploratory Factor Analysis ◽

Autonomy Support ◽

Care Home ◽

Weighted Average ◽

Feeding Practices ◽

Average Score ◽

Future Research ◽

Feeding Practice

Abstract Objectives Family childcare homes (FCCH) are a commonly used form of childcare in the US, yet little is known about this setting, particularly the practices that Hispanic providers use when feeding children. Therefore, the goal was to examine the validity of the Environmental Policy Assessment Observation Tool (EPAO) to assess provider feeding practices. Methods Data from an ongoing cluster-randomized trial were used. FCCH provider feeding practices were assessed over 2 days using a modified version of the EPAO (adapted for use in FCCH with expanded assessment of feeding practices). The EPAO captures nutrition and physical activity environments in child-care (e.g., provisions, practices, policies); however, only the 44 feeding practices items recorded during meals were used in this study. For each meal and snack occasion, a weighted factor, which accounted for frequency and time spent in each meal for each feeding practice was created and then averaged across the two observation days to obtain a weighted average score. Exploratory factor analysis investigated the underlying factor structure of the feeding practices. Results All FCCH providers were female (n = 119) and the majority (72%) were Hispanic. A final 3-factor solution, which captured 34% of the variance, was examined. Factor 1 appeared to capture autonomy support practices with 14 items (e.g., Enthusiastic role modeling, eating the same foods, talking about foods being served, reasoning with children) with loadings ranging from 0.455-0.875 (eigenvalue = 7.3). Factor 2 appeared to capture coercive control and indulgent feeding practices and emerged with 5 items (e.g., Insisting child eat foods on plate, pressuring child to eat, rushing child to eat) with loadings ranging from 0.410-0.817 (eigenvalue = 3.7). Factor 3 appeared to capture a mix of overt control and negative structure behaviors with 5 items (e.g., Enforcing table manners, encouraging children to sit at the table, removing the plate before child was done) with loadings ranging from 0.37-0.66 (eigenvalue = 3.2). Conclusions The emerging autonomy supportive and coercive controlling factors are consistent with recent research conducted with FCCH providers in North Carolina. Future research should continue to refine this model and explore associations with child diet. Funding Sources National Heart Lung and Blood Institute, Grant # R01 HL123016.

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

Appetite ◽

10.1016/j.appet.2018.03.024 ◽

2018 ◽

Vol 126 ◽

pp. 108-113 ◽

Cited By ~ 11

Author(s):

Sara E. Benjamin-Neelon ◽

Amber E. Vaughn ◽

Alison Tovar ◽

Truls Østbye ◽

Stephanie Mazzucca ◽

...

Keyword(s):

Child Care ◽

Home Environment ◽

Diet Quality ◽

Care Home ◽

Family Child Care ◽

The Family

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Effectiveness of an Educational Intervention to Teach Spiritual Care to Spanish Nursing Students

Religions ◽

10.3390/rel11110596 ◽

2020 ◽

Vol 11 (11) ◽

pp. 596

Author(s):

María Dolores Fernández-Pascual ◽

Abilio Reig-Ferrer ◽

Ana Santos-Ruiz

Keyword(s):

Nursing Students ◽

Educational Intervention ◽

Spiritual Care ◽

Clinical Training ◽

Nursing Practice ◽

Teaching Practice ◽

Future Research ◽

Post Intervention ◽

Convenience Sample ◽

Teaching Activity

Spirituality and spiritual care in professional nursing are conceptualised and recognised as fundamental components of holistic healthcare. Despite the acceptance of and interest in spiritual care, a lack of education and clinical training on the subject limits nurses’ ability to meet patients’ spiritual needs. Consequently, the aim of this study was to analyse the effectiveness of a training programme designed to teach the specific knowledge, attitudes and competencies necessary to provide spiritual care in nursing practice. This study consisted of a one-group pre-post intervention design with two measurement times (baseline/pre-intervention and post-intervention). A teaching activity about spiritual care in nursing practice was designed and implemented (focal groups, open discussion, discussion groups and clinical case studies). The educational intervention was developed by the authors based on a literature review, research and feedback from the undergraduate students. A convenience sample of 369 nursing students at the University of Alicante (Spain) who were enrolled in the teaching subject of Psychology participated in this study. The effectiveness of the teaching activity was assessed through a self-administered 15-item questionnaire. The post-intervention results indicated that the programme was effective in improving knowledge, competencies and attitudes related to spiritual care. The implications of this study for teaching practice and future research are discussed

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Changes in Foods Served and Meal Costs in Boston Family Child Care Homes after One Year of Implementing the New Child and Adult Care Food Program Nutrition Standards

Nutrients ◽

10.3390/nu12092817 ◽

2020 ◽

Vol 12 (9) ◽

pp. 2817

Author(s):

Mary Kathryn Poole ◽

Angie L. Cradock ◽

Erica L. Kenney

Keyword(s):

Child Care ◽

Estimating Equation ◽

Family Child Care ◽

Care Homes ◽

Adult Care ◽

Family Child Care Homes ◽

One Year ◽

The Impact ◽

Nutrition Standards

This study aimed to determine the impact of 2017 revisions to the Child and Adult Care Food Program (CACFP) nutrition standards on foods and beverages served and meal costs in family child care homes (FCCHs). Our pre–post study utilized four weeks of menus and food receipts from 13 FCCH providers in Boston, MA prior to CACFP nutrition standards changes in 2017 and again one year later, resulting in n = 476 menu observation days. We compared daily servings of food and beverage items to the updated standards. Generalized estimating equation models tested for changes in adherence to the standards and meal costs. FCCHs offered more whole grains and less juice and refined grains from baseline to follow-up. FCCHs were more likely to meet the revised whole grain standard at follow-up (OR = 2.7, 95% CI: 1.4, 5.2, p = 0.002), but rarely met all selected standards together. Inflation-adjusted meal costs increased for lunch (+$0.27, p = 0.001) and afternoon snack (+$0.25, p = 0.048). FCCH providers may need assistance with meeting CACFP standards while ensuring that meal costs do not exceed reimbursement rates.

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Links Between Patterns of Quality in Diverse Settings and Children’s Early Outcomes

Journal of Education ◽

10.1177/0022057418800941 ◽

2018 ◽

Vol 198 (1) ◽

pp. 95-112

Author(s):

Iheoma U. Iruka ◽

Nicole D. Forry

Keyword(s):

Child Care ◽

Quality Care ◽

Care Home ◽

Academic Skills ◽

Family Child Care ◽

Care Homes ◽

Provider Education ◽

Policy And Practice ◽

Global Quality ◽

Family Child Care Homes

Patterns of quality among approximately 1,400 center classrooms and 350 family child care homes based on measures of global quality, sensitive caregiving, and frequency of language/literacy and math/numeracy activities were examined. Four patterns of quality were identified. Provider education was predictive of higher quality care in both centers and family child care home arrangements. Associations between quality patterns and children’s preschool and kindergarten academic skills were found among children in family child care homes only. Policy and practice implications related to the varying patterns of quality are discussed.

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