Research Methods to Assess Dietary Intake and Program Participation in Child Day Care Application to the Child and Adult Care Food Program: Workshop Summary (2012) / Chapter Skim
Currently Skimming:
3 Barriers and Facilitators to Providing Meals and Snacks that Align with the Current Dietary Guidance
3 Barriers and Facilitators to Providing Meals and Snacks that Align with the Current Dietary Guidance
Pages 35-48
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 35... ...
Ritchie reviewed the few methodologies that have been used to evaluate changes in the meal and food environment in child care centers and, to a lesser extent, in day care homes, with the expectation that one or more might be useful for systematically studying barriers and facilitators to meal pattern compliance in CACFP at a national level. Acknowledging that day care home providers differ significantly from child care center staff in the way that they plan menus and purchase, prepare, and serve meals, with much more limited data available for day care homes, presenter Angela Odoms-Young suggested that studies of the home meal and food environment might be a reasonable proxy for studying food 35
|
From page 36... ...
EVALUATING BARRIERS AND FACILITATORS TO CHANGE IN CHILD CARE CENTERS1 Lorrene Ritchie identified two major elements of organizational change: factors external to the organization (e.g., how the change is communicated, external resources available to an organization to implement the change, and perceived value of the change) and factors internal to the organization (e.g., existing factors that influence reaction to the change or willingness to change, steps for putting the change into practice, and how the change is made permanent)
|
From page 37... ...
. The Yale Rudd Center also used a NAP SACC–like questionnaire in its Child Care Nutrition & Physical Activity Assessment survey (Henderson et al., 2011)
|
From page 38... ...
" The survey showed that food for Head Start programs is typically prepared in a central kitchen, while State Preschools typically obtain food from school food service, and other CACFP centers prepare food on site. These are very different situations, with variations in provider control over food preparation, relationships providers have with their food preparers, and other similar factors.
|
From page 39... ...
What Are the Best Methods for Assessment of Barriers and Facilitators to Organizational Change? To assess child care nutrition and physical activity in child care settings, the previously mentioned Yale Rudd Center Validity Study (Henderson et al., 2011)
|
From page 40... ...
EVALUATING BARRIERS AND FACILITATORS TO MAKING HEALTHY FOOD CHOICES IN THE HOME ENVIRONMENT3 Information on barriers and facilitators to change is especially lacking for family child care homes. Because family child care homes operate more like a home environment than a child care center, with providers operating more like parents than child care center staff, Angela Odoms-Young suggested that research on barriers and facilitators in the home food environment provides a framework for understanding barriers and facilitators to change in CACFP day care homes.
|
From page 41... ...
. These factors include child feeding practices, parent or caregiver nutrition knowledge and food preferences, shopping patterns, home food availability, household food security or insecurity, children's sleeping routines, television viewing and computer use, level of stability within the home, and stressful life events.
|
From page 42... ...
In addition, CFFS measures used to assess parent or primary caregiver perceptions of the macroenvironment may be particularly relevant for CACFP given that child care homes may be located in residential communities where limited availability or high cost of healthy food options, particularly in Latino, African American, and rural communities, may shape what is provided. Additionally, the researchers added questions about child-feeding practices that were not included in the CFQ.
|
From page 43... ...
. Items included the following: "There is very little commotion in our home," "We can usually find things when we need them," "We almost always seem to be rushed," "We are usually able to stay on top of things," "No matter how hard we try, we always seem to be running late," "It's a real zoo in our home," "At home we can talk to each other without being interrupted," "There is often a fuss going on at our home," "No matter what our family plans, it usually doesn't seem to work out," "You can't hear yourself think in our home," "I often get drawn into other people's arguments at home," "Our home is a good place to relax," "The telephone takes up a lot of our time at home," "The atmosphere in our home is calm," and "First thing in the day, we have a regular routine at home." To assess stressful life events, the researchers used the Contemporary Life Stressors (CRISYS)
|
From page 44... ...
") Odoms-Young suggested that stressors and financial strains experienced by family day care providers could potentially impact their ability to plan and purchase healthy meals and, consequently, to implement the new CACFP guidelines.
|
From page 45... ...
Ritchie noted that the California state legislature passed a law regulating beverages in all child care centers and homes and that a statewide survey which is about to be launched will be providing data not just on how well the facilities conform to the new standards but also on barriers and facilitators to making the necessary changes. She said, "Some of those natural experiments and the lessons that we have learned from them will be very informative" and will "help frame how we ask questions for the national study." Cost as a Potential Barrier Cost is often perceived as a significant barrier to implementing change in child care settings, yet many unanswered questions remain.
|
From page 46... ...
Glantz remarked that in some places, like New Mexico, where the population density is not great enough to support many child care centers, most child care facilities are family day care homes. Many of those homes are located in rural food deserts where the choices for food purchasing are highly restricted.
|
From page 47... ...
food packages on dietary intake and home food availability in African American and Hispanic families.
|
From page 48... ...
2012. Participation in the Child and Adult Care Food Program is associated with better nutrition offerings in childcare.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.