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6 Communication and Dissemination
Pages 155-170

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From page 155...
... Guideline documents and recommendations for feeding infants and young children have been developed across many countries by government agencies, professional groups, and nonprofit organizations. Improving knowledge, attitudes, and feeding practices for children under 2 years, however, requires more than simply providing the information in a guideline document.
From page 156...
... . The feeding guideline documents reviewed by the committee did not describe implementation strategies, as defined in Box 6-1.
From page 157...
... IDENTIFIED COMMUNICATION AND DISSEMINATION STRATEGIES FOR VARIOUS TARGET AUDIENCES As described in Chapter 2, the committee used a multipronged approach to explore feeding guideline communication and dissemination strategies. Each eligible guideline document was reviewed to identify specific guidance related to communicating and disseminating the feeding recommendations.
From page 158...
... Citation Target Audience(s) AAFP AAFP, 2014 Health care providers AAP AAP Section on Breastfeeding, 2012 Health care providers Baker-Smith et al., 2019 Health care providers Heyman et al., 2017 Health care providers Golden et al., 2014 Health care providers AAP; AAPD AAPD, 2016 Health care providers AAPD AAPD, 2017 Health care providers AND AND, 2016 Health care providers Australian government, NHMRC, 2012 Health care providers NHMRC Breastfeeding Committee for Health Canada et al., 2014 Health care providers Canada; CPS; Dietitians of Canada; HC Health Canada et al., 2015b Health care providers CPS Grueger et al., 2013c Health care providers ESPGHAN Braegger et al., 2013 Health care providers Domellöf et al., 2014 Not specified Fidler Mis et al., 2017 Health care providers; policy makers New Zealand Dental New Zealand Dental Association, Health care providers Association; New Zealand 2008 Ministry of Health New Zealand Ministry of Ministry of Health, 2012 Health care providers; Health program administrators
From page 159...
... . In contrast, the 2005 WHO guideline document on feeding nonbreastfed infants 6–24 months provided an annex that describes 13 steps for developing locally appropriate recommendations based on the information contained within the document (WHO, 2005)
From page 160...
... NICE NICE, 2008 Health care providers; policy makers NIH Togias et al., 2017 Health care providers PAHO, WHO PAHO/WHO, 2003 Community leaders; health care providers; policy makers; program administrators RCPCH RCPCH, 2019k Health care providers; policy makers RWJF-HER Lott et al., 2019 Advocates; health care providers; parents Pérez-Escamilla et al., 2017 Early care and education providers; health care providers; parents SACN; COT SACN and COT, 2018 Policy makers WHO WHO, 2005 Policy makers; program administrators a Provided a stand-alone summary document of the recommendations. No b date was provided for this resource.
From page 161...
... o Describes steps for developing locally appropriate feeding recommendations based on the guideline document.
From page 162...
... The guideline documents reviewed by the committee often sought to promote awareness, attitudes, knowledge, and the adoption of feeding recommendations at the individual provider or practice level. Some guideline documents included additional or external resources for health care professionals (AAFP, 2014; AAP Section on Breastfeeding, 2012; AND, 2016; Ministry of Health, 2012; NHMRC, 2012; NICE, 2008; RCPCH, 2019)
From page 163...
... , there is a link for a series of 12 videos for parents (1,000 Days, 2020) ; the video webpage was a collaborative effort among the Centers for Disease Control and Prevention, RWJF-HER, and 1,000 Days that provides "accessible and evidence-based information about what, when, and how to feed infants and toddlers." Two of the guideline documents provided additional resources or tools specifically for parents and guardians, despite parents and guardians not being a primary target audience of the guideline document itself.
From page 164...
... Program Administrators Program administrators play an important role in implementing feeding guidance and serving as a conduit for information for both program participants and staff. Across the guideline documents the committee reviewed, few noted program administrators as a key target audience.
From page 165...
... . As is the case for ECE providers, there are important documents that specifically communicate and disseminate feeding guidance to program administrators, but they largely exist outside of the guideline documents the committee reviewed.
From page 166...
... guideline document noted that the organization "strongly support[s] national policies, practices, and legislation that are conducive to breastfeeding" (RCPCH, 2019, p.
From page 167...
... This approach assumes that the health care providers have the skills, time, and resources to be able to individualize and communicate the recommendations in the context of their particular patient population needs or situations. Some of the guideline documents acknowledged the importance of adapting or tailoring the messages to make them relevant to a particular group or audience with respect to characteristics including socioeconomic status, language and reading comprehension level, food security, age and stage of infant, ethnicity, and cultural practices.
From page 168...
... they need to understand how to parlay that information into programmatic action or advice for program participants. Unlike some of the other target audiences, program administrators (especially for federal programs)
From page 169...
... ECE providers in the United States have national standards that include how, what, and when to feed infants and young children. Program administrators must often implement and convey feeding recommendations in the context of programmatic rules and regulations, and some of the available communication resources focused on providing accessible, applied guidance for specific nutrition and food programs.


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