Provider Adherence to Nutrition and Physical Activity Best Practices within Early Care and Education Settings in Minnesota, Helping to Reduce Early Childhood Health Disparities

Autor/inn/en	Loth, Katie; Shanafelt, Amy; Davey, Cynthia; Anfinson, Allison; Zauner, Marguerite; Looby, Anna Ayers; Frost, Natasha; Nanney, Marilyn S.
Titel	Provider Adherence to Nutrition and Physical Activity Best Practices within Early Care and Education Settings in Minnesota, Helping to Reduce Early Childhood Health Disparities
Quelle	In: Health Education & Behavior, 46 (2019) 2, S.213-223 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198118780458
Schlagwörter	Child Care Centers; Early Childhood Education; Health Behavior; Eating Habits; Physical Activities; Social Environment; Physical Environment; Best Practices; Nutrition; Child Caregivers; Food; Family Characteristics; Trend Analysis; Race; Ethnicity; Native Language; Educational Attainment; Caregiver Training; Minority Groups; Low Income; Compliance (Psychology); Comparative Analysis; Public Health; Barriers; Health Promotion; Obesity; Child Health; Minnesota + Suchen Sie Ihr Suchwort? Child care facilities; Child care services; Kinderzentrum; Kinderbetreuung; Early childhood; Education; Frühkindliche Bildung; Frühpädagogik; Health behaviour; Gesundheitsverhalten; Ernährungsgewohnheit; Essgewohnheit; Soziales Umfeld; Natürliche Umwelt; Ernährung; Caregiver; Caregivers; Carer; Child; Children; Lebensmittel; Trendanalyse; Rasse; Abstammung; Ethnizität; Bildungsabschluss; Bildungsgut; Ethnische Minderheit; Niedriglohn; Gesundheitswesen; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Adipositas
Abstract	Licensed child care providers, and the early care and education settings in which they operate, are uniquely situated to influence children's healthy eating and physical activity through practices, attitudes, and supportive physical and social environments. However, preliminary research indicates that child-, family-, and provider-level characteristics affect adherence to best practices across early care and education settings. The current article used survey data (n = 618) to characterize differences in child care providers' adherence to nutrition, physical activity, and mealtime best practices, based on child-, family- and provider-level characteristics, and to describe secular trends in adherence to nutrition and physical activity best practices between 2010 and 2016. Results indicate that differences exist across certain characteristics, including child race/ethnicity, family's use of child care assistance, language spoken at home, and provider educational attainment; however, it is notable that in most cases providers serving children of minority race and children in low-income families have a higher rate of compliance with the nutrition and physical activity best practices studied. Additionally, the comparison of adherence to best practices from 2010 to 2016 suggests that, while there was an increase in mean adherence from 2010 to 2016, overall trends in adherence across child-, family- and provider-level characteristics have been consistent across time. Public health professionals should continue to advocate for opportunities for providers to learn how to best incorporate best practices within their setting (e.g., education and training opportunities) as well as for the development and adoption of systems-level changes (e.g., expansion of food assistance programs) to reduce barriers to adherence to best practices. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01