The Child and Adult Care Food Program (CACFP) is a federally-regulated feeding program that reimburses early care and education (ECE) programs for providing nutritious meals to low-income children. Participation in CACFP is voluntary and varies widely across states. This study assessed barriers and facilitators of center-based ECE program participation in CACFP and identified potential strategies More

Early childhood education (ECE) settings play an important role in child dietary intake and excess weight gain. Policy, systems, and environment (PSE) approaches have potential to reduce disparities in children at higher risk for obesity. The purpose of this review was to (1) characterize the inclusion of populations at higher risk for obesity in ECE More

This research brief gives an overview of the Water is K’é intervention, conducted among Navajo Nation families. The intervention was delivered by early care and education teachers to households with children ages 2-5, and covered the cultural importance of water, health benefits of water, and alternatives to sugary drinks. At baseline, more than 70% of children already More

This study used multiple methods (interviews, survey) to assess the experiences of stakeholders, sponsors, and center-based early care and education (ECE) program directors pertaining to child nutrition and the provision of child-care during the COVID-19 pandemic. Data were collected across four states. Thematic analyses of interviews and descriptive methods were used to analyze the data More

This paper describes facilitators, barriers, and potential strategies to promote participation in the Child and Adult Care Food Program (CACFP) by family child care homes (FCCHs). This descriptive study occurred from January-May 2022 in Arizona and New York, two states with varying levels of CACFP participation. Stakeholders from three state-level CACFP-administering agencies, representatives of six More

Policies requiring childcare settings to promote healthy eating, physical activity, and limited screentime have the potential to improve young children’s health. However, policies may have limited impact without effective implementation strategies to promote policy adoption. In this mixed-methods study, we evaluated the type, quality, and dose of implementation strategies for state-level childcare licensing regulations focused More

This study aimed to examine how food environments around family child care homes (FCCHs) are associated with the healthfulness of foods served to children. The study included cross-sectional data from a mail survey of 132 Mississippi FCCHs. Rural FCCHs with higher counts of supermarkets, convenience stores, and produce stores had lower compliance with selected best More

Dietary recommendations are available about what to feed children ages 2 to 8 for optimal health, but relatively little guidance exists about how to feed those children. Because of the discrepancy between young children’s recommended and actual dietary intakes, there is a clear need for such guidance. To address this gap, Healthy Eating Research convened More

The study uses a systems science approach to identify upstream strategies that can support sustained changes in the consumption of sugar-sweetened beverages and water in a low-income, predominantly Hispanic community. This research is designed to generate information crucial for the development of robust multilevel systems recommendations that are contextually and culturally appropriate. Specific aims include: More

This study seeks to explore the barriers, facilitators, and feasible strategies to increase drinking water access, availability, and intake in family childcare homes (FCCH). Specific aims include: (1) Conduct provider focus groups to determine barriers and strategies to improve water access/intake in FCCH; (2) Conduct intervention pilot with 40 providers operating FCCH in low income More