Focus Area: Early Childhood

Provider, sponsor and family perceptions of Child and Adult Care Food Program (CACFP) participation and COVID-19 reimbursement increases

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Family childcare home (FCCH) providers’ participation in the Child and Adult Care Food Program (CACFP) has declined, often due to inadequate tiered reimbursements. During COVID-19, federal waivers temporarily removed tiers and raised reimbursement rates, offering insight into program impacts. From September 2023 to February 2024, interviews with California FCCH providers (n=31), CACFP sponsors (n=10), and More

Building a National Research Agenda

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The Robert Wood Johnson Foundation’s (RWJF) commitment to child obesity ends in December 2025, marking the conclusion of a two-decade investment in Healthy Eating Research (HER). As part of our RWJF legacy, HER is developing a national research agenda for policy, systems, and environmental (PSE) interventions and strategies to promote food and nutrition security, optimal More

Upstream interventions in clinical settings focused on nutrition to prevent obesity during the first 1,000 days: A scoping review

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Nutritional exposures during pregnancy and the first two years of a child’s life influence growth and risk for obesity. Upstream interventions that involve policy, systems, and/or environmental approaches may support equitable nutrition and healthy growth early in life. Yet little is known about application of these interventions in clinical settings. This scoping review characterized the More

Diet Quality and Weight Status are Predicted by Federal Nutrition Assistance Program Participation, Health, and Demographics

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This study investigated whether demographic, social, and economic determinants of health, including length of time participating in safety net programs, are associated with diet quality and weight status in early childhood. Using the WIC infant and toddler feeding practices study-2, classification and regression tree identified the sequence of binary splits that best differentiated the sample More

Consumption of the Food Groups with the Revised Benefits in the New WIC Food Package: A Scoping Review

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On 18 April 2024, the United States Department of Agriculture (USDA) published the first food package changes to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in over a decade, which reduced some food benefits (juice, milk, canned fish, and infant fruits and vegetables) and offered substitutes (cash-value vouchers (CVVs) or cash-value More

A Systematic Review: The Impact of COVID-19 Policy Flexibilities on SNAP and WIC Programmatic Outcomes

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The objective of this study was to explore the impact of policy flexibilities deployed during the COVID-19 public health emergency on access, enrollment/retention, benefit utilization, and perceptions of SNAP and WIC. The review identified 37 eligible articles. Twelve studies evaluated policy flexibilities in SNAP only, 21 in WIC only, and 4 in both programs. Across More

Pilot-testing a peer navigator intervention for the Child and Adult Care Food Program to bridge a gap in nutrition supports in family childcare

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CACFP has the potential to reach many families with low income to support improved food security, diet quality, and financial stability. Yet just over half of FCCHs in California participate. Previously HER-funded research shows this is due in part to complex program administrative burdens. This project will develop and pilot a peer navigator intervention to More

Child and Adult Care Food Program: Family Childcare Home Providers’ Perceptions of Impacts of Increased Meal and Snack Reimbursement Rates during the COVID-19 Pandemic

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The U.S. Child and Adult Care Food Program (CACFP) provides tiered reimbursements for healthy foods for children at participating family childcare homes (FCCH). All FCCHs received a higher rate to address food insecurity during the COVID-19 pandemic. A survey was administered in the spring of 2023 to a randomly selected sample of licensed California FCCHs More