Focus Area: Early Childhood

Policy, system, and environmental interventions addressing obesity and diet-related outcomes in early childhood education settings: A systematic review

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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

Water is K’é: A Community-Based Intervention to Increase Healthy Beverage Consumption by Navajo Preschool Children

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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

Experiences pertaining to child nutrition and care provision among early care and education stakeholders, sponsors, and center directors during the COVID-19 pandemic: A multi-method study

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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

Facilitators and barriers to family child care home participation in the U.S. Child and Adult Care Food Program (CACFP)

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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

Using community-based participatory systems science approach to inform promising strategies to reduce SSB and excess juice consumption among families of infants and toddlers in Puerto Rico

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The purpose of this study is to inform promising strategies that can curb SSB and excess fruit juice consumption and potentially provide safe, palatable potable drinking water as an alternative by building capacity in systems thinking among diverse stakeholders that serve families with infants and toddlers in Puerto Rico. The study will employ Group Model More

Moving from Policy to Practice for Early Childhood Obesity Prevention: A Nationwide Evaluation of State Implementation Strategies in Childcare

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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

Child and Adult Care Food Program: Impacts of COVID-19 Differences in Reimbursement Rates on Family Childcare Home Providers, Children, and Families

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The Child and Adult Care Food Program (CACFP), the largest U.S. nutrition program for childcare, provides tiered reimbursements to family childcare homes (FCCHs) to serve healthy foods to a large proportion of children from households with low incomes. Due to COVID-19, all FCCHs on CACFP temporarily received the higher Tier I reimbursement rate. The aims More

Assessing the impact of a statewide effort to improve breastfeeding rates: A RE-AIM evaluation of CHAMPS in Mississippi

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Communities and Hospitals Advancing Maternity Practices (CHAMPS) is a public health initiative, operating in Mississippi since 2014, to improve maternal and child health practices and reduce racial disparities in breastfeeding. Using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework, this study assessed CHAMPS, which used a Quality Improvement intervention at hospitals, and engaged intensively with local More

Child-Directed Marketing, Health Claims, and Nutrients in Popular Beverages

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Fruit drinks are a major source of added sugar in children’s diets. This study describes the associations between front-of-package child-directed marketing (i.e., sports, fantasy, or child-directed imagery; child-directed text) and (1) health-related claims and (2) nutrient content of fruit drinks, 100% juices, and flavored waters. Beverage purchase data from a national sample of 1,048 households More

Marketing of sugar-sweetened children’s drinks and parents’ misperceptions about benefits for young children

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Despite expert recommendations, U.S. parents often serve sugar-sweetened children’s drinks, including sweetened fruit-flavored drinks and toddler milks, to young children. This qualitative research explored parents’ understanding of common marketing tactics used to promote these drinks and whether they mislead parents to believe the drinks are healthy and/or necessary for children. We conducted nine focus groups More