Understanding and increasing water availability and accessibility in family child care homes to improve young children’s water and sugary beverage intake

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

Long-term impact of home-visiting on SSB intake & early childhood obesity, and effects of emergency COVID-19 water equity efforts on the Navajo Nation

This research extends follow up on Native American children enrolled in the Prevention of Early Childhood Obesity 1 (PECO1) study 2017-2019 to determine whether positive impacts of the Family Spirit Nurture intervention on infant sugar sweetened beverage intake and infant growth are sustained through 5 years of age. It also examines point of use water More

Expanding Reach of a Health System Intervention for Family Beverage Choice by Partnering with a Local WIC Program

This study seeks to partner with the local Special Supplemental Nutrition Program for Women, Infants and Children (WIC) to pair an electronic health record (EHR)-based sugar-sweetened beverage screener with a technology-based intervention in order to improve intervention reach and uptake in nutritionally at-risk infants and young children. Specific aims include: (1) Enhance EHR data infrastructure More

Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review

In the U.S., strong ethnic/racial, socioeconomic, demographic, and geographic breastfeeding inequities persist, and African American and Hispanic women are less likely to meet their breastfeeding goals compared to White women. This systematic review was designed to answer the question: What is the impact of breastfeeding interventions targeting ethnic/racial minority women in the U.S. on improving More

Reducing Digital Marketing of Infant Formulas

Breastfeeding protects against overweight and obesity, asthma, eczema, and type-II diabetes, and has long-term health benefits for women. The health benefits of breastfeeding are so valuable that in 1981, the World Health Organization established the International Code of Marketing of Breast-Milk Substitutes (WHO Code) that prohibits marketing infant formula to the public. The U.S. has More

Implementing eLearning to Improve Healthy Beverage Policy Implementation Among Early Care and Education Teachers

The overall goal of this study is to evaluate the effectiveness of an interactive, eLearning beverage policy training (iBevSmart) paired with eCoaching (technical assistance consultation and resources) for ECE centers in Georgia. The iBevSmart guided training features four modules on water, milk, juice, and SSBs, and includes an interactive avatar, videos, and engagement activities. The More

Effect of a Home-Visiting Intervention to Reduce Early Childhood Obesity Among Native American Children

The objective of this study was to assess the impact of a brief home-visiting approach, Family Spirit Nurture (FSN), on sugar-sweetened beverage (SSB) consumption, responsive parenting and infant feeding practices, and optimal growth through 12 months post partum. This study was a 1:1 randomized clinical trial comparing FSN with an injury prevention education control condition More

Assessing Drivers of Disparity in Child Care Center Participation in the Child and Adult Care Food Program in 4 States with High Poverty

The study will address a gap in knowledge, providing insight into facilitators and barriers to CACFP uptake by eligible centers and actionable recommendations to address challenges in high-need areas where child poverty is exceptionally high, but resources are limited. The project goals and objectives are to: (1) Assess the historical and structural facilitators and barriers More

Cost-Effectiveness of Commonly Used Childhood Obesity Interventions in Schools and ECE Settings to Inform Strategic Planning

This project will identify commonly used obesity prevention programs that have limited effectiveness for obesity prevention and are thus a suboptimal use of limited public health resources. The specific aims are to: 1) Identify two commonly implemented childhood obesity prevention interventions targeting children ages 0-8 that may lack evidence for impact; 2) Conduct a systematic More

Serving Their Needs: A Qualitative Examination of Nutrition Policy Implementation in the Early Care and Education Setting

Identifying strategies to assist children in establishing healthy habits is essential to reduce the risk of childhood obesity. The Early Care and Education (ECE) setting is ideal for the implementation of obesity prevention practices. However, there are barriers present for implementing nutrition policies in this setting. This report explores the implementation of food and beverage More