Comparison of Beverage Recommendations for Young Children: Opportunities for Alignment in U.S. Policy Guidance

In 2019, Healthy Eating Research (HER) developed recommendations on what children ages 0 to 5 should drink as part of a healthy diet, in partnership with the Academy of Nutrition and Dietetics, the American Academy of Pediatrics, the American Academy of Pediatric Dentistry, and the American Heart Association. Having one set of uniform recommendations provided More

“It has a lot to do with the cumbersome paperwork”: Barriers and facilitators of center-based early care and education (ECE) program participation in the Child and Adult Care Food Program (CACFP)

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

The Child and Adult Care Food Program and young children’s health: a systematic review

The objective of this review was to summarize the evidence for the impact of CACFP on children’s diet quality, weight status, food insecurity, and cognitive development. Nineteen articles were reviewed, most of which had been published since 2012. Seventeen used cross-sectional designs. Twelve evaluated foods and beverages served; 4 evaluated dietary intake; 4 evaluated the 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

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)

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

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

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 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

Understanding the lost opportunity of the Child and Adult Care Food Program in improving child nutrition and reducing health inequities

The USDA Child and Adult Care Food Program (CACFP) plays a large role in supporting nutrition in child care settings, specifically targeting these benefits to low-income populations. Foods provided to children participating in CACFP programs must meet specific nutrition standards in order to be reimbursed with federal funds. This study seeks to understand how the More

Childhood Obesity: ECE Policy and Practice Special Journal Issue

Childhood Obesity published a special theme journal issue on early care and education programs (ECE) policy and practice. It unites a group of outstanding researchers focusing on the role of policies and practices within ECE programs to support healthy practices. Each article addresses one or more important influences, including public policies, such as the federally More

Participation in the Child and Adult Care Food Program Is Associated with Healthier Nutrition Environments at Family Child Care Homes in Mississippi

This study describes the foods and beverages offered, nutrition practices, and nutrition policies of family child care homes in Mississippi and differences by participation in the Child and Adult Care Food Program (CACFP). A random sample of family child care homes that enroll 3- to 5-year-olds in Mississippi were examined through a self-report tool. Foods More