State Quality Rating and Improvement Systems: Strategies to Support Healthy Eating and Physical Activity Practices in Early Care and Education Settings

In the early 2000s, states began developing Quality Rating and Improvement Systems (QRIS) as a structural approach to improve the quality of Early Care and Education (ECE) programs. QRIS are voluntary or required systems designed to reach large numbers of ECE providers, particularly those serving lower-income children receiving child-care subsidies. The topics covered by QRIS More

Enhancing the Use of the Environment and Policy Assessment and Observation (EPAO) Tool in Early Care and Education Settings

The Environment and Policy Assessment and Observation (EPAO) is a tool designed to evaluate practices, environmental attributes, and policies of early care and education (ECE) settings that influence children’s nutrition and physical activity. The purpose of this project is to provide easy-to-use and readily available resources to facilitate the EPAO tool’s use by researchers and More

Evaluating State Regulation of Early Care and Education Settings to Strengthen Licensing Laws Related to Healthy Feeding and Active Play

The aim of this study is to describe state child-care licensing laws relating to healthy eating and active play targeting children ages 0 to 2 in early care and education settings for all U.S. states and territories. Investigators will use legal research methods to search state websites, the commercial legal databases LexisNexis® and WestlawNext®, and More

Impact of Policies on Physical Activity and Screen Time Practices in 50 Child-Care Centers in North Carolina

This study assessed whether physical activity and screen-time policies in child-care centers were associated with physical activity and screen-time practices and preschool children’s physical activity. Data were collected from a sample of 50 child-care centers in North Carolina. Center directors completed a survey to assess center-level policies around physical activity and screen time. Research assistants More

Comparative Evaluation of a South Carolina Policy to Improve Nutrition in Child Care

In April 2012, South Carolina enacted 13 nutrition standards for child-care centers serving lower-income children throughout the state. This study evaluated consistency with the standards before and after the policy took effect using North Carolina, a state not making policy changes, as the comparison. Researchers recorded foods and beverages served to children and documented the More

Gathering Baseline Data to Understand Implementation Changes and the Impact of the New Child and Adult Care Food Program Standards

The U.S. Department of Agriculture (USDA) recently proposed updated nutrition standards for foods and beverages served in Child and Adult Care Food Program (CACFP) participating child-care centers and homes. This study will contribute to the tracking of successes and challenges following implementation of the new nutrition standards, and will build off of two prior HER-funded More

Testing Variations on Family-Style Feeding To Increase Whole Fruit and Vegetable Consumption among Preschoolers in Child Care

National data show that preschool-age children in the U.S. do not eat the recommended amount of whole fruit and vegetables (FV). Child-care settings are an important place to influence children’s diets, since over 80 percent of preschool-age children receive care outside the home, and many children eat most of their meals while in child care. More

Assessing Nutrition Quality in CACFP Participating Child-Care Centers Prior to Implementation of Revised Meal Patterns

In January 2015, the United States Department of Agriculture (USDA) released a proposed rule detailing potential changes to the Child and Adult Care Food Program (CACFP) regulations, which are expected to improve the nutritional quality of foods served in CACFP-participating child-care centers. This study will collect baseline data for Connecticut CACFP-participating child-care centers to document More