The study uses a systems science approach to identify upstream strategies that can support sustained changes in the consumption of sugar-sweetened beverages and water in a low-income, predominantly Hispanic community. This research is designed to generate information crucial for the development of robust multilevel systems recommendations that are contextually and culturally appropriate. Specific aims include: (1) To understand the barriers/facilitators to sustained beverage replacement by conducting focus group discussions with Hispanic parents of infants and toddlers; (2) To build capacity in systems thinking among diverse stakeholders that serve Early Head Start families, and parents, using community-based systems dynamics processes; and (3) To identify and evaluate promising intervention strategies that address structural barriers/and enhance facilitating factors for reducing sugar-sweetened beverage and promoting water consumption.
Developing Policy and Environmental Approaches to Sustain an Early Head Start Healthy Beverage Program Among Hispanic Families of Infants and Toddlers
Promoting Responsive Bottle-Feeding Within WIC: Evaluation of a Policy, Systems, and Environmental Change Approach
Bottle-fed infants are at greater risk for overfeeding and rapid weight gain (RWG), so evidence-based strategies for promoting healthy bottle-feeding practices are needed. The aim of this study was to assess whether policy, systems, and environmental (PSE) strategies for promoting responsive bottle-feeding practices within the Special Supplemental Nutrition Program for … More
Restaurant kids’ meal beverage offerings before and after implementation of healthy default beverage policy statewide in California compared with citywide in Wilmington, Delaware
In 2019, California and Wilmington, Delaware implemented policies requiring healthier default beverages with restaurant kids’ meals. The current study assessed restaurant beverage offerings and manager perceptions in a sample of quick-service restaurants. Pre-implementation, the most common kids’ meal beverages on California menus were unflavored milk and water (78·8 %, 52·0 … More
Examining the Effects of Taxes and Warning Labels on Parents’ Purchases of Sugar-Sweetened Beverages Using a Choice Experiment
The purpose of this study is to conduct a discrete choice experiment to investigate whether warning labels on Sugar-Sweetened Beverages (SSBs) alter the effectiveness of a tax on SSBs, especially among parents who are Black, Latinx and lower income. The research team will conduct an online choice experiment with 2,700 … More