Start Date: February 2019

ID #: 76298

Principal Investigator: Erica Kenney, ScD, MPH

Organization: Harvard College

Funding Round: Round 11

See more related research


State child care licensing regulations, which specify the standards for practice to which child care providers must adhere to be licensed, can be a policy tool for ensuring that child care providers use healthy nutrition, physical activity, and screen time practices. However, what state agencies do to support child care providers in actually implementing these practices, and how equitably this is done, is unknown. It is crucial to understand how best to actually translate state child care obesity prevention policies so that they ultimately improve child health; otherwise, efforts to improve the policies themselves may ultimately be futile. The aims are to 1) Identify specific strategies used by state child care licensing and public health agencies to implement nutrition, physical activity, and screen time policies specified in licensing regulations; 2) Explore state child care licensing administrators’ perceptions of barriers and supports to successful implementation of healthy eating, physical activity, and screen time policies and their perceptions of implementation in under-resourced communities, using qualitative interviews; and 3) Assess whether each state’s regulatory context and state demographics predict the total number of the state’s implementation efforts.

Related Research

January 2023

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

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

July 2022

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

February 2022

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

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