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.
Examining State-Level Strategies to Implement Child-Care Licensing Regulations on Healthy Eating, Physical Activity, and Screen Time for Children
Studying the Impact of Ecological Momentary Interventions on Sugary-Beverage Consumption by Children Through Age 2 in Low-Income Families
The first 1,000 days describes the period from pre-pregnancy through age 2 years, and is increasingly recognized as a critical period for development of childhood obesity. The overall goal of this study is to test mobile technology-based ecologic momentary interventions (EMIs) to deliver policy-relevant health messages among families living in … More
Promoting Responsive Bottle-Feeding Practices Among Women, Infants, and Children (WIC) Mothers to Reduce Infants’ Rapid Weight Gain and Obesity
Bottle-fed infants are at significantly greater risk for overfeeding and rapid weight gain (RWG), yet few studies focus on promoting healthy feeding practices for bottle-feeding caregivers. Bottle-feeding caregivers receive little support related to learning appropriate bottle-feeding practices, and this problem is pronounced in low-income, minority populations at higher risk for … More
This study examined the relationship between parental sugar-sweetened beverage (SSB) attitudes and SSB consumption during the first 1,000 days – gestation to age 2 years. The study population consisted of 394 WIC-enrolled, Hispanic/Latino families living in northern Manhattan. Parental SSB attitudes were determined through a four question survey that used … More