State: North Carolina

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

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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

“I Think That’s the Most Beneficial Change That WIC Has Made in a Really Long Time”: Perceptions and Awareness of an Increase in the WIC Cash Value Benefit

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During the COVID-19 pandemic, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Cash Value Benefit (CVB) for fruits and vegetables increased by roughly USD 25/month/person. We sought to understand WIC participant perceptions of this change and barriers and facilitators to using the CVB. We conducted 10 virtual focus groups (5 rural, 5 More

The Impact of Pictorial Health Warnings on Purchases of Sugary Drinks for Children: A Randomized Controlled Trial

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This study aimed to examine the impact of pictorial warnings on parents’ purchases of sugary drinks for their children in a naturalistic store laboratory. Parents of children ages 2 to 12 (n = 325, 25% identifying as Black, 20% Hispanic) completed a shopping task in a naturalistic store laboratory in North Carolina. Participants were randomly More

Examining Facilitators and Barriers to Utilization of the Increased WIC Cash Value Benefit Among NC WIC Participants

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Using COVID-relief funds, UDSA temporarily expanded the WIC FV cash value benefit (CVB) from $9-11 to ~$35/month/person for seven months, June – December 2021. The objective of this study is to use focus groups with a diverse group of WIC participants in North Carolina to examine barriers and facilitators to utilizing the temporarily expanded CVB, More

Expanding Reach of a Health System Intervention for Family Beverage Choice by Partnering with a Local WIC Program

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This study seeks to partner with the local Special Supplemental Nutrition Program for Women, Infants and Children (WIC) to pair an electronic health record (EHR)-based sugar-sweetened beverage screener with a technology-based intervention in order to improve intervention reach and uptake in nutritionally at-risk infants and young children. Specific aims include: (1) Enhance EHR data infrastructure More

Identifying geographic differences in children’s sugar‐sweetened beverage and 100% fruit juice intake using health system data

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This study aimed to demonstrate the feasibility of using health system data to examine the geographic distribution of sugar‐sweetened beverage intake and evaluate neighborhood characteristics associated with intake. Researchers extracted electronic health record data from a sugar‐sweetened beverage and 100% fruit juice screener used for children ages 1 to 17 years in eight pediatric practices in North More

Assessing Drivers of Disparity in Child Care Center Participation in the Child and Adult Care Food Program in 4 States with High Poverty

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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

The Food Environment in Juvenile Justice Residential Facilities in North Carolina

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This research brief summarizes findings from an exploratory study of a diverse sample of juvenile justice residential facilities in North Carolina conducted by RTI International. The study examined food service operations, agency and facility level policies and practices pertaining to nutrition, participation in federal school nutrition programs, and additional food service funding sources. The overall More

Evaluating Healthy Vending Policies for Youth in Four Cities

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Vending machines are a common source for low nutrient, energy-dense snacks and beverages and youth can easily access vending machines at many public spaces such as parks, recreation centers, and swimming pools. Many cities are beginning to adopt healthy vending policies in public areas, but evidence regarding best practices for developing, implementing, and evaluating these healthy More

Implementing a novel electronic health record approach to track child sugar-sweetened beverage consumption

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Sugar-sweetened beverage (SSB) consumption is a risk factor for childhood obesity. Including this measure in electronic health records (EHR) could enhance clinical care and facilitate research on this topic. We implemented a single-item, EHR screening question for SSB and 100% fruit juice at 8 pediatric practices affiliated with a North Carolina academic medical center. From More