State: North Carolina

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

Changes to SNAP-authorized retailer stocking requirements and the supply of foods and beverages in low-income communities in seven U.S. states

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Low-income communities often lack access to supermarkets and healthy foods. Enhanced stocking requirements for staple foods for Supplemental Nutrition Assistance Program (SNAP)- authorized retailers may increase availability of healthy foods in smaller stores which are prevalent in low-income areas. This study aimed to evaluate the extent that small food stores located in low-income areas met 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

Examining the Feasibility of Healthy Minimum Stocking Standards for Small Food Stores

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This study builds on the recommendations for healthy minimum stocking developed by an expert panel convened by Healthy Eating Research in 2015. It tests the feasibility of the standards and provides practical insight from retailers about implementation. Researchers collected qualitative and quantitative data from 57 small stores in four states (Arizona, Delaware, Minnesota, and North More

Studying the Novel Approach of Using Electronic Health Records From Pediatric Primary Care to Measure Children’s Consumption of Sugary Beverages

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Electronic health record (EHR) screening for sugar-sweetened beverage (SSB) intake may be a novel intervention for reducing SSB intake in children, and would result in longitudinal databases of individual-level consumption that could enhance the ability the evaluate local or regional SSB policies. This study aims to: 1) implement and evaluate the uptake of a single More

Using State Laws & Regulations to Promote Healthy Eating and Physical Activity in Afterschool Programs

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Out-of-School time (OST) programs are a promising setting for reducing child obesity risk by promoting healthy eating and providing opportunities for physical activity. The Healthy Out-of-School Time Coalition developed the National AfterSchool Association Healthy Eating and Physical Activity standards in 2011 to provide comprehensive guidance on how to promote healthy eating and physical activity. To More