State: North Carolina

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

Examining Rural Store Owners’ Perceptions of USDA’s Minimum Stocking Requirements

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The purpose of this project is to examine rural store owners’ perceptions about the United States Department of Agriculture’s (USDA) proposed rule that updates the Supplemental Nutrition Assistance Program (SNAP) vendor requirements and to understand the barriers and facilitators to implementation. The study will include a content analysis on the public comments on USDA’s proposed More

Understanding the Feasibility of Implementing the Recommendations for Minimum Stocking Levels and Marketing Strategies for Small Retail Food Stores

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The purposes of this project are to: 1) understand the barriers and facilitators to the implementation of the Minimum Stocking Levels and Marketing Strategies of Healthful Foods for Small Retail Food Stores recommendations developed in 2015 among stores most likely to face challenges (rural and urban, dollar and family-owned stores), and 2) obtain a baseline More

Impact of Policies on Physical Activity and Screen Time Practices in 50 Child-Care Centers in North Carolina

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This study assessed whether physical activity and screen-time policies in child-care centers were associated with physical activity and screen-time practices and preschool children’s physical activity. Data were collected from a sample of 50 child-care centers in North Carolina. Center directors completed a survey to assess center-level policies around physical activity and screen time. Research assistants More

Comparative Evaluation of a South Carolina Policy to Improve Nutrition in Child Care

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In April 2012, South Carolina enacted 13 nutrition standards for child-care centers serving lower-income children throughout the state. This study evaluated consistency with the standards before and after the policy took effect using North Carolina, a state not making policy changes, as the comparison. Researchers recorded foods and beverages served to children and documented the More

Lessons Learned from Small Store Programs to Increase Healthy Food Access

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This paper presents the experiences and lessons learned from small food store interventions in four U.S. cities – Baltimore, Md.; Minneapolis, Minn.; Burlington, N.C.; and Philadelphia, Pa. Experiences from these four communities indicate that small store interventions face a variety of challenges that impact feasibility, acceptability, and long-term success. Particularly challenging issues included: understanding and More

Evaluating the Impact of a Web-Based Intervention Designed for Child-Care Providers to Improve Their Food and Physical Activity Environments

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The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) was developed in 2002 to help child-care providers improve their food and physical activity environments. Evaluations of NAP SACC have shown it to be effective, but the program’s reliance on trained technical assistance professionals and on in-person delivery limit its potential for large-scale dissemination. More

Examining Contracts and Agreements Between Small-Scale Food Retailers and the Food Industry

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Small retail food stores are ubiquitous in lower-income, urban settings, and are a major food source among lower-income racial and ethnic minority children and adolescents. Little is known about the types of agreements (e.g., slotting fees, retail promotional programs, exclusive contracts) that small retail food stores may have with manufacturers and distributors of high-sugar, high-fat More