Children benefit from responsive feeding environments, where their internal signals of hunger and satiety are recognized and met with prompt, emotionally supportive and developmentally appropriate responses. Although there is existing research on responsive feeding environments in childcare, there is little synthesized literature on the implementation practices using a behavior change framework. This scoping review sought to explore the factors influencing the implementation and sustainability of responsive feeding interventions in the childcare environment, using the behavior change wheel (BCW). A total of 3197 articles were independently reviewed and 39 met the inclusion criteria. A thematic analysis identified the factors influencing the implementation and sustainability of responsive feeding, including the following: (1) pre-existing nutrition policies, (2) education and training, (3) provider beliefs and confidence, (4) partnership development and stakeholder engagement and (5) resource availability. The most common BCW intervention functions were education (n = 39), training (n = 38), environmental restructuring (n = 38) and enablement (n = 36). The most common policy categories included guidelines (n = 39), service provision (n = 38)and environmental/social planning (n = 38). The current literature suggests that broader policies are important for responsive feeding, along with local partnerships, training and resources, to increase confidence and efficacy among educators. Future research should consider how the use of a BCW framework may help to address the barriers to implementation and sustainability.
Defining competencies within health disciplines is important because it provides a shared understanding of the fundamental knowledge, skills, and attitudes necessary for research and practice while also offering a practical reference point for academic preparation and professional development. However, existing literature regarding competency frameworks does not address the unique needs of interdisciplinary population health research graduate students. The purpose of this project was to understand the competencies desired by interdisciplinary population health research graduate students within the Healthy Populations Institute (HPI) at Dalhousie University and to create a competency framework on which training and program development could be based. A student-led initiative was undertaken to identify core competencies necessary for interdisciplinary population health research graduate students from both traditional (e.g., health promotion) and nontraditional health (e.g., political science) backgrounds. Data were collected and analyzed via three phases: environmental scan, community resource mapping, and consultations with HPI research scholars. Through the environmental scan, core competencies and guiding principles were identified. Community resource mapping of local employment, volunteer, educational, and/or skill-building opportunities resulted in the development of a database. Consultations confirmed the validity of competencies identified in the scan and elicited further resources and suggestions for educational and professional skill development. This project resulted in a unique competency framework that will inform ongoing program development and foster additional opportunities for graduate students within HPI. The process of creating this framework may also be of value to other universities wishing to develop or refine their own set of competencies.
Objectives Changes to income and employment are key social determinants of health that have impacted many families during the COVID‐19 pandemic. This research aimed to understand how changes to employment and income influenced family environments that contribute to early childhood development and health. Methods A concurrent triangulation mixed method design was used through a cross‐sectional survey on early impacts of the COVID‐19 pandemic involving families with young children in the Canadian Maritime provinces ( n = 2158). Analyses included multivariate regression models to examine whether changes to employment and income predicted changes to Family access to resources and social support, parenting Abilities and self‐care at home, and home Routines and Environments (FARE Change Scale). Content analysis was used to identify themes from the open‐ended questions. Results Changes to employment and income early in the pandemic like no longer working but continued to receive salary, working fewer hours for the same salary earned before the pandemic, no longer working nor receiving salary, working fewer hours resulting in salary reduction, essential worker status and household income were significant predictors of FARE Change Scale when ethnicity/cultural background and province of residence are controlled ( P < .05). Themes provided a description of family impacts, including shifting employment and income, finding time and capacity, feelings of guilt and the creation of new routines. Conclusion Our study provides insight on the implications of public health restrictions, such as the importance of increased time for parents (through reduced work hours) and access to resources and social support to support child development and health.
The purpose of this research was to explore student perceptions of mindfulness meditation (MM) in an introductory health promotion course, and how the use of MM during class might relate to the transitions experienced by students. Qualitative data collection took place through an online survey and in-person interviews. Data were analyzed using thematic analysis. Four key themes were identified from this research. First, that MM facilitates a sense of peace and calm; second, that MM encourages students to focus; third, MM helps promote student mental health; and finally, MM positively changes the classroom environment. Challenges and recommendations were also described. Keywords: mindfulness, meditation, university, transitions
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