A Qualitative Study: Perceived Barriers and Facilitators to Nutrition Standard Adherence by In-home Childcare Providers

Earnesty, Dawn; Mphwanthe, Getrude; Rau, Kaitlyn; Weatherspoon, Lorraine

doi:10.1016/j.jand.2021.08.104

Cited by 6 publications

(3 citation statements)

References 38 publications

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“…However, the part-time care model hindered the timely prevention of potential unreasonable dietary management behaviors. Time constraint is another important factor affecting individual compliance to dietary management [21,31,32].…”

Section: Discussionmentioning

confidence: 99%

Obstacles to home-based dietary management for caregivers of children with citrin deficiency: a qualitative study

Zhang

Cai

et al. 2022

Orphanet J Rare Dis

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Background Dietary management is the most important and effective treatment for citrin deficiency, as well as a decisive factor in the clinical outcome of patients. However, the dietary management ability of caregivers of children with citrin deficiency is generally poor, especially in East Asia where carbohydrate-based diets are predominant. The aim of this study was to identify the difficulties that caregivers encounter in the process of home-based dietary management, and the reasons responsible for these challenges. Results A total of 26 caregivers of children with citrin deficiency were recruited, including 24 mothers, one father, and one grandmother. Grounded theory was employed to identify three themes (covering 12 sub-themes) related to the dilemma of dietary management: dietary management that is difficult to implement; conflicts with traditional concepts; and the notion that children are only a part of family life. The first theme describes the objective difficulties that caregivers encounter in the process of dietary management; the second theme describes the underlying reasons responsible for the non-adherent behavior of caregivers; the third theme further reveals the self-compromise by caregivers in the face of multiple difficulties. Conclusions This study reflects the adverse effects of multi-dimensional contradictions on the adherence of caregivers to dietary management. These findings reveal that the dietary management of citrin deficiency is not only a rational process, rather it is deeply embedded in family, social, and dietary traditions.

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Section: Discussionmentioning

confidence: 99%

Obstacles to home-based dietary management for caregivers of children with citrin deficiency: a qualitative study

Zhang

Cai

et al. 2022

Orphanet J Rare Dis

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“…Picky eating behaviors by children are a barrier to healthy diet consumption and are well documented as a challenge in ECE environments [ 56 , 57 , 58 ]. While picky eating is not well defined and there is no agreed upon operational definition [ 59 ], there is some emerging evidence that picky eating behaviors differ between home care and child care environments [ 60 ].…”

Section: Discussionmentioning

confidence: 99%

Informing State-Wide Coalition Efforts to Implement and Integrate Nutrition Best Practices in Early Care and Education: Focus Group Insights from Child Care Providers

Koester

Sloane

Chusid

et al. 2022

IJERPH

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A healthy diet in early childhood is an important contributor to ensuring lifelong health and in reducing risk for obesity. The child care environment is critical to supporting nutrition as a majority of young children less than 5 years of age are enrolled in out-of-home care. In order to better understand barriers to implementing and integrating nutrition best practices, we conduced focus groups with child care providers (n = 25) in Illinois. Providers from low-income communities, rural communities, and communities of color were prioritized. Focus group participants reported several challenges including the high cost of nutritious food, picky eating, and their perception that parents did not set good examples at home. Many providers identified the Child and Adult Care Food Program (CACFP) as a critical resource in helping them implement best practices. Providers discussed needing and wanting more training, more money for food, and more parental support. These results indicate support for additional resources and sustained training and technical assistance to address perceived challenges. The evidence of the importance of CACFP in helping providers engage in nutrition best practices indicates support for expansion and strengthening of the program.

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“…One of the big challenges to implementing food recommendations, the providers reported, is higher costs. Studies have shown that the higher cost for more nutritious food is an obstacle for FCCHs (Dev et al 2020;Earnesty et al 2022;Lee et al 2018;Monsivais et al 2012). (Despite the small financial incentive provided to FCCH providers to participate in our evaluation, we made no attempts to offset the cost of implementing the recommendations.)…”

Section: Online Training Fills a Needmentioning

confidence: 99%

Online training for child care providers teaches child nutrition in English and Spanish

Lee¹,

Alkon²,

Strochlic³

et al. 2023

Calif Agr

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Poor nutrition among young children is a national health crisis which contributes to obesity and chronic disease later in life. Since children spend so much time in child care, child care providers can help improve the quality of young children's nutrition and foster lifelong healthy eating habits. However, California's family child care home (FCCH) providers receive little training on what and how to feed young children. To address this problem, we developed a self-paced online training on child nutrition in English and Spanish for FCCH providers. Our feasibility study evaluated providers’ satisfaction with the training and ease of use, using an online survey and a 45-minute interview upon completing the training. Providers rated their training experience as excellent, easy to enroll in, and complete. Most providers reported they were somewhat likely to make changes to what and how they feed infants and toddlers. Many recommended adding printed resources and culturally relevant material for future trainings.

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A Qualitative Study: Perceived Barriers and Facilitators to Nutrition Standard Adherence by In-home Childcare Providers

Cited by 6 publications

References 38 publications

Obstacles to home-based dietary management for caregivers of children with citrin deficiency: a qualitative study

Obstacles to home-based dietary management for caregivers of children with citrin deficiency: a qualitative study

Informing State-Wide Coalition Efforts to Implement and Integrate Nutrition Best Practices in Early Care and Education: Focus Group Insights from Child Care Providers

Online training for child care providers teaches child nutrition in English and Spanish

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