Beverage Policy Implementation by Child and Adult Care Food Program Participation and Program Type: A Statewide Examination in Georgia

Cotwright, Caree; Bradley, Haley; Celestin, Nathalie; Drake, Shani; Love, Kim; Birch, Leann L.

doi:10.1089/chi.2018.0101

Cited by 16 publications

(17 citation statements)

References 19 publications

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“…This study has several limitations. Even though consistent with other child care studies (11,16,31), the response rate was low for both survey years. Although sites were randomly selected, differences may exist between respondents and nonrespondents, and the sample may not be representative of California child care.…”

Section: April 2020supporting

confidence: 85%

“…In 2014 in Pennsylvania, where no state policy on beverages in child care exists, less than half (46%) of child care centers representing 88% of Pennsylvania counties answered no to the survey question "Are sugar-sweetened beverages provided?" (16). The lack of a policy in addition to the difference in survey question used to assess providing SSBs in the Pennsylvania study compared with our 2016 survey may have resulted in differences in reported SSBs provided.…”

Section: Discussionmentioning

confidence: 86%

“…Our study is the first that we know of to report data trends in providing beverages in child care in a state with a child care beverage policy. Additionally, compared with surveys used in other studies, our survey included multiple questions on types of beverages provided, clearly defined SSBs, and specified child age (16). Furthermore, it provided data from a large representative sample of California licensed child care providers of multiple child care site types, including family child care homes and CACFP and non-CACFP participants.…”

Section: April 2020mentioning

confidence: 99%

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Status of Beverages Served to Young Children in Child Care After Implementation of California Policy, 2012–2016

et al. 2020

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What is already known on this topic? In 2012, California enacted a policy designating that licensed child care sites serve only healthy beverages. A study conducted later that year showed positive changes. However, only 60% of child care survey respondents knew about the policy and only one-quarter were fully adherent. What is added by this report? We assessed the degree of adherence to the policy in 2016, finding continued improvements since 2012 and few implementation barriers reported. What are the implications for public health practice? Comprehensive state policy on beverages in child care can be successfully implemented and should be considered by other states.

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Section: April 2020supporting

confidence: 85%

Section: Discussionmentioning

confidence: 86%

Section: April 2020mentioning

confidence: 99%

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Status of Beverages Served to Young Children in Child Care After Implementation of California Policy, 2012–2016

et al. 2020

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“…Sixty-seven percent of the ECE programs participated in CACFP (Cotwright, 2019). Quantitative findings from the survey results have been reported elsewhere (Cotwright, 2019). Outcomes suggest that programs participating in CACFP were less likely to serve sugar-sweetened beverages (SSBs) and more likely to provide low-fat or fat-free milk for 2-to 5-year old children than non-CACFP programs (Cotwright, 2019).…”

Section: Introductionmentioning

confidence: 74%

“…The study sample included licensed and license-exempt child care programs in Georgia serving children aged 0-5 years. Sixty-seven percent of the ECE programs participated in CACFP (Cotwright, 2019). Quantitative findings from the survey results have been reported elsewhere (Cotwright, 2019).…”

Section: Introductionmentioning

confidence: 77%

Serving Their Needs: A Qualitative Examination of Nutrition Policy Implementation in the Early Care and Education Setting

Cotwright¹,

Hall²,

Arrington³

et al. 2020

JGPHA

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Background: Childhood obesity is a growing problem in the United States and results in increased risk for chronic diseases such as diabetes, heart disease, and hypertension. Thirteen percent of youth in Georgia are obese. Identifying strategies to assist children in establishing healthy habits is essential to reduce the risk of childhood obesity. The Early Care and Education (ECE) setting is ideal for the implementation of obesity prevention practices. However, there are barriers present for implementing nutrition policies in this setting. This report explores the implementation of food and beverage best practices in the ECE setting and highlights barriers to and facilitators for adopting these policies. Methods: We conducted 24 interviews and 6 focus groups with ECE program directors and teachers in 6 regions in Georgia. The statewide sample included directors from child care learning centers, family child care homes, and license-exempt programs. A trained qualitative researcher facilitated focus groups and interviews. Data were audio recorded and transcribed verbatim. Qualitative data analysis software, NVivo 10, was used to code data and identify emergent themes. Results: Several key themes related to barriers to food and beverage policy implementation emerged including the need for: 1) enhanced parent communication, 2) resources to limit juice consumption, and 3) financial support to decrease food costs. Facilitators of nutrition policy implementation included: 1) ease of access to water, 2) children's preferences for fruits and vegetables, and 3) availability of existing nutrition resources. Findings will inform the development of resources to support nutrition policy implementation as well as policy training for ECE teachers in Georgia. Conclusions: Study themes may provide insight about how to improve current resources and develop new solutions to improve adoption and implementation of nutrition policies in the ECE setting in the future.

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Are food and nutrition assistance programs fostering an equitable early care and education (ECE) food environment? A systematic review utilizing the RE-AIM framework

Purkait,

Dev,

Srivastava

et al. 2025

Early Childhood Research Quarterly

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Beverage Policy Implementation by Child and Adult Care Food Program Participation and Program Type: A Statewide Examination in Georgia

Cited by 16 publications

References 19 publications

Status of Beverages Served to Young Children in Child Care After Implementation of California Policy, 2012–2016

Status of Beverages Served to Young Children in Child Care After Implementation of California Policy, 2012–2016

Serving Their Needs: A Qualitative Examination of Nutrition Policy Implementation in the Early Care and Education Setting

Are food and nutrition assistance programs fostering an equitable early care and education (ECE) food environment? A systematic review utilizing the RE-AIM framework

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