Early Care and Education Teacher’s Role in Obesity Prevention and Healthy Development of Young American Indian Children

Kracht, Chelsea L.; Sisson, Susan B.; Walker, D. K.; Kerr, Kelly; Stephens, Lancer; Anderson, A.; Seward, Julie; Weedn, Ashley; Cheney, Marshall K.; Copeland, Kristen A.; Salvatore, Alicia L.; Jacob, Audrey; Key, Michelle; Dennison, Michelle; Tallbear, Chris; Horm, Diane

doi:10.1177/1043659618786363

Cited by 8 publications

(8 citation statements)

References 37 publications

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“…33 In the present focus groups, ECE providers acknowledged the shared responsibility and empathized with the parent’s constraints at home. Other qualitative research involving parent and ECE providers has found that ECE providers from ECE centers were empathetic to the parents’ busy lifestyle, 34 which may be due to the close connection of the ECE providers with parents within their community. Communication was not mentioned as frequently in the present sample but is another important part of creating a harmonious parent—ECE provider relationship as found in a recent systematic review of qualitative studies involving physical activity.…”

Section: Discussionmentioning

confidence: 99%

“…32 As the focus of this study was on child-level outcomes, these themes may not have emerged unlike in another qualitative study that specifically focused on collaboration between parents and ECE providers. 34 Therefore, understanding this shared responsibility is a promising step forward for parents and ECE providers to working together for child health.…”

Section: Discussionmentioning

confidence: 99%

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Young Children’s Screen Time and Physical Activity: Perspectives of Parents and Early Care and Education Center Providers

Joseph

Kracht

Romain

et al. 2019

Global Pediatric Health

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Early care and education (ECE) providers and parents can facilitate physical activity (PA) and reduce screen time in preschoolers. Input from caregivers on barriers and facilitators of PA and screen time is needed to comprehensively address these behaviors and promote children’s health. Four focus groups (3 parent and 1 ECE provider) were conducted. Thematic analysis was performed to identify themes and subthemes. Twenty-eight caregivers (21 parents and 7 ECE providers) participated. Caregivers reported responsibility for modeling and shaping children’s PA and screen time. Parents felt that a busy lifestyle was a PA barrier and encouraged screen time. ECE providers were concerned about certain environmental influences on PA. The groups differed in their view of screen time as either entertainment (parents) or educational (providers). Both types of caregivers were unaware of PA or screen time guidelines. Investigation into opportunities to utilize screen time to serve priorities of both caregivers and promote child PA are needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Young Children’s Screen Time and Physical Activity: Perspectives of Parents and Early Care and Education Center Providers

Joseph

Kracht

Romain

et al. 2019

Global Pediatric Health

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“…A tailored training on the implementation of the best-practice menu and how to implement it amidst the challenges and barriers identified by the community took place in December 2017 at a tribal education facility. The training program itself was based on adult learner needs (Norris, 2003) and previously identified needs in knowledge (Sisson et al, 2018; Sisson et al, 2017; Kracht et al, 2019). The program was broken into smaller sections (i.e., six modules) with heavy emphasis on application and integration activities.…”

Section: Resultsmentioning

confidence: 99%

“…One study included educational materials tailored for ECE cooks with improved intent to use nutritional guidelines, but was insufficient to enhance menu quality (Yoong et al, 2016). Qualitative work conducted by our own team indicates that teachers and providers desire to know more about child nutrition and health behaviors than the basic guidelines for menu development provided to them during routine trainings (Sisson et al, 2018; Sisson et al, 2017; Kracht et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

The development of child and adult care food program best-practice menu and training for Native American head start programs: The FRESH study

Sisson

Sleet

Rickman

et al. 2019

Preventive Medicine Reports

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New Child and Adult Care Food Program (CACFP) meal patterns and best practices were implemented nationally in 2017 to address the shift in dietary need from ensuring essential nutrient consumption to chronic disease prevention. Young American Indian (AI) children have disproportionately higher risk of chronic disease. Some AI tribes operate early care and education (ECE) programs and have the opportunity to participate in the CACFP. The purpose of this paper is to describe a CACFP best-practice menu and training developed and implemented as part of the Food Resource Equity and Sustainability for Health (FRESH) study, a community-based participatory research (CBPR) intervention implemented within ECE programs in the Osage Nation of Oklahoma. Site managers and cooks from each of the nine ECE programs attended meetings and provided investigators with feedback that shaped the best-practice menu and training. Each site participated in a three-hour training in January 2018 to discuss the best-practice menu and ways to overcome implementation barriers. Goals of the menu aimed to increase intake of fruit and vegetables and whole grains and reduce pre-fried and processed foods without increasing cook burden. Training included application activities individually and in small and large groups. Though the project is still underway, lessons learned, including the need for technical assistance, improved communication between ECE program staff and food supply vendors, and infrastructure barriers (e.g., limited space, lack of supplies) that challenge workflow, have emerged. Efforts to improve menus in rural and low-income ECE programs must consider these issues in developing feasible intervention strategies.

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“…Study design and methods are detailed in the sister paper focusing on the ECE teachers (Kracht et al, 2018). In brief, this qualitative study involved 60 individual interviews with 20 interviews per the three main stake holders: ECE teachers of AI children, HCPs who serve young AI children, and parents of AI children.…”

Section: Methodsmentioning

confidence: 99%

Health Care Provider’s Role in Obesity Prevention and Healthy Development of Young American Indian Children

et al. 2018

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Early Care and Education Teacher’s Role in Obesity Prevention and Healthy Development of Young American Indian Children

Cited by 8 publications

References 37 publications

Young Children’s Screen Time and Physical Activity: Perspectives of Parents and Early Care and Education Center Providers

Young Children’s Screen Time and Physical Activity: Perspectives of Parents and Early Care and Education Center Providers

The development of child and adult care food program best-practice menu and training for Native American head start programs: The FRESH study

Health Care Provider’s Role in Obesity Prevention and Healthy Development of Young American Indian Children

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