Family Child Care Providers' Self-perceived Role in Obesity Prevention: Working With Children, Parents, and External Influences

Rosenthal, Marjorie S.; Crowley, Angela A.; Curry, Leslie

doi:10.1016/j.jneb.2013.03.016

Cited by 31 publications

(47 citation statements)

References 20 publications

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“…In addition, these studies should also take into account a child’s individual eating behavior such as food responsiveness or food fussiness which may influence feeding practices utilized by the provider (de Barse et al, 2015; Jane E Gregory, Susan J Paxton, & Anna M Brozovic, 2010a, 2010b; Pauline W Jansen et al, 2012). Several problematic feeding behaviors were also identified that highlight the need for better provider training on how to respond to children’s food refusals and how to help children become more responsive to their internal cues of satiety and hunger (Rosenthal, Crowley, & Curry, 2013). Although there is some evidence that training in nutrition practices may result in improved center policies and increased provider knowledge (Alkon et al, 2014; Sigman-Grant et al, 2011), more research is needed on how child-care providers can develop and use responsive feeding practices leading to healthy eating behavior in the children in their care.…”

Section: Discussionmentioning

confidence: 99%

Providers’ response to child eating behaviors: A direct observation study

et al. 2016

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Child care providers play an important role in feeding young children, yet little is known about children’s influence on providers’ feeding practices. This qualitative study examines provider and child (18 months -4 years) feeding interactions. Trained data collectors observed 200 eating occasions in 48 family childcare homes and recorded providers’ responses to children’s meal and snack time behaviors. Child behaviors initiating provider feeding practices were identified and practices were coded according to higher order constructs identified in a recent feeding practices content map. Analysis examined the most common feeding practices providers used to respond to each child behavior. Providers were predominately female (100%), African-American (75%), and obese (77%) and a third of children were overweight/obese (33%). Commonly observed child behaviors were: verbal and non-verbal refusals, verbal and non-verbal acceptance, being “all done”, attempts for praise/attention, and asking for seconds. Children’s acceptance of food elicited more autonomy supportive practices vs. coercive controlling. Requests for seconds was the most common behavior, resulting in coercive controlling practices (e.g., insisting child eat certain food or clean plate). Future interventions should train providers on responding to children’s behaviors and helping children become more aware of internal satiety and hunger cues.

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Section: Discussionmentioning

confidence: 99%

Providers’ response to child eating behaviors: A direct observation study

et al. 2016

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“…While more research is needed to examine whether behaviours learned in FCCH transfer to the home and family, the potential for transferability is especially important given that Latino children's home environment is often characterized by obesogenic parenting practices (23) . Although a growing number of studies have focused on FCCH as a setting for promoting early healthful eating and PA (17)(18)(19)(20)(24)(25)(26) , to our knowledge no study has examined Latino parents' perceptions of their children's eating and PA experiences in FCCH run by Latino providers. Therefore, the purpose of the current qualitative study was to examine Latino parents' perceptions of their children's eating and PA experiences while at home and at FCCH.…”

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confidence: 99%

Latino parents’ perceptions of the eating and physical activity experiences of their pre-school children at home and at family child-care homes: a qualitative study

Lindsay

Greaney

Wallington

et al. 2016

Public Health Nutr.

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Objective: Research indicates that healthful eating and physical activity (PA) practices implemented in child-care settings can have a positive effect on children's healthful behaviours in this setting, and this effect on healthful behaviours may possibly transfer to the home environment. While more research is needed to examine whether behaviours learned in family child-care homes (FCCH) transfer, the potential for transferability is especially important given that Latino children's home environment has been characterized by obesogenic parenting practices. We aimed to examine Latino parents' perceptions of their preschool children's eating and PA experiences at home and at FCCH. Design: Qualitative study. Six focus groups were conducted in Spanish (n 36). Transcripts were analysed using thematic analysis to identify key concepts and themes. Results: Analyses revealed that Latino parents perceive their children have healthier eating and PA experiences at FCCH than at home. Parents attributed this to FCCH providers providing an environment conducive to healthful eating and PA due to providers having more knowledge and skills, time and resources, and being required to follow rules and regulations set by the state that promote healthful eating and PA. Conclusions: Understanding parental perceptions, attitudes and practices related to establishing and maintaining an environment conducive to children's healthful eating and PA at home and at the FCCH is essential for the design of successful interventions to promote children's healthful behaviours in these two settings. Given that parents perceive their children as having more healthful behaviours while at FCCH, interventions that address both settings jointly may be most effective than those addressing only one environment by itself.

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“…The most recent studies addressing the perceptions of families regarding the eating habits of their children have noted the importance of interventions to promote family participation and the inclusion of other important social elements in creating awareness of dietary habits during childhood 26,38,39,40. As Laurent 29, Martinez et al 36 and Towns and D’Auria 41 noted, it is necessary to develop methods to help parents gain understanding of how to manage the weight of their children.…”

Section: Discussionmentioning

confidence: 99%

Mothers' conceptions about excess weight in infancy and the nutritional status of their children

Silva¹,

Sarubbi²,

Nascimento³

et al. 2016

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OBJECTIVE:To analyze maternal conceptions about excess weight in infancy and the nutritional status of their preschool-aged children.METHODS:A mixed, exploratory study was performed using semi-structured interviews. Two study groups were defined: a group of 16 mothers of children with excess weight and a group of 15 mothers of eutrophic children. The interviews were submitted to content analysis using CHIC software (Classification Hiérarchique Implicative et Cohésitive®).RESULTS:The mothers of children with excess weight tended to conceive thin children as malnourished, while those of normal weight children emphasized the influence of family and genetics as determinants of a child’s nutritional status. Although there was a certain consensus among the mothers that an unhealthy diet contributes to the risk of a child developing excess weight, the concept of genetics as a determinant of a child’s nutritional status was also present in the dialogue from the mothers of both groups. This result indicates a lack of clarity regarding the influence of eating behavior and family lifestyle on weight gain and the formation of a child’s eating habits. Both groups indicated that the mother has a decisive role in the eating habits of her child; however, the mothers of children with excess weight did not seem to take ownership of this concept when addressing the care of their own children.CONCLUSION:Differences in conceptions, including taking ownership of care, may contribute to the development of excess weight in preschool-aged children.

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Family Child Care Providers' Self-perceived Role in Obesity Prevention: Working With Children, Parents, and External Influences

Cited by 31 publications

References 20 publications

Providers’ response to child eating behaviors: A direct observation study

Providers’ response to child eating behaviors: A direct observation study

Latino parents’ perceptions of the eating and physical activity experiences of their pre-school children at home and at family child-care homes: a qualitative study

Mothers' conceptions about excess weight in infancy and the nutritional status of their children

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