Meals for Good: An innovative community project to provide healthy meals to children in early care and education programs through food bank catering.
Meals for Good: An innovative community project to provide healthy meals to children in early care and education programs through food bank catering.
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DOI：
10.1016/j.pmedr.2017.10.015
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发表时间：
2017-12
影响因子：
2.8
通讯作者：
Yaroch AL
中科院分区：
文献类型：
--
作者：
Carpenter LR;Smith TM;Stern K;Boyd LW;Rasmussen CG;Schaffer K;Shuell J;Broussard K;Yaroch AL
儿童肥胖预防的创新方法在早期护理和教育（ECE）环境中是必要的，因为建议在青少年中进行早期干预以促进和保持健康的行为。“善餐”试点项目的目的是探讨在幼儿教育方案中实施基于食物银行的餐饮模式的可行性，以便提供比从家里带来的膳食（父母准备的模式）更有营养的膳食。2014-2015年，佛罗里达中部的一家食品银行在四个私人拥有的早期教育计划中实施了一个为期12个月的项目。采用混合方法评价方法的解释性顺序设计，包括前后菜单分析，比较父母准备的饭菜，照顾膳食，利益相关者访谈，以确定利益和障碍。对午餐菜单的分析显示，与父母准备的饭菜相比，每天的卡路里、脂肪和饱和脂肪减少，但钠的含量增加。与ECE主任，教师，家长和食品银行项目工作人员的访谈，确定了几个好处的餐饮，包括健康的膳食，方便家长，和ECE计划的市场这种膳食服务的能力。提供膳食的障碍包括父母的成本增加、运输和交付物流以及夏季食品服务期间从5周菜单周期改为2周菜单周期。这一试点表明，通过利用粮食银行现有设施和烹饪方案，以及对实施以幼儿为重点的战略的兴趣，粮食银行-欧洲经委会方案伙伴关系具有潜在的可行性。此后，粮食银行利用了吸取的经验教训，并扩大到欧洲经委会的其他方案。欧洲经委会的营养干预措施可以提高对健康食品的认识和接触。食品银行非常适合与欧洲经委会方案合作。餐饮模式为欧洲经委会环境中的儿童提供了更健康的膳食选择。
Innovative approaches to childhood obesity prevention are warranted in early care and education (ECE) settings, since intervening early among youth is recommended to promote and maintain healthy behaviors. The objective of the Meals for Good pilot was to explore feasibility of implementing a food bank-based catering model to ECE programs to provide more nutritious meals, compared to meals brought from home (a parent-prepared model). In 2014–2015, a 12-month project was implemented by a food bank in central Florida in four privately-owned ECE programs. An explanatory sequential design of a mixed-methods evaluation approach was utilized, including a pre-post menu analysis comparing parent-prepared meals to the catered meals, and stakeholder interviews to determine benefits and barriers. The menu analysis of lunches showed daily reductions in calories, fat, and saturated fat, but an increase in sodium in catered meals when compared to parent-prepared meals. Interviews with ECE directors, teachers, parents, and food bank project staff, identified several benefits of the catered meals, including healthfulness of meals, convenience to parents, and the ECE program's ability to market this meal service. Barriers of the catered meals included the increased cost to parents, transportation and delivery logistics, and change from a 5 to a 2-week menu cycle during summer food service. This pilot demonstrated potential feasibility of a food bank-ECE program partnership, by capitalizing on the food bank's existing facilities and culinary programming, and interest in implementing strategies focused on younger children. The food bank has since leveraged lessons learned and expanded to additional ECE programs. ECE nutrition interventions can increase awareness and exposure to healthy foods. Food banks are well suited to partner with ECE programs. Catering model provided healthier meal options to children in ECE settings.