Effectiveness in adapting the implementation of the Early Care and Education Learning Collaboratives Project (ECELC) using real-world conditions.

Effectiveness in adapting the implementation of the Early Care and Education Learning Collaboratives Project (ECELC) using real-world conditions.
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利用现实条件调整早期保育和教育学习合作项目 (ECELC) 实施的有效性。

DOI:
10.1093/tbm/ibz152
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发表时间:
2021
影响因子:
3.6
通讯作者:
Yaroch,AmyL
Yaroch,AmyL
中科院分区:
医学3区
文献类型:
--
作者:
Garvin,TeresaM;Chiappone,Alethea;Weissenburger-MoserBoyd,Lisa;Shuell,Julie;Plumlee,Catherine;Yaroch,AmyL

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国家早期护理和教育学习合作项目 (ECELC) 是一项多州干预措施,在美国各地早期护理和教育 (ECE) 项目中实施健康饮食体育活动 (HEPA) 最佳实践方面非常有效。 ECELC 包括教学式面对面学习课程、技术援助和自我评估指导的行动计划。本研究旨在描述自我评估、学习课程和整体支持的适应性的有效性,并在适用时将每种方法与原始 ECELC 模型的有效性进行比较。本研究采用了研究前设计,使用了通过儿童保育营养和身体活动自我评估 (NAP SACC) 工具收集的数据,用于适应原始 ECELC 模型的 ECE 项目。正如 NAP SACC 所证明的那样,对原始 ECELC 模型的适应可以促进母乳喂养和婴儿喂养、儿童营养、婴儿和儿童身体活动、户外游戏和学习和/或屏幕时间方面的最佳实践和政策(p < .05),但有一些非统计显着增加的例外。研究发现,从统计角度来看,这些改进与原始 ECELC 模型参与者的改进相似。合作伙伴驱动的、可扩展的、可定制的、基于政策和实践的干预措施,以促进儿童早教环境中儿童的 HEPA,可以作为努力降低儿童肥胖风险的关键战略。
The National Early Care and Education Learning Collaboratives Project (ECELC) was a multistate intervention that was highly effective in implementing best practices for healthy eating physical activity (HEPA) in early care and education (ECE) programs across the USA. The ECELC included didactic in-person learning sessions, technical assistance, and self-assessment-guided action planning. This study aimed to describe the effectiveness of adaptions to the self-assessments, learning sessions, and overall support, and also aimed to compare the effectiveness of each to the Original ECELC Model, when applicable. This study utilized a pre-poststudy design using data collected via the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) instrument for ECE programs that adapted the Original ECELC Model. Adaptations to the Original ECELC Model were found to promote best practices and policies with regard to Breastfeeding & Infant Feeding, Child Nutrition, Infant & Child Physical Activity, Outdoor Play & Learning, and/or Screen Time as demonstrated by the NAP SACC (p< .05), with some exceptions of nonstatistically significant increases. Improvements were found to be statistically similar to improvements made among participants of the Original ECELC Model. Partner-driven, scalable, and customizable policy- and practice-based interventions to promote HEPA among children in ECE settings may serve as a key strategy to work toward reducing risk for childhood obesity.
早期护理和教育环境中肥胖预防干预措施的强度:系统评价。
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营养和体育活动随机对照试验在儿童保育中心进行了改善知识,政策和儿童体重指数。
DOI: 10.1186/1471-2458-14-215
发表时间: 2014-03-01
期刊: BMC public health
影响因子: 4.5
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