Moving from Policy to Practice for Early Childhood Obesity Prevention: A Nationwide Evaluation of State Implementation Strategies in Childcare.
Moving from Policy to Practice for Early Childhood Obesity Prevention: A Nationwide Evaluation of State Implementation Strategies in Childcare.
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DOI：
10.3390/ijerph191610304
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发表时间：
2022-08-18
影响因子：
--
通讯作者：
Frost, Natasha
中科院分区：
文献类型：
--
作者：
Kenney, Erica L.;Mozaffarian, Rebecca S.;Ji, Wendy;Tucker, Kyla;Poole, Mary Kathryn;DeAngelo, Julia;Bailey, Zinzi D.;Cradock, Angie L.;Lee, Rebekka M.;Frost, Natasha
要求儿童保育环境促进健康饮食、体育活动和有限的筛查的政策有可能改善幼儿的健康。然而，如果没有有效的执行战略来促进政策采纳，政策的影响可能有限。在这项混合方法研究中，我们评估了关注健康饮食、身体活动或筛查的州级托儿许可法规的实施战略的类型、质量和剂量：(1)对32个州的州许可工作人员和技术援助提供者(n=89)的调查；(2)对每个州的托儿许可和托儿提供者培训网站的结构化审查；以及(3)对17个州的31名托儿许可管理者和技术援助提供者的深入、半结构化的访谈。支持儿童保育提供者采用健康饮食、体育活动和筛查法规的实施战略在数量和结构上因州而异。儿童保育计划的财务挑战、工作人员流动和缺乏足够的设施被确定为采用的关键障碍。获得联邦食品计划被视为实施营养法规的关键。培训和宣传材料等执行资源很少有多种语文版本，也很少提供给为低收入或种族/族裔多元化家庭提供服务的提供者。需要大量的执行支助，以确保在儿童保育中成功和公平地执行各项政策。
Policies requiring childcare settings to promote healthy eating, physical activity, and limited screentime have the potential to improve young children’s health. However, policies may have limited impact without effective implementation strategies to promote policy adoption. In this mixed-methods study, we evaluated the type, quality, and dose of implementation strategies for state-level childcare licensing regulations focused on healthy eating, physical activity, or screentime using: (1) a survey of state licensing staff and technical assistance providers (n = 89) in 32 states; (2) a structured review of each state’s childcare licensing and training websites for childcare providers; and (3) in-depth, semi-structured interviews with 31 childcare licensing administrators and technical assistance providers across 17 states. Implementation strategies for supporting childcare providers in adopting healthy eating, physical activity, and screentime regulations vary substantially by state, in quantity and structure. Childcare programs’ financial challenges, staff turnover, and lack of adequate facilities were identified as key barriers to adoption. Access to federal food programs was seen as critical to implementing nutrition regulations. Implementation resources such as training and informational materials were rarely available in multiple languages or targeted to providers serving low-income or racially/ethnically diverse families. There is a substantial need for implementation supports for ensuring policies are successfully and equitably implemented in childcare.
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影响因子：
5.9
作者：
Lucas PJ;Patterson E;Sacks G;Billich N;Evans CEL
通讯作者：
Evans CEL
影响因子：
4.5
作者：
Stookey JD;Evans J;Chan C;Tao-Lew L;Arana T;Arthur S
通讯作者：
Arthur S
影响因子：
2.1
作者：
Reynolds, Meredith A.;Cotwright, Caree Jackson;Chang, Debbie
通讯作者：
Chang, Debbie
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。
影响因子：
4.5
作者：
Alkon A;Crowley AA;Neelon SE;Hill S;Pan Y;Nguyen V;Rose R;Savage E;Forestieri N;Shipman L;Kotch JB
通讯作者：
Kotch JB
DOI：
10.1007/s10488-008-0197-4
发表时间：
2009-01
影响因子：
2.6
作者：
Proctor, Enola K.;Landsverk, John;Aarons, Gregory;Chambers, David;Glisson, Charles;Mittman, Brian
通讯作者：
Mittman, Brian