The relationship between practices and child care providers' beliefs related to child feeding and obesity prevention.

Autor: Lanigan JD; Department of Human Development, Washington State University-Vancouver, WA 98686-9600, USA. jlanigan@vancouver.wsu.edu
Jazyk: angličtina
Zdroj: Journal of nutrition education and behavior [J Nutr Educ Behav] 2012 Nov-Dec; Vol. 44 (6), pp. 521-9. Date of Electronic Publication: 2012 May 03.
DOI: 10.1016/j.jneb.2011.07.008
Abstrakt: Objective: To examine the association between child care practices and child care provider knowledge and beliefs about their role in supporting children's healthful eating.
Design: Longitudinal design using survey and observation data from baseline and year 1 of the Encouraging Healthy Activity and Eating in Childcare Environments (ENHANCE) pilot project.
Participants: Seventy-two child care providers from 45 child care settings.
Main Outcome Measures: Child care setting variables included the feeding environment, nutrition education, and family communication. Child care provider variables were efficacy, knowledge, and misconceptions about child feeding; and the priority placed on supporting children's healthful eating.
Data Analysis: Correlation and multiple linear regression were used to examine the association between variables.
Results: Models indicated that changes in efficacy and feeding knowledge accounted for a significant portion of the variance in nutrition education changes (R(2) = 0.59) and family communication changes (R(2) = 0.29). A reduction in misconceptions was significantly associated with improved feeding practices (β = .71; P < .01; R(2) = 0.40).
Conclusions and Implications: Understanding child care providers' knowledge and beliefs regarding their role in children's healthful eating is an essential component of child care-based obesity prevention initiatives. Training should assess and address provider efficacy and misconceptions as well as educate providers about evidence-based practices related to child feeding, nutrition education, and family communication.
(Copyright © 2012 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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