{"title":"Rural Family Child Care Homes Using GO NAPSACC to Self-assess Food, Nutrition, and Physical Activity in Their Programs","authors":"Michelle Spencer EdD, Malinda Cecil PhD, RDN, LDN","doi":"10.1016/j.jneb.2025.05.086","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>This two-year study focuses on healthy lifestyle practices in Family Child Care (FCCH) on the Maryland Eastern Shore and their impact on childhood obesity. FCCHs play a key role in child care for many families, yet few studies specifically address healthy eating and physical activity habits in these settings. FCCHs are identified as \"malleable settings for health promotion, especially diet quality\". The Go NAP SACC (Nutrition and Physical Activity Self-assessment for Child Care) program, which helps child care providers make healthy changes, is not currently represented in Maryland. Since its development in 2002 and adoption in over 30 states by 2010, Go NAP SACC has supported over 6,000 programs nationwide. However, with no participation from Maryland, there is limited data on healthy lifestyle practices in out-of-home care settings.</div></div><div><h3>Objective</h3><div>Participants will be able to describe inconsistencies in the implementation of healthy lifestyle practices in Family Child Care programs and resources needed for educating the early childhood workforce</div></div><div><h3>Study Design, Settings, Participants</h3><div>This was a mixed-methods study, utilizing self-assessment, demographic survey, interview and in-person observation. The study took place on the Eastern Shore of Maryland. All participants were Family Child Care providers.</div></div><div><h3>Measurable Outcome/Analysis</h3><div>Measurable outputs include: 50 participants in Tier 1- the number of participants was dramatically less than expected30 participants in Tier 2 20 participants in Tier 3 Representative demographic data will be available to share Current healthy lifestyle practices and barriers will be described Plans will be developed for future research, training, and resources</div></div><div><h3>Results</h3><div>Early results from the study show inconsistent use of best practices in FCCHs to address childhood obesity. Mixed-age groupings make it difficult to ensure adequate outdoor play and physical activity. Additionally, there is limited access to locally grown produce and a lack of professional development on healthy lifestyle practices.</div></div><div><h3>Conclusions</h3><div>In conclusion, dietitians and nutritionists can advocate for and educate child care programs while working with Extension offices to expand resources and training, ensuring that healthy lifestyle practices are more widely implemented in FCCHs.</div></div><div><h3>Funding</h3><div>USDA – National Institute of Food and Agriculture</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Page S39"},"PeriodicalIF":2.3000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nutrition Education and Behavior","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1499404625002027","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0
Abstract
Background
This two-year study focuses on healthy lifestyle practices in Family Child Care (FCCH) on the Maryland Eastern Shore and their impact on childhood obesity. FCCHs play a key role in child care for many families, yet few studies specifically address healthy eating and physical activity habits in these settings. FCCHs are identified as "malleable settings for health promotion, especially diet quality". The Go NAP SACC (Nutrition and Physical Activity Self-assessment for Child Care) program, which helps child care providers make healthy changes, is not currently represented in Maryland. Since its development in 2002 and adoption in over 30 states by 2010, Go NAP SACC has supported over 6,000 programs nationwide. However, with no participation from Maryland, there is limited data on healthy lifestyle practices in out-of-home care settings.
Objective
Participants will be able to describe inconsistencies in the implementation of healthy lifestyle practices in Family Child Care programs and resources needed for educating the early childhood workforce
Study Design, Settings, Participants
This was a mixed-methods study, utilizing self-assessment, demographic survey, interview and in-person observation. The study took place on the Eastern Shore of Maryland. All participants were Family Child Care providers.
Measurable Outcome/Analysis
Measurable outputs include: 50 participants in Tier 1- the number of participants was dramatically less than expected30 participants in Tier 2 20 participants in Tier 3 Representative demographic data will be available to share Current healthy lifestyle practices and barriers will be described Plans will be developed for future research, training, and resources
Results
Early results from the study show inconsistent use of best practices in FCCHs to address childhood obesity. Mixed-age groupings make it difficult to ensure adequate outdoor play and physical activity. Additionally, there is limited access to locally grown produce and a lack of professional development on healthy lifestyle practices.
Conclusions
In conclusion, dietitians and nutritionists can advocate for and educate child care programs while working with Extension offices to expand resources and training, ensuring that healthy lifestyle practices are more widely implemented in FCCHs.
这项为期两年的研究主要关注马里兰州东海岸家庭儿童护理(FCCH)的健康生活方式实践及其对儿童肥胖的影响。FCCHs在许多家庭的儿童保育中发挥着关键作用,但很少有研究专门针对这些环境中的健康饮食和身体活动习惯。FCCHs被确定为“促进健康,特别是饮食质量的可塑环境”。Go NAP SACC(儿童护理营养和身体活动自我评估)项目,帮助儿童护理提供者做出健康的改变,目前在马里兰州没有代表。自2002年开发并于2010年在30多个州采用以来,Go NAP SACC已在全国范围内支持了6,000多个项目。然而,由于没有来自马里兰州的参与,关于家庭外护理环境中健康生活方式实践的数据有限。目的:参与者将能够描述在家庭儿童保育计划中实施健康生活方式实践的不一致性以及教育幼儿劳动力所需的资源研究设计,设置,参与者这是一项混合方法研究,利用自我评估,人口调查,访谈和亲自观察。这项研究在马里兰州东海岸进行。所有参与者都是家庭儿童保育提供者。可测量的结果/分析可测量的结果包括:第1层50名参与者-第2层30名参与者-第3层20名参与者将提供具有代表性的人口统计数据来分享当前的健康生活方式实践和障碍将被描述,计划将为未来的研究,培训和资源制定结果研究的早期结果表明,在FCCHs中使用最佳实践来解决儿童肥胖问题不一致。混合年龄分组使得难以确保适当的户外游戏和身体活动。此外,获得当地种植的农产品的机会有限,而且缺乏健康生活方式方面的专业发展。总之,营养师和营养学家可以倡导和教育儿童保健项目,同时与推广办公室合作,扩大资源和培训,确保健康的生活方式在卫生保健中心得到更广泛的实施。资助美国农业部-国家粮食和农业研究所
期刊介绍:
The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas.
The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.