Public Health Nutrition最新文献

{"title":"Examining the effectiveness of promotional nudges increasing plant-based food choices in a post-secondary education dining hall: a pilot study.","authors":"Jennifer Joy Anderson, Andy Bains, Julie Stachiw, Alexandra J Heidl, Tamara Paetsch, Tamara R Cohen","doi":"10.1017/S1368980024001915","DOIUrl":"https://doi.org/10.1017/S1368980024001915","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate nudge strategies that increase the consumption of plant-based foods, defined as vegetarian or vegan food items, compared with meat-based options in post-secondary dining hall settings.</p><p><strong>Design: </strong>A pilot study.</p><p><strong>Setting: </strong>This study took place in the University of British Columbia Vancouver Campus's Gather Dining Hall (GDH) over a 6-week intervention period and two control periods. The intervention incorporated several nudges (proportion increases, item placement, taste-focused labelling, Chef's featured special verbal prompts, social media and promotional posters) into the menu and dining hall area with the goal of increasing the purchases of plant-based items. Sales data from meals that were purchased during the intervention period were compared with sales data from the two control periods.</p><p><strong>Participants: </strong>Students and staff who purchased meals in the GDH.</p><p><strong>Results: </strong>The proportion of plant-based items sold significantly increased during the intervention period (56·7 %; <i>P</i> < 0·01) compared with the last 6 weeks of term one (53·6 %) and the first 6 weeks of term two (53·4 %). The proportion of plant-based 'main' menu items was significantly higher in the intervention period (46·4; <i>P</i> < 0·01) when compared with the last 6 weeks of term one (40·9 %) and the first 6 weeks of term two (41·7 %).</p><p><strong>Conclusions: </strong>The combination of nudges was effective at significantly increasing the selection of plant-based options over meat-based options in a post-secondary dining hall setting.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the nutritional composition and calculated Nutri-score classifications of the Dutch food retail supply in 2018 and 2020.","authors":"Elly Steenbergen, Elisabeth Hm Temme","doi":"10.1017/S136898002400154X","DOIUrl":"https://doi.org/10.1017/S136898002400154X","url":null,"abstract":"<p><strong>Objective: </strong>In the Netherlands, reformulation strategies have been established for several years, whereas Nutri-Score was implemented in 2024. Besides being a helpful tool for consumers to make healthier food choices, Nutri-Score also aims to stimulate food reformulation by food manufacturers. The present study investigates whether changes in food composition could have led to different calculated Nutri-Score classifications.</p><p><strong>Design: </strong>Food compositions and Nutri-Score classifications were calculated using the updated Nutri-Score algorithm. Food groups with the largest change in the distribution of Nutri-Score classifications were analysed in-depth by plotting frequency distributions and calculating median contents for nutrient contents that relatively changed the most in 2020.</p><p><strong>Setting: </strong>Food composition data were available from the Dutch Branded Food database in 2018 (<i>n</i> 38 295) and 2020 (<i>n</i> 48 091).</p><p><strong>Participants: </strong>Not applicable.</p><p><strong>Results: </strong>In general, median nutrient contents and calculated Nutri-Score classifications were similar for 2018 and 2020. The median sugar and SFA contents were lower for some food groups (e.g. breakfast cereals, meat preserves, sweets and sweet goods) in 2020 compared to 2018. The median SFA content for meat preserves and sweets and sweet goods was relatively low in Nutri-Score classification A ascending towards higher median content in Nutri-Score classification E.</p><p><strong>Conclusions: </strong>Although food reformulation was not substantial in the Dutch food retail supply in 2018 and 2020, some differences in Nutri-Score classifications were observed. When implemented, Nutri-Score may encourage food manufacturers to increase their reformulation efforts. Repeated monitoring of food compositions and Nutri-Score classifications is recommended to establish reformulation efforts by food manufacturers.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting responsive care and early learning practices among caregivers of children 0-23 months in the Kyrgyz Republic: findings from integrating a counselling intervention with nutrition services.","authors":"Lesley Oot, Veronica Varela, Cholpon Abdimitalipova, Marie Paul Nisingizwe, Kristen Cashin, Begimai Zhumgalbekova, Kelsey Torres, Malia Uyehara, Kathryn Beck, Tim Williams, Nazgul Abazbekova, Saikalbubu Bozova, Cholponai Umurzakova, Jennifer Yourkavitch, Romilla Karnati, Catherine Kirk","doi":"10.1017/S1368980024001642","DOIUrl":"https://doi.org/10.1017/S1368980024001642","url":null,"abstract":"<p><strong>Objective: </strong>To assess changes in caregiver practices for young children after integrating the <i>Responsive Care and Early Learning (RCEL) Addendum</i> package into nutrition services after 10 months of implementation.</p><p><strong>Design: </strong>We measured changes in RCEL practices through a pre- and post-intervention assessment comprising a household survey and observations. To implement the intervention, we trained health service staff and community volunteers to deliver RCEL counselling to caregivers of children 0-23 months of age through existing community and facility-level platforms.</p><p><strong>Setting: </strong>Jalal-Abad and Batken regions in the Kyrgyz Republic.</p><p><strong>Participants: </strong>Caregivers of children aged 0-23 months at baseline.</p><p><strong>Results: </strong>We found statistically significant increases in RCEL practices, availability of early learning opportunities in the home, decreases in parenting stress and improvements in complementary feeding practices after the intervention implementation period.</p><p><strong>Conclusions: </strong>Findings show that delivery of RCEL counselling using the <i>RCEL Addendum</i> was associated with improved responsive care practices and early learning opportunities. We also found that integration of RCEL with infant and young child feeding counselling did not disrupt nutrition service delivery or negatively affect complementary feeding outcomes, but rather suggest synergistic benefits. Given the importance of providing holistic care to support optimal early childhood development, these findings provide new evidence on how to strengthen the delivery of nurturing care services in the Kyrgyz Republic.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential actions for preventing high consumption of Non-Nutritive Sweeteners among Chilean children and adolescents: recommendations from a panel of relevant actors.","authors":"Marcela Reyes, Constanza Pino, Alejandra Ortega, Isabel Pemjean, Camila Corvalán, María Luisa Garmendia","doi":"10.1017/S1368980024001745","DOIUrl":"10.1017/S1368980024001745","url":null,"abstract":"<p><strong>Objective: </strong>To provide local policymakers with a guideline of potential actions to prevent the high consumption of Non-Nutritive Sweeteners (NNS) among children and adolescents observed in Chile, given the potential health problems related to NNS intake.</p><p><strong>Design: </strong>The Delphi method was used for the evaluation of twenty-one recommendations to decrease the intake of NNS in paediatric population, with the participation of a panel of relevant actors.</p><p><strong>Setting: </strong>The proposed recommendations were developed by the research team using the NOURISHING framework; potential actions were based on the increase in the use and intake of NNS by Chilean children, current local food regulations, recommendations of health organisations and foreign policy experiences.</p><p><strong>Participants: </strong>Twenty-five relevant actors related to NNS, nutrition, food technology and paediatrics (out of thirty-nine invitations made to scholars, professional institutions and civil society’s organisations) participated in the Delphi study.</p><p><strong>Results: </strong>A consensus was reached on nine recommendations regarding relevance and feasibility to be part of the guideline. Recommendations involved measures mostly related to improving the delivery of information (food content and potential health effects of NNS), supporting the generation of more evidence of NNS health effects and substitutes, and marketing restrictions when targeted to children.</p><p><strong>Conclusions: </strong>The process produced a nine-action guideline to reduce the excessive NNS consumption among Chilean children and adolescents. Developed through a consensus-driven approach among key stakeholders, this guideline provides policymakers with a framework to adopt a precautionary stance, particularly concerning vulnerable populations, given the currently inconclusive evidence on the long-term health effects of NNS consumption.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11505000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between pre-infection serum vitamin D concentrations and Omicron COVID-19 incidence, severity and reoccurrence in elderly individuals.","authors":"Jiangjie Chen, Fangying Lu, Bo Shen, Hongfang Xu, Yijun Chen, Qi Hu, Anpeng Xu, Tao-Hsin Tung, Dun Hong","doi":"10.1017/S1368980024001873","DOIUrl":"10.1017/S1368980024001873","url":null,"abstract":"<p><strong>Objective: </strong>Previous studies suggest a link between vitamin D status and COVID-19 susceptibility in hospitalised patients. This study aimed to investigate whether vitamin D concentrations in elderly individuals were associated with their susceptibility to Omicron COVID-19 incidence, the severity of the disease and the likelihood of reoccurrence during the era of the post-'zero-COVID-19' policies in China.</p><p><strong>Design: </strong>In this retrospective study, participants were categorised into three groups based on their 25(OH)D concentrations: deficiency (< 20 ng/ml), insufficiency (20 to < 30 ng/ml) and sufficiency (≥ 30 ng/ml). The demographic and clinical characteristics, comorbidities and the incidence rate, reoccurrence rate and severity of Omicron COVID-19 were retrospectively recorded and analysed by using hospital information system data and an online questionnaire survey.</p><p><strong>Setting: </strong>China.</p><p><strong>Participants: </strong>222 participants aged 60 years or older from a health management centre.</p><p><strong>Results: </strong>Our findings revealed significant differences in the incidence (<i>P</i> = 0·03) and recurrent rate (<i>P</i> = 0·02) of Omicron COVID-19 among the three groups. Participants with lower 25(OH)D concentrations (< 20 ng/ml) exhibited higher rates of initial incidence and reoccurrence and a greater percentage of severe and critical cases. Conversely, individuals with 25(OH)D concentrations ≥ 30 ng/ml had a higher percentage of mild cases (<i>P</i> = 0·003). Binary and ordinal logistic regression models indicated that vitamin D supplementation was not a significant risk factor for COVID-19 outcomes.</p><p><strong>Conclusions: </strong>In the elderly population, pre-infection vitamin D deficiency was associated with increased susceptibility to incidence, severity of illness and reoccurrence rates of Omicron COVID-19.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11505208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescents' perceptions of food outlets in the school neighbourhood and their unhealthy snacking behaviour on the way to and from school.","authors":"Margaretha Liliana Situmorang, Sandra Mandic, Michael Keall, Melody Smith, Niamh Donnellan, Kirsten J Coppell","doi":"10.1017/S1368980024001782","DOIUrl":"10.1017/S1368980024001782","url":null,"abstract":"<p><strong>Objective: </strong>To understand the relationship between adolescents' unhealthy snacking behaviour during their school journey and their perceived and objective measures of food outlet availability in the school neighbourhood.</p><p><strong>Design: </strong>A cross-sectional survey enquired about socio-demographic information, school transport modes, perceived presence of food outlets in the school neighbourhood and unhealthy food purchase and consumption on the school journey. A geographical information system analysis of the food outlets within 500 m and 1000 m school buffers was undertaken. Data were analysed using generalised linear mixed modelling.</p><p><strong>Setting: </strong>All twelve secondary schools in Dunedin, Aotearoa New Zealand, March 2020-June 2022.</p><p><strong>Participants: </strong>Adolescents aged 13-18 years (<i>n</i> 725) who reported being familiar with their school neighbourhood.</p><p><strong>Results: </strong>Perceived availability of food outlets in the school neighbourhood was inversely correlated with distance to the closest food outlet from school and positively correlated with food outlet density within 500 m and 1000 m school buffers. Adolescents' purchase and consumption of unhealthy snacks and drinks during the school journey were associated with perceived availability of food outlets and with shorter distance to the closest food outlet from school. Mixed transport users, girls and those living in high-deprivation neighbourhoods had higher odds of purchasing and consuming unhealthy snacks and drinks during the school journey than active transport users, boys and those living in low-deprivation neighbourhoods, respectively.</p><p><strong>Conclusions: </strong>Adolescents perceptions of the food environment and close access to food outlets in the school neighbourhood may influence adolescents' food purchase and consumption behaviours during the school journey.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11505387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to the EAT-<i>Lancet</i> sustainable diet and ultra-processed food consumption: findings from a nationwide population-based study in Brazil.","authors":"Leandro Teixeira Cacau, Thays Nascimento Souza, Maria Laura da Costa Louzada, Dirce Maria Lobo Marchioni","doi":"10.1017/S1368980024001678","DOIUrl":"10.1017/S1368980024001678","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association between ultra-processed food consumption and adherence to the EAT-<i>Lancet</i> diet in a representative sample of the Brazilian population.</p><p><strong>Design: </strong>The study used data from the Brazilian National Dietary Survey 2017-2018 and employed linear regression models to evaluate the association between ultra-processed food consumption and adherence to the EAT-<i>Lancet</i> diet, as measured by the Nova food system and Planetary Health Diet Index (PHDI), respectively.</p><p><strong>Setting: </strong>Nationally representative sample of the Brazilian population.</p><p><strong>Participants: </strong>The study included 46 164 Brazilians ≥ 10 years old.</p><p><strong>Results: </strong>The average PHDI total score was 45·9 points (95 % CI 45·6, 46·1). The ultra-processed food consumption was, with dose-response, inversely associated with the adherence to the EAT-<i>Lancet</i> diet. The PHDI total score was 5·38 points lower (95 % CI -6·01, -4·75) in individuals in the highest quintile of consumption of ultra-processed foods, as compared to those in the first quintile. The PHDI score was also inversely associated with the share of processed culinary ingredients and processed foods and positively associated with the share of unprocessed or minimally processed foods.</p><p><strong>Conclusions: </strong>Our study showed an inverse relationship between the consumption of ultra-processed foods and the adherence to a healthy and sustainable diet.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11505050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'<i>The company is using the credibility of our profession</i>': exploring experiences and perspectives of registered dietitians from Canada about their interactions with commercial actors using semi-structured interviews.","authors":"Virginie Hamel, Mélissa Mialon, Jean-Claude Moubarac","doi":"10.1017/S1368980024001733","DOIUrl":"10.1017/S1368980024001733","url":null,"abstract":"<p><strong>Objective: </strong>To gain insight into the experiences and perspectives of registered dietitians (RD) in Canada regarding their interactions with commercial actors and actions undertaken to manage these interactions.</p><p><strong>Design: </strong>Qualitative study using semi-structured interviews combined with a document analysis.</p><p><strong>Setting: </strong>Quebec, Canada.</p><p><strong>Participants: </strong>RD aged ≥ 18 years (<i>n</i> 18).</p><p><strong>Results: </strong>All participants reported interacting with commercial actors during their careers, such as receiving continuing education provided or sponsored by food companies. RD in Quebec perceive these interactions as either trivial or acceptable, depending on the commercial actor or interaction type. Participants discussed how certain interactions could represent a threat to the credibility and public trust in dietitians, among other risks. They also discussed the benefits of these interactions, such as the possibility for professionals to improve the food supply and public health by sharing their knowledge and expertise. Participants reported ten mechanisms used to manage interactions with commercial actors, such as following a code of ethics (individual level) and policies such as partnerships policy (institutional level). Finally, RD also stressed the need for training and more explicit and specific tools for managing interactions with commercial actors.</p><p><strong>Conclusions: </strong>RD in Quebec, Canada, may engage with commercial actors in their profession and hold nuanced perspectives on this matter. While some measures are in place to regulate these interactions, they are neither standardised nor evaluated for their effectiveness. To maintain the public's trust in RD, promoting awareness and developing training on this issue is essential.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of foods for infants and toddlers in Australia against the World Health Organization's Nutrient and Promotion Profile Model for food products for infants and young children.","authors":"Alexandra Chung, Sophia Torkel, Judith Myers, Helen Skouteris","doi":"10.1017/S136898002400171X","DOIUrl":"10.1017/S136898002400171X","url":null,"abstract":"<p><strong>Objective: </strong>Global public health agencies have recommended stronger regulation of food marketing to protect children's diets. This study assessed commercial foods for infants and toddlers available in Australian supermarkets for compliance with the World Health Organization (WHO) Regional Office for Europe's Nutrient and Promotion Profile Model: supporting appropriate promotion of food products for infants and young children 6-36 months in the WHO European Region (NPPM).</p><p><strong>Design: </strong>Dietitians assessed a sample of commercial foods for infants and toddlers against the composition, labelling and promotion requirements of the NPPM.</p><p><strong>Setting: </strong>Australia.</p><p><strong>Participants: </strong>Commercial foods for infants and toddlers (<i>n</i> 45) available in two major Australian supermarkets, purposely sampled across product categories and brands.</p><p><strong>Results: </strong>Fewer than one quarter (23 %) of the assessed products met all nutrient content requirements of the NPPM. No products met all of the labelling or promotional requirements. All products included at least one promotional marketing claim that was not permitted under the NPPM.</p><p><strong>Conclusions: </strong>The NPPM is useful to assess and monitor the nutritional composition and prevalence of marketing claims on commercial foods for infants and toddlers. Findings of noncompliance with the NPPM recommendations indicate an urgent need for stronger government regulation of the composition, labelling and marketing of commercial foods for infants and toddlers in Australia.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'For me it's just the conversation:' responsive feeding influences among early childhood educators.","authors":"Olga Levin, Jessie-Lee D McIsaac, Julie Campbell, Elizabeth Dickson, Melissa D Rossiter","doi":"10.1017/S1368980024001885","DOIUrl":"10.1017/S1368980024001885","url":null,"abstract":"<p><strong>Objective: </strong>Early learning and childcare (ELCC) programmes play an important role in shaping children's eating behaviours and long-term health by establishing a responsive feeding environment that encompasses not only mealtime behaviours but also extends to play activities and language used throughout the day. Despite their potential benefits, many ELCC centres do not consistently implement responsive feeding behaviours, facing challenges with organisational and behavioural changes within these environments. This study aims to identify influences on responsive feeding behaviours among early childhood educators prior to an intervention.</p><p><strong>Design: </strong>A qualitative study guided by the Behaviour Change Wheel framework and Capability Opportunity Motivation - Behaviour (COM-B) model. Semi-structured interviews and focus groups were conducted, recorded and transcribed verbatim. Thematic analysis was employed to identify themes, categorising them within the corresponding COM-B domains.</p><p><strong>Setting: </strong>Canada.</p><p><strong>Participants: </strong>Forty-one ELCC staff in various roles across eight centres from two provinces in eastern Canada.</p><p><strong>Results: </strong>Fifteen influences, spanning across all six domains of the COM-B model, were identified, highlighting gaps in educators' knowledge and skills, varied approaches to food and feeding, and the interactions with children, parents, and co-workers on mealtimes dynamics. Additionally, costs, centre location and other physical resources emerged as enabling opportunities for responsive feeding behaviours.</p><p><strong>Conclusions: </strong>These findings offer a comprehensive exploration of the diverse factors influencing responsive feeding behaviours among educators, each varying in its potential for future behaviour change intervention.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11505216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}