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Barriers and facilitators to obesity prevention dissemination and implementation efforts in the childcare centre setting from the provider perspective.

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Title: Barriers and facilitators to obesity prevention dissemination and implementation efforts in the childcare centre setting from the provider perspective.
Authors: Lebron, Cynthia N. (AUTHOR), Ofori, Ashley (AUTHOR), Sardinas, Krystal (AUTHOR), Luaces, Maria (AUTHOR), Natale, Ruby (AUTHOR), Messiah, Sarah E. (AUTHOR)
Source: Child: Care, Health & Development. May2020, Vol. 46 Issue 3, p352-359. 8p. 1 Chart.
Subjects: Prevention of childhood obesity, Education of child care workers, Child care, Child development, Environmental health, Focus groups, Food habits, Health attitudes, Health promotion, Natural foods, Nutrition, Psychology of parents, Socioeconomic factors, Thematic analysis, Lifestyles, Human services programs
Abstract: Background: It has been established that the childcare centre (CCC) is a setting suitable for healthy weight promotion efforts. As the field advances, it is important to understand the barriers and facilitators to early childhood obesity prevention implementation and dissemination efforts from the CCC providers' perspective. This is especially true among those who serve low‐income and diverse populations to maximize scalability success. Methods: Focus groups were held in English or Spanish with CCC providers across six CCCs who implemented healthy caregivers–healthy children (HC2), an early childhood healthy weight promotion programme targeting 2‐ to 5‐year‐olds from low‐resource backgrounds. Centres represented both rural and urban environments. Focus groups were audio recorded, transcribed, and coded. A thematic analysis that combined a deductive and inductive approach was conducted. Codes were analysed using Dedoose to identify general themes and subthemes. Results: CCC providers stated that (a) children understood the nutritional benefits of healthy foods; (b) improved cognitive development as a result of HC2; (c) parents were barriers to HC2 implementation efforts, particularly in terms of cooperative healthy lifestyle efforts; and (d) modelling healthy eating and making healthy CCC environmental changes facilitated HC2 implementation. Overall, HC2 was well received by CCC teachers, and they shared creative classroom HC2 adaptions and improvements. Conclusions: CCC providers can provide valuable insight to guide early childhood healthy weight promotion programme dissemination and implementation efforts. Although they value the implementation of HC2 programme in their classroom settings, they perceive parents as somewhat obstructive. This information is critical to informing future healthy weight promotion efforts in this setting, especially among low‐resource families. It is important to continue to include the CCC provider viewpoint in future obesity prevention efforts to maximize scalability and sustainability efforts. [ABSTRACT FROM AUTHOR]
Copyright of Child: Care, Health & Development is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Barriers and facilitators to obesity prevention dissemination and implementation efforts in the childcare centre setting from the provider perspective.
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  Data: <searchLink fieldCode="AR" term="%22Lebron%2C+Cynthia+N%2E%22">Lebron, Cynthia N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ofori%2C+Ashley%22">Ofori, Ashley</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sardinas%2C+Krystal%22">Sardinas, Krystal</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Luaces%2C+Maria%22">Luaces, Maria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Natale%2C+Ruby%22">Natale, Ruby</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Messiah%2C+Sarah+E%2E%22">Messiah, Sarah E.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Child%3A+Care%2C+Health+%26+Development%22">Child: Care, Health & Development</searchLink>. May2020, Vol. 46 Issue 3, p352-359. 8p. 1 Chart.
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  Data: <searchLink fieldCode="DE" term="%22Prevention+of+childhood+obesity%22">Prevention of childhood obesity</searchLink><br /><searchLink fieldCode="DE" term="%22Education+of+child+care+workers%22">Education of child care workers</searchLink><br /><searchLink fieldCode="DE" term="%22Child+care%22">Child care</searchLink><br /><searchLink fieldCode="DE" term="%22Child+development%22">Child development</searchLink><br /><searchLink fieldCode="DE" term="%22Environmental+health%22">Environmental health</searchLink><br /><searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br /><searchLink fieldCode="DE" term="%22Food+habits%22">Food habits</searchLink><br /><searchLink fieldCode="DE" term="%22Health+attitudes%22">Health attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Natural+foods%22">Natural foods</searchLink><br /><searchLink fieldCode="DE" term="%22Nutrition%22">Nutrition</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+parents%22">Psychology of parents</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Lifestyles%22">Lifestyles</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: It has been established that the childcare centre (CCC) is a setting suitable for healthy weight promotion efforts. As the field advances, it is important to understand the barriers and facilitators to early childhood obesity prevention implementation and dissemination efforts from the CCC providers' perspective. This is especially true among those who serve low‐income and diverse populations to maximize scalability success. Methods: Focus groups were held in English or Spanish with CCC providers across six CCCs who implemented healthy caregivers–healthy children (HC2), an early childhood healthy weight promotion programme targeting 2‐ to 5‐year‐olds from low‐resource backgrounds. Centres represented both rural and urban environments. Focus groups were audio recorded, transcribed, and coded. A thematic analysis that combined a deductive and inductive approach was conducted. Codes were analysed using Dedoose to identify general themes and subthemes. Results: CCC providers stated that (a) children understood the nutritional benefits of healthy foods; (b) improved cognitive development as a result of HC2; (c) parents were barriers to HC2 implementation efforts, particularly in terms of cooperative healthy lifestyle efforts; and (d) modelling healthy eating and making healthy CCC environmental changes facilitated HC2 implementation. Overall, HC2 was well received by CCC teachers, and they shared creative classroom HC2 adaptions and improvements. Conclusions: CCC providers can provide valuable insight to guide early childhood healthy weight promotion programme dissemination and implementation efforts. Although they value the implementation of HC2 programme in their classroom settings, they perceive parents as somewhat obstructive. This information is critical to informing future healthy weight promotion efforts in this setting, especially among low‐resource families. It is important to continue to include the CCC provider viewpoint in future obesity prevention efforts to maximize scalability and sustainability efforts. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Child: Care, Health & Development is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=142538092
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        Value: 10.1111/cch.12752
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 352
    Subjects:
      – SubjectFull: Prevention of childhood obesity
        Type: general
      – SubjectFull: Education of child care workers
        Type: general
      – SubjectFull: Child care
        Type: general
      – SubjectFull: Child development
        Type: general
      – SubjectFull: Environmental health
        Type: general
      – SubjectFull: Focus groups
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      – SubjectFull: Food habits
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      – SubjectFull: Health attitudes
        Type: general
      – SubjectFull: Health promotion
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      – SubjectFull: Natural foods
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      – SubjectFull: Nutrition
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      – SubjectFull: Psychology of parents
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      – SubjectFull: Socioeconomic factors
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Lifestyles
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      – SubjectFull: Human services programs
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      – TitleFull: Barriers and facilitators to obesity prevention dissemination and implementation efforts in the childcare centre setting from the provider perspective.
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              Text: May2020
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