Department of Human Development, Washington State University-Vancouver, WA 98686-9600, USA.
J Nutr Educ Behav. 2012 Nov-Dec;44(6):521-9. doi: 10.1016/j.jneb.2011.07.008. Epub 2012 May 3.
To examine the association between child care practices and child care provider knowledge and beliefs about their role in supporting children's healthful eating.
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.
Seventy-two child care providers from 45 child care settings.
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.
Correlation and multiple linear regression were used to examine the association between variables.
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).
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.
探讨儿童照护实践与儿童照护提供者对其在支持儿童健康饮食角色的知识和信念之间的关系。
采用鼓励儿童照护环境中健康活动和饮食（ENHANCE）试点项目基线和第 1 年的调查和观察数据的纵向设计。
来自 45 个儿童照护环境的 72 名儿童照护提供者。
儿童照护设置变量包括喂养环境、营养教育和家庭沟通。儿童照护提供者变量包括效能、儿童喂养方面的知识和误解，以及对支持儿童健康饮食的重视程度。
采用相关分析和多元线性回归来检验变量之间的关联。
模型表明，效能和喂养知识的变化解释了营养教育变化（R²=0.59）和家庭沟通变化（R²=0.29）的很大一部分方差。减少误解与改善喂养实践显著相关（β=0.71；P<.01；R²=0.40）。
了解儿童照护提供者在儿童健康饮食方面的角色的知识和信念是基于儿童照护的肥胖预防计划的一个重要组成部分。培训应评估和解决提供者的效能和误解问题，并教育提供者有关与儿童喂养、营养教育和家庭沟通相关的循证实践。
