College of Health Sciences, Arcadia University, Glenside, PA 19038, USA.
Child Obes. 2013 Jun;9(3):233-9. doi: 10.1089/chi.2012.0126. Epub 2013 May 15.
As more calls are made in the literature for nutrition interventions to be delivered in child care settings, research on the implementation of these interventions becomes more important. This study examined compliance with Delaware's regulations related to nutrition in child care settings, which are designed to improve the nutrition-related environment in these settings.
A stratified random sample of licensed child care centers (n=233) was created from the total population of eligible centers in Delaware (N=450). Study staff visited each center and distributed self-administered surveys to the director and two randomly selected teachers. Surveys contained items about classroom-level compliance with the regulations along with center-level characteristics. Bivariate analyses were conducted to explore relationships between consistent compliance with each regulation component and center-level characteristics.
A total of 179 of the 233 centers in the selected sample participated in the study. Compliance with the regulations varied within centers and across components; the highest levels of consistent compliance were reported for juice type (88.3%) and the lowest levels for whole grains (18.6%). Center characteristics, such as participation in the Child and Adult Care Food Program, were associated with consistent compliance for certain regulations components.
Our results suggest that these types of regulations can be implemented across a diversity of centers, but that certain components (e.g., those relating to whole grains and water) may need further clarification. Our results also suggest that there are certain types of centers on which to focus training efforts to maximize compliance.
随着文献中对在儿童保育环境中实施营养干预的呼声越来越高，对这些干预措施实施情况的研究变得越来越重要。本研究检查了特拉华州儿童保育环境中与营养相关的规定的遵守情况，这些规定旨在改善这些环境中的营养相关环境。
从特拉华州符合条件的所有中心（N=450）中，采用分层随机抽样的方法创建了一个有执照的儿童保育中心（n=233）的总体样本。研究人员访问了每个中心，并向主任和两名随机选择的教师分发了自我管理的调查问卷。调查问卷包含关于课堂层面遵守规定的项目，以及中心层面的特征。进行了双变量分析，以探讨每个规定组成部分的一致遵守情况与中心层面特征之间的关系。
在所选择的样本中，共有 179 个中心参加了研究。中心内部和各组成部分之间的合规性存在差异；报告的一致性合规率最高的是果汁类型（88.3%），最低的是全谷物（18.6%）。中心特征，如参与儿童和成人护理食品计划，与某些规定组成部分的一致遵守有关。
我们的研究结果表明，这些类型的规定可以在各种类型的中心实施，但某些规定（例如与全谷物和水有关的规定）可能需要进一步明确。我们的研究结果还表明，有某些类型的中心需要重点培训，以最大限度地提高合规性。
