Department of Pediatrics, Yale University, New Haven, CT; Robert Wood Johnson Clinical Scholars Program, Yale University, New Haven, CT.
J Nutr Educ Behav. 2013 Nov-Dec;45(6):595-601. doi: 10.1016/j.jneb.2013.03.016. Epub 2013 Jul 13.
To describe the perspective and strategies of family child care providers (FCCPs) to reduce children's suboptimal weight trajectories.
In-person, in-depth interviews with FCCPs.
Family child care homes.
Seventeen FCCPs caring for children 6 weeks to 9 years old; 94% caring for children paying with a state subsidy.
Strategies of FCCP to reduce children's suboptimal weight trajectories.
Constant comparative method of qualitative data analysis.
Family child care providers described 3 core strategies: (1) improving children's behavior, (2) engaging and educating parents, and (3) leveraging influences external to their relationship with parents to effect positive change and to avoid parental conflict. These strategies were framed within their knowledge of child development, parental communication, and community services.
The findings suggest that FCCPs' role in obesity prevention may be framed within knowledge that may be commonly expected of a child care provider. Partnerships between public health policy makers and FCCP may reduce obesigenic environments by employing training and resources that link obesity prevention and child care provider expertise.
描述家庭儿童保育员（FCCP）减少儿童体重不良轨迹的观点和策略。
对家庭儿童保育员进行面对面、深入的访谈。
家庭儿童护理院。
17 名照顾 6 周到 9 岁儿童的家庭儿童保育员；94%的保育员照顾有国家补贴的儿童。
FCCP 减少儿童体重不良轨迹的策略。
定性数据分析的恒比比较方法。
家庭儿童保育员描述了 3 个核心策略：（1）改善儿童行为，（2）与父母互动和教育，以及（3）利用与父母关系之外的影响来产生积极的变化并避免父母冲突。这些策略是在他们对儿童发展、父母沟通和社区服务的了解基础上制定的。
研究结果表明，FCCP 在预防肥胖方面的作用可以通过与儿童保育员专业知识相关的公共卫生政策制定者和 FCCP 之间的伙伴关系来实现。通过利用预防肥胖和儿童保育专业知识之间的联系的培训和资源，公共卫生政策制定者和家庭儿童保育员可以减少肥胖环境。
