Dev Dipti A, Byrd-Williams Courtney, Ramsay Samantha, McBride Brent, Srivastava Deepa, Murriel Ashleigh, Arcan Chrisa, Adachi-Mejia Anna M
1 Department of Child, Youth and Family Studies, University of Nebraska-Lincoln, Lincoln, NE, USA.
2 Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
Am J Health Promot. 2017 Mar;31(2):153-162. doi: 10.1177/0890117116685426. Epub 2017 Jan 11.
Using the Academy of Nutrition and Dietetics benchmarks as a framework, this study examined childcare providers' (Head Start [HS], Child and Adult Care Food Program [CACFP] funded, and non-CACFP) perspectives regarding communicating with parents about nutrition to promote children's health.
Qualitative.
State-licensed center-based childcare programs.
Full-time childcare providers (n = 18) caring for children 2 to 5 years old from varying childcare contexts (HS, CACFP funded, and non-CACFP), race, education, and years of experience.
In-person interviews using semi-structured interview protocol until saturation were achieved. Thematic analysis was conducted.
Two overarching themes were barriers and strategies to communicate with parents about children's nutrition. Barriers to communication included-(a) parents are too busy to talk with providers, (b) parents offer unhealthy foods, (c) parents prioritize talking about child food issues over nutrition, (d) providers are unsure of how to communicate about nutrition without offending parents, and (e) providers are concerned if parents are receptive to nutrition education materials. Strategies for communication included-(a) recognize the benefits of communicating with parents about nutrition to support child health, (b) build a partnership with parents through education, (c) leverage policy (federal and state) to communicate positively and avoid conflict, (d) implement center-level practices to reinforce policy, and (e) foster a respectful relationship between providers and parents.
Policy and environmental changes were recommended for fostering a respectful relationship and building a bridge between providers and parents to improve communication about children's nutrition and health.
本研究以营养与饮食学会的基准为框架，探讨了儿童保育服务提供者（开端计划[HS]、儿童与成人护理食品计划[CACFP]资助的机构以及非CACFP机构）在与家长就营养问题进行沟通以促进儿童健康方面的观点。
定性研究。
获得州许可的中心式儿童保育项目。
全职儿童保育服务提供者（n = 18），他们照顾2至5岁的儿童，来自不同的儿童保育环境（HS、CACFP资助的机构以及非CACFP机构），具有不同的种族、教育背景和工作经验。
采用半结构化访谈协议进行面对面访谈，直至达到饱和状态。进行了主题分析。
两个总体主题是与家长就儿童营养问题进行沟通的障碍和策略。沟通障碍包括：（a）家长太忙，无暇与服务提供者交谈；（b）家长提供不健康食品；（c）家长将谈论儿童饮食问题置于营养问题之上；（d）服务提供者不确定如何在不冒犯家长的情况下就营养问题进行沟通；（e）服务提供者担心家长是否接受营养教育材料。沟通策略包括：（a）认识到与家长就营养问题进行沟通对支持儿童健康的益处；（b）通过教育与家长建立伙伴关系；（c）利用政策（联邦和州政策）进行积极沟通并避免冲突；（d）实施中心层面的做法以强化政策；（e）在服务提供者和家长之间营造相互尊重的关系。
建议进行政策和环境变革，以营造相互尊重的关系，在服务提供者和家长之间架起桥梁，改善关于儿童营养与健康的沟通。
