Department of Behavioral Health and Nutrition, University of Delaware, Newark, DE.
J Nutr Educ Behav. 2020 May;52(5):535-538. doi: 10.1016/j.jneb.2019.10.011. Epub 2019 Nov 19.
In October 2017, substantial changes were made to improve the nutritional quality of meals served in the Child and Adult Care Food Program (CACFP). This study describes the experience of child care providers and sponsors during the first year of implementation.
A 1-time survey was administered to CACFP sponsors in Delaware 1 year after implementation of the changes. Data analysis included frequencies and chi-square tests of independence.
Among respondents (n = 137), 21% faced moderate or significant challenges. Food cost (53.1%) and communicating with parents about changes (44.6%) were the most common challenges faced. The majority reported that parents supported the changes and that children and teachers generally ate the new food.
A minority of providers in Delaware faced significant challenges, suggesting that broad changes to CACFP may be feasibly implemented across settings. Training focused on food cost and parent communication may be warranted.
2017 年 10 月，为了提高儿童和成人照顾者食品计划（CACFP）中膳食的营养质量，进行了重大改革。本研究描述了在实施的第一年，儿童照顾者和赞助商的经验。
在实施改革一年后，对特拉华州的 CACFP 赞助商进行了一次性调查。数据分析包括频率和独立性卡方检验。
在应答者（n=137）中，21%面临中度或重大挑战。食品成本（53.1%）和与家长沟通变化（44.6%）是最常见的挑战。大多数人报告说，家长支持这些变化，而且儿童和教师通常都吃新食物。
特拉华州少数提供者面临重大挑战，这表明 CACFP 的广泛改革可能在各个环境中可行。可能需要针对食品成本和家长沟通进行培训。
