Department of Public Health, University of Miami Miller School of Medicine, Miami, Florida.
School of Public Health, University of Texas Health Science Center at Houston, Dallas Regional Campus, Dallas, Texas.
Child Care Health Dev. 2020 May;46(3):352-359. doi: 10.1111/cch.12752. Epub 2020 Feb 3.
It has been established that the childcare centre (CCC) is a setting suitable for healthy weight promotion efforts. As the field advances, it is important to understand the barriers and facilitators to early childhood obesity prevention implementation and dissemination efforts from the CCC providers' perspective. This is especially true among those who serve low-income and diverse populations to maximize scalability success.
Focus groups were held in English or Spanish with CCC providers across six CCCs who implemented healthy caregivers-healthy children (HC2), an early childhood healthy weight promotion programme targeting 2- to 5-year-olds from low-resource backgrounds. Centres represented both rural and urban environments. Focus groups were audio recorded, transcribed, and coded. A thematic analysis that combined a deductive and inductive approach was conducted. Codes were analysed using Dedoose to identify general themes and subthemes.
CCC providers stated that (a) children understood the nutritional benefits of healthy foods; (b) improved cognitive development as a result of HC2; (c) parents were barriers to HC2 implementation efforts, particularly in terms of cooperative healthy lifestyle efforts; and (d) modelling healthy eating and making healthy CCC environmental changes facilitated HC2 implementation. Overall, HC2 was well received by CCC teachers, and they shared creative classroom HC2 adaptions and improvements.
CCC providers can provide valuable insight to guide early childhood healthy weight promotion programme dissemination and implementation efforts. Although they value the implementation of HC2 programme in their classroom settings, they perceive parents as somewhat obstructive. This information is critical to informing future healthy weight promotion efforts in this setting, especially among low-resource families. It is important to continue to include the CCC provider viewpoint in future obesity prevention efforts to maximize scalability and sustainability efforts.
已经确定，儿童保育中心（CCC）是适合进行健康体重促进工作的环境。随着该领域的发展，从 CCC 提供者的角度了解幼儿肥胖预防实施和传播工作的障碍和促进因素非常重要。特别是对于那些为低收入和多样化人群服务的人来说，这一点更为重要，以最大限度地提高可扩展性成功。
在六个 CCC 中以英语或西班牙语进行了焦点小组讨论，这些 CCC 的提供者实施了健康的照顾者-健康的孩子（HC2），这是一个针对来自资源匮乏背景的 2 至 5 岁儿童的幼儿健康体重促进计划。中心代表了农村和城市环境。焦点小组进行了录音、转录和编码。采用演绎和归纳相结合的主题分析方法进行分析。使用 Dedoose 分析代码以确定一般主题和子主题。
CCC 提供者表示：(a) 孩子们理解健康食品的营养益处；(b) HC2 促进了认知发展；(c) 父母是 HC2 实施工作的障碍，特别是在合作健康生活方式方面；(d) 为 HC2 实施提供了模型，促进了健康饮食和健康 CCC 环境的改变。总体而言，HC2 受到 CCC 教师的欢迎，他们分享了具有创意的课堂 HC2 改编和改进。
CCC 提供者可以为指导幼儿健康体重促进计划的传播和实施工作提供有价值的见解。尽管他们重视在课堂环境中实施 HC2 计划，但他们认为父母有些阻碍。这些信息对于指导该环境中的未来健康体重促进工作至关重要，特别是在低收入家庭中。在未来的肥胖预防工作中，继续纳入 CCC 提供者的观点对于最大限度地提高可扩展性和可持续性努力非常重要。
