Ritchie Lorrene D, Keeton Victoria, Lee Danielle L, Gurzo Klara, Homel Vitale Elyse, Au Lauren E, Alkon Abbey
Division of Agriculture and Natural Resources, Nutrition Policy Institute, University of California, Oakland, CA, USA.
School of Nursing, Department of Family Health Care Nursing, University of California, San Francisco, CA, USA.
Glob Pediatr Health. 2021 Jan 25;8:2333794X21989555. doi: 10.1177/2333794X21989555. eCollection 2021.
The study evaluated an educational intervention with family child care home (FCCH) providers to implement nutrition standards. A convenience sample of licensed California FCCH providers (n = 30) attended a 2-hour, in-person group training in English or Spanish on nutrition standards for infants and children aged 1 to 5 years. Provider surveys and researcher observations during meals/snacks were conducted pre- and 3 months post-intervention. Providers rated the training as excellent (average score of 4.9 on a scale of 1-5). Adherence, assessed by survey and observation and compared over time using paired -tests, increased from an average of 36% pre-intervention to 44% post-intervention ( = .06) of providers (n = 12) for infant standards and from 59% to 68% ( < .001) of providers (n = 30) for child standards. One-third (39%) of providers rated infant standards and 19% of providers rated child standards as difficult to implement. Nutrition standards can be implemented by FCCH providers after an educational intervention; a larger study is warranted with a representative group of providers.
该研究评估了一项针对家庭托儿所(FCCH)提供者的教育干预措施,以实施营养标准。选取了加利福尼亚州有执照的FCCH提供者的便利样本(n = 30),参加了为期2小时的面对面小组培训,培训内容为1至5岁婴幼儿的营养标准,培训语言为英语或西班牙语。在干预前和干预后3个月进行了提供者调查以及用餐/吃零食期间的研究者观察。提供者对培训的评价为优秀(1 - 5分制下平均得分为4.9分)。通过调查和观察进行评估,并使用配对检验对不同时间进行比较,婴儿标准方面,提供者的依从性从干预前的平均36%提高到干预后的44%(P = 0.06)(n = 12),儿童标准方面,提供者的依从性从59%提高到68%(P < 0.001)(n = 30)。三分之一(39%)的提供者认为婴儿标准难以实施,19%的提供者认为儿童标准难以实施。经过教育干预后,FCCH提供者可以实施营养标准;有必要对更具代表性的提供者群体进行更大规模的研究。