Faculty of Agricultural, Life and Environmental Sciences, University of Alberta, Edmonton, Alberta.
School of Public Health, University of Alberta, Edmonton, Alberta.
Can J Diet Pract Res. 2022 Mar 1;83(1):17-24. doi: 10.3148/cjdpr-2021-021. Epub 2021 Sep 28.
To describe () nutrition policies in childcare centres, () the resources and processes used to enable policy implementation, and () the association between policy implementation and childcare centres' or administrators' characteristics. Between October 2018 and June 2019 a web-based survey that addressed nutrition policy, policy implementation, and sociodemographic characteristics was sent to eligible childcare programs (centre-based and provided meals) in the Edmonton (Alberta) metropolitan region. The survey was pretested and pilot tested. Statistical tests examined the relationship between policy implementation with centres' and administrators' characteristics. Of 312 childcare centres that received the survey invitation, 43 completed it. The majority of centres had a nutrition policy in place (94%). On average, centres had about 9 of the 17 implementation resources and processes assessed. Most often administrators reported actively encouraging the implementation of the nutrition policy (n = 35; 87%) and least often writing evaluation reports of the implementation of the nutrition policy (n = 9; 22%). Administrator's education level was associated with implementation total score ( = 0.009; Kruskal-Wallis). Most childcare centres had a nutrition policy in place, but many lacked resources and processes to enable policy implementation. Additional support is required to improve nutrition policy development and implementation.
描述（）儿童保健中心的营养政策，（）实施政策所使用的资源和流程，以及（）政策实施与儿童保健中心或管理人员特征之间的关联。2018 年 10 月至 2019 年 6 月，向埃德蒙顿（艾伯塔省）大都市区符合条件的儿童保育计划（以中心为基础并提供膳食）发送了一份基于网络的调查，该调查涉及营养政策、政策实施和社会人口特征。该调查经过了预测试和试点测试。统计检验检查了政策实施与中心和管理人员特征之间的关系。在收到调查邀请的 312 家儿童保健中心中，有 43 家完成了调查。大多数中心都制定了营养政策（94%）。平均而言，中心有大约 17 个实施资源和流程中的 9 个。管理人员最常报告积极鼓励实施营养政策（n=35；87%），而最常撰写营养政策实施评估报告的管理人员最少（n=9；22%）。管理人员的教育水平与实施总分（=0.009；Kruskal-Wallis）相关。大多数儿童保健中心都制定了营养政策，但许多中心缺乏实施政策的资源和流程。需要额外的支持来改善营养政策的制定和实施。
