Page 25 - Demo

 Foods that are served reflect the ethnicity and cultures of the children in the center/home.
 Special occasions and holidays are celebrated with healthy food or with non-food treats.
 Parents are provided information on child nutrition and healthy eating.
Specifically, participants were more likely to be providing written nutrition policies to parents at their enrollment at follow-up (92.6%) than at baseline (85.2%), McNemar p <.001 (n = 485). In addition, of the 72 participants “Not Doing” this at baseline, 54 (75.5%) reported they were doing this at follow-up. More providers reported giving parents information about what their child are eating at follow-up (98.0%) than at baseline (95.6%), McNemar p=.026 (n=564). Of the 25 providers “Not Doing” this at baseline, 24 (96.0%) indicated that they were “Doing” this at follow-up. There was also a significant change in the percent of providers reporting parents are given information about what their children are offered (menus) from baseline (96.6%) to follow-up (98.7%), McNemar p =.031 (n=561). Of the 19 providers who indicated they were “Not Doing” this at baseline, all 19 (100%) indicated they were “Doing” this at follow-up. More providers reported that children decide which foods they eat from the foods offered at follow- up (97.4%) than at baseline (93.1%), McNemar p=.002 (n=465). Out of the 32 providers who indicated they were “not doing” this at baseline, 28 (87.5%) reported they were doing this at follow-up. More providers reported that children serve themselves from serving dishes at mealtime at follow-up (87.3%) than at baseline (82.0%), McNemar p=.008 (n=456). Specifically, out of 82 providers who reported “Not Doing” this at baseline, 49 (59.8%) indicated they were doing this at follow-up. There was also change in the percent of providers who indicated foods are served that reflect the ethnicity and cultures of the children in the center/home from baseline (90.0%) to follow-up (94.3%), McNemar p=.01 (n=442). Of the 44 providers who indicated they were “Not Doing” this at baseline, 34 (77.3%) reported they were “Doing” this at follow-up. There was also a positive change in the practice of celebrating special occasions and holidays with healthy food and non-food treats such that more providers reported doing this at follow-up (92.5%) than at baseline (86.7%), McNemar p=.003 (n=453). Specifically, of the 60 providers who indicated they were “Not Doing” this at baseline, 48 (80.0%) indicated they were doing this at follow-up.
Some of the areas that showed the greatest room for growth resulted in statistically significant changes from baseline to follow-up. This often occurs when the baseline level is low, leaving room to see significant change. For example, “Parents received written nutrition policies upon enrollment” was low at baseline with 73.5% of providers indicating doing this at baseline. Similarly, “Children serve themselves from serving dishes at mealtime” had one of the lowest percent of participants reporting doing this at baseline (66.6%).
Improving Health in Child Care Settings: 2016 21