Page 27 - Demo

 If food is brought from home, parents are provided with guidelines. Center-based participants were 3.34 times more likely than family child care providers to report “Doing” this.
 Parents are given information about what their children are offered (menus). Center- based participants were 5.04 times more likely than family child care providers to report “Doing” this.
 Children serve themselves from serving dishes at meal times. Center-based participants were 4.91 times more likely than family child care providers to report “Doing” this.
 Breastfeeding mothers are provided access to a private area for breastfeeding or pumping with appropriate seating. Center-based respondents were 2.18 more likely to report “Doing” this than family child care providers.
At baseline and follow-up, more center-based staff than family child care providers were doing the following:
 Meals and snacks are scheduled at consistent times each day. Center-based participants were 26.22 times more likely at baseline and 25.87 more likely at follow-up to report “Doing” this than family child care participants.
 Children with special needs have their nutrition needs taken into account. Center-based participants were 12.10 times more likely at baseline, and 5.52 at follow-up to be “Doing” this than family child care participants.
 Drinking water is freely available throughout the day. Center-based respondents were 9.23 times more likely to report “Doing” this than family child care providers at baseline and, 17.68 times more likely to report “Doing” this at follow-up.
At follow-up only, more centers than family child cares were doing the following:
 Meal times are relaxed, calm, and with shared conversation. Center-based participants
were 17.81 times more likely to be “Doing” this than family child care participants.
 Adults sit with children at mealtime. Center-based participants were 6.79 times more
likely to report “Doing” than family child care participants.
While there was a difference between center-based staff and family child care providers on 8 of the items at baseline, the difference persisted only in three of those items at follow-up, indicating a possible closure in gap in policies and practices between the two program types. The difference between the two groups of programs at baseline and similarity at follow-up elucidates the great effect CHLA CC training and coaching may have had on family child care providers.
Improving Health in Child Care Settings: 2016 23