Page 3 - Demo

Table of Contents
Executive Summary....................................................................................................................................... 2 Introduction and Background ....................................................................................................................... 7 Recent Policy Environment ....................................................................................................................... 8 Educating the Child Care Workforce......................................................................................................... 9 Who are the providers reached and what methods were implemented? ................................................. 10 Who are the study participants and children and what is the general nutritional environment?.............12 Nutrition...................................................................................................................................................... 14
Feeding practices: What is the general picture and does coaching make a difference? Does it differ by care type?................................................................................................................................................ 14
Food Served: What is the general picture and does coaching make a difference? Does it differ by care type? ....................................................................................................................................................... 24
Physical Activity .......................................................................................................................................... 26
What is the general picture of physical activity in these child care environments and does coaching make a difference? Does it differ by care type? ..................................................................................... 26
CACFP Participation .................................................................................................................................... 30 What is the general picture of participation in CACFP at baseline and follow-up?................................ 30 Self-Efficacy ................................................................................................................................................. 31
How prepared do participants feel to change their health and physical activity practices at their child care site and does coaching make a difference? Does it differ by care type? ....................................... 31
Knowledge Change ..................................................................................................................................... 34
To what extent does knowledge change as a result of the program and does coaching make a difference? Does it differ by care type?.................................................................................................. 34
Challenges ................................................................................................................................................... 36
What challenges do participants face and does coaching make a difference? Does it differ by care type? Which challenges are more common at baseline compared with follow-up? Are there fewer challenges at follow-up? ......................................................................................................................... 36
What are needed resources at baseline compared with follow-up? Does this differ by care type and for those who receive coaching? ............................................................................................................ 40
How helpful was the program and does this vary by Coaching/provider/language? ................................ 41 Changes to Economics, Marketing and Demand ........................................................................................ 42 Conclusions and Recommendations ........................................................................................................... 46 Appendix A: Types of Child Care Settings in California...............................................................................50