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Research Brief| Volume 52, ISSUE 5, P535-538, May 2020

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Implementation of Revised Nutrition Standards in US Department of Agriculture's Child and Adult Care Food Program

  • Laura Lessard
    Correspondence
    Address for correspondence: Laura Lessard, PhD, MPH, Department of Behavioral Health and Nutrition, University of Delaware, 017 Carpenter Sports Bldg, Newark, DE 19716;
    Affiliations
    Department of Behavioral Health and Nutrition, University of Delaware, Newark, DE
    Search for articles by this author
Published:November 19, 2019DOI:https://doi.org/10.1016/j.jneb.2019.10.011

      Abstract

      Objective

      In October 2017, substantial changes were made to improve the nutritional quality of meals served in the Child and Adult Care Food Program (CACFP). This study describes the experience of child care providers and sponsors during the first year of implementation.

      Methods

      A 1-time survey was administered to CACFP sponsors in Delaware 1 year after implementation of the changes. Data analysis included frequencies and chi-square tests of independence.

      Results

      Among respondents (n = 137), 21% faced moderate or significant challenges. Food cost (53.1%) and communicating with parents about changes (44.6%) were the most common challenges faced. The majority reported that parents supported the changes and that children and teachers generally ate the new food.

      Conclusions and Implications

      A minority of providers in Delaware faced significant challenges, suggesting that broad changes to CACFP may be feasibly implemented across settings. Training focused on food cost and parent communication may be warranted.

      Key Words

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      REFERENCES

      1. Food Research and Action Center (FRAC). Child and Adult Care Food Program: Participation Trends 2017. Washington, DC: FRAC; 2018.

        • Rida Z
        • Burger C
        • Dev D
        • Smith J
        • Hasnin S
        Assessment of nutrition knowledge of childcare providers regarding the implementation of the 2017 CACFP meal pattern update.
        Am J Health Educ. 2018; 49: 384-394
        • Dave JM
        • Cullen KW.
        Foods served in child care facilities participating in the child and adult care food program: menu match and agreement with the new meal patterns and best practices.
        J Nutr Educ Behav. 2018; 50: 582-588
        • Lee DL
        • Gurzo K
        • Yoshida S
        • Homel Vitale E
        • Hecht K
        • Ritchie LD
        Compliance with the new 2017 child and adult care food program standards for infants and children before implementation.
        Child Obes. 2018; 14: 393-402
        • Nanney MS
        • LaRowe TL
        • Davey C
        • Frost N
        • Arcan C
        • O'Meara J
        Obesity prevention in Early child care settings: a bistate (Minnesota and Wisconsin) assessment of best practices, implementation difficulty, and barriers.
        Health Educ Behav. 2017; 44: 23-31
        • Chriqui JF
        • Leider J
        • Schermbeck RM
        Early childhood education centers’ reported readiness to implement the updated child and adult care food program meal pattern standards in the United States, 2017.
        Child Obes. 2018; 14: 412-420
        • Lindsay AC
        • Salkeld J
        • Greaney ML
        • Sands FD
        Latino family childcare providers’ beliefs, attitudes, and practices related to promotion of healthy behaviors among preschool children: a qualitative study.
        J Obes. 2015; 2015409742
      2. Pew Research Center. Questionnaire Design. Washington, DC: Pew Research Center; 2019.

        • Benjamini Y
        • Hochberg Y.
        Controlling the false discovery rate: a practical and powerful approach to multiple testing.
        J R Stat Soc B Methodol. 1995; 57: 289-300
        • Dev DA
        • Byrd-Williams C
        • Ramsay S
        • et al.
        Engaging parents to promote children's nutrition and health: providers’ barriers and strategies in head start and child care centers.
        Am J Health Promot. 2017; 31: 153-162
        • Benjamin-Neelon SE.
        Position of the Academy of Nutrition and Dietetics: benchmarks for nutrition in child care.
        J Acad Nutr Diet. 2018; 118: 1291-1300
        • National Resource Center for Health and Safety in Child are and Early Education
        Achieving a State of Healthy Weight 2017 Supplement: State Profiles.
        University of Colorado Denver, Aurora, CO2018
        • Nilsen P.
        Making sense of implementation theories, models and frameworks.
        Implement Sci. 2015; 10: 53