Evidence map›Paper›PMID 29868374›Full record

ArticlePreventive medicine reports2018

Change in the implementation of healthy nutrition and physical activity best practices in Minnesota early care settings: A longitudinal cohort study (2010-2016).

Marilyn S Nanney, Cynthia Davey, Samantha Mosbrucker, Amy Shanafelt, Natasha Frost, Allison Anfinson, Marguerite Zauner, Katie Loth

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Preventive medicine reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marilyn S NanneyDepartment of Family Medicine and Community Health, 717 Delaware St SE, Suite 166, University of Minnesota, Minneapolis, MN 55414, USA.
Cynthia DaveyClinical and Translational Science Institute, Biostatistical Design and Analysis Center, 717 Delaware St SE, Room 140-25, University of Minnesota, Minneapolis, MN 55414, USA.
Samantha MosbruckerDepartment of Family Medicine and Community Health, 717 Delaware St SE, Suite 166, University of Minnesota, Minneapolis, MN 55414, USA.
Amy ShanafeltDepartment of Family Medicine and Community Health, 717 Delaware St SE, Suite 166, University of Minnesota, Minneapolis, MN 55414, USA.
Natasha FrostPublic Health Law Center, Mitchell Hamline School of Law, 875 Summit Avenue, St. Paul, MN 55105, USA.
Allison AnfinsonStar and Risk Adjustment Center of Excellence at Blue Cross and Blue Shield of Minnesota, 1800 Yankee Doodle Road, R250, Eagan, MN 55121-1644, USA.
Marguerite ZaunerCenter for Prevention at Blue Cross and Blue Shield of Minnesota, 1750 Yankee Doodle Rd N159, St Paul, MN 55121, USA.
Katie LothDepartment of Family Medicine and Community Health, 717 Delaware St SE, Suite 166, University of Minnesota, Minneapolis, MN 55414, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The goal of the 'Healthy Start, Healthy State' study was to describe changes in the implementation of healthy nutrition and physical activity (PA) best practices in early child care and education (ECE) settings from 2010 to 2016. A cohort of 215 Minnesota licensed center- and family/home-based providers completed a survey describing 15 nutrition and 8 PA best practices that they "already do" in 2010 and again in 2016 were analyzed in 2016. There was a significant net implementation rate increase for 15 best practices (10 nutrition, 5 PA) in centers and 12 best practices (8 nutrition, 4 PA) in family/home-based programs. The 2010 nutrition and PA scores were negatively associated with mean change in 2016 indicating the decreased potential for improvement among sites with more best practices already implemented in 2010. Adjusted for 2010 nutrition score and other factors, centers implemented, on average, 1.45 more nutrition best practices from 2010 to 2016 than family/home based programs, and CACFP participating programs implemented, on average, 1.7 more nutrition best practices from 2010 to 2016 than non-CACFP participants. Urbanicity, provider education, and provider years of experience were not significantly associated with 2010-2016 change in nutrition score. The mean PA score change had a small but significant increase for each additional year of provider ECE experience after adjusting for the 2010 score. State-level surveillance of implemented best practices in ECE settings is useful. Findings identify opportunities for stakeholders to respond with targeted technical support and training and to consider potential future policy levers.

Indexed as

Child careHealthy foodOverweightPhysical activityState surveillance

Identifiers

PMID29868374
PMCPMC5984227

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.