ArticleJournal of the Academy of Nutrition and Dietetics2018
How Does Context Relate to Nutrition Promotion and Mealtime Practice in Early Care and Education Settings? A Qualitative Exploration.
Article in Journal of the Academy of Nutrition and Dietetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 23 citations in OpenAlex.
- Deimplementation of inappropriate feeding practices in early care and education: a Hybrid Type 3 cluster-randomized trial.Implementation science : IS · 2026Trial
- Enhancing healthy eating and active environments in early learning settings: findings from the eHealth study.Frontiers in nutrition · 2026Article
- Article
- Integration of Food-based Learning With Science in the Preschool Classroom: Implementation Gaps and Opportunities.Journal of nutrition education and behavior · 2023Article
- Informing State-Wide Coalition Efforts to Implement and Integrate Nutrition Best Practices in Early Care and Education: Focus Group Insights from Child Care Providers.International journal of environmental research and public health · 2022Article
- De-Implementation of Detrimental Feeding Practices in Childcare: Mixed Methods Evaluation of Community Partner Selected Strategies.Nutrients · 2022Article
- Implementation fidelity, attitudes, and influence: a novel approach to classifying implementer behavior.Implementation science communications · 2022Article
- Hungry is not safe: A mixed methods study to explore food insecurity in early care and education.Appetite · 2021Article
- Eastern North Carolina Head Start Teachers' personal and professional experiences with healthy eating and physical activity: a qualitative exploration.Public health nutrition · 2021Article
- Table Talk: revision of an observational tool to characterize the feeding environment in early care and education settings.BMC public health · 2021Article
- Identifying a Fine Line between Food Insecurity and Food Acquisition Stress: A Mixed Methods Exploration.Journal of hunger & environmental nutrition · 2021Article
- De-implementation of detrimental feeding practices: a pilot protocol.Pilot and feasibility studies · 2020Article
- Knowledge, Attitudes and Practices of Australian Trainee Childcare Educators Regarding Their Role in the Feeding Behaviours of Young Children.International journal of environmental research and public health · 2020Article
- Sharing is Caring: A Study of Food-Sharing Practices in Australian Early Childhood Education and Care Services.Nutrients · 2020Article
- A Mixed-Methods Exploration of Barriers and Facilitators to Evidence-Based Practices for Obesity Prevention in Head Start.Journal of nutrition education and behavior · 2019Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundEarly childhood educators have the potential to influence children's dietary outcomes through daily interactions. However, existing research suggests that educator practices are often suboptimal. Previous research has often focused on individual characteristics that affect practices. There is less study of contextual influences of practices of early childhood educators.
objectiveThe purpose of this study was to understand and describe contextual factors evident in narratives of early childhood educators influencing mealtime and nutrition promotion practices. We use the Promoting Action on Research Implementation in Health Services framework to consider how contextual factors related to practices of early childhood educators.
designThis cross-sectional, qualitative study collected data through in-depth interviews with early childhood educators. Analyses of the data reflected a factist perspective and semantic approach to complete thematic content analysis of in-depth interviews.
participantsThe study used a stratified purposive sampling approach to recruit 28 educators to balance across educator role, agency type (Head Start vs state-funded), and obesity prevalence in the community. Early childhood educators were mostly lead teachers (62%), between the ages of 30 and 49 (82.1%), and white (75%) or African American (14.3%).
resultsThe coders identified three primary themes: Mealtime Structures, Resources, and Classroom/Center Atmosphere. Mealtime Structures associated with detrimental practices included cafeteria meals with rigid schedules. Mealtime Structures associated with evidence-based practices (EBPs) included classroom meal service. Resources associated with detrimental practices included limited funding. Resources associated with EBPs included meals paid for early childhood educators and classroom food experiences. Classroom/Center Atmosphere factors associated with detrimental practices included poor food offerings and policies that conflicted (eg, allowing children to bring in outside foods). Classroom/Center Atmosphere factors associated with EBPs included clarity around meal service rules and healthy, appealing food offerings.
conclusionsThis study highlighted that it may be difficult for an early childhood educator to adopt and maintain EBPs in certain contexts.
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