ArticleNutrients2020
Changes in Child and Adult Care Food Program (CACFP) Practices at Participating Childcare and Education Centers in the United States Following Updated National Standards, 2017-2019.
Article in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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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.
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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Healthy eating interventions delivered in early childhood education and care settings for improving the diet of children aged six months to six years.The Cochrane database of systematic reviews · 2023Pooled it
- Identification and Evaluation of Tools Utilised for Measuring Food Provision in Childcare Centres and Primary Schools: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- New Zealand Early Learning Service Menus Do Not Meet Health New Zealand Guidelines for Providing Healthy Menus and Reducing Food-Related Choking in Children.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
- Opportunities to Improve Access to and Retention in the Child and Adult Care Food Program: Key Recommendations From Early Childcare Providers in Illinois, December 2020-July 2021.American journal of public health · 2023Article
- Leveraging the Child and Adult Care Food Program to Facilitate Healthy Behaviors and Environments in Early Care and Education Settings.American journal of public health · 2023Article
- The impact of sodium reduction on overall nutrient content in Child and Adult Care Food Program meals.Public health nutrition · 2023Article
- Comparison of foods and beverages served and consumed in Child and Adult Care Food Program-participating childcare centres to national guidelines.Public health nutrition · 2023Article
- Age-related differences in eating location, food source location, and timing of snack intake among U.S. children 1-19 years.The international journal of behavioral nutrition and physical activity · 2023Article
- Healthy eating interventions delivered in early childhood education and care settings for improving the diet of children aged six months to six years.The Cochrane database of systematic reviews · 2023Review
- Children's Dietary Intake by Early Care and Education Setting in the US Affiliated Pacific.Journal of nutrition education and behavior · 2023Article
- How policy implementation shapes the impact of U.S. food assistance policies: the case study of the Child and Adult Care Food Program.Frontiers in health services · 2023Article
- Child and Adult Care Food Program Participation Benefits, Barriers and Facilitators for Independent Child Care Centers in California.Nutrients · 2022Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
The U.S. Department of Agriculture's (USDA) Child and Adult Care Food Program (CACFP) updated meal pattern standards took effect in October 2017. The aim of this quasi-experimental, pre-post study is to identify changes in food and beverage practices of CACFP-participating centers due to implementation of updated CACFP meal patterns over a 21-month period. Eight hundred and fifty-eight centers located in 47 states and the District of Columbia completed a survey (primarily electronic) at both time points (67.6% follow-up response rate). Multivariable logistic regressions with robust standard errors assessed changes over time, accounting for repeated observations within each site. From baseline to follow-up, centers reported the increased familiarity and implementation, albeit with time, money, and staffing-related challenges. Significant improvements were seen in not serving sugary cereals or flavored milk, in serving 100% whole grains, and serving processed meats less than once a week. While CACFP-participating centers reported making significant progress in meeting the updated meal pattern standards and suggested best practices within 15-19 months of their effective date, reported compliance and adherence to the standards and best practices was not universal. USDA, state agencies, and technical assistance providers should work to provide centers with additional guidance to help them with implementation.
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