Evidence map›Paper›PMID 33389587›Full record

ArticleMaternal and child health journal2021

Improving Breastfeeding Environments and Feeding Practices in Family Child Care Homes with the Go NAP SACC Program.

Kara Kohel, Holly Hatton-Bowers, Natalie Williams, Dipti Dev, Donnia Behrends, Emily Hulse, Zainab Rida, Holly Dingman, Danae Dinkel, Liz Gebhart

Abstract read
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Article in Maternal and child health journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

10 authors.

Kara KohelNebraska Extension, Institute of Agriculture and Natural Resources, University of Nebraska-Lincoln, Lincoln, USA. kara.kohel@unl.edu.ORCID http://orcid.org/0000-0002-7045-6332
Holly Hatton-BowersDepartment of Child, Youth and Family Studies, University of Nebraska-Lincoln, Lincoln, USA.
Natalie WilliamsDepartment of Child, Youth and Family Studies, University of Nebraska-Lincoln, Lincoln, USA.
Dipti DevDepartment of Child, Youth and Family Studies, University of Nebraska-Lincoln, Lincoln, USA.
Donnia BehrendsDepartment of Nutrition and Health Science, University of Nebraska-Lincoln, Lincoln, USA.
Emily HulseCenter for the Child & Community, Children's Hospital & Medical Center, Lincoln, NE, USA.
Zainab RidaNebraska Department of Education, Lincoln, NE, USA.
Holly DingmanCenter for the Child & Community, Children's Hospital & Medical Center, Lincoln, NE, USA.
Danae DinkelSchool of Health & Kinesiology, University of Nebraska At Omaha, Omaha, NE, USA.
Liz GebhartNebraska Department of Health and Human Services, Lincoln, NE, USA.

Funding

CDC HHS NU58DP004819
6 · The paper itself

Abstract

purposeBreastfeeding and responsive feeding are important practices that support the health of infants and women. In the United States, breastfeeding continuation rates remain lower than recommended, and working women face additional challenges with breastfeeding continuation. Providers in a family child care setting are uniquely positioned to support and provide important resources to families in their breastfeeding and infant feeding practices.

methodsThe Go NAP SACC program was designed to improve the nutrition and physical activity environments and practices in child care settings serving infants and young children. This evaluation focuses on Breastfeeding and Infant Feeding in Nebraska Family Child Care Homes (FCCH). ASSESSMENT: Paired-sample t-tests were used to examine differences in pre-post evaluation scores. A repeated measure ANCOVA was used to examine differences between rural-urban settings. Nebraska FCCH met recommendations at pre-test, and exceeded recommendations at post-test (p < .05). Rural and urban FCCH performed equally well in 18 of 22 items, indicating little difference in the ability to provide supportive environments and adhere to best practices in both settings. Improvement in family engagement items were significant at the p < .001 level. Family engagement in FCCH is an important area for intervention that was well-received by provider participants.

conclusionThis evaluation shows that the Go NAP SACC program improves breastfeeding and infant feeding environments and practices in rural and urban FCCH. Interventions should continue to focus on basic and practical education and professional development for FCCH providers, with emphasis on intentional family engagement and support.

Indexed as

Breast FeedingChild CareChildChild Day Care CentersChild HealthChild, PreschoolFeeding BehaviorFemaleHumansInfantUnited StatesBreastfeedingChild careFamily child care homeFamily engagementInfantNutritionResponsive feeding

Identifiers

PMID33389587

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.