Evidence map›Paper›PMID 36216442›Full record

ArticleJournal of nutrition education and behavior2022

Implementation of Federal Waivers for Feeding Children in Early Care and Education During the COVID-19 Pandemic.

Dipti A Dev, Carly Hillburn, Jordan Luxa, Laura Lessard, Katherine W Bauer, Caree Cotwright, Alison Tovar

Abstract read
In one paragraph

Article in Journal of nutrition education and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

7 authors.

Dipti A DevDepartment of Child Youth and Family Studies, University of Nebraska-Lincoln, Lincoln, NE. Electronic address: ddev2@unl.edu.
Carly HillburnDepartment of Child Youth and Family Studies, University of Nebraska-Lincoln, Lincoln, NE.
Jordan LuxaDepartment of Food, Nutrition, and Health, University of Nebraska-Lincoln Extension, Lincoln, NE.
Laura LessardDepartment of Behavioral Health and Nutrition, University of Delaware, Newark, DE.
Katherine W BauerDepartment of Nutritional Sciences, University of Michigan, Ann Arbor, MI.
Caree CotwrightDepartment of Foods and Nutrition, University Of Georgia, Athens, GA.
Alison TovarDepartment of Behavioral and Social Sciences, Brown University, Providence, RI.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

objectiveTo capture Child and Adult Care Food Program (CACFP) state directors' experiences implementing federal waivers for feeding children in early care and education (ECE) settings during coronavirus disease 2019.

designQualitative semistructured interviews.

settingVirtual interviews with state CACFP directors.

participantsChild and Adult Care Food Program directors from 21 states from December 2020 to May 2021. PHENOMENON OF INTEREST: Implementation of state-level waivers. ANALYSIS: Qualitative thematic analysis.

resultsState directors reported that the coronavirus disease 2019 waivers allowed ECE programs to continue feeding children despite being closed or having limited enrollment. The meal pattern, noncongregate feeding, parent/guardian meal pick-up, and monitoring waivers were most frequently used by states. Challenges included maintaining integrity to CACFP meal pattern requirements, addressing the limited capacity of ECE to produce and distribute noncongregate meals, and adapting technology for virtual reviews. Suggested improvements included streamlined communication from the US Department of Agriculture, standing waivers for emergencies, ongoing flexibilities for feeding children, and strategies to increase CACFP enrollment and reduce financial viability requirements for ECE. CONCLUSIONS AND IMPLICATIONS: Results indicate the need for the US Department of Agriculture to consider issuing and extending waivers, increasing ECE participation in CACFP, and ensuring timely communication and guidance on waiver tracking.

Indexed as

Child Day Care CentersCOVID-19AdultChildHumansMealsNutrition PolicyPandemicsChild and Adult Care Food Programchild nutritionCOVID-19food security

Identifiers

PMID36216442
PMCPMC9537749

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.