Evidence map›Paper›PMID 41177525›Full record

ArticlePublic health nutrition2025

Provider, sponsor and family perceptions of Child and Adult Care Food Program (CACFP) participation and COVID-19 reimbursement increases.

Kassandra A Bacon, Danielle L Lee, Reka Vasicsek, Celeste Felix, Samantha Kay-Daleiden Marshall, Elyse Homel Vitale, Susana L Matias, Lorrene D Ritchie

Abstract read
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In one paragraph

Article in Public health nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Kassandra A Baconhttps://ror.org/03t0t6y08Nutrition Policy Institute, University of California, Agriculture and Natural Resources, 1111 Franklin Street, Eleventh Floor, Oakland, CA94607, USA.ORCID 0009-0009-5338-3985
Danielle L Leehttps://ror.org/03t0t6y08Nutrition Policy Institute, University of California, Agriculture and Natural Resources, 1111 Franklin Street, Eleventh Floor, Oakland, CA94607, USA.
Reka Vasicsekhttps://ror.org/03t0t6y08Nutrition Policy Institute, University of California, Agriculture and Natural Resources, 1111 Franklin Street, Eleventh Floor, Oakland, CA94607, USA.
Celeste Felixhttps://ror.org/03t0t6y08Nutrition Policy Institute, University of California, Agriculture and Natural Resources, 1111 Franklin Street, Eleventh Floor, Oakland, CA94607, USA.
Samantha Kay-Daleiden MarshallCACFP Roundtable, PO Box 721002, San Diego, CA92172, USA.
Elyse Homel VitaleCACFP Roundtable, PO Box 721002, San Diego, CA92172, USA.
Susana L MatiasDepartment of Nutritional Sciences and Toxicology, University of California, Berkeley, 225 Morgan Hall, Berkeley, CA94720, USA.ORCID 0000-0002-3635-7445
Lorrene D Ritchiehttps://ror.org/03t0t6y08Nutrition Policy Institute, University of California, Agriculture and Natural Resources, 1111 Franklin Street, Eleventh Floor, Oakland, CA94607, USA.ORCID 0000-0002-8038-1821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDeclining participation by family childcare home (FCCH) providers in the Child and Adult Care Food Program (CACFP) may stem from inadequate tiered reimbursements for nutritious foods. During the COVID-19 pandemic, federal waivers temporarily eliminated tiers and increased reimbursements. We evaluated provider, sponsor and family perceptions of CACFP benefits and challenges in general and regarding the temporary removal of tiers and increased reimbursement rates.

designFrom September 2023 to February 2024, FCCH providers, CACFP sponsors and CACFP family recipients in California participated in semi-structured interviews about CACFP benefits and challenges, perception of tiers and the COVID-19 waiver, quality of food and business viability. Thematic analysis was conducted using the immersion crystallisation method.

settingVirtual interviews with California providers, sponsors and families.

participantsFCCH providers (

resultsProviders and sponsors reported that the higher temporary reimbursement rate positively impacted food budgets and quality. Pandemic-era facilitators of CACFP participation included the higher reimbursement rate, tier removal and a hybrid model for monitoring visits. Benefits beyond the pandemic included nutrition education and supporting child food security. Families valued CACFP for providing a variety of high-quality foods. However, barriers to CACFP participation persist, including administrative burden, inadequate reimbursements, strict regulations and the impacts of the pandemic and inflation.

conclusionsIncreasing CACFP reimbursements while reducing other participation barriers can better support FCCH providers' and sponsors' participation. Supporting FCCH CACFP participation and retention can enhance access to healthy and nutritious meals for children from families with low income.

Indexed as

Child Day Care CentersCOVID-19FamilyFood AssistanceReimbursement MechanismsAdultCaliforniaChildChild CareChild, PreschoolFemaleHumansMalePandemicsSARS-CoV-2Child and adult care food programChildcareNutrition policyPreschool-age childrenReimbursement

Identifiers

PMID41177525
PMCPMC12722094

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LicenceCC BY
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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.