Outcomes From Healthy Eating and Physical Activity Recognition Programs in Early Child Care and Education: A Scoping Review

Abstract

Objective

Recognition programs are designed to incentivize early care and education (ECE) settings to implement childhood obesity prevention standards, yet little is known regarding their efficacy. This scoping review details characteristics, methodologies, and criteria used to evaluate recognition programs, identifies gaps in evaluation, and synthesizes existing evidence.

Data Source

A public health librarian created the search strategies for six databases: Ovid MEDLINE, AGRICOLA, CAB Abstracts, PAIS Index, ERIC, and Scopus.

Study Inclusion and Exclusion Criteria

Inclusion criteria include recognition program, ECE setting, nutrition or physical activity, and qualitative or quantitative outcomes. Exclusion criteria include programming without recognition component, no ECE setting, no nutrition or physical activity outcome, case studies, or not written in English.

Data Extraction

Three researchers independently extracted and complied data into an Excel spreadsheet.

Data Synthesis

Tables were created describing location, recognition program criteria, award incentive, study design, study sample, risk of bias, and outcomes (e.g., menu nutrition) evaluated in each study.

Results

Three unique recognition programs (described in 7 studies) provided technical assistance, incentives, and training. While outcome measures and study designs varied across programs, it is clear that recognition programs are well accepted and feasible, and one study demonstrated beneficial weight outcomes.

Conclusion

Although additional evaluation is needed, recognition programs may be a promising strategy to improve obesity prevention practices in ECE.

Keywords

obesity children nutrition physical activity early child care recognition programs policy

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References

Centers for Disease Control Prevention . Early Care and Education State Indicator Report; 2016. https://www.cdc.gov/obesity/downloads/early-care-education-report.pdf

McWilliams

Ball

Benjamin

, et al. Best-Practice Guidelines for Physical Activity at Child Care. Pediatrics. 2009;124(6):1650-1659. doi:10.1542/peds.2009-0952

Larson

Ward

Neelon

Story

. What role can child-care settings play in obesity prevention? A review of the evidence and call for research efforts. J Am Diet Assoc. 2011;111(9):1343-1362. doi:10.1016/j.jada.2011.06.007.

American Academy of Pediatrics APHA . Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs. In: National Resource Center for health and Safety in Child Care and Early Education. Elk Grove Village, IL: American Academy of Pediatrics. Third Edition ed. Washington, DC: American Public Health Association; 2011.

Nemours Children's Health System . State Designation and Recognition Programs. https://healthykidshealthyfuture.org/state-local-leaders/state-recognition-programs/ (Accessed June 20, 2021).

Downs

Farmer

Quintanilha

, et al. Alberta Nutrition Guidelines for Children and Youth: awareness and use in schools. Can J Diet Pract Res. Fall. 2011;72(3):137-140. doi:10.3148/72.3.2011.137.

Mackie

. Food and Nutrition Guidelines for Healthy Children and Young People (Aged 2–18 Years).

Lucas

Patterson

Sacks

Billich

Evans

. Preschool and School Meal Policies: An Overview of What We Know about Regulation, Implementation, and Impact on Diet in the UK, Sweden, and Australia. Nutrients. 2017;9(7):736. doi:10.3390/nu9070736.

Gerritsen

Wall

Morton

. Child-care nutrition environments: results from a survey of policy and practice in New Zealand early childhood education services. Publ Health Nutr. 2016;19(9):1531-1542. doi:10.1017/s1368980015002955.

10.

Farmer

Nikolopoulos

McCargar

Berry

Mager

. Organizational characteristics and processes are important in the adoption of the Alberta Nutrition Guidelines for Children and Youth in child-care centres. Publ Health Nutr. 2015;18(9):1593-1601. doi:10.1017/s1368980014001955.

11.

Tricco

Lillie

Zarin

, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018;169(7):467-473. doi:10.7326/m18-0850.

12.

Arlinghaus

Hunt

Stang

Pass

Wagner

. Outcomes from healthy eating and physical activity recognition programs in early childcare and education: A scoping review protocol. Open Science Framework. 2021. doi:10.17605/OSF.IO/7SJNY

13.

Ouzzani

Hammady

Fedorowicz

Elmagarmid

. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210. doi:10.1186/s13643-016-0384-4

14.

Tufanaru

CMZ

Aromataris

Campbell

Hopp

. JBI Manual for Evidence Synthesis. In: Chapter 3: Systematic reviews of effectiveness. JBI; 2020.

15.

Moola

SMZ

Tufanaru

Aromataris

, et al. Chapter 7: Systematic Reviews of Etiology and Risk JBI Manual for Evidence Synthesis. JBI; 2020.

16.

Pollard

Lewis

Miller

. Start Right–Eat Right Award Scheme: Implementing Food and Nutrition Policy in Child Care Centers. Health Educ Behav. 2001;28(3):320-330. doi:10.1177/109019810102800306

17.

Matwiejczyk

McWhinnie

Colmer

. An evaluation of a nutrition intervention at childcare centres in South Australia. Health Promot J Aust. 2007;18(2):159-162. doi:10.1071/he07159

18.

Bell

Hendrie

Hartley

Golley

. Impact of a nutrition award scheme on the food and nutrient intakes of 2- to 4-year-olds attending long day care. Publ Health Nutr. 2015;18(14):2634-2642. doi:10.1017/s1368980014003127

19.

Papa

Agostinelli

Rodriguez

Robinson

. Implementation of Best Practices in Obesity Prevention in Child Care Facilities: The Arizona Empower Program, 2013-2015. Prev Chronic Dis. 2017;14:E75. doi:10.5888/pcd14.160451

20.

Stookey

Evans

Chan

, et al. Healthy apple program to support child care centers to alter nutrition and physical activity practices and improve child weight: a cluster randomized trial. BMC Publ Health. 2017;17(1):965. doi:10.1186/s12889-017-4951-y.

21.

Tysoe

Wilson

. Influences of the Family and Childcare Food Environments on Preschoolers' Healthy Eating. Australasian Journal of Early Childhood. 2010;35(3):105-110. doi:10.1177/183693911003500313.

22.

Golley

Bell

Matwiejczyk

Hartley

. South Australian Long Day Care Centres engaged with a nutrition incentive award scheme show consistency with mealtime practice guidelines. Nutr Diet. 2012;69(2):130-136. doi: 10.1111/j.1747-0080.2012.01586.x.

23.

Hollar

Cook

Natale

, et al. Training early childcare providers in evidence-based nutrition strategies can help improve nutrition policies and practices of early childcare centres serving racially and ethnically diverse children from low-income families. Publ Health Nutr. 2018;21(7):1212-1221. doi:10.1017/s1368980017003573.

24.

Slining

Wills

Fair

, et al. LiveWell in early childhood: Results from a two-year pilot intervention to improve nutrition and physical activity policies, systems and environments among early childhood education programs in South Carolina. BMC Publ Health. 2021;21(1):919. doi:10.1186/s12889-021-10975-7.

25.

Chiappone

Smith

Estabrooks

, et al. Technical Assistance and Changes in Nutrition and Physical Activity Practices in the National Early Care and Education Learning Collaboratives Project. Prev Chronic Dis. 2015;15:E47. doi:10.5888/pcd15.170239.

26.

Kakietek

Dunn

O'Dell

Jernigan

Kettel Khan

. Training and technical assistance for compliance with beverage and physical activity components of New York City's regulations for early child care centers. Prev Chronic Dis. 2014;11:E177. doi:10.5888/pcd11.130434.

27.

Werner

. A Quiet Crisis: Minnesota’s Child Care Shortage. Center for Rural Policy and Development. https://www.ruralmn.org/a-quiet-crisis-minnesotas-child-care-shortage/ (Accessed May 2, 2022).

28.

Casale

Noel

Pearl

. Early Care and Education: Profile of an Industry in Crisis. Minnesota Department of Employment and Economic Development. https://mn.gov/deed/newscenter/publications/trends/september-2020/early-care-education.jsp (Accessed May 2, 2022).

29.

Lai

. Validating instruments of measure: Is it really necessary? Malays Fam Physician. 2013;8(1):2-4.

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