Predictors of sustainment of two distinct nutrition and physical activity programs in early care and education
Introduction The goal of the present study was to investigate factors associated with sustainment of two evidence-based programs for nutrition promotion in early care and education (ECE) settings – Food Friends (FF) and Together, We Inspire Smart Eating (WISE). Materials and methods In a cross-secti...
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crfrontiers:10.3389/frhs.2022.1010305 2024-04-14T08:18:00+00:00 Predictors of sustainment of two distinct nutrition and physical activity programs in early care and education Swindle, Taren Bellows, Laura L. Mitchell, Virginia Johnson, Susan L. Shakya, Samjhana Zhang, Dong Selig, James P. Whiteside-Mansell, Leanne Curran, Geoffrey M. National Institutes of Health 2022 http://dx.doi.org/10.3389/frhs.2022.1010305 https://www.frontiersin.org/articles/10.3389/frhs.2022.1010305/full unknown Frontiers Media SA https://creativecommons.org/licenses/by/4.0/ Frontiers in Health Services volume 2 ISSN 2813-0146 journal-article 2022 crfrontiers https://doi.org/10.3389/frhs.2022.1010305 2024-03-19T09:15:58Z Introduction The goal of the present study was to investigate factors associated with sustainment of two evidence-based programs for nutrition promotion in early care and education (ECE) settings – Food Friends (FF) and Together, We Inspire Smart Eating (WISE). Materials and methods In a cross-sectional study design, ECE directors ( N = 55) from centers that had previously been trained in WISE or FF completed a survey. Program-specific measures included Steckler's Perception of Innovations, the Program Sustainability Assessment Tool (PSAT), and the Organizational Readiness for Change Assessment (ORCA). For our primary outcomes, two measures of sustainment were examined: Nutrition Continued Practice (i.e., the use of or general focus on nutrition programs) and Program Fidelity (i.e., how well centers used specific evidence-based practices of WISE or FF). Multiple regression was used to determine the association of these outcomes with program, years since last implementation, and overall scores on predictors. Follow-up correlation analyses were used to investigate outcome relationships with context submeasures due to high intercorrelations between predictor submeasures. Results Nutrition Continued Practice was significantly predicted by program and overall PSAT score. WISE programs had significantly higher Nutrition Continued Practice scores than FF program ( p = 0.03). All subscales of the PSAT (e.g., environmental support, funding stability, organizational capacity, program adaptation, communications, and strategic planning) were significantly correlated with Nutrition Continued Practice (all rs > 0.30, all ps < 0.03). Program Fidelity was significantly predicted by PSAT and Steckler Perception of Innovation scores. All subscales of the PSAT were strongly positively correlated with Program Fidelity (all rs > 0.48, all ps < 0.001); relative advantage (r = 0.54, p < 0.001) and level of institutionalization (r = 0.61, p < 0.001) were positively correlated with Program ... Article in Journal/Newspaper Orca Frontiers (Publisher) Frontiers in Health Services 2 |
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Introduction The goal of the present study was to investigate factors associated with sustainment of two evidence-based programs for nutrition promotion in early care and education (ECE) settings – Food Friends (FF) and Together, We Inspire Smart Eating (WISE). Materials and methods In a cross-sectional study design, ECE directors ( N = 55) from centers that had previously been trained in WISE or FF completed a survey. Program-specific measures included Steckler's Perception of Innovations, the Program Sustainability Assessment Tool (PSAT), and the Organizational Readiness for Change Assessment (ORCA). For our primary outcomes, two measures of sustainment were examined: Nutrition Continued Practice (i.e., the use of or general focus on nutrition programs) and Program Fidelity (i.e., how well centers used specific evidence-based practices of WISE or FF). Multiple regression was used to determine the association of these outcomes with program, years since last implementation, and overall scores on predictors. Follow-up correlation analyses were used to investigate outcome relationships with context submeasures due to high intercorrelations between predictor submeasures. Results Nutrition Continued Practice was significantly predicted by program and overall PSAT score. WISE programs had significantly higher Nutrition Continued Practice scores than FF program ( p = 0.03). All subscales of the PSAT (e.g., environmental support, funding stability, organizational capacity, program adaptation, communications, and strategic planning) were significantly correlated with Nutrition Continued Practice (all rs > 0.30, all ps < 0.03). Program Fidelity was significantly predicted by PSAT and Steckler Perception of Innovation scores. All subscales of the PSAT were strongly positively correlated with Program Fidelity (all rs > 0.48, all ps < 0.001); relative advantage (r = 0.54, p < 0.001) and level of institutionalization (r = 0.61, p < 0.001) were positively correlated with Program ... |
author2 |
National Institutes of Health |
format |
Article in Journal/Newspaper |
author |
Swindle, Taren Bellows, Laura L. Mitchell, Virginia Johnson, Susan L. Shakya, Samjhana Zhang, Dong Selig, James P. Whiteside-Mansell, Leanne Curran, Geoffrey M. |
spellingShingle |
Swindle, Taren Bellows, Laura L. Mitchell, Virginia Johnson, Susan L. Shakya, Samjhana Zhang, Dong Selig, James P. Whiteside-Mansell, Leanne Curran, Geoffrey M. Predictors of sustainment of two distinct nutrition and physical activity programs in early care and education |
author_facet |
Swindle, Taren Bellows, Laura L. Mitchell, Virginia Johnson, Susan L. Shakya, Samjhana Zhang, Dong Selig, James P. Whiteside-Mansell, Leanne Curran, Geoffrey M. |
author_sort |
Swindle, Taren |
title |
Predictors of sustainment of two distinct nutrition and physical activity programs in early care and education |
title_short |
Predictors of sustainment of two distinct nutrition and physical activity programs in early care and education |
title_full |
Predictors of sustainment of two distinct nutrition and physical activity programs in early care and education |
title_fullStr |
Predictors of sustainment of two distinct nutrition and physical activity programs in early care and education |
title_full_unstemmed |
Predictors of sustainment of two distinct nutrition and physical activity programs in early care and education |
title_sort |
predictors of sustainment of two distinct nutrition and physical activity programs in early care and education |
publisher |
Frontiers Media SA |
publishDate |
2022 |
url |
http://dx.doi.org/10.3389/frhs.2022.1010305 https://www.frontiersin.org/articles/10.3389/frhs.2022.1010305/full |
genre |
Orca |
genre_facet |
Orca |
op_source |
Frontiers in Health Services volume 2 ISSN 2813-0146 |
op_rights |
https://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.3389/frhs.2022.1010305 |
container_title |
Frontiers in Health Services |
container_volume |
2 |
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1796317392467394560 |