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Child and Adult Care Food Program Participation Benefits, Barriers and Facilitators for Independent Child Care Centers in California

The Child and Adult Care Food Program (CACFP) provides reimbursements for nutritious foods for children with low-income at participating child care sites in the United States. The CACFP is associated with improved child diet quality, health outcomes, and food security. However CACFP participation ra...

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Autores principales: Lee, Danielle L., Homel Vitale, Elyse, Marshall, Samantha Kay-Daleiden, Hecht, Christina, Beck, Lindsay T., Ritchie, Lorrene D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9654096/
https://www.ncbi.nlm.nih.gov/pubmed/36364713
http://dx.doi.org/10.3390/nu14214449
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author Lee, Danielle L.
Homel Vitale, Elyse
Marshall, Samantha Kay-Daleiden
Hecht, Christina
Beck, Lindsay T.
Ritchie, Lorrene D.
author_facet Lee, Danielle L.
Homel Vitale, Elyse
Marshall, Samantha Kay-Daleiden
Hecht, Christina
Beck, Lindsay T.
Ritchie, Lorrene D.
author_sort Lee, Danielle L.
collection PubMed
description The Child and Adult Care Food Program (CACFP) provides reimbursements for nutritious foods for children with low-income at participating child care sites in the United States. The CACFP is associated with improved child diet quality, health outcomes, and food security. However CACFP participation rates are declining. Independent child care centers make up a substantial portion of CACFP sites, yet little is known about their barriers to participation. Researcher-led focus groups and interviews were conducted in 2021–2022 with 16 CACFP-participating independent centers and 5 CACFP sponsors across California CACFP administrative regions to identify participation benefits, barriers, and facilitators. Transcripts were coded for themes using the grounded theory method. CACFP benefits include reimbursement for food, supporting communities with low incomes, and healthy food guidelines. Barriers include paperwork, administrative reviews, communication, inadequate reimbursement, staffing, nutrition standards, training needs, eligibility determination, technological challenges, and COVID-19-related staffing and supply-chain issues. Facilitators included improved communication, additional and improved training, nutrition standards and administrative review support, online forms, reduced and streamlined paperwork. Sponsored centers cited fewer barriers than un-sponsored centers, suggesting sponsors facilitate independent centers’ CACFP participation. CACFP participation barriers should be reduced to better support centers and improve nutrition and food security for families with low-income.
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spelling pubmed-96540962022-11-15 Child and Adult Care Food Program Participation Benefits, Barriers and Facilitators for Independent Child Care Centers in California Lee, Danielle L. Homel Vitale, Elyse Marshall, Samantha Kay-Daleiden Hecht, Christina Beck, Lindsay T. Ritchie, Lorrene D. Nutrients Article The Child and Adult Care Food Program (CACFP) provides reimbursements for nutritious foods for children with low-income at participating child care sites in the United States. The CACFP is associated with improved child diet quality, health outcomes, and food security. However CACFP participation rates are declining. Independent child care centers make up a substantial portion of CACFP sites, yet little is known about their barriers to participation. Researcher-led focus groups and interviews were conducted in 2021–2022 with 16 CACFP-participating independent centers and 5 CACFP sponsors across California CACFP administrative regions to identify participation benefits, barriers, and facilitators. Transcripts were coded for themes using the grounded theory method. CACFP benefits include reimbursement for food, supporting communities with low incomes, and healthy food guidelines. Barriers include paperwork, administrative reviews, communication, inadequate reimbursement, staffing, nutrition standards, training needs, eligibility determination, technological challenges, and COVID-19-related staffing and supply-chain issues. Facilitators included improved communication, additional and improved training, nutrition standards and administrative review support, online forms, reduced and streamlined paperwork. Sponsored centers cited fewer barriers than un-sponsored centers, suggesting sponsors facilitate independent centers’ CACFP participation. CACFP participation barriers should be reduced to better support centers and improve nutrition and food security for families with low-income. MDPI 2022-10-22 /pmc/articles/PMC9654096/ /pubmed/36364713 http://dx.doi.org/10.3390/nu14214449 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Danielle L.
Homel Vitale, Elyse
Marshall, Samantha Kay-Daleiden
Hecht, Christina
Beck, Lindsay T.
Ritchie, Lorrene D.
Child and Adult Care Food Program Participation Benefits, Barriers and Facilitators for Independent Child Care Centers in California
title Child and Adult Care Food Program Participation Benefits, Barriers and Facilitators for Independent Child Care Centers in California
title_full Child and Adult Care Food Program Participation Benefits, Barriers and Facilitators for Independent Child Care Centers in California
title_fullStr Child and Adult Care Food Program Participation Benefits, Barriers and Facilitators for Independent Child Care Centers in California
title_full_unstemmed Child and Adult Care Food Program Participation Benefits, Barriers and Facilitators for Independent Child Care Centers in California
title_short Child and Adult Care Food Program Participation Benefits, Barriers and Facilitators for Independent Child Care Centers in California
title_sort child and adult care food program participation benefits, barriers and facilitators for independent child care centers in california
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9654096/
https://www.ncbi.nlm.nih.gov/pubmed/36364713
http://dx.doi.org/10.3390/nu14214449
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