Implementation of Best Practices in Obesity Prevention in Child Care Facilities: The Arizona Empower Program,

Jillian Papa1, Joan Agostinelli1,2, Gertrudes Rodriguez1

  • 1Arizona Department of Health Services, Phoenix, Arizona.

Preventing Chronic Disease
|September 8, 2017
PubMed

Insights

Arizona child care facilities are implementing the Empower program to combat childhood obesity. While most facilities partially implement the standards, full adoption requires more support and education, especially for breastfeeding-friendly environments.

Area of Science:

  • Public Health
  • Nutrition Science
  • Child Development

Background:

  • Childhood obesity is a significant public health issue across all age groups in the US.
  • Approximately 25% of children in Arizona's WIC program are overweight or obese.
  • The Empower program was created to foster healthy environments in child care settings.

Purpose of the Study:

  • To evaluate the implementation level of five key standards within the Empower program.
  • To assess the extent to which child care facilities adopt healthy practices promoted by the program.

Main Methods:

  • A self-assessment survey was administered to 1,850 facilities between July 2013 and June 2015.
  • Data analysis involved calculating the percentage of facilities reporting full or partial implementation of each standard.
  • Qualitative analysis identified common themes from open-ended survey comments.

Main Results:

  • All surveyed facilities reported at least partial implementation of the Empower standards.
  • Full implementation of all five standards was achieved by 21.7% of facilities.
  • Staff training showed the highest implementation rate (77.4% full implementation), while breastfeeding-friendly environments had the lowest (44.0% full implementation).

Conclusions:

  • Arizona child care facilities demonstrate progress in adopting the Empower program's healthy environment standards.
  • Enhanced education, technical assistance, and targeted support are necessary for full program implementation.
  • Addressing specific areas like breastfeeding support is crucial for comprehensive success.
Abstract

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