Related Experiment Video
Updated: Nov 26, 2025
04:23
A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
11.9K
De-implementation of detrimental feeding practices: a pilot protocol
Taren Swindle1, Julie M Rutledge2, Susan L Johnson3
1Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham St, #530, Little Rock, AR, 72205-7199, USA. tswindle@uams.edu.
Pilot and Feasibility Studies
|December 9, 2020
Summary
This study introduces a new strategy to help early childhood educators stop harmful feeding practices and adopt healthier ones. The approach is feasible and acceptable, showing promise for improving children's diets.
Area of Science:
- Implementation Science
- Child Nutrition
- Early Childhood Education
Background:
- Early childhood educators (ECEs) frequently use detrimental feeding practices.
- There's a significant gap in understanding how to change ECEs' feeding behaviors.
- Implementation and de-implementation require distinct strategies.
Purpose of the Study:
- To develop and evaluate a de-implementation strategy for detrimental feeding practices used by ECEs.
- To assess the feasibility and acceptability of this novel approach.
- To examine the strategy's impact on educator practices and child dietary outcomes.
Main Methods:
- Developed a de-implementation strategy using evidence-based quality improvement (EBQI) sessions.
- Employed the Niven process model for de-implementation.
- Conducted a proof-of-principle study in two childcare agencies using a pre-post, within-site design.
- Assessed feasibility and acceptability via interviews and surveys.
- Measured changes in detrimental/evidence-based practices and child BMI/diet.
Main Results:
- The de-implementation strategy was found to be feasible and acceptable to ECEs.
- Preliminary data suggest potential for decreased detrimental feeding practices.
- The strategy may lead to increased adoption of nutrition promotion practices.
- Potential positive impacts on child dietary outcomes are anticipated.
Conclusions:
- The study establishes the feasibility and acceptability of the de-implementation approach.
- Preliminary findings support the strategy's potential to reduce detrimental feeding practices.
- The approach shows promise for improving nutrition promotion and child diets in early childhood settings.
- Results contribute to implementation science by informing de-implementation strategies in community settings.
