Facilitators and barriers to family child care home participation in the U.S. Child and Adult Care Food Program (CACFP)

This paper describes facilitators, barriers, and potential strategies to promote participation in the Child and Adult Care Food Program (CACFP) by family child care homes (FCCHs). This descriptive study occurred from January-May 2022 in Arizona and New York, two states with varying levels of CACFP p...

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Main Authors: Temitope Erinosho, Bethany Jana, Kaitlyn Loefstedt, Maihan Vu, Dianne Ward
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335522003291
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author Temitope Erinosho
Bethany Jana
Kaitlyn Loefstedt
Maihan Vu
Dianne Ward
author_facet Temitope Erinosho
Bethany Jana
Kaitlyn Loefstedt
Maihan Vu
Dianne Ward
author_sort Temitope Erinosho
collection DOAJ
description This paper describes facilitators, barriers, and potential strategies to promote participation in the Child and Adult Care Food Program (CACFP) by family child care homes (FCCHs). This descriptive study occurred from January-May 2022 in Arizona and New York, two states with varying levels of CACFP participation. Stakeholders from three state-level CACFP-administering agencies, representatives of six sponsor organizations, and 23 FCCH providers (70% CACFP, 30% non-CACFP) participated in interviews. Facilitators of CACFP participation included the simple enrollment, technical assistance from sponsors, software provided by sponsors, and incentives from state agencies. Barriers included perceptions that CACFP paperwork would be burdensome, lack of access to sponsors, and challenges with meal pattern requirements. Recommended strategies to promote CACFP uptake included educating providers about CACFP, expanding outreach, and additional funding. Efforts to address state-level disparities in FCCH participation in CACFP are needed. This study provides some insight into policy and systems changes that could be beneficial.
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spelling doaj.art-0a7aad0235794aa3b8ca587087f404ae2022-12-22T04:38:02ZengElsevierPreventive Medicine Reports2211-33552022-12-0130102022Facilitators and barriers to family child care home participation in the U.S. Child and Adult Care Food Program (CACFP)Temitope Erinosho0Bethany Jana1Kaitlyn Loefstedt2Maihan Vu3Dianne Ward4Department of Applied Health Science, Indiana University Bloomington, Bloomington, IN 47405, USA; Corresponding author at: Department of Applied Health Science, Indiana University Bloomington School of Public Health, 1025 East 7th Street, suite 116, Bloomington, IN 47405, USA.Department of Applied Health Science, Indiana University Bloomington, Bloomington, IN 47405, USADepartment of Applied Health Science, Indiana University Bloomington, Bloomington, IN 47405, USADepartment of Health Behavior and the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USADepartment of Nutrition and the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USAThis paper describes facilitators, barriers, and potential strategies to promote participation in the Child and Adult Care Food Program (CACFP) by family child care homes (FCCHs). This descriptive study occurred from January-May 2022 in Arizona and New York, two states with varying levels of CACFP participation. Stakeholders from three state-level CACFP-administering agencies, representatives of six sponsor organizations, and 23 FCCH providers (70% CACFP, 30% non-CACFP) participated in interviews. Facilitators of CACFP participation included the simple enrollment, technical assistance from sponsors, software provided by sponsors, and incentives from state agencies. Barriers included perceptions that CACFP paperwork would be burdensome, lack of access to sponsors, and challenges with meal pattern requirements. Recommended strategies to promote CACFP uptake included educating providers about CACFP, expanding outreach, and additional funding. Efforts to address state-level disparities in FCCH participation in CACFP are needed. This study provides some insight into policy and systems changes that could be beneficial.http://www.sciencedirect.com/science/article/pii/S2211335522003291Family child care homeNutritionFood insecurityChild and adult care food programBarriersFacilitators
spellingShingle Temitope Erinosho
Bethany Jana
Kaitlyn Loefstedt
Maihan Vu
Dianne Ward
Facilitators and barriers to family child care home participation in the U.S. Child and Adult Care Food Program (CACFP)
Preventive Medicine Reports
Family child care home
Nutrition
Food insecurity
Child and adult care food program
Barriers
Facilitators
title Facilitators and barriers to family child care home participation in the U.S. Child and Adult Care Food Program (CACFP)
title_full Facilitators and barriers to family child care home participation in the U.S. Child and Adult Care Food Program (CACFP)
title_fullStr Facilitators and barriers to family child care home participation in the U.S. Child and Adult Care Food Program (CACFP)
title_full_unstemmed Facilitators and barriers to family child care home participation in the U.S. Child and Adult Care Food Program (CACFP)
title_short Facilitators and barriers to family child care home participation in the U.S. Child and Adult Care Food Program (CACFP)
title_sort facilitators and barriers to family child care home participation in the u s child and adult care food program cacfp
topic Family child care home
Nutrition
Food insecurity
Child and adult care food program
Barriers
Facilitators
url http://www.sciencedirect.com/science/article/pii/S2211335522003291
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