Child Care and Early Education Research Connections

Skip to main content

Implementation of policy, system and environment changes in early childhood education settings

Background: Changing Policy, System, and Environmental features focused on physical activity and healthy eating behaviors can play a key role in obesity prevention strategies in early childhood education settings because of their broad reach and because they can be sustained over time. The primary aims of this study were to examine the implementation and sustainability of health-promoting PSE changes after facilitation of an innovative strategic planning process in child care settings. Methods: The evidence-based policy, system, and environment change process is a strategic planning tool derived from intervention mapping that involves convening interdisciplinary wellness teams at child care settings to implement healthy eating and physical activity-related policy changes. The process was conducted with 43 wellness teams representing 68 child care centers. Results: The average number of health-promoting evidence-based changes implemented across all child care centers was 5.07; the most common type of changes were environment changes. Overall, 42% of changes were partially implemented and 47% of changes were fully implemented at 6 months. Head Start wellness teams implemented 1.52 fewer health-promoting changes compared to private fee-based wellness teams (p<.05 conclusions:="" identifying="" health-promoting="" policy="" system="" and="" environment="" changes="" that="" are="" most="" readily="" implemented="" sustained="" in="" child="" care="" centers="" can="" inform="" systems-level="" interventions="" resource="" allocation="" related="" to="" early="" childhood="" obesity.="" this="" strategic="" planning="" process="" is="" a="" successful="" tool="" translate="" sustainable="" healthy="" eating="" physical="" activity="" improve="" the="" quality="" rating="" of="" diverse="" promote="" behaviors="" childhood.="" abstract="">
Resource Type:
Reports & Papers
United States

- You May Also Like

These resources share similarities with the current selection. They are found by comparing the topic, author, and resource type of the currently selected resource to the rest of the library’s publications.

Improving breastfeeding environments and feeding practices in family child care homes with the Go NAP SACC program

Reports & Papersview

Examining differences in achievement of physical activity best practices between urban and rural child care facilities by age

Reports & Papersview

Parent website engagement and health equity implications in a child care−based wellness intervention

Reports & Papersview