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Esquivel MK, Fialkowski MK, Aflague T, Novotny REsquivel MK, Fialkowski MK, Aflague T, Novotny R
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Esquivel MK, Fialkowski MK, Aflague T, Novotny R (2016) Engaging Head Start Teachers on Wellness Policy Implementation to Improve the Nutrition and Physical Activity Environment in Head Start Classrooms: A Qualitative Study of the Children’s Healthy Living Program (CHL) in Hawai’i. J Family Med Community Health 3(5): 1094. Child care center policies have the potential to contribute to childhood obesity prevention. Policies at these centers vary by state and funding agency and barriers to implementation decreases compliance. The objective of this study was to engage Head Start (HS) teachers to inform a preschool wellness policy intervention for childhood obesity prevention. Two focus groups on preschool wellness policy were composed of HS teachers from two previously randomized communities. Focus groups were facilitated by one researcher and took place in May 2014 in Hawai‘i. Sixteen teachers participated in one of two focus groups (n=6 and n=10) and were asked to give recommendations for policies to support childhood obesity prevention in their classrooms. Audio recordings were transcribed verbatim. Three researchers identified themes following an inductive method. Teachers 1) valued being a positive influence on the development of children, 2) saw that policy supported a safe classroom environment and encouraged consistent role modeling, and 3) saw gaps in resources as a barrier to promoting health. Policies are needed that facilitate teachers being role models of health and teachers’ efficacy in addressing nutrition with parents through training and technical assistance. The necessity of a Registered Dietitian Nutritionist was identified to support these efforts. Findings informed policy changes for an intervention study.
Esquivel MK, Fialkowski MK, Aflague T, Novotny R (2016) Engaging Head Start Teachers on Wellness Policy Implementation to Improve the Nutrition and Physical Activity Environment in Head Start Classrooms: A Qualitative Study of the Children’s Healthy Living Program (CHL) in Hawai’i. J Family Med Community Health 3(5): 1094. Child care center policies have the potential to contribute to childhood obesity prevention. Policies at these centers vary by state and funding agency and barriers to implementation decreases compliance. The objective of this study was to engage Head Start (HS) teachers to inform a preschool wellness policy intervention for childhood obesity prevention. Two focus groups on preschool wellness policy were composed of HS teachers from two previously randomized communities. Focus groups were facilitated by one researcher and took place in May 2014 in Hawai‘i. Sixteen teachers participated in one of two focus groups (n=6 and n=10) and were asked to give recommendations for policies to support childhood obesity prevention in their classrooms. Audio recordings were transcribed verbatim. Three researchers identified themes following an inductive method. Teachers 1) valued being a positive influence on the development of children, 2) saw that policy supported a safe classroom environment and encouraged consistent role modeling, and 3) saw gaps in resources as a barrier to promoting health. Policies are needed that facilitate teachers being role models of health and teachers’ efficacy in addressing nutrition with parents through training and technical assistance. The necessity of a Registered Dietitian Nutritionist was identified to support these efforts. Findings informed policy changes for an intervention study.