151. Food provision in long day care requires a multilevel approach to optimise health and developmental outcomes for young children
- Author
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Sambell, Rosalind and Sambell, Rosalind
- Abstract
In 2022, 1.4 million children in Australia attended early childhood education and care (ECEC) services, of which at least 25% were overweight or obese. Poor nutrition in the early years affects a child’s health and development trajectory. Long day care (LDC) is a unique setting in which a nationally coordinated approach could optimise nutrition for children. The aim of this research was to accurately measure food provision and explore how director and cook behaviours influence menu compliance and whether members of a community of practice (CoP) undertake knowledge-brokering activities to advocate food provision quality in LDC. Research was completed in three phases. Phase 1: Determined food provision compliance of LDC compared with 50% of the Australian Dietary Guidelines (ADGs) for children aged two to three years. Raw food ingredients were weighed for one meal and two snacks over two days in 30 metropolitan LDC centres in Western Australia. Ingredient weights and cost were entered into Foodworks 8.0.3. Data and then exported to R (version 3.4.2). A one-sample t-test compared the LDC mean servings of core food groups and discretionary foods against 50% of ADG recommendations. Macro/micronutrients were compared with 50% of relevant nutrient reference values. Phase 2: Used theoretical domains framework (TDF) to determine behaviour domain differences of directors and cooks in achieving compliant menus. An online survey was emailed to 4,913 LDC centres. Seven-point Likert scale scores were summed and averaged for each domain and the mean ranks compared the behaviour domain scores between cooks and directors using the Mann–Whitney U test. General linear modelling was used to adjust for age and education. Phase 3: Identified knowledge-brokering activities undertaken by National Nutrition Network members in the formation of a CoP. A convenience sample of members completed a checklist and were interviewed at two time points. Content analysis determined the frequency of 40
- Published
- 2023