Research Methods to Assess Dietary Intake and Program Participation in Child Day Care Application to the Child and Adult Care Food Program: Workshop Summary (2012) / Chapter Skim
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. The review and recommendations are described in detail in the 2011 IOM report Child and Adult Care Food Program: Aligning Dietary Guidance for All.2 The panel of experts who conducted the review encountered a considerable 1 The measure of food insecurity was based on respondents' perceptions of whether the household was able to obtain enough food to meet their needs.
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. Program Evaluation Recommendation 1: USDA, in collaboration with rel evant agencies, should provide support for research to evaluate the impact of the Meal Requirements on participants' total and program-related dietary intake and consumption patterns, on the food and nutrition content of the meals and snacks served, on demand from eligible providers to participate in CACFP, and on program access by participants.
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Rather, the focus was directed toward methodology, specifically to discuss how to design and conduct a nationally representative study assessing children's dietary intake and participation rates in child care4 facilities, including CACFP-sponsored child care centers and homes (see Appendix A for the workshop purpose)
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It also authorizes funding and sets policy for the other USDA core child nutrition programs, including CACFP. In addition to expanding CACFP, the act requires a study of nutrition and wellness quality in all child care settings, including but not limited to CACFP programs, and provides USDA with $5 million for conducting such research.
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participation by child care centers and family or group day care homes in the child and adult care food program established under section 17 of the Richard B Russell National School Lunch Act (42 U.S.C.
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The IOM FNB carried out a similar study on revisions to nutrition standards for meals provided through the National School Lunch and School Breakfast 5 This section summarizes introductory remarks made by Jay Hirschman from the USDA Food and Nutrition Service, with some additional comments (where indicated) by Julie Brewer, Chief of the Policy and Program Branch in the Child Nutrition Division of the USDA Food and Nutrition Service.
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Data on CACFP are sparse partly because USDA has invested so heavily in the much larger National School Lunch and School Breakfast Programs, with a majority of available child nutrition research money having gone toward studying school meals (see Table 1-1)
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National School Lunch Program 10,458 31.6 Special Supplemental Nutrition Program for Women, 6,756 9.2 Infants, and Children (WIC) School Breakfast Program 2,843 11.6 Child and Adult Care Food Program (CACFP)
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The program provides reimbursement for nutritious meals and snacks served to children and adults receiving care at participating family child care homes, child care centers, at-risk after-school care facilities, outsideschool-hours care facilities, adult care facilities, and emergency shelters. As shown in Table 1-1, CACFP is by no means the largest FNS program, nor is it the only program that provides services to children.
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She urged that baseline data be collected before recommended meal requirement revisions are implemented or as soon as possible and emphasized the need for research on the impact of CACFP on participants, providers, and caregivers. Variation in Age: A Major Challenge One of the greatest challenges to collecting data on CACFP is the fact that CACFP covers a very broad age range relative to WIC and the National School Lunch and School Breakfast Programs.
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Variation in Setting: Another Challenge In addition to variation in age, a second major challenge to CACFP data collection and interpretation is variation in setting. The range of CACFP child and adult day care settings includes family homes (73 percent)
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Stallings encouraged consideration of collecting several other types of data as part of a nationally representative study to assess nutrition and physical activity in child care facilities: body mass index (BMI) data,9 biomarker data (specifically iron and vitamin D status)
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Presented at the Institute of Medicine Workshop on Research Methods to Assess Dietary Intake and Program Par ticipation in Child Day Care: Application to the Child and Adult Care Food Program. Washington, DC, February 7, 2012.
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http://www.cnpp.usda.gov/DGAs2010-Policy Document.htm (accessed April 2, 2012)
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