Food Waste, Preference, and Cost: Perceived Barriers and Self-Reported Food Service Best Practices in Family Child Care Homes

Authors

Divya Patel, University of Oklahoma Health Sciences Center
Daisy Butzer, University of Oklahoma Health Sciences Center
Bethany D. Williams, University of Oklahoma Health Sciences Center and Washington State University Health Sciences Spokane
Dipti Dev, University of Nebraska-LincolnFollow
Diane Horm, University of Oklahoma-NormanFollow
Denise Finneran, University of Oklahoma Health Sciences CenterFollow
Bryce Lowery, University of Oklahoma-NormanFollow
Janis E. Campbell, University of Oklahoma Health Sciences CenterFollow
Susan B. Sisson, University of Oklahoma Health Sciences CenterFollow

ORCID IDs

Dipti A. Dev

Bryce Lowery

Susan B. Sisson

Document Type

Article

Date of this Version

12-2022

Citation

Childhood Obesity 18:8 (December 2022), pp. 548–555.

doi: 10.1089/chi.2021.0251

Comments

Copyright © 2022 Mary Ann Liebert, Inc. Used by permission.

Abstract

Background: Family Child Care Homes (FCCHs) are a setting where providers care for children at their own residence. FCCHs face unique challenges, and children may not always receive optimal nutrition and have higher risk of obesity compared to other programs. The objective of this study was to determine differences in food service best practices scores between FCCHs who did/did not perceive barriers to serving healthy meals. Methods: FCCHs (n = 167) self-reported demographics and perceived barriers to serving healthy foods. Nutrition and Physical Activity Self-Assessment for Child Care was used to assess food served with 1 (indicating poor practice) to 4 (indicating best practice). Means, standard deviations, and t-tests were conducted to determine differences in scores between FCCHs with and without perceived barriers. Adjusted alpha was 0.013. Results: FCCHs perceiving food waste as a barrier had significantly lower scores for total food and beverage (p = 0.006, 3.2 ± 0.3 vs. 3.4 ± 0.3); fruits and vegetables (p = 0.003, 3.1 ± 0.5 vs. 3.3 ± 0.5), whole fruits (p = 0.048, 3.1 ± 1.2 vs. 3.4 ± 0.9), and nonstarchy vegetables (p = 0.007, 2.8 ± 0.9 vs. 3.2 ± 0.9). Providers perceiving food preferences as a barrier had significantly lower scores compared to those who did not (p = 0.008, 2.9 ± 0.9 vs. 3.3 ± 0.9). No significant differences found in best practices among providers with vs. without perceived barrier of food costs. Conclusion: Food waste is an understudied barrier in FCCHs to serve healthy meals. Research is needed to explore these perceived barriers in FCCHs to improve best practices around meals.