Online Program

Applying quality improvement methods to address obesity in early care and education (ECE) settings

Tuesday, November 5, 2013 : 9:10 a.m. - 9:30 a.m.

Allison Gertel-Rosenberg, MS, Nemours, Newark, DE
Background: Early care and education (ECE) settings provide an optimal place of intervention for obesity prevention efforts as 27% of children 2-5 years in the U.S. are overweight or obese and 12 million children are in ECE settings. Using ECE learning collaboratives, childcare programs in Delaware achieved measurable changes in child health policies and practices. With funding from the CDC, Nemours and partners are now spreading this model to six states to improve the nutrition, physical activity, breastfeeding and screen time quality of childcare. Methods: Nemours utilizes a structured approach to train ECE providers adapted from the Institute for Healthcare Improvement. Providers engage in five learning sessions demonstrating the leadership, information sharing, and technical assistance needed to adopt policies and practices in the areas noted above. Results: In Delaware, this approach yielded significant results in center practices. 100% of centers made changes in healthy eating or physical activity and 81% made changes in both areas. These results are informing the roll-out of the model in six states, impacting nearly 85,000 children in Year 1. Conclusion: ECE collaboratives represent a tested approach for spreading impactful, sustainable policy and practice improvements in ECE programs across the nation to prevent childhood obesity.

Learning Areas:

Implementation of health education strategies, interventions and programs
Public health or related education

Learning Objectives:
Demonstrate how to apply quality improvement methods within the ECE context to address obesity through the integration of primary care, public health, and community.

Keyword(s): Child Care, Child Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am responsible for leading my organization’s efforts to spread and scale promising practices and strategic prevention initiatives, including Let’s Move! Child Care, Healthy Kids, Healthy Future and the National Early Care and Education Learning Collaborative initiative with the Centers of Disease Control and Prevention. I am an expert on public health and population health and have presented at national conferences on the value of investment in childhood health and other child health issues.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.