Supporting Obesity Prevention in Statewide Quality Rating and Improvement Systems: A Review of State Standards

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Geary, Nora Ann ; Dooyema, Carrie Ann ; Reynolds, Meredith Ann
• Description:
  Introduction ; A quality rating and improvement system (QRIS) is a fundamental component of most states’ early care and education infrastructures. States can use a QRIS to set standards that define high-quality care and award child care providers with a quality rating designation based on how well they meet these standards. The objective of this review was to describe the extent to which states’ QRIS standards include obesity prevention content. ; Methods ; We collected publicly available data on states’ QRIS standards. We compared states’ QRIS standards with 47 high-impact obesity prevention components in Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Edition, and 6 additional topics based on the Centers for Disease Control and Prevention’s Spectrum of Opportunities for Obesity Prevention in the Early Care and Education Setting. ; Results ; Thirty-eight states operated a state-wide QRIS in early 2015. Of those, 27 states’ QRIS included obesity prevention standards; 20 states had at least one QRIS standard that aligned with the high-impact obesity prevention components, and 21 states had at least one QRIS standard that aligned with at least one of the 6 additional topics. QRIS standards related to the physical activity high-impact obesity prevention components were the most common, followed by components for screen time, nutrition, and infant feeding. ; Conclusion ; The high proportion of states operating a QRIS that included obesity prevention standards, combined with the widespread use of QRISs among states, suggests that a QRIS is a viable way to embed obesity prevention standards into state early care and education systems.
• Subjects:
  • Child
  • Humans
  • Outcome and Process Assessment, Health Care
  • Pediatric Obesity
  • School Health Services
• Source:
  Prev Chronic Dis. 14.
• DOI:
  http://dx.doi.org/10.5888/pcd14.160518
• ISSN:
  1545-1151
• Pubmed ID:
  29215976
• Pubmed Central ID:
  PMC5724994
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  14
• Download URL:
  https://stacks.cdc.gov/view/cdc/50303/cdc_50303_DS1.pdf
• File Type:
  [PDF - 385.93 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:220d3356a8af34c0c4e31df72036342f4375fbd83868791cb55e392bf8e5d1480baa80adbf678b5519ac78c62efc38ed5113d0edd7ae121fc75d70e19d570fe8