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Describe nutrition and physical activity practices, nutrition self-efficacy and barriers and food programme knowledge within Family Child Care Homes (FCCH) and differences by staffing.
Baseline, cross-sectional analyses of the Happy Healthy Homes randomised trial (NCT03560050).
FCCH in Oklahoma, USA.
FCCH providers (n 49, 100 % women, 30·6 % Non-Hispanic Black, 2·0 % Hispanic, 4·1 % American Indian/Alaska Native, 51·0 % Non-Hispanic white, 44·2 ± 14·2 years of age. 53·1 % had additional staff) self-reported nutrition and physical activity practices and policies, nutrition self-efficacy and barriers and food programme knowledge. Differences between providers with and without additional staff were adjusted for multiple comparisons (P < 0·01).
The prevalence of meeting all nutrition and physical activity best practices ranged from 0·0–43·8 % to 4·1–16·7 %, respectively. Average nutrition and physical activity scores were 3·2 ± 0·3 and 3·0 ± 0·5 (max 4·0), respectively. Sum nutrition and physical activity scores were 137·5 ± 12·6 (max 172·0) and 48·4 ± 7·5 (max 64·0), respectively. Providers reported high nutrition self-efficacy and few barriers. The majority of providers (73·9–84·7 %) felt that they could meet food programme best practices; however, knowledge of food programme best practices was lower than anticipated (median 63–67 % accuracy). More providers with additional staff had higher self-efficacy in family-style meal service than did those who did not (P = 0·006).
Providers had high self-efficacy in meeting nutrition best practices and reported few barriers. While providers were successfully meeting some individual best practices, few met all. Few differences were observed between FCCH providers with and without additional staff. FCCH providers need additional nutrition training on implementation of best practices.
Lactational amenorrhoea (LAM) is an effective temporary method of contraception which can be used by a new mother if she is breastfeeding her baby at least every 4 hours during the day and every 6 hours during the night.
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A primary school teacher attends the GP surgery in early pregnancy to report that several pupils in her class have chickenpox. There is no record in her notes of her having had chickenpox herself when she was younger.
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The principles of pre-conception care including management and optimisation of long-term health conditions, provision of assistance in ceasing risky behaviours (e.g. smoking and alcohol excess), promotion of healthy behaviours and identification/counselling of women at increased risk of genetic abnormalities
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