There was also minimal change in dietary behaviors, similar to previous studies.
From these results, we can conclude that providing training in self-regulation may be necessary to improve the particpiants' dietary behaviors.
However, food served in child care facilities is often not of the best nutritional quality (Zuercher, Grace, & Kranz, 2011) and there is lack of positive role modelling among staff.
Both of these factors pose obstacles to a health-promoting environment for the children who attend.
Although EFNEP has seen improvements, they are not yet up to recommendations.
Previous studies have been successful in eliciting behavior change when improving self-regulation in conjunction with dietary education.
Educators reported positive attitudes and high self-efficacy towards providing a healthy eating environment. Over‐provision of discretionary foods at childcare dilutes the nutritional quality of diets for children.
However, evaluation results demonstrated disparity between reported knowledge and behaviours, such as high self-efficacy, and those observed, such as poor quality menu plans.
The University of Maine Cooperative Extension’s Eat Well Program, funded federally by the Expanded Food and Nutrition Education Program (EFNEP), targets low-income adults with young children, and low-income youth, with valuable food and nutrition-related educational messages.
Effective nutrition education programs are needed for the low-income population because they are at a higher risk for chronic health conditions.