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Maternal and Child Health Journal

, Volume 12, Issue 1, pp 128–135 | Cite as

Assessing the Knowledge, Attitudes, Behaviors and Training Needs Related to Infant Feeding, Specifically Breastfeeding, of Child Care Providers

  • Alena ClarkEmail author
  • Jennifer Anderson
  • Elizabeth Adams
  • Susan Baker
Article

Abstract

Objective

The purpose of this study was to assess the knowledge, attitudes, behaviors and training needs of child care providers on infant feeding practices, specifically breastfeeding.

Methods

Needs assessment surveys for child care directors and infant room teachers were developed, tested and mailed to the 277 Colorado child care centers licensed to care for infants (≤12 months); 1,385 surveys were mailed.

Results

A total of 267 surveys were received for an overall response rate of 20%. The majority (79%) of infant room teachers and directors reported low knowledge on ways to adequately store breastmilk and formula. Perceived attitudes on the advantages and disadvantages of breastmilk versus formula as well as behaviors associated with offering working mothers a supportive breastfeeding environment (e.g. breast pumps available at center, offer mothers a place to breastfeed) were also examined. Directors and infant room teachers desired updated infant feeding information for themselves, co-workers and parents. They wanted English and Spanish information regarding breastfeeding, formula feeding and introducing solid foods. Eighty-six percent of directors and 67% of teachers stated they have Internet access at work. Eighty-eight percent of directors and 79% of teachers would be interested in an infant feeding website.

Conclusions

According to the results of the needs assessment, child care directors and infant room teachers are in need of current, accessible infant feeding information. Child care directors and infant room teachers desired a website with bilingual and best practice infant feeding information specific to the needs of child care providers.

Keywords

Infant feeding Child care providers Needs assessment 

Notes

Acknowledgements

The funding for this project was provided by the Colorado Department of Public Health and Environment––Colorado Physical Activity and Nutrition Coalition.

References

  1. 1.
    American Academy of Pediatrics. (2005). Breastfeeding and the use of human milk. Pediatrics, 115, 496–506.CrossRefGoogle Scholar
  2. 2.
    U.S. Department of Health, Human Services, Office on Women’s Health. (2003). Benefits of breastfeeding. Nutrition in Clinical Care, 6, 125–131.Google Scholar
  3. 3.
    U.S. Department of Health, Human Services, Office of Women’s Health. (2000). HHS blueprint for action on breastfeeding. Washington, DC: U.S. Department of Health and Human Services, Office on Women’s Health.Google Scholar
  4. 4.
    U.S. Department of Health and Human Services. Healthy People 2010. (2000). (Vol. I, 2nd ed.).Google Scholar
  5. 5.
    Breastfeeding Practices – Results from the 2005 National Immunization Survey. Centers for Disease Control. Retrieved on January 15, 2006 from www.cdc.gov/breastfeedingdata/NIS_data/data_2005.htm.Google Scholar
  6. 6.
    Business and Professional Women’s Foundation. 101 Facts on the Status of Working Women. Retrieved January 30, 2005, from http://www.bpwusa.org.
  7. 7.
    American Dietetic Association. (2005). Position of the American Dietetic Association: Benchmarks for nutrition programs in child care settings. Journal of the American Dietetic Association, 105, 979–986.CrossRefGoogle Scholar
  8. 8.
    Colorado Pregnancy Risk Assessment Monitoring System (PRAMS) data. (2002). Denver, Colorado: Colorado Department of Public Health and Environment.Google Scholar
  9. 9.
    Li, R., Darling, N., Maurice E., Barker, L., & Grummer-Strawn, L. (2005). Breastfeeding rates in the United States by characteristics of the child, mother or family: The 2002 National Immunization Survey. Pediatrics, 115(1), e31–e37.PubMedGoogle Scholar
  10. 10.
    Visness, C., & Kennedy, K. (1997). Maternal employment and breast-feeding: Findings from the 1988 National Maternal and Infant Health Survey. American Journal of Public Health, 87, 945–950.PubMedGoogle Scholar
  11. 11.
    Noble, S. (2001). Maternal employment and the initiation of breastfeeding. Acta Paediatrica, 90, 423–428.PubMedCrossRefGoogle Scholar
  12. 12.
    Roe, B., Whittington, L., Fein, S., & Teisl, M. (1999). Is there competition between breast-feeding and maternal employment? Demography, 136(2), 157–171.CrossRefGoogle Scholar
  13. 13.
    American Dietetic Association. (2001). Position of the American Dietetic Association: Breaking the barriers to breastfeeding. Journal of the American Dietetic Association, 101, 1213–1220.CrossRefGoogle Scholar
  14. 14.
    Visness, C., & Kennedy, K. (1997). Maternal employment and breast-feeding: Findings from the 1988 National Maternal and Infant Health Survey. American Journal of Public Health, 87, 945–950.PubMedCrossRefGoogle Scholar
  15. 15.
    Dellaport, J., & Clark, A. (2004). [Evaluating a single-user electric pump pilot project in Colorado]. Unpublished raw data.Google Scholar
  16. 16.
    Sikorski, J., Renfrew, M., Pindoria, S., & Wade, A. (2003). Support for breastfeeding mothers: A systematic review. Paediatric and Perinatal Epidemiology, 17, 407–417.PubMedCrossRefGoogle Scholar
  17. 17.
    United States Department of Agriculture Food, Nutrition Service. (1999). National School Lunch Program, School Breakfast Program and Child and Adult Care Food Program: Amendments to the Infant Meal Pattern. Federal Register, 64(219), 61770–61776.Google Scholar
  18. 18.
    Centers for Disease Control. (1996). A Guide for Use in the Child Nutrition Programs – Feeding the Breastfed Baby. Atlanta, Georgia: CDC Publishing House.Google Scholar
  19. 19.
    United States Department of Agriculture – Supplemental Nutrition Program for Women, Infants and Children. Breastfeeding Intervention Design Study, Report No. WIC-04-BFDSN, 2004.Google Scholar
  20. 20.
    Dunn, B., Zavela, K., Cline, A., & Cost, P. (2004). Breastfeeding practices in Colorado businesses. Journal of Human Lactation, 20, 170–176.PubMedCrossRefGoogle Scholar
  21. 21.
    Dodgson, J., & Duckett, L. (1997). Breastfeeding in the workplace. Building a support program for nursing mothers. American Association of Occupational Health Nurses Journal, 45(6), 290–298.Google Scholar
  22. 22.
    Cohen, R., & Mrtek, M. (1994). The impact of two corporate lactation programs on the incidence and duration of breast-feeding by employed mothers. American Journal of Health Promotion, 8(6), 436–441.PubMedGoogle Scholar
  23. 23.
    Brown, C., Poag, S., & Kasprzycki, C. (2001). Exploring large employers’ and small employers’ knowledge, attitudes, and practices on breastfeeding support in the workplace. Journal of Human Lactation, 17(1), 39–46.PubMedCrossRefGoogle Scholar
  24. 24.
    Mcintyre, E., Pisaniello, O., Gun, R., Sanders, C., & Frith, D. (2002). Balancing breastfeeding and paid employment: A project targeting employers, women and workplaces. Health Promotion International, 17(3), 215–222.PubMedCrossRefGoogle Scholar
  25. 25.
    Ortiz, J., McGilligan, K., & Kelly, P. (2004). Duration of breast milk expression among working mothers enrolled in an employer-sponsored lactation program. Pediatric Nursing, 30(2), 111–119.PubMedGoogle Scholar
  26. 26.
    Slusser, W., Lange, L., Dickson, V., Hawkes, C., & Cohen, R. (2004). Breast milk expression in the workplace: A look at frequency and time. Journal of Human Lactation, 20(2), 164–169.PubMedCrossRefGoogle Scholar
  27. 27.
    Rojjanasrirat, W. (2004). Working women’s breastfeeding experiences. American Journal of Maternal Child Nursing, 29(4), 222–227.PubMedCrossRefGoogle Scholar
  28. 28.
    Wyatt, S. (2002). Challenges of the working breastfeeding mother. American Association of Occupational Health Nurses, 50(2), 61–66.Google Scholar
  29. 29.
    Libbus, M., & Bullock, L. (2002). Breastfeeding and employment: An assessment of employer attitudes. Journal of Human Lactation, 18(3), 247–251.PubMedGoogle Scholar
  30. 30.
    Dirige, O., Oglesby, A., & Bassoff, B. (1991). An assessment of the nutrition education needs of day care providers. Journal of the American Dietetic Association, 91, 714–715.PubMedGoogle Scholar
  31. 31.
    Runner, Karen. (1992). [Assessment of Breastfeeding Practices in Colorado Child Care Centers]. Unpublished raw data.Google Scholar
  32. 32.
    United States Department of Agriculture – Child, Adult Food Care Program. (1996). Breastfed babies welcome here!. Alexandria, Virginia: Government Publishing House.Google Scholar
  33. 33.
    SAS Institute Inc. Copyright © 2004. SAS Institute Inc., Cary, NC, USA.Google Scholar
  34. 34.
    Ammenwerth, E., Iller, C., & Mansmann, U. (2003). Can evaluation studies benefit from triangulation? A case study. International Journal of Medical Informatics, 70(2–3), 237–248.PubMedCrossRefGoogle Scholar
  35. 35.
    Feeding Young Children in Group Settings. University of Idaho. Retrieved on April 15, 2005 from http://www.ag.uidaho.edu/feeding/.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Alena Clark
    • 1
    Email author
  • Jennifer Anderson
    • 1
  • Elizabeth Adams
    • 2
  • Susan Baker
    • 1
  1. 1.Department of Food Science and Human NutritionColorado State UniversityFort CollinsUSA
  2. 2.Oregon Health and Science UniversityPortlandUSA

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