Children and COVID-19 Research Library

A Coordinated Approach to Child Health (CATCH) is an evidence-based school health program focusing on increasing healthy eating and physical activity and reducing screen time. This project aimed to determine if CATCH program will have significant effects on self-rated knowledge, habits of physical activity, healthy eating (fruit and vegetable consumption), and screen time among 3rd and 5th-grade students at a rural elementary school during the 2020–2021 school year. To evaluate this 4-month project, a pre- and post-intervention School Physical Activity and Nutrition (SPAN) survey was distributed to 51 3rd and 5th-grade students. The program included six 30-minute education sessions specific to grade level and healthy snacks including fruits and vegetables. A family fun event (virtual 2K walk/run due to COVID-19) was organized. Prizes (i.e., water bottles, jump ropes) were given to students for participating in the family fun event and at Track and Field day to encourage healthy behavior.

Online grocery services hold potential to reduce physical barriers to equitable healthy food procurement, particularly among low-income families who often live far from groceries stores. During COVID-19, the USDA authorized the use of the Supplemental Nutrition Assistance Program (SNAP) benefits online in some retailers across the US. We aimed to evaluate the nutritional quality of online grocery purchases among SNAP-eligible families. Itemized receipt data was analyzed from a larger mixed methods study of online grocery shopping behaviors of SNAP-eligible families in Maryland. Of the 310 participants who completed the survey, 39 submitted grocery receipts. Of those, 19 participants submitted receipts with complete data for nutritional analysis on total amount spent, number of items purchased and units, weight (oz), and % of expenditure on fruits, vegetables, and sugar sweetened beverages (SSB). Nutritional analysis compared purchases of propensity score matched samples of SNAP (n = 14) versus SNAP-eligible non-participant families (n = 5) using a zero-inflated Poisson regression, controlling for sociodemographic factors.

To explore the perceived barriers and needs of different types of community stakeholders regarding services and resources to improve food security for families with children under 3 years before and during COVID-19. Community stakeholders (n = 32) working with low-income families with children ages 0–3 years in Florida participated in a 60-minute interview via Zoom. Participants included those working in healthcare (n = 7), community/policy development (n = 6), emergency food assistance (n = 6), early childhood development (n = 7), and nutrition education (n = 6). Trained researchers conducted interviews using a semi-structured script based on the PRECEDE component of the PRECEDE-PROCEED model. Interviews were audio-recorded, transcribed verbatim, and analyzed using an inductive thematic approach. Crosstab qualitative analysis was used to compare data across different types of stakeholders.