Phillip Dobson1, Regan Burney2, Derek Hales3, Amber Vaughn2, Alison Tovar4, Truls Østbye5, Dianne Ward6. 1. Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC. 2. Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC. 3. Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC; Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC. 4. Department of Nutrition and Food Sciences, University of Rhode Island, Kingston, RI. 5. Department of Family Medicine and Community Health, Duke University Medical Center, Durham, NC. 6. Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC; Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC. Electronic address: dsward@email.unc.edu.
Abstract
OBJECTIVE: To examine associations of stress and sleep with diet quality of family child care home (FCCH) providers, and whether self-efficacy for healthy eating influences these associations. DESIGN: A cross-sectional analysis was performed using baseline data (2013-2015) from a randomized control trial with FCCH providers. PARTICIPANTS: The study included 166 licensed FCCH providers, aged >18 years, from central North Carolina. MAIN OUTCOME MEASURE(S): Diet quality was assessed with a food frequency questionnaire, used to calculate a modified 2010-Healthy Eating Index score. Stress, sleep quality, and diet self-efficacy were measured via self-administered questionnaires. ANALYSIS: Using observations from 158 participants with complete data, multiple linear regression models were created to assess whether stress, sleep quality, and diet self-efficacy were associated with diet quality and whether diet self-efficacy moderated these associations (significance set at P < 0.05). RESULTS: In the initial model, only diet self-efficacy was significantly associated with diet quality (β = 0.32; P < 0.001). Moderation analyses showed that higher stress was associated with lower diet quality, but only when diet self-efficacy was low. CONCLUSIONS: Building FCCH providers' self-efficacy for healthy eating is an important component of health promotion and can buffer the impact of stress on their diet quality.
RCT Entities:
OBJECTIVE: To examine associations of stress and sleep with diet quality of family child care home (FCCH) providers, and whether self-efficacy for healthy eating influences these associations. DESIGN: A cross-sectional analysis was performed using baseline data (2013-2015) from a randomized control trial with FCCH providers. PARTICIPANTS: The study included 166 licensed FCCH providers, aged >18 years, from central North Carolina. MAIN OUTCOME MEASURE(S): Diet quality was assessed with a food frequency questionnaire, used to calculate a modified 2010-Healthy Eating Index score. Stress, sleep quality, and diet self-efficacy were measured via self-administered questionnaires. ANALYSIS: Using observations from 158 participants with complete data, multiple linear regression models were created to assess whether stress, sleep quality, and diet self-efficacy were associated with diet quality and whether diet self-efficacy moderated these associations (significance set at P < 0.05). RESULTS: In the initial model, only diet self-efficacy was significantly associated with diet quality (β = 0.32; P < 0.001). Moderation analyses showed that higher stress was associated with lower diet quality, but only when diet self-efficacy was low. CONCLUSIONS: Building FCCH providers' self-efficacy for healthy eating is an important component of health promotion and can buffer the impact of stress on their diet quality.
Authors: Lucine Francis; Nancy Perrin; Frank C Curriero; Maureen M Black; Jerilyn K Allen Journal: Int J Environ Res Public Health Date: 2022-05-24 Impact factor: 4.614