Preventing Chronic Disease | A Conceptual Framework for Organizational Readiness to Implement Nutrition and Physical Activity Programs in Early Childhood Education Settings - CDC
A Conceptual Framework for Organizational Readiness to Implement Nutrition and Physical Activity Programs in Early Childhood Education Settings
Shreela V. Sharma, PhD, RD, LD; Mudita Upadhyaya, MPH; Daniel J. Schober, PhD, MPH; Courtney Byrd-Williams, PhD
Suggested citation for this article: Sharma SV, Upadhyaya M, Schober DJ, Byrd-Williams C. A Conceptual Framework for Organizational Readiness to Implement Nutrition and Physical Activity Programs in Early Childhood Education Settings. Prev Chronic Dis 2014;11:140166. DOI: http://dx.doi.org/10.5888/pcd11.140166.
Across multiple sectors, organizational readiness predicts the success of program implementation. However, the factors influencing readiness of early childhood education (ECE) organizations for implementation of new nutrition and physical activity programs is poorly understood. This study presents a new conceptual framework to measure organizational readiness to implement nutrition and physical activity programs in ECE centers serving children aged 0 to 5 years. The framework was validated for consensus on relevance and generalizability by conducting focus groups; the participants were managers (16 directors and 2 assistant directors) of ECE centers. The framework theorizes that it is necessary to have “collective readiness,” which takes into account such factors as resources, organizational operations, work culture, and the collective attitudes, motivation, beliefs, and intentions of ECE staff. Results of the focus groups demonstrated consensus on the relevance of proposed constructs across ECE settings. Including readiness measures during program planning and evaluation could inform implementation of ECE programs targeting nutrition and physical activity behaviors.
The authors acknowledge the Michael and Susan Dell Center for Healthy Living for their support of the project. Financial support for this project was provided by The Nemours Foundation through a cooperative agreement with the Centers for Disease Control and Prevention (1U58DP004102-01). The authors also thank Julie Shuell, Erica Cooper, Roshelle Payes, and Laurie Chow from The Nemours Foundation for their support for the development of this article.
Corresponding Author: Shreela Sharma, PhD, RD, LD, Associate Professor, Division of Epidemiology, Human Genetics and Environmental Sciences, Michael and Susan Dell Center for Healthy Living, The University of Texas School of Public Health, 1200 Hermann Pressler, RAS E603, Houston, TX 77030. Telephone: 713-500-9344. E-mail: Shreela.V.Sharma@uth.tmc.edu.
Author Affiliations: Mudita Upadhyaya, Courtney Byrd-Williams, Michael and Susan Dell Center for Healthy Living, The University of Texas, School of Public Health, Houston, Texas; Daniel J. Schober, Gretchen Swanson Center for Nutrition and University of Nebraska Medical Center, Omaha, Nebraska.