Evaluation of an Online Training Course for Childcare Providers Participating in the CACFP Infant Feeding Program

Introduction The Child and Adult Care Food Program (CACFP) provides reimbursement for meals and snacks offered in participating centers and issues nutrition standards, including guidelines for feeding infants in childcare settings. Offering training to childcare providers participating in the CACFP is necessary to ensure compliance with nutrition standards in childcare settings. Methods A State Department of Education and University Extension system collaborated to develop an online nutrition training course for childcare providers. Providers (n = 57) participated in the course on CACFP nutrition standards related to feeding infants (0-12 months of age). Thirty-two of 57 participants completed both pre- and post-training surveys that were used to assess changes in knowledge and confidence concerning infant feeding standards. Paired t-tests and Wilcoxon signed-rank tests were conducted to assess differences in survey responses before and after the course. Results Self-confidence and knowledge of providers related to infant feeding were significantly increased after completion of the training course (p < 0.001). More participants reported their sites were likely to respond to infants showing they were hungry or full than before the course (44.4% vs. 75.7%, respectively). Participant feedback indicated the online asynchronous course was convenient, useful, and topics were relevant to training needs. Discussion The online course was feasible and effective for providing training on CACFP guidelines for childcare providers. Feedback from participants can be adapted and used for future training programs to further improve the course and delivery methods and efficiently reach a broad audience of childcare providers. Significance What Is Already Known on This Subject? The CACFP supports childcare providers by providing reimbursement, training, and other resources to promote healthy development of children. However, barriers like limited knowledge about meal pattern requirements and safe storage of breast milk/formula hinder infant feeding practices in childcare settings. Provider understanding of the content and practical application of CACFP guidelines is crucial for compliance. What Does This Study Add? Childcare providers reported preference for asynchronous training over other models to accommodate flexible scheduling. This study demonstrated the efficacy and convenience of an asynchronous online course on CACFP infant feeding standards and this or a similar course may enhance provider knowledge and confidence.