Family Child Care Research Articles

DESAFIOS E RESILIÊNCIA: UMA ANÁLISE DAS DIFICULDADES ENFRENTADAS POR MÃES DE FILHOS NO ESPECTRO AUTISTA

The diagnosis of Autism Spectrum Disorder presents some challenges and singularities, the limitations in its development entail a series of demands and significant changes in the family's routine and child care. The objective of this article is to understand the difficulties and experiences faced by mothers with children diagnosed with Autism Spectrum Disorder (ASD). The expected results will be significant in highlighting the challenges faced by mothers of children with Autism Spectrum Disorder (ASD), including the emotional impact of the diagnosis, the need to access specialized resources, the burden of care and difficulties in social interaction. Based on the studies analyzed, we hoped to understand this complex and significant issue faced by mothers of children with ASD in the care process. Research will play a relevant role in the development of policies and support programs that can protect the feminine essence and promote quality of life for families in society.

Child care for young children with disabilities.

More than half (56%) of Canadian children aged 0 to 5 years are in non-parental child care, but data on child care attendance among children with disabilities is limited. This study examines child care participation among young children with disabilities in Canada, with a focus on different disability types. Analyses were conducted on 1,189 children aged 0 to 5 years identified with disabilities from Statistics Canada's 2023 Survey on Early Learning and Child Care Arrangements - Children with Long-term Conditions and Disabilities. Rates of child care participation, difficulties finding child care, difficulties within child care, and whether parents reported that their child had ever been denied a child care space because of their condition were examined. Logistic regression models tested for differences in the main child care arrangement and difficulty finding child care based on the child's disability while controlling for sociodemographic variables. Among children aged 0 to 5 years with disabilities, 45% attended a daycare centre, preschool, centre de la petite enfance, or before or after school care as their main child care arrangement; 17% attended another type of child care, such as a family child care home or care by a relative; and 38% did not regularly attend non-parental child care. The parents of nearly half of children with disabilities reported difficulty finding a child care arrangement, particularly for children with emotional conditions. Close to 1 in 10 parents of children with disabilities who were using child care reported that their child had been denied a child care space because of their condition. These findings highlight the need for information to support inclusive policies, practices, and resources for children with disabilities within the Canada-wide early learning and child care system.

Child and Adult Care Food Program: Family Childcare Home Providers’ Perceptions of Impacts of Increased Meal and Snack Reimbursement Rates during the COVID-19 Pandemic

Introduction: The U.S. Child and Adult Care Food Program (CACFP) provides tiered reimbursements for healthy foods for children at participating family childcare homes (FCCH). Higher tier 1 reimbursements are for providers who operate in low-income communities or who are themselves living on a low income. All FCCHs received a higher rate to address food insecurity during the COVID-19 pandemic. Methods: A survey was administered in the spring of 2023 to a randomly selected sample of licensed California FCCHs to assess the perceived impacts of the increased reimbursement on CACFP participation and anticipated challenges with reinstated tiered rates. A total of 518 surveys (261 tier 1, 257 tier 2) were analyzed using linear or logistic regression, adjusting for confounders. Results: Among tier 1 and tier 2 providers combined, over half reported lowering out-of-pocket spending for food (59%) and serving greater variety (55%) and quality (54%) of foods. Tier 2 providers reported experiencing more benefits (p < 0.05) and tended to be more likely to implement optional CACFP best practices (although not significantly different between tiers). Most FCCH providers found reimbursement rates were inadequate before (83%) the pandemic; this amount decreased to 54% post-pandemic for tier 1 and tier 2 providers combined. Conclusions: The temporary CACFP reimbursement positively impacted the perceived quality and variety of foods served to children, especially among tier 2 providers. Increased reimbursements for all FCCHs may ensure children have access to the healthy meals and snacks provided by the CACFP.

“I help them see their potential”: The role of Cultural Navigators in Supporting the Professional Development of Immigrant and Refugee Family Childcare Providers

“I help them see their potential”: The role of Cultural Navigators in Supporting the Professional Development of Immigrant and Refugee Family Childcare Providers

Should Parents Only Use One Language with Their Autistic Children? The Relations Between Multilingualism, Children's Social Skills, and Parent-Child Communication.

Parents of autistic children are often advised to use only one language to simplify their child's language acquisition. Often this recommendation orients towards the geographically predominant language, which may cause difficulties especially for minority-language families. On the other hand, scientific evidence suggests that multilingualism does not hinder language acquisition and that communicating in exclusively foreign languages may even impede social interaction. Therefore, we investigated how parent language use is linked to the social skills of 68 autistic children and to their parents' ability to feel comfortable, authentic, and free to express themselves. Data was collected online, using parent-report questionnaires from parents of 25 different nationalities in the European context, assessing children's language, autistic traits (AQ-C), social skills (SRS-2), and parent-child communication. Language use was not found to significantly relate to social skills in children. However, parents using their mother tongue, either only their mother tongue or in combination with other languages, reported feeling significantly more comfortable and more authentic than parents using exclusively foreign languages, either one or many. There were no significant differences between monolingual and multilingual families regarding parents' feelings in regard to their language use. Our findings may encourage specialists to consider multilingualism more often and consult with parents whether monolingualism is worth risking the negative outcomes we have found. Especially, since advising parents to raise their child multilingually may facilitate access to therapeutic treatment, childcare, and social interaction in multilingual societies and families and subsequently improve support and orientation for stakeholders.

Grandparental childcare and maternal labor supply in Chinese families with young children: Evidence from the China Family Panel Studies

With the implementation of the three-child policy and delayed retirement policy, the conflicts between childcare responsibility and mothers’ labor supply in China have increased dramatically. The present study utilized data from the 2018 China Family Panel Studies to investigate the impacts of grandparental childcare on the labor supply of mothers with children aged 0–6 years. The results of the Probit model and Tobit model indicated that grandparental childcare could significantly increase mother’s labor force participation rate and extend their weekly working hours. The relation of grandparental childcare to mothers’ labor force participation in one-child families was stronger compared with multi-child families. However, its relation to mothers’ working hours in one-child families was smaller than that in multi-child families. Furthermore, the effect of grandparental childcare on mothers’ labor supply was more pronounced when children were younger, particularly for those with children aged 0–2 years. The findings highlight the important role of grandparental childcare and have several implications for family support policies.

Children's physical activity in family child care homes: Influence of quality status, environment and policy features, and child characteristics.

About half of preschool-age children are not meeting recommendations of 15 min/h of physical activity (PA), and nearly one out of seven children between the ages of 2-5years are living with obesity. Furthermore, children attending family child care homes (FCCHs), compared with larger child care centers, engage in lower levels of PA and appear to be at a higher risk of obesity. Therefore, examining PA and multi-level factors that influence PA in children who attend FCCHs is essential. The Childcare Home Eating and Exercise Study (CHEER) examined PA behaviors of 184 children enrolled in 56 FCCHs and FCCH quality status, environment and policy features, and child characteristics. PA was assessed by accelerometer, and FCCH environment and policy was assessed via structured observation. Multiple linear regression was used to model associations between school day total PA and FCCH quality status, environment and policy features, and child characteristics. Child participants were on average 3.1years old; participants were non-Hispanic Black (47.3%), Non-Hispanic White (42.9%), other race/ethnicity (7.1%), and Hispanic/Latin (2.7%). Children in FCCH settings participated in 11.2min/h of total PA, which is below the recommended 15 min per hour. The PA environment and policy observation yielded a score of 11.8 out of a possible 30, which is not supportive of child PA. There were no associations between total child PA and FCCH quality status, environment and policy features, and child characteristics in these FCCH settings. This study was unique in its examination of PA and a comprehensive set of factors that may influence PA at the individual, organizational, environmental, and policy levels in a diverse sample of children attending FCCHs in South Carolina. Additional research is needed to better understand how to increase children's physical activity while they are in the FCCH setting. This research should use multi-level frameworks and apply longitudinal study designs.

Family child care educators’ experiences and decision-making related to serving children during COVID-19 and implications for supporting educators after the pandemic

The onset of the COVID-19 pandemic disrupted early care and education, and many early education programs paused their operations or closed permanently. This study focused on the experiences of family child care educators, how they made decisions about operating during the first year of the COVID-19 pandemic, the challenges they faced, and the supports that helped them. Using a semi-structured interview protocol, we interviewed 27 randomly selected family child care educators in a southern state. We used qualitative analysis to identify themes in educators’ responses. Results show that most educators based their operating decisions on the needs of the families they served. They faced common COVID-related challenges like finding supplies and implementing enhanced health and safety guidelines; however, participants primarily described these as manageable. We discuss implications for targeting future compensation and quality improvement efforts to support educators, help them operate safely, and ensure equitable early care and education access to families. Understanding family child care educators’ decisions can help support continued operations in the future, using lessons from the pandemic to help slow family child care decline and support educators in offering high-quality early care and education.

‘I Can Kind of Flow How I Want to Flow’: Motivations and Perceived Contrasts of Providing Care in Home-Based Settings

AbstractThe number of family child care (FCC) providers in the United States, or providers who are licensed, certified, or registered to provide care in their home, fell by nearly half between 2005 and 2017 (NCEQA, 2020a). This has implications for families who prefer FCC settings. Understanding providers’ motivations for starting their program may provide policymakers with information on how to better support providers drawn to this setting. Through interviews with 30 Black/bi-racial FCC providers, we found providers started their programs to support family/neighbors, to provide an alternative perceived to be safer than center-based programs, and to be in charge. In terms of differences, providers felt they had more control and that they could provide more individualized attention in home-based settings as compared to center-based settings. This research advances the study of why providers work in home-based programs, and how they perceive this work as different from center-based care, with implications for supporting the FCC workforce.

Childminder SOS

Childminders provide essential childcare for many families, but numbers continue to fall. How can services successfully recruit and support more childminders and help reverse the decline?

How Does Fertility Policy Relaxation Affect Household Financial Asset Allocation? Evidence from the Universal Two-Child Policy in China

Both fertility policy and the healthy development of financial markets are important topics for sustainable economic and social development. By using the difference-in-difference (DID) model, this paper investigates how the universal two-child policy (UTCP) in China aiming to improve fertility affects household financial asset allocation, based on the China Family Panel Studies (CFPS) data from 2010 to 2018. The results show that the implementation of UTCP has a significant negative impact on household risk asset holdings. Specifically, the policy decreases the probability of households participating in the financial market by 3.1 percentage points, reduces the total value of risk assets held by 50.2%, and lowers the proportion of risk asset investment by 1.76 percentage points. Mechanism analysis suggests that the implementation of the policy has a significantly negative impact on labor market outcomes for women, which decreases household income and increases the time and effort spent on caring for children. As a result, the financial resources available for household financial asset investment are diminished, and the time for activities such as information gathering and financial asset transactions is squeezed out, ultimately leading to a decrease in household risk asset investment. Heterogeneity analysis reveals that households with self-employed wives (higher income instability), households without a co-resident status with grandparents (more time spent on childcare), and high-income households (stronger willingness to have more children) are more affected by the policy. This study provides new supplements on how fertility policies affect the allocation of household financial assets and proposes constructive suggestions on how to establish a comprehensive system of childcare welfare and alleviate the economic pressure of family childcare in developing countries.

Perceived barriers and facilitators of childcare providers’ physical activity: A mixed-methods study

Background: Childcare providers’ work demands have been associated with high rates of stress and health conditions. Physical activity (PA) may help to alleviate some of these issues, yet few studies have explored this topic. The purpose of the study was to assess childcare providers’ PA levels and to explore their perceived barriers and facilitators to PA. Methods: This was a mixed-methods concurrent triangulation study with childcare providers ( n = 27) from both family childcare homes and childcare centres from urban ( n = 14) and rural ( n = 13) areas. Accelerometers and the Global Physical Activity Questionnaire (GPAQ) measured the amount of PA (leisure, transport-related, occupational), and a semi-structured interview explored barriers and facilitators to PA. Descriptive statistics were calculated for PA data. Qualitative data were analysed using thematic content analysis. Results: For accelerometer data, on average per day, childcare providers accumulated 199.5 ± 62.5 minutes of light activity, 125.9 ± 68.1 minutes of moderate to vigorous PA (MVPA) and 666.3 ± 23.7 minutes of sedentary time. For GPAQ data, childcare providers reported 114.5 ± 48.4 minutes/day of MVPA and 295.6 ± 141.4 minutes/day of sedentary time. Common barriers included time constraints and health issues, while common facilitators included knowledge of PA health benefits and family/peer support. Conclusion: The study suggests an estimated 92% of childcare providers met the US national PA guidelines of 150 minutes of MVPA per week. However, they exhibited prolonged periods of sedentary behaviour (~11 hours). Programmes and interventions could address barriers to PA such as providing short movement breaks to decrease sedentary time and improve childcare providers’ health.

Policies, Practices, and Environmental Characteristics Among Family Child Care Homes in South Carolina.

Background: Child care program requirements have adopted nutrition and physical activity standards to address childhood obesity, but few studies have examined the effects of these standards in family child care homes (FCCHs). Methods: In a cross-sectional study (2017-2019), the Childcare Home Eating and Exercise study examined self-reported provider characteristics and observed policies and practices related to physical activity and nutrition in FCCHs in South Carolina. Two-sample t-tests were used to compare observed nutrition and physical activity policy, practice, and environment scores in child care homes that participated in versus did not participate in the state's ABC Quality program, which is designed to improve child care and includes policies and practices intended to increase physical activity levels and improve diet quality. Results: Environment and Policy Assessment and Observation results for nutrition and physical activity were 7.5 out of 21 and 11.8 out of 30, respectively, indicating much room for improvement in nutrition and physical activity policies, practices, and environment in South Carolina FCCHs. The study found one difference between FCCHs that did and did not participate in the ABC Quality program; non-ABC homes provided more time for physical activity. Conclusions: Future research should develop ways to strengthen the guidelines and improve the implementation of obesity prevention standards in FCCHs.

Expanding access to high-quality early care and education for families with low income in Maryland through child care subsidy policies

Documenting how federal and state child care policies increase equitable access to high-quality early care and education (ECE) for families with low- and moderate-incomes remains a challenge in part due to overlaps in policy enactment. This study used an interrupted time series analysis (ITSA) to describe changes to providers’ participation in Maryland's child care subsidy program following implementation of a constellation of child care policies enacted between January 5, 2015, and March 2, 2020 (i.e., prior to the COVID-19 pandemic). Findings indicate a marked increase in the percentage of licensed family child care (FCC) and center-based providers serving children with a subsidy following increases in household income eligibility levels and provider reimbursement rates in 2018. Provider participation rates varied by neighborhood income level, with participation expanding more in neighborhoods with lower poverty density relative to their starting level in 2015. Changes in child participation rates by income eligibility mirrored changes in state subsidy policy: children residing in income-eligible households above 200 % federal poverty level represented 4.4 % of the child sample in 2018, 13 % in 2019, and 18 % in 2020. The proportion of children with a subsidy who used higher-rated ECE increased significantly between January 2018 and January 2020 for all racial/ethnic groups, income eligibility levels, and urbanicity categories. The majority (62 %) of children who stayed in the subsidy program between 2018 and 2019 stayed with their same provider, many of which obtained their first rating or increased their quality rating during this time frame in accordance with a new requirement for providers to participate in the state's quality rating system to receive a subsidy reimbursement. Implications for future research, policy, and practice are discussed.

A Study on a Community-based Model of Mutual-help Family Childcare

A Study on a Community-based Model of Mutual-help Family Childcare

Teacher–researcher collaborative development of critical (trans)languaging awareness through leveraging linguistic strengths

Abstract This study explores the collaborative process that two Korean–English and one Spanish–English bilingual Early Head Start family childcare educators, two instructional coaches, and the author engaged in as they co-created intentional bilingual pedagogical approaches to support young emergent bilinguals and co-develop critical (trans)languaging awareness. Data included participant and non-participant observations; field notes; debriefing sessions between the teachers and the author, and instructional coaches and the author; informal interviews with teachers; and two Saturday meet-ups with all participants and the author. Data were analyzed using thematic analysis to identify salient themes in the creation and implementation of practices and pedagogies that leveraged both teachers’ and children’s languaging practices as we deepened our critical language awareness. The design-based collaborative approach that involved co-learning, co-planning, and co-shifting supported our focus on critical language use, trial of different (trans)languaging practices that transgressed English hegemony, and decision-making around how to best leverage everyone’s linguistic strengths in support of children’s developing bilingualism.

Evidence for Criterion-Related Validity of Pressure-Mediated Reflection Spectroscopy for Approximating Fruit and Vegetable Consumption among Preschool Children

BackgroundSkin carotenoids are a valid biomarker for approximating fruit and vegetable consumption (FVC). Veggie Meter® (VM®, Longevity Link Corp.) is a pressure-mediated reflection spectroscopy (RS)-based device that allows for noninvasive and rapid assessment of skin-carotenoid score (SCS) in adults and children. Although VM® is established as a valid tool to measure FVC in adults, there is limited research supporting the validity evidence of the VM® to approximate FVC among preschool children. ObjectiveThe current study aims to assess evidence supporting the criterion-related validity of RS-based SCS for approximating FVC among preschool children (3–5-y old). MethodsWe collected cross-sectional data from typically developing preschool children (n = 136) attending the Child and Adult Care Food Program-participating family child care home settings (FCCHs) (n = 46) in Nebraska. Research team members collected children’s height and weight to calculate body mass index; and measured children’s SCS using the VM®. Children’s FVC in FCCHs were collected using dietary observation. In addition, parents (n = 89) completed a shortened food frequency questionnaire to report children’s FVC at home. Kendall’s Tau (τ) correlation tests were conducted to measure the association between children’s SCS with FVC in FCCHs and with parent-reported total fruit and vegetable (FV) frequency scores. ResultsChildren’s SCS were significantly correlated with their mean FVC in FCCHs, τ = 0.14 (P = 0.02), total provitamin A carotenoids intake in FCCHs, τ = 0.19 (P < 0.001), and with parent-reported total FV frequency score, τ = 0.16 (P = 0.04). ConclusionThe correlation coefficients in this study are comparable with results from a meta-analysis examining associations between FVC and SCS in 7–10-y-old children (r = 0.20). Thus, evidence suggests that RS offers a potentially valid, objective, and feasible method to assess preschool children’s total FVC in multiple settings, especially in conjunction with other dietary assessment tools.

Mediation of the association between social environmental characteristics of family childcare home and weight status in children by diet quality

BackgroundThe food and beverages served in family childcare homes (FCCHs) may play an important role in the development of childhood overweight and obesity. This analysis examines whether children’s diet quality mediates the relationship between foods and beverages served in FCCHs and preschool-aged children’s weight status.MethodsTrained and certified staff conducted observations for two days in each FCCH, using the Environment and Policy Assessment and Observation (EPAO) measure to determine the foods and beverages served to children (N = 370) in FCCHs (N = 120). They also used the Dietary Observation in Child Care (DOCC) protocol to assess children’s food and beverage intake during childcare, from which we calculated the Healthy Eating Index-2015 (HEI), a measure of diet quality. Height and weight were measured for each child with parent consent from which the child’s body mass index (BMI) z-scores were calculated. A multilevel mediation analysis was conducted to indicate whether children’s diet quality mediates the relations between food and beverage served in FCCHs and preschool-aged children’s weight status.ResultsChildren’s total HEI scores significantly mediated the relationship between the EPAO subscale Food Provided and children’s BMI z-scores (B=-0.01, p < .05, 95% CI = [-0.03, − 0.002]). Further, the EPAO subscale Food Provided was positively associated with the total HEI score (B = 0.75, p < .01, 95% CI = [0.32, 1.18]). Total HEI scores were negatively associated with BMI z-score (B=-0.01, p < .05, 95% CI = [-0.02, − 0.001]).ConclusionChildren’s diet quality did significantly mediate the relationship between the food served in FCCHs and children’s weight status. More longitudinal studies with longer follow-up periods need to be conducted to confirm these relationships. Further, future studies need to examine the relationships between a broader spectrum of FCCH environmental characteristics and home environment with children’s weight status, as well as other mediators including physical activity.

Features, measurement, and quality improvement in family childcare: a systematic literature review (SLR)

ABSTRACT Family childcare (FCC), one of the most widely used childcare provision, is important to children's short and long-term development. FCC quality is receiving more attention in policy and international studies, although additional literature reviews are needed. This study is a systematic literature review(SLR) to identify relevant literature on FCC quality features, quality measurement and quality improvement published between 2002 and 2022 in English. Sixty-eight studies were screened and examined based on the country/region in which they were conducted, years of publication research methods, aims of research, and findings. The findings indicate that there has been an increasing trend in FCC studies, most of which are conducted in the United States. Structural and process quality have also been found to promote children's development. However, some inconsistencies in these findings still require more research, and there are some practical measurements and improvements that countries can learn from.

Family Child Care Providers’ Experiences of Implementing the COVID-19 Guidelines: Implications for Future Emergencies

Family Child Care Providers’ Experiences of Implementing the COVID-19 Guidelines: Implications for Future Emergencies