Taren Swindle

Taren Swindle
University of Arkansas for Medical Sciences | UAMS · Department of Family and Preventive Medicine

Doctor of Philosophy

About

114
Publications
12,240
Reads
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710
Citations

Publications

Publications (114)
Article
Full-text available
This pilot evaluated strategies to decrease detrimental feeding practices in early care and education, which are hypothesized to compete with evidence-based feeding and obesity prevention practices. This study made two key comparisons: (1) a between-site comparison of sites receiving (a) no implementation or de-implementation strategies (i.e., Basi...
Article
Background WISE (Together, We Inspire Smart Eating) is an evidence-based intervention for nutrition promotion in early childhood education (ECE). ECE sites need information on the costs of programs like WISE to inform adoption decisions and budget planning. Objective To estimate cost, effectiveness, and incremental cost-effectiveness ratio (ICER)...
Article
Full-text available
Background The current study sought to (1) describe a new classification approach for types of implementer behavior and (2) explore the implementer behavior change in response to tailored implementation facilitation based on the classifications. Methods A small-scale, cluster-randomized hybrid type III implementation trial was conducted in 38 earl...
Article
Full-text available
Background: Despite the potential for Early Care and Education (ECE) settings to promote healthy habits, a gap exists between current practices and evidence-based practices (EBPs) for obesity prevention in childhood. Methods: We will use an enhanced non-responder trial design to determine the effectiveness and incremental cost-effectiveness of a...
Poster
Background: Feeding practices of Early Childhood Educators (ECEs) have a significant influence on the health habits of children. In partnership with ECEs, we developed evidence-based de-implementation strategies to reduce the use of detrimental feeding practices (e.g., pressure to eat) and replaced them with evidence-based ones (e.g., helping child...
Article
Full-text available
Background: Although there is a federal mandate to collect anthropometric data in Head Start (HS), little is currently known about the processes used to collect the height and weight measurements across programs and how the results are communicated to parents/ guardians. The goal of this study was to understand anthropometric data collection and di...
Article
The early care and education (ECE) environment has the potential to affect both children and their families. Food insecurity in ECE and its management may be an important influence. Objectives of this mixed methods study were to (1) elicit prominent themes relating to teacher experiences with food insecurity (in the classroom) through qualitative i...
Article
Full-text available
This cluster randomized controlled trial aimed at overweight and obese children compared three treatments. Two psychoeducation interventions for parents and children were conducted: Family Lifestyle (FL) focused on food and physical activity; Family Dynamics (FD) added parenting and healthy emotion management. A third Peer Group (PG) intervention t...
Article
Full-text available
Background Early Childhood Educators’ (ECEs) food-related behaviors can significantly influence child health outcomes (CHOs). The We Inspire Smart Eating (WISE) intervention program trains ECEs in promoting fruit and vegetable consumption by encouraging children's healthy eating habits. WISE provides a 6-hour training and curriculum for weekly sens...
Article
Full-text available
Background Together, We Inspire Smart Eating (WISE) is an intervention for the early care and education setting to support children’s exposure to and intake of fruits and vegetables. WISE emphasizes 4 evidence-based practices (EBPs): (1) use of a mascot; (2) educators’ role modeling; (3) positive feeding practices; and (4) hands-on exposures. The c...
Article
Full-text available
The nature of the association between dietary restraint and weight has been examined in adult samples, but much less is known about this relationship among children. The current study examined the transactional associations among restrained eating behavior and weight among boys and girls during middle childhood. Data for this study came from 263 ch...
Article
Full-text available
Objective: To highlight opportunities for future nutrition intervention research within early childhood and education care (ECEC) settings, with a focus on generating evidence that has applicability to real-world policy and practice. Methods: An overview of opportunities to progress the field was developed by the authors using a collaborative writi...
Article
Full-text available
Introduction: The few studies that have investigated patterns of routine checkup (hereafter routine checkups) among Saudis have found overall low rates of use. Those studies focused mainly on understanding the influence of individual characteristics on use of routine checkup. Aims: The main purpose of this study was to consider a wider array of fac...
Article
Background: Digital interventions are increasingly used to improve health behaviors. Improved access and lower costs (relative to in-person interventions) make such interventions appealing. Specifically, digital platforms may be a promising approach for increasing physical activity (PA) in young children. Objective: The goal of this systematic r...
Preprint
BACKGROUND Digital interventions are increasingly used to improve health behaviors. Improved access and lower costs (relative to in-person interventions) make such interventions appealing. Specifically, digital platforms may be a promising approach for increasing physical activity (PA) in young children. OBJECTIVE The goal of this systematic revie...
Preprint
Full-text available
Objective: To highlight opportunities for future nutrition intervention research within early childhood and education care (ECEC) settings, with a focus on generating evidence that has applicability to real-world policy and practice. Methods: An overview of opportunities to progress the field was developed by authors using a collaborative writing a...
Article
Full-text available
Background Despite the importance of sustainability for nutrition and physical activity in public health interventions, limited studies have explored the factors that promote and inhibit evidence-based program sustainment in the childcare setting. This study protocol describes a mixed-methods approach to develop novel sustainability strategies base...
Article
Objective This study sought to describe and compare study type, research design and translation phase of published research in nutrition and dietetic journals in 1998 and 2018. Design This was a repeat cross-sectional bibliographic analysis of Nutrition and Dietetics research. All eligible studies in the top eight Nutrition and Dietetics indexed j...
Article
Full-text available
Objective The Table Talk tool is an observational assessment of early care and education teacher (ECET) mealtime practices. The Table Talk Revised (TT-R) tool incorporates new constructs that emerged from qualitative research and teases apart existing categories to improve nuance of data capture. The objective of this study was to evaluate the TT-R...
Article
Full-text available
Background Early childhood educators (ECEs) often use detrimental feeding practices and are slow to implement positive feeding practices. Nevertheless, few studies have aimed to understand and change ECEs’ feeding practices. This gap needs to be addressed because implementation (i.e., adding new, evidence-based practices) and de-implementation (i.e...
Article
Objective Explore using food photography to assess packed lunches in a university-based Early Childhood Center and contextualize these photographs through parent interviews. Methods An explanatory sequential design was used. Packed lunches were photographed to assess the type and quantity of foods offered and consumed by Child and Adult Food Care...
Article
This study explored offenders' perception of their barriers to employment and investigated the role of criminal attitudes in parolees recently released from prison. An analysis of open-ended responses from offenders indicated that they perceived having a criminal record as the largest barrier to employment. Structural equation modeling, utilizing a...
Article
Full-text available
Introduction: Despite well-established guidelines and benefits to exercise, the majority of pregnant women in the USA fail to meet recommended activity levels. Studies need to determine feasible ways to translate clinical interventions to community settings by engaging pregnant women in widely accessible locations to ensure benefits to more women....
Article
Objective To determine if children's pester power related to a classroom-based nutrition program, Together, We Inspire Smart Eating (WISE), is related to familial dietary habits and parental food purchases and practices. Methods Classroom teachers delivered weekly WISE lessons at 7 Head Start sites across 2 states in the southern US. Before and af...
Article
Background Cost analysis is a tool used to summarize and report on individual elements of costs to implementing an innovation. We used cost analysis to track and compare costs of provision of 2 implementation strategies to support an evidence-based nutrition curriculum in the Head Start (HS) setting. Objective To compare how much it cost, per clas...
Article
Early care and education teachers' (ECETs) dietary and feeding behaviors have the potential to influence children's health outcomes. This study sought to (1) gather data on the properties and performance of the Child Feeding Questionnaire and Child Feeding Style Questionnaire in an ECET sample and compare properties to published parent samples, (2)...
Article
Full-text available
Background: Increasingly, scholars argue that de-implementation is a distinct concept from implementation; factors contributing to stopping a current practice might be distinct from those that encourage adoption of a new one. One such distinction is related to de-implementation outcomes. We offer preliminary analysis and guidance on de-implementat...
Article
Background and objectives: Screening for and addressing food insecurity in primary care may improve associated comorbidities. The purpose of this study was to explore patient attitudes regarding screening for food insecurity and to elicit patient preferences for intervention in a primary care setting. Methods: Patients (N=284) completed a brief,...
Article
Full-text available
Background: Maternal Depression (MD) has been implicated in the etiology of obesity. The present study investigated MD and both child fruit/vegetable consumption (FVC) and household food insecurity (FI) in an early childhood population. Methods: This cross-sectional study was conducted in Arkansas, United States, in 26 Head Start centers. Teachers...
Article
This study introduces the concept of Food Acquisition Stress (FAS), the stress associated with food acquisition among those who do not necessarily screen positive for food insecurity. This study used an exploratory sequential mixed methods approach among a sample of predominantly early childhood educators to develop a 7-item tool for measuring curr...
Article
Objective: Early childhood weight predicts later weight, so there is need for longitudinal research to identify key factors in the development of childhood obesity, especially among vulnerable populations. Design: This study examines the links between parenting styles and child obesity across three waves (Mages = 6.90, 7.34, and 8.28 years) and the...
Article
Resonance Raman spectroscopy (RRS) and parent report were used to assess dietary intake of fruit and vegetable (FV) consumption among young children experiencing a nutrition intervention. The nutrition intervention was “Together, We Inspire Smart Eating” (WISE). The study followed a convenience sample of low-income children in preschool (N = 175) a...
Article
Full-text available
This study examined the implementation of a school-based, obesity prevention curriculum, Together, We Inspire Smart Eating (WISE), targeting 3- to 7-year-old low-income children. Survey data from a convenience sample were collected from educators and parents (N = 73, N = 188, respectively) at the beginning and end of a school year in which WISE was...
Article
Background Special education (SPED) classrooms may be overlooked when nutrition interventions are implemented because of the potential for numerous modifications to meet the need of children with diverse developmental needs. Objective This study presents the process for modification of We Inspire Smart Eating (WISE), a classroom-based nutrition ed...
Article
Objective This study examined the CNP characteristics that predict their engagement with families. Description Child nutrition professional's (CNP) role in early childcare includes working in partnership with providers and parents to ensure healthy diets for children. Engaging with families and children to educate and support healthy choices is a...
Article
Objective: To identify positive and negative deviant cases using quantitative fidelity data from a previous implementation of a nutrition intervention, Together, We Inspire Smart Eating (WISE), and to determine barriers and facilitators to fidelity by conducting qualitative interviews with deviant cases. Design: Explanatory sequential mixed meth...
Article
Objectives: To examine the quality of meals offered to children ages 3-5 years in parent packed lunches at a university-based early childhood center. Methods: Using a protocol based on the Remote Food Photography Method, trained research staff used iPads to take before and after photos of preschoolers' packed lunches over 1 week. Meal quality wa...
Article
Full-text available
Objectives: The objectives of this study were to: (1) explore key components identified as hallmarks of group food-play therapy sessions at an early intervention center (EIC); and (2) establish best practices associated with food-play therapy contributing to development of an evidence-based, standardized practice at this EIC as a model for replica...
Article
Implementation science (IS) is the study of approaches designed to increase adoption and sustainability of research evidence into routine practice. This article provides an overview of IS and ideas for its integration with nutrition education and behavior practice and research. Implementation science application in nutrition education and behavior...
Article
Background: The Adverse Childhood Experiences (ACEs) study articulated the negative effects of childhood trauma on adult weight and health. The purpose of the current study is to examine the associations between ACEs in infancy and toddlerhood and obesity and related health indicators in middle childhood. Methods: We used data collected from a s...
Article
This study examined nutrition intervention curriculum, Together We Inspire Smart Eating (WISE). WISE is a research-based, nutrition promotion curriculum specifically designed for pre-school children from families with limited resources. The design was non-randomized treatment/control with standardized pre-/post-test assessments. Children (n = 268)...
Article
Full-text available
Background: Researchers face many decisions in developing a measurement tool and protocol for monitoring fidelity to complex interventions. The current study uses data evaluating a nutrition education intervention, Together, We Inspire Smart Eating (WISE), in a preschool setting to explore issues of source, timing, and frequency of fidelity monito...
Article
Implementation of interventions in community organisations such as schools, childcare centres, and sporting clubs are recommended to target a range of modifiable risks of non-communicable diseases. Poor implementation, however, is common and has contributed to the failure of non-communicable disease interventions globally. This study aimed to chara...
Article
Full-text available
Background: Children spend a substantial amount of time in early care and education (ECE) settings and may eat a majority of their diet in this setting. While there are several instruments focused on measuring factors of the ECE environment that may influence diet and weight outcomes, there are few comprehensive, valid, and reliable measures for c...
Article
This article describes the development, initial implementation, and formative evaluation of Arkansas’s plan to reduce suspensions and expulsion from early care and education (ECE) settings. We describe how Arkansas used multifaceted implementation strategies to facilitate change in six areas: policy, workforce development, specialized supports, fam...
Article
Excessive television (TV) viewing by children can lead to negative health and developmental outcomes. Using structural equation modeling, this study tests a conceptual model to understand social and familial factors associated with TV exposure among a sample of 767 Head Start families with children between the ages of 3 and 5 years. Fit statistics...
Article
Background: Early childhood educators have the potential to influence children's dietary outcomes through daily interactions. However, existing research suggests that educator practices are often suboptimal. Previous research has often focused on individual characteristics that affect practices. There is less study of contextual influences of prac...
Article
Full-text available
Objective: This study investigated the use of Facebook to deliver health-related education materials to augment a preschool classroom-based obesity prevention curriculum. Design: Cross-sectional, mixed methods (descriptive and interviews). Setting: Head Start classrooms administered by 2 large agencies (1 rural and 1 urban). Participants: Co...
Article
Full-text available
Objective Children’s dietary intake impacts weight status and a range of short- and long-term health outcomes. Accurate measurement of factors that influence children’s diet is critical to the development and evaluation of interventions designed to improve children’s diets. The purpose of the current paper is to present the development of the Table...
Article
In recent years, researchers and policy makers have recognized that obesity in childhood is not simply a medical problem, but is a complex social and psychological phenomenon. Our research team has utilized an interpersonal and intrapersonal risk model for examining a broad range of psychosocial aspects of obesity among children in rural population...
Article
Full-text available
Background Despite the potential to reach at-risk children in childcare, there is a significant gap between current practices and evidence-based obesity prevention in this setting. There are few investigations of the impact of implementation strategies on the uptake of evidence-based practices (EBPs) for obesity prevention and nutrition promotion....
Article
Objective Studies on factors associated with nutrition practices in early care and education settings often focus on sociodemographic and programmatic characteristics. This qualitative study adapted and applied Belsky's determinants of parenting model to inform a broader exploration of Early Care and Education Teachers (ECETs) practices. Design Qu...
Article
This study applies noninferiority testing to assess the relationship between child weight and food security status in a sample of 808 children between 3 and 5 years old who were attending an urban, state-funded preschool program. Most families were African American (72.3%). Analyses were conducted using noninferiority testing to evaluate the overwe...
Article
In this cross-sectional study, early childhood educators (ECEs; N = 307) completed an 18-item survey regarding their role (lead vs. assistant), education level, program type, and current and childhood food insecurity (FI) and dietary intake. ECEs in this study reported poor dietary quality and a high rate of FI. Approximately one quarter of ECEs at...
Article
Full-text available
The revised compensation model of aggression posits that bullying is driven by defensive personality, not low self-esteem. Supporting research has failed to distinguish bullies vs. bully-victims (i.e., bullies who are also victims). In three studies with middle school students on two continents, pure bullies and bully-victims scored higher in defen...
Presentation
Early Childhood Educators (ECEs) are important role models for children at mealtimes. This study explores the frequency and content of ECEs’ statements at meals to create defined mealtime interaction styles.
Presentation
To assess university student nutrient intake compared to recommendations, before and after the completion of an introductory nutrition elective course.
Article
Full-text available
This study examines inter- and intrapersonal problems associated with being overweight among one thousand one hundred sixty-four 6- to 7-year-olds (49% boys) in 29 rural schools. Socioemotional data include child self-reports, peer sociometrics, and teacher reports. Results support the hypothesis that children with weight problems struggle socially...
Chapter
Individuals' physical, mental, and social health cannot be understood in isolation from the family. When the family as a whole is engaged in healthy behaviors, all the individual members are more likely to be in good physical health. The health of the family as a functional unit is influenced by the family's cohesion, flexibility, and communication...
Chapter
Permissive parenting is one of the original parenting styles introduced by Diana Baumrind in 1966. There are two types of permissive parenting: indulgent and neglectful. All permissive parents exhibit low levels of demandingness (i.e., control, maturity demands, and supervision). Indulgent parents exhibit high levels and neglectful parents exhibit...
Article
The purpose of this study was to examine the feasibility and usefulness of a universal screening tool, the Family Map Inventory (F MI), to assess family strengths and needs in a home visiting program. The FMI has been used successfully by center-based early childcare programs to tailor services to family need and build on existing strengths. Home v...
Article
The general aim of early intervention and home visiting programs is to support families to minimize Adverse Childhood Experiences (ACEs). However, assessing children's exposure to these risks is complicated because parents serve as the conduit for both measurement and intervention. The primary aims of the study were to develop an assessment of chil...