Table 4.

Barriers to Implementing the ABC Grow Healthy Standards, by Child and Adult Care Food Program Participation (n = 163)

	All (n = 163)	CACFP (n = 77)	Non-CACFP (n = 84)
Barrier	% (n)a			p
Not enough money	17.8 (29)	6.5 (5)	28.6 (24)	0.0004
Children do not like healthier foods	17.8 (29)	15.6 (12)	20.2 (17)	0.57
No challenges	12.9 (21)	15.6 (12)	9.5 (8)	0.35
Parents do not support the idea of healthier foods	9.8 (16)	6.5 (5)	13.1 (11)	0.19
Lack of control over food from distributor	6.7 (11)	6.5 (5)	7.1 (6)	1.0
Lack of kitchen or space for food preparation	4.9 (8)	3.9 (3)	6 (5)	0.72
Staff lack knowledge to prepare healthier foods	4.9 (8)	3.9 (3)	6 (5)	0.72
Changes made to comply with standards
Spent more money	39.3 (64)	28.6 (22)	48.8 (41)	0.01
Provided nutrition education to parents	20.2 (33)	11.7 (9)	28.6 (24)	0.01
Provided nutrition training for staff	17.2 (28)	14.3 (11)	19 (16)	0.55
Purchased additional equipment for food preparation	6.7 (11)	5.2 (4)	8.3 (7)	0.54
No changes necessary	3.7 (6)	6.5 (5)	1.2 (1)	0.10

^a Frequencies and n values refer to the total number of directors who selected each respective barrier or change. Directors were prompted to select as many or few options from this list as applied.