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. 2019 Nov 29;17:101021. doi: 10.1016/j.pmedr.2019.101021

Table 5.

Barriers to Implementing Best Meal Time Practices by geographic location (urban, rural) and organizational structure (Child Care Center [CCC] vs. Family Child Care Home [FCCH]) (N = 1170).

Urban(n = 591)
Rural(n = 579)
Barriers to Implementing Meal Time Best Practices CCC(n = 119)% FCCH(n = 472)% χ2 CCC(n = 81)% FCCH(n = 498)% χ2
1. Not enough money to cover the cost of serving meals and snacks to providers 23.7 11.7 11.089 ** 24.7 14.5 5.339 *
2. Mealtimes with children are stressful 19.7 13.5 2.836 25.3 11.9 10.375 **
3. Providers have dietary restrictions 16.8 19.2 0.351 20.0 13.5 2.357
4. Providers do not have time to sit with children during meals 16.0 37.6 20.004 ** 24.1 38.0 5.763 *
5. Providers do not like the taste of healthy foods served at the childcare program 11.0 4.9 6.053 * 13.8 3.9 13.443 **
6. Not enough providers to sit with children during meals 8.4 29.3 21.994 ** 17.3 24.9 2.216
7. Providers are uncertain how to handle children who are hesitant to try new foods 7.6 6.9 0.083 9.9 8.6 0.152
8. Providers are unsure how to encourage children’s healthy eating 4.2 5.4 0.278 11.1 5.1 4.506 *

Notes: Chi square analysis using 2x2 contingency table; *p < .05, **p < .01.