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. Author manuscript; available in PMC: 2021 Jan 1.
Published in final edited form as: J Nutr Educ Behav. 2020 Jan;52(1):10–20. doi: 10.1016/j.jneb.2019.10.015

Table 3.

Supporting Quotes for Emergent Themes

Domain Themes Quotes
Communication with FCCPs Parents primarily communicate with FCCPs in-person * I am not buying clothes from her; she is taking care of my daughter. So, it has to be a more personal relationship.”
“(Handouts would be helpful) especially for me. I think its cause of the language barrier. You know [my daughter] could say (she had) rice and beans. I know she eats fruits, I could ask [my daughter] but I know she says yes to everything, so I don’t, like, 100% know every day.”
Parents trust that the FCCH is a safe environment *She is your eyes when you are not there. The 40 hours or more one is working, you have to feel comfortable, even though you are not physically there, but you know everything is fine. And it’s like you being there, (just) not physically.”
“I feel that I am able to communicate with her and feel open enough...and (my provider) feels comfortable (too). The same way with me, if there was a problem, she’d be able to tell me. We’re just very comfortable with each other. And I think that’s important.”
Lack of time is a barrier to effective communication *Sometimes, its (lack of) time. Sometimes you are rushing out of work because you have something else to do. “
*I (don’t) think it's the right time because there are other children that she has to be aware of. I go pick up my child, and if I have to talk to her, I try to arrive later, so he’s the last one left, so I do not take away the attention from another child.”
FCCPs are not frequently utilized as source of child nutrition information *One doesn’t always have access to a nutritionist. But (there’s) WIC or the pediatrician.”
“I always use Google.”
“I learn on mom blogs, or on Instagram. I follow a lot (of) mothers. I’ve seen different options, where they take the reusable cupcake holders and put food in different ones, and let the child try different things. I’ve been meaning to try that (again). She was more into the playing with them than actually trying the food (the first time).”
Apprehensiveness to discuss child nutrition-related concerns with FCCPs. “What concerns me the most, is what she drinks. I feel like she has more (juice) than I would normally offer to her.”
*I don’t ask specifically about what my child ate… I am ashamed for her to think that she is not feeding my child (well).” “I don’t want to offend her, because the cultural aspect too…I don’t want her to think, I’m telling her not to do something.”
Perception of FCCH food environment Parents trust FCCPs to serve healthy, and sufficient food *I think the FCCH nutrition environment is good, at least in the home (day care), they always cook.”
“One can tell (when your child is eating well. For example, when my son leaves daycare, he does not come home hungry. [In contrast], *my daughter gets out of school, and she wants everything… something to eat, something to drink.”
FCCH/FCCP can influence foods served at home. *The provider told me ‘don’t worry, healthy meals are served here’, and so I agreed to (my child) trying new things. And now I can say that (my daughter) eats excellent, she now eats things I’ve never served to her (before).”
*It’s very helpful when she (FCCP) tells me ‘yes, he ate this, he eats that’ and one knows that they are serving (certain foods) …to then serve it at home. Sometimes at home, they are picky and sometimes don’t want to eat it there, but here (FCCH) they eat it.”
Involvement in nutrition- related changes in the FCCH Parental concern for additional burden on FCCPs. “I feel like it would take away from the child, like you know the day care centers, they do that, but a lot of its just paper work.”
“There is more staffing (at daycare center), and all its going to do is take time away from the child, or the children they’re watching, that’s not right. You know, I wouldn’t want them to have to do that.”
*

Quotes have been translated from Spanish into English. FCCP=Family Child Care Provider