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Train-the-Trainer Approach in the Eco-Healthy Child Care® Program

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Objective: In this study, we evaluated the effectiveness of an environmental health training program for child care providers. Methods: We conducted a retrospective analysis to evaluate a 5-state training program using a 20-question pretest and posttest. We also examined the effects of state regulation on knowledge scores. Analyses included descriptive statistics, dependent samples t-tests, and linear mixed models. Results: Posttest scores significantly improved following the training program (overall pretest = 13.78 of 20, posttest = 17.92 of 20, p < .001). Pretest scores were not associated with the degree of regulatory oversight. Conclusions: The training program improved the knowledge of environmental exposures and pretest knowledge was not associated with state policy. More research is needed to determine if knowledge persists, is shared, and decreases children's exposures.


Document Type: Research Article

Publication date: March 1, 2018

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  • Health Behavior and Policy Review is a rigorously peer-reviewed scholarly bi-monthly publication that seeks manuscripts on health behavior or policy topics that represent original research, including papers that examine the development, advocacy, implementation, or evaluation of policies around specific health issues. The Review especially welcomes papers that tie together health behavior and policy recommendations. Articles are available through subscription or can be ordered individually from the Health Behavior and Policy Review site.
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