Document Type

Capstone Experience

Graduation Date

12-2025

Degree Name

Master of Public Health

First Committee Member

Michelle Strong,

Second Committee Member

Siobhan Westcott

Third Committee Member

Caitlin Ray

Abstract

This comprehensive literature review examined child care nutrition training interventions using the Health Belief Model (HBM) to understand how to increase providers’ ability to serve nutritious food. By analyzing HBM constructs such as perceived severity, benefits, and barriers, the review assessed how training influences provider abilities and identified barriers and facilitators to consistently offering healthy meals and snacks. Studies were 1) published in English; 2) research conducted in the United States; 3) population involved home-based or center-based child care providers caring for children from birth to age 5; 4) articles published from January 1, 2015, to October 5, 2025; 5) training as a central part of the study; and 6) articles published in peer-reviewed journals. The final selection included 20 peer-reviewed articles published in English, all of which examined providers in the United States. Findings emphasized opportunities to enhance business practices, address common barriers, and tailor support to provider needs. Twelve studies demonstrated a direct impact of training and highlighted the importance of ongoing technical assistance in adopting nutrition practices. To maximize impact, public health leaders should customize interventions for both home-based and center-based providers. States and territories can further promote consistency by aligning Child and Adult Care Food Program standards, licensing regulations, and quality benchmarks.

Additional Files
Capstone Final Approval_VanOrsdal.pdf (380 kB)
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