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Control # 0584-0524 Expiration
Date: 9/30/2019 Share
Your Thoughts – Help Create Free Nutrition Resources!
Attachment M.1 – Child Care Director Consent Letter and Survey – Print Version
OMB BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-0524. The time required to complete this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Please share your thoughts to help create free materials!
Dear Director,
The USDA’s Food and Nutrition Service (FNS) is creating nutrition education materials with multicultural recipes and family events. The materials will be free and the recipes can be used as part of a reimbursable meal under CACFP. The attached survey will help make sure these resources are fun, useful, and engaging!
Please complete the survey and return using the envelope provided to share your thoughts!
Sincerely,
Gerad O’Shea, Research Director
Applied Curiosity Research
--DIRECTOR CONSENT LETTER--
Background & Purpose: You’re invited to participate in a research study conducted by ACR as part of a USDA FNS sponsored effort to develop nutrition education materials with multicultural recipes for child care centers and family day care homes. We’re working to ensure these recipes and activities are clear, relevant, and engaging.
Process: Your only involvement in this study is completing the following survey.
Possible Risks & Benefits: We do not anticipate any risks associated with being in this study. The study will lead to the development of free resources developed by FNS
Compensation: You will not be compensated for your participation.
Participant’s Rights: Participation in this study is voluntary. You have the right to change your mind and withdraw your consent or discontinue participation at any time without any penalty or loss of the benefits to which you are otherwise entitled. You have the right to refuse to answer particular questions. Your name, email address, and phone number will only be used to contact you about this research. They will not be given to anyone else for other purposes. Your name will never be used in any reports of our research findings. Your information will be kept secure and only used for research purposes, except as otherwise required by law. All data will be identified only by an ID number, not by any name.
Contact Information: If you have any questions, concerns, or complaints about this research study, its procedures, or risks and benefits, please contact the Principal Investigator, at the telephone number listed on the first page of this form.
If you have any other questions about this research project, contact:
Mail: USDA, Food and Nutrition Service, Team Nutrition; 3101 Park Center Drive, 6th Floor Alexandria, VA 22302; | Call: (703) 305-1624| Email: [email protected]
If you agree to participate, please complete the attached survey and return it using the envelope provided. Please keep this letter and information for your records.
OMB BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-0524. The time required to complete this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
--- DIRECTOR SURVEY ---
Approximately how many children attend your site? _________
Is your site a Child Care Center or a Family Day Care Home? __________________
Which ages does your site serve (select all that apply)?
1 year old or younger ☐ 5 years old
2 years old ☐ Ages 6-8 years
3 years old ☐ Ages 9-12 years
4 years old ☐ Ages 13 years or older
How often do providers at your site offer nutrition education to children?
☐ Never ☐ Only on special occasions ☐ 1x a month ☐ Every other week ☐ 1x a week
Which, if any, nutrition education topics do children at your site learn about (select all that apply)?
MyPlate/Food Groups ☐ Drinking Water
Eating the rainbow ☐ Trying new foods
Avoiding sweets ☐ Trying new fruits and vegetables
Choosing healthy snacks ☐ Importance of physical activity
Vitamins and minerals (like calcium for strong bones)
Learning about different types of fruits and vegetables
How plants grow/where food comes from/edible garden
Other, please specify__________
How often is food preparation (cooking) conducted with children at your site?
6b) What kind of cooking activities are done
with students at your site?
What Web sites, social media, print media, or social networks do you or other providers at your site use to find recipes and nutrition-related activity ideas to do with children?
What size posters do you prefer for displaying information for children at your site?
8.5 x 11 ☐ 11 x 17 ☐ 18 x 24 ☐ 24 x 36 ☐ Other, please specify__________
Please read the following statements and select your level of agreement from “strongly disagree” to “strongly agree”.
|
Strongly Disagree |
Disagree |
Neutral |
Agree |
Strongly Agree |
I feel confident that the classroom teachers at my site can successfully teach nutrition education lessons. |
SD |
D |
N |
A |
SA |
I feel confident that the classroom teachers at my site can lead cooking demonstrations with children. |
SD |
D |
N |
A |
SA |
I feel confident that the classroom teachers at my site can teach children about different cultures around the world. |
SD |
D |
N |
A |
SA |
Which of the following factors would prevent you or the classroom providers at your site from leading cooking activities with children? (check all that apply)
The staff lacks the appropriate training
Lack of the number of staff needed to conduct/supervise the activities
Lack of time in the day
Availability of kid-safe cooking equipment
Lack of space to conduct the activities
Availability of appropriate recipes or activities
Other, please specific_____________
How often does your school host family events?
11b) What kind of family events are hosted at your site?
Never ☐ Only on special occasions ☐ 1x a month ☐ Every other week ☐ 1x a week
What is your Ethnicity?
Hispanic of Latino
Not Hispanic or Latino
What is your Race?
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian/Other Pacific Islander
White
--- OPTIONAL FOLLOW UP INTERVIEW ---
We’d like to talk to child care providers and parents from 8 specific cultural backgrounds to review recipes and give their thoughts to make sure the recipes are culturally accurate! Are there providers, staff, or families at your site from any of these backgrounds?
Child Care Staff
Asian Indian
American Indian
Native Alaskan
Mexican
Puerto Rican
Chinese
French
Sub-Saharan African
Don’t know/not sure
Families
Asian Indian
American Indian
Native Alaskan
Mexican
Puerto Rican
Chinese
French
Sub-Saharan African
Don’t know/not sure
Is it ok for us to follow up with you to get feedback about a few recipes?
Yes
No
Please provide the best way for us to follow up below:
Email ___________________________
Call ____________________________
THANK YOU FOR YOUR TIME AND THOUGHTS!
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Padovani, Kaylyn - FNS |
File Modified | 0000-00-00 |
File Created | 2021-01-20 |