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Front Public Health ; 9: 689946, 2021.
Article in English | MEDLINE | ID: covidwho-1290084


The COVID-19 pandemic has required the professional healthcare workforce not only to adjust methods of delivering care safely but also act as a trusted sources of information during a time of uncertainty and rapid research and discovery. The Community Health Worker COVID-19 Impact Survey is a cross-sectional study developed to better understand the impact of COVID-19 on this sector of the healthcare workforce, including training needs of those working through the pandemic. The survey was distributed in Texas, New Mexico, and Arizona. This study focuses on Texas, and the data presented (n = 693) is a sub-set of qualitative data from the larger survey. Results of the content analysis described in this paper are intended to inform current COVID-19-related CHW training curriculum, in addition to future infectious disease prevention and preparedness response trainings.

COVID-19 , Pandemics , Arizona , Community Health Workers , Cross-Sectional Studies , Humans , New Mexico , SARS-CoV-2 , Texas
Am J Health Promot ; 35(7): 984-987, 2021 09.
Article in English | MEDLINE | ID: covidwho-1159401


PURPOSE: Quality rating and improvement systems (QRIS) are systems approaches to assist states in providing high quality early childhood education. Texas Rising Star (TRS), a voluntary QRIS, exceeds state licensing standards and meets some obesity prevention guidelines. This study examines differences in physical activity, screen time, and outdoor policies and practices by QRIS certification. DESIGN: Cross-sectional. SETTING: Online. SAMPLE: After exclusion criteria, respondents were 431 Texas childcare centers. MEASURES: 2016 survey of policies and Go NAPSACC best practices. ANALYSIS: Chi-square and t-tests indicated differences in 1) practices and 2) policies by QRIS status. RESULTS: TRS-certified centers reported more policies for physical activity (M = 4.57 ± 3.07 vs. 3.61 ± 2.95, p = 0.009) and screen time (M = 1.91 ± 1.84 vs. 1.28 ± 1.56, p < 0.001) than non-certified centers. TRS-certified centers reported significantly higher frequencies for 7 of 14 physical activity practices, however no significant differences for screen time practices were found. Additionally, TRS-certified centers reported more outdoor practices, including more classrooms/storage (p < 0.001) and vegetable gardens (p = 0.025). CONCLUSION: TRS-certified centers reported more physical activity policies and practices, more screen time policies, and more outdoor practices. TRS certification was not associated with screen time practices. QRIS can be a practical way to insert obesity prevention in early care and education. Using items from a widely used survey enables comparisons, however future research is needed in larger-scale studies. Some COVID-19 implications are discussed.

COVID-19 , Screen Time , Child , Child Care , Child Day Care Centers , Child, Preschool , Cross-Sectional Studies , Exercise , Humans , Policy , SARS-CoV-2 , Texas