Feeding practices in Australian early childhood education and care settings.

OBJECTIVE: Feeding practices used by educators in Early Childhood Education and Care (ECEC) settings can influence the diet quality of young children. However, Australian data is scarce and limited to describing barriers to responsive feeding. This study describes the use of feeding practices amongst a group of Australian educators. DESIGN: Direct observation of feeding practices and assessment of centre policy were conducted using the 'Environment and Policy Assessment and Observation' tool. Self-reported feeding practices and demographic data were collected via online survey using the Childcare Food and Activity Practices Questionnaire. SETTING: Ten centre-based ECEC services in South East Queensland, Australia. PARTICIPANTS: Educators working in ECEC. RESULTS: A total of 120 meals were observed and 88 educators provided self-report data (n 84 female). Centre policy supported the use of responsive feeding practices, and this was reflected in the high frequency with which children could decide what and how much to eat, across both observed and self-report data as well as low levels of pressure to eat and use of food as a reward (observed at 19·9 % and 0 % of meals). The only apparent discrepancy was regarding modelling. Median score for self-reported role-modelling was 5·0 (4·3-5·0) and educators were observed to sit with children at 75 % of meals, however observed occasions of enthusiastic role modelling was only 22 % (0-33·3) of meals. CONCLUSIONS: Research addressing how educators conceptualise feeding practices, as well under what circumstances they are used, particularly in centres with different models of food provision, may shed light on why modelling is rarely implemented in practice.

An ICT Solution for Medical Care to Residents in Residential Aged Care Facilities.

Treatment of residents living in aged care facilities presents a challenge to the traditional model of general practitioner (GP)-patient interactions, which rely on patients having the mobility to visit a GP's rooms, to transport themselves for follow-up tests, and are cooperative in taking medications. Aged care residents lack mobility and rely on caregivers for medications; subsequently treatment is often reactive, based on prescribing medications for known and newly diagnosed conditions. Comprehensive Medical Assessments (CMAs) are available at no cost to residents in aged care. However, less than 30% of the 170,000 residents in aged care have had a CMA conducted. A recent University of Sydney Health Informatics Research and Evaluation Unit study concluded that new models for aged care are warranted and that CMAs should play a central role in developing these new approaches. HealthCube has developed an electronic CMA process that underpins the Preventative Aged Care Service package, which promises to change aged care treatment through a new model of GP-patient engagement.