Self-Efficacy for Healthy Eating Moderates the Impact of Stress on Diet Quality Among Family Child Care Home Providers

Authors

Phillip Dobson, The University of North Carolina at Chapel Hill
Regan Burney, The University of North Carolina at Chapel Hill
Derek Hales, The University of North Carolina at Chapel Hill
Amber Vaughn, The University of North Carolina at Chapel Hill
Alison Tovar, University of Rhode Island
Truls Østbye, Duke University Medical Center
Dianne Ward, The University of North Carolina at Chapel Hill

Document Type

Article

Date of Original Version

4-1-2021

Abstract

Objective: To examine associations of stress and sleep with diet quality of family child care home (FCCH) providers, and whether self-efficacy for healthy eating influences these associations. Design: A cross-sectional analysis was performed using baseline data (2013–2015) from a randomized control trial with FCCH providers. Participants: The study included 166 licensed FCCH providers, aged >18 years, from central North Carolina. Main Outcome Measure(s): Diet quality was assessed with a food frequency questionnaire, used to calculate a modified 2010-Healthy Eating Index score. Stress, sleep quality, and diet self-efficacy were measured via self-administered questionnaires. Analysis: Using observations from 158 participants with complete data, multiple linear regression models were created to assess whether stress, sleep quality, and diet self-efficacy were associated with diet quality and whether diet self-efficacy moderated these associations (significance set at P < 0.05). Results: In the initial model, only diet self-efficacy was significantly associated with diet quality (β = 0.32; P < 0.001). Moderation analyses showed that higher stress was associated with lower diet quality, but only when diet self-efficacy was low. Conclusions: Building FCCH providers’ self-efficacy for healthy eating is an important component of health promotion and can buffer the impact of stress on their diet quality.

Publication Title, e.g., Journal

Journal of Nutrition Education and Behavior

Volume

53

Issue

4

Citation/Publisher Attribution

Dobson, Phillip, Regan Burney, Derek Hales, Amber Vaughn, Alison Tovar, Truls Østbye, and Dianne Ward. "Self-Efficacy for Healthy Eating Moderates the Impact of Stress on Diet Quality Among Family Child Care Home Providers." Journal of Nutrition Education and Behavior 53, 4 (2021): 309-315. doi: 10.1016/j.jneb.2021.01.005.