(P10-017-24) Knowledge and Perceptions About Feeding and Growth in Infants and Young Children Among Early Interventionists

Objectives: Early Interventionists (EIs) serve families in the home, and are often the professional who identifies and makes referrals related to health concerns. This survey-based, quantitative research project aims to increase the understanding of experiences and perceptions about nutrition among EIs in Tennessee, including knowledge, identifying complex nutrition needs in their caseloads, and comfort levels providing guidance and referrals.

Methods: A 56-item electronic Qualtrics survey was emailed to EIs in Tennessee. The survey is comprised of five categories: provider demographics; nutrition knowledge questions; experiences and comfort levels providing nutrition guidance; perceptions of social determinants affecting food access; perceptions of the role of Registered Dietitian Nutritionists (RDNs). Responses were chosen from a 5-point Likert scale, and frequencies analyzed.

Results: Preliminary results indicate while EIs in Tennessee are familiar with growth in young children, they vary in their knowledge of nutrition needs, and lack confidence in providing nutrition-related guidance to families with young children. Such topics include general nutrition requirements, meal routines, assistance for picky and/or selective eating among toddlers, questions about formula selection for infants, and introduction of solid foods. EIs report some familiarity with food assistance programs, and that caregiver mental health affects access to nutrition at times. All expressed interest in nutrition training, and most felt RDNs would be welcome in the home by EIs and families.

Conclusions: The nutrition status of infants and toddlers has long-term effects on growth and cognitive development. Early identification of needs is essential. While individually, EI techniques and nutrition interventions have positive effects on developmental outcomes, research indicates there are synergistic benefits for the child when these services are integrated. Our study indicates limited access to nutrition supports for EIs in the home, and an opportunity for coordination of these services. We hope this data will support advocacy at the state level to increase RDN access, and services to support the needs of his population.

Funding Sources: ETSU’s Center of Excellence in Early Childhood Learning & Development