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BCYF Projects in Development

 

Framework for Nutrition Education Standards: A Study

The Board on Children, Youth, and Families of the Institute of Medicine and National Research Council in collaboration with the Food and Nutrition Board of the Institute of Medicine would like to assemble an expert committee to recommend a framework for the development of nutrition education standards for Pre-K through grade 12. The committee will gather and review the evidence for the need for nutrition education in schools, as well as review the current knowledge on the effective nutrition education methodologies, the science of social and cognitive learning strategies at various developmental/grade levels, and behavior change methods, in order to outline a framework.

For further information on this study in development, please contact Kimber Bogard, Board Director, at kbogard@nas.edu.
 
Research Issues in the Assessment of Birth Settings: A Study

The Institute of Medicine and the National Research Council convened an ad hoc committee to plan and conduct a two-day public workshop that reviewed updates to the 1982 Institute of Medicine (IOM)ο€­National Research Council (NRC) report, Research Issues in the Assessment of Birth Settings. The committee was chaired by Maxine Hayes, M.D., M.P.H., State Health Officer for the State of Washington. The workshop featured presentations from invited speakers that highlighted research findings that have advanced the understanding of the effects of maternal care services across different types of birth settings on maternal labor, clinical and other birth procedures, and birth outcomes. The institutional settings include conventional hospital labor and delivery wards, alternative birth settings that may be hospital-affiliated or free-standing, and home births.

The workshop discussions illuminated controversies that surround the choice of birth setting and the need for further study on a variety of issues. While the majority of births in the United States are in hospitals, out-of-hospital births have increased by 36% since 2004 to 1.2% of U.S. births. Of these, approximately two-thirds are home births and one-third take place in birth centers or other settings. This increase has been primarily in non-Hispanic white women. Workshop presentations highlighted disparities in access and information on birth settings and services, thus limiting choice. Participants pointed to a need to better educate all women about options that are available so they are empowered to make informed decisions about their choice of birth setting. Some of the issues that were presented and provide a foundation for a consensus study to move the field forward include:

• A lack of a common definition of risk in pregnancy, with perceptions of risk and safety varying among women and providers
• Complex findings in the research on birth settings, with several presenters observing that birth center and home birth settings have been associated with fewer interventions and fewer complications and others reporting high transfer rates and an increased risk for neonatal mortality
• Variation across states in provider regulation and liability, costs, Medicaid coverage for maternal and neonatal care, and reimbursement rates
• The lack of understanding and collaboration among professions providing maternal care and childbirth services

A consensus study to address these and other issues will help advance the understanding of the research on birth settings for women. A consensus study would delve deeper into the issues that were identified as pressing policy concerns at the workshop. As a result, the consensus findings and recommendations would help to move the research agenda forward and answer the questions necessary to establish policies and procedures that utilize the most advanced knowledge and safe methods to provide maternal care and childbirth services.


For further information on this study in development, please contact Kimber Bogard, Board Director, at kbogard@nas.edu.

Summertime Experiences and Child and Adolescent Education, Health, and Safety: A Study 

 
Many Americans have an image of summer as a time of high activity when children and their families engage in swimming, hiking, and vacations. This image may include young people participating in summer camps and other forms of organized summer programming as well as enjoying more free time for recreation within the safety of their own neighborhoods. The idea that summer represents a time when young people have heightened access to healthy foods such a fruits and vegetables is also common. Unfortunately, this image is not a reality for many young people in America. Instead, summer appears to be "season of risk" with respect to children's learning, risk for obesity, and involvement in delinquent activities...Read the full document

For further information on this study in development, please contact Kimber Bogard, Board Director, at kbogard@nas.edu

 


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