Abstract
Many early childhood education and care (ECEC) services
fail to implement recommended policies and practices
supportive of healthy eating and physical activity. The
purpose of this study was to assess whether certain
theoretically-based factors are associated with implementation of healthy eating and physical activity policies
and practices in a sample of ECEC services. A crosssectional survey was conducted with Service Managers of
ECEC services. The survey assessed the operational
characteristics, policy, and practice implementation, and
13 factors were suggested by Damschroder’s
Consolidated Framework for Implementation Research to
impede or promote implementation. Logistic regression
analyses found a significant association between implementation factor score and full implementation (OR 1.38;
95% CI 1.18–1.61; p=