Funded Projects

The California Childcare Health Program is engaged in several research, education, and service projects. We will summarize our present projects and some past projects, along with a list of the instruments used in our health and safety studies in ECE programs.

Present Projects

Past Projects


Present Projects

Healthy Children and Environments Study

This randomized control study is designed to evaluate a child care health consultant-led integrated pest management (IPM) intervention in 88 child care centers serving socio-economically and ethnically diverse preschool-age children in four California counties. The goal of the intervention is to reduce the exposure to pesticides. Changes in IPM knowledge, policies, practices, pests, and pesticide exposure (measured in dust and by wristbands) will be assessed.

Funder - National Institute of Environmental Health Sciences (NIEHS) 9/30/2017 - 8/31/2022

Office of Head Start’s National Center on Health, Behavioral Health, and Safety (NCHBHS)

For this project, the UCSF CCHP staff provides expertise in specific content areas including the COVID-19 pandemic, emergency preparedness, staff health, injury prevention, environmental health, prevention of infectious disease, prenatal care, and health equity. We contribute to the NCHBHS by providing Training and Technical Assistance (TTA) that reflects current evidence, is research-informed, and promotes best practices.  The NCHBHS strengthens professional development outcomes for staff and improves outcomes for children and families enrolled in Head Start and/or Early Head Start (HS/EHS) programs.

Funder - Education Development Center, Office of Head Start 10/30/2020-9/30/2025

Translation of COVID Resources for California Early Learning and Care

The goal of this project is to develop and disseminate up-to-date information for child care directors and providers on reducing the risk of COVID-19 in their child care programs in California. To post the information (e.g., Infographics, Question and Answer, Health and Safety Note) on the CCHP website.

Funder - Heising-Simons Foundation 1/1/2021-12/31/2021

Health and Safety COVID Resources for UCSF Parents and Child Care Providers

For this project we develop and disseminate up-to-date information for UCSF parents and child care providers on reducing the risk of COVID-19. We post the information (e.g., Infographics, Question and Answer, Health and Safety Note) on the UCSF COVID and CCHP websites.

Funder - UCSF Chancellor's Fund 1/1/2021-12/31/2021

California Preventive Health and Safety Practices Training of Trainers (TOT) and Technical Assistance (TA) Program

The goal of this program is to develop a train-the-trainer curriculum, conduct the trainings in-person or online, maintain a network of qualified Preventive Health trainers, and provide technical assistance to the trainers throughout CA. We collaborate with the efforts of the R&R California Preventive Health and Safety Practices (CPHSP) hub network (identified as CPHSP hubs) to promote safe and healthy child care that meets the needs of children and families.

Funder - California Department of Education (CDE) Early Learning and Care Division 7/1/2019-6/30/2022

Integrated Pest Management (IPM) and Integrated Germ Management (IGM) In-Person Training for Child Care Providers: Training of Trainers

The goal of this program is to develop and support in-person and virtual trainings to improve compliance with California's Healthy Schools Act (HSA) for child care centers. By training of new IPM/IGM trainers, we aim to improve child care providers’ access to HSA training throughout California.

Funder - California Department of Pesticide Regulation (DPR) 11/15/2019-6/31/2022

Healthy Beverages in Child Care: Putting Policy into Practice

This project aims to develop, pilot-test, and evaluate the utility and sustainability of standardized, online training for licensed providers on ways to create and maintain a healthy beverage environment for children in child care.

Funder - UC Agriculture and Natural Resources 4/1/2016 - 9/30/2019


Past Projects

Family Child Care Nutrition Pilot Intervention Project

Overall Project Goal:

  1. To inform the development and adoption of a statewide nutrition policy for family child care homes (FCCHs) in California.
  2. To support the implementation of new federal CACFP standards.
  3. To provide preliminary data and refined nutrition standards for the implementation of a larger, expanded cluster randomized-controlled intervention trial of comprehensive nutrition standards in FCCHs.

Pilot Intervention Project Objective:

To determine if a pilot educational intervention focusing on nutrition standards for family child care home providers is feasible, acceptable, cost-effective, and sustainable in California.

Funder - California Food Policy Advocates (CFPA) 10/1/2016-9/31/2017

Developing an Integrated Pest Management Program to Reduce the Exposure to Pesticides for Young Children in Family Child Care Homes in California

The overall goal of this three-year project is to reduce the exposure of pesticides for young children attending licensed family child care by providing an integrated pest management (IPM) program for family child care homes. In the first year we will conduct a qualitative study to determine the needs of the family child care providers in 3 regions of California and identify their pest management, knowledge and practices, and pesticide use. During the second and third years, we will conduct a pilot study. The 6-month quasi-experimental pilot study will evaluate changes in environment, policies, and practices in 21 family child care homes following a nurse-led IPM intervention. The intervention will include dissemination of the Integrated Pest Management: A Toolkit for Family Child Care Homes.

Funder - California Department of Pesticide Regulation 9/1/2014 - 3/31/2017

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California Statewide Disaster Plan and Emergency Preparedness for Early Care and Education

This project aims to minimize potential injury, loss, destruction, and disruption for children and families in the event of a disaster by writing a California Statewide Disaster and Emergency Plan for early care and education (ECE). The state disaster plan will coordinate emergency planning and ECE response activities with key state agencies and existing emergency operations. In addition, the project will provide guidance for ECE to develop custom emergency preparedness plans based on individual program needs and local resources.

Funder - California Department of Education Early Care and Education Division, 7/1/2015 -6/30/2016

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California Sudden Infant Death Syndrome Program 

Under the direction of the California Department of Public Health, Maternal, Child, and Adolescent Health Division, the California Sudden Infant Death Syndrome (SIDS) Program serves families and professionals affected by the sudden and unexpected death of an infant. The program provided support services, education, training and consultation

Funder - Federal Title V Block Grant through the California Department of Public Health, Maternal, Child, and Adolescent Health Division, November 1, 2013 - June 30, 2015

Integrated Pest Management Intervention Study in 45 Child Care Centers in Three Counties 

This research study evaluated the impact of a nurse-led integrated pest management (IPM) intervention and dissemination of the Integrated Pest Management: A Toolkit for Early Care and Education Programs. The IPM intervention included an IPM workshop for child care staff, an IPM Checklist assessment and photo summary of the problems identified, and a review of centers' pest management policies. An "IPM Toolbox" with items to implement IPM was given to each participating child care program. The goals of the project were to increase IPM knowledge and practices, reduce the use of pesticides in child care centers, and subsequently reduce the exposure to pesticides for children and staff.

Funder - Department of Pesticide Regulations, 08/01/2012 - 06/30/2015

Health and Safety Checklist for Early Care and Education Programs: Based onCaring for Our Children National Health and Safety Performance Standards - Third Edition

The Health and Safety Checklist is a 112-item tool developed to assess key health and safety standards and identify ways to improve health and safety in early care and education (ECE) programs. The Checklist includes 72 out of the 138 key health and safety standards in Stepping Stones Third Edition. The Checklist was reviewed by an advisory committee of health and safety experts and pilot tested by child care health consultants. The Checklist is user-friendly, easy-to-understand, and has links to theCaring for Our Children standards and other related resources. It can be used on a computer, electronic tablet or smart phone, or printed on paper and filled out by hand. The User Manual provides background information and guidelines for rating each item.

Funder - School of Nursing at the University of California, San Francisco, 2014

Early Childhood Comprehensive Systems 

Early Childhood Comprehensive Systems (ECCS) initiative encouraged primary care providers, social services, early childhood educators, and families to work together on seamless systems of care for children in the critical formative years from birth to age 3. The goal of ECCS was to help children grow up healthy and ready to learn by addressing their physical, emotional and social health in a broad-based and coordinated way.

Funder - Federal Health Resources and Services Administration through the California Department of Public Health, 2003-2013

Integrated Pest Management in Early Care and Education Programs 

An integrated pest management (IPM) Toolkit was developed for early care and education (ECE) staff to reduce the exposure of pesticides for children and staff in child care programs. The English and Spanish language toolkit includes a curriculum and complementary materials (laminated posters, Health & Safety Notes on individual pests, Fact Sheets for Families, and an IPM Checklist). The Toolkit was disseminated at workshops, to child care agencies, and is posted on the California Childcare Health Program website. To develop a standardized research instrument to assess pest control practices, an IPM Checklist was developed and pilot tested at 10 local child care programs. This collaborative project included researchers and content experts at University of California (UC) Berkeley Center for Environmental Research, Children's Health and UC Statewide IPM Program at UC Davis, and the California Department of Pesticide Regulation.

Funder - California's Department of Pesticide Regulation 11/1/08-5/31/11

Child Care Wellness Study: Promoting Nutrition and Physical Activity in Child Care Centers

DHHS, HRSA, MCHB, subcontract under University of North Carolina 
(7/01/08 – 08/30/10)

The Child Care Wellness Study (CCWS) was an experimental study conducted in CT, NC, and CA child care centers to study the effect of a nutrition and physical activity intervention on children’s weight, physical activity and nutrition. The intervention included nutrition and physical activity workshops for child care providers and parents conducted by a nurse child care health consultant. The study was conducted in 4-6 child care centers in each state. This multi-state study was conducted with colleagues at the University of North Carolina, Chapel Hill School of Public Health and Yale University School of Nursing and funded by the federal Maternal and Child Health Bureau.

Child Care Health Linkages Project (Year of completion 2005)

The Child Care Health Linkages Project, funded by First 5 California, included a three-year evaluation (September 2001 to June 2004) to study the effects of health consultation services provided by Child Care Health Consultants (CCHC) and Child Care Health Advocates (CCHAs) on the health and safety of children 0-5 years of age attending child care. The evaluation included three components. First, an evaluation of the California Training Institute (CTI) for Child Care Health Consultants and Child Care Health Advocates. Training was assessed using pre and post knowledge-based tests and process evaluations following each training session. Second, a formative evaluation was conducted, which was be a descriptive study of the Child Care Health Consultant (CCHC) and Child Care Health Advocate (CCHA) roles in early care and education settings and the implementation of these new roles and programs at county and center levels. Third, an outcome evaluation was conducted in five of the 20 counties to study the effect of the child care health consultation programs on the number of national health and safety standards met in the ECE programs, number and quality of the health and safety written policies, and the health status of the children in the centers.

Advocate Daily Encounter Form
The Child Health Record Review
CCHP Health and Safety Checklist--Revised
CCHP Health and Safety Policies Checklist


Advocate Daily Encounter Form

In California, CCHCs work with Child Care Health Advocates (CCHAs). The CCHAs use a form that was modified from the DEF and is similar to the DEF. The form is called the Advocate Daily Encounter Form (ADEF). The ADEF documents the health and safety activities of the CCHAs. The ADEF was developed by the Child Care Health Linkages Evaluation Project, of the University of California, San Francisco School of Nursing.

Advocate Daily Encounter Form (PDF; 57k)

The Child Health Record Review

Early Care and Education Program Health Assessment (Child Health Record Review) was developed to assess children's health status based on information in children's health records located on-site at early care and education (ECE) programs. They are based on the Child Care Evaluation Worksheet and Guidelines for Completion of form developed by the University of North Carolina of Chapel Hill Quality Enhancement Project for Infants and Toddlers Quality Enhancement Project for Infants and Toddlers, 2001; and researchers' and Child Care Health Consultants' experiences.

The Child Health Record Review (PDF; 11k)

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CCHP Health and Safety Checklist--Revised

The CCHP Health and Safety Checklist-Revised is an 82-item observational measure that was developed to: 1) assess the health and safety status in early care and education (ECE) programs, 2) assess compliance with key National Health and Safety Performance Standards (American Academy of Pediatrics, American Public Health Association and National Resource Center for Health and Safety in Child Care, 2002), and 3) assist users to develop interventions to address the health and safety needs identified on the CCHP H&S Checklist.

The CCHP H&S Checklist was modified from the original CCHP Health and Safety Checklist based on several years of researchers' and Child Care Health Consultants' experiences using the measure. In addition, the new Health and Safety Checklist was modified to be more user-friendly, comprehensive and better organized than the original CCHP Health and Safety Checklist. An advisory group of experts met to review and prioritize the items.

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CCHP Health and Safety Policies Checklist

The California Childcare Health Program Health and Safety Policies Checklist (2005) was developed to objectively assess written health and safety policies in early care and education programs. The Checklist can be used by child care providers or directors, child care health advocates, child care health consultants, health professionals, and researchers. It assesses the quality of written health and safety policies and helps child care and health professionals identify how to improve written policies and target interventions. The Checklist is based on the University of North Carolina of Chapel Hills's Quality Enhancement Project and the National Health and Safety Performance Standards (AAP, APHA, NRC, 2002).

CCHP Health and Safety Policies Checklist (PDF; 239k; 13pp)

Health and Physical Development Foundations for California’s Early Care and Education (Year of completion 2009)

This project supported the development of research-based foundations for the State of California Department of Education Child Development Division’s 4-5 year olds attending child care programs on their physical development and general health. The foundations were reviewed by a national panel of experts and California’s child care agencies and providers. The Foundations provide the guidelines for new state curricula for 4-5 year olds on physical development and general health. CCHP was funded by WestEd for the project.

Integrated Pest Management Checklist for Early Care and Education Programs

This Checklist was developed by an interdisciplinary team including epidemiologist, entomologist, child care providers and administrators, and nurses. It includes observable items to assess in the indoor and outdoor environment to identify possible places that pests may enter a building or find shelter, water, or food. It also includes an introduction with a suggestions for tools to use when conducting the assessment and a explanations for why certain items are included in the Checklist. It was administered in 10 child care programs before and after the integrated pest management workshops were provided for child care staff on the Integrated Pest Management Toolkit.  


Research Articles

Selected Relevant Publications

  1. Alkon A, Genevro J, Kaiser P, Tschann J, Chesney M, Boyce WT. Injuries in child care centers: Rates, severity and etiology. Pediatrics Supplement, 94(6), 1043-1045, 1994.
  2. Boyce WT, Chesney M, Alkon A, Tschann J, Adams S, Chesterman E, Cohen F, Kaiser P, Folkman S, Wara D. Psychobiologic reactivity to stress and childhood respiratory illnesses; Results of two prospective studies. (1995) J. of Psychosomatic Medicine, 57, 411-422, 1995.
  3. Alkon A, Boyce J. Health assessment in 4 child care centers: Parent and staff perceptions. Pediatric Nursing, 25(4), 439-442, 1999.
  4. Alkon A, Genevro J, Kaiser P, Tschann J, Chesney M, Boyce WT. The epidemiology of injuries in 4 child care centers. Archives of Pediatric and Adolescent Medicine, 153:1248-1254, 1999.
  5. Alkon A, Ragland DR, Tschann J, Genevro J, Kaiser, PJ, Boyce WT. Injuries in child care centers: gender-environment interactions. Injury Prevention, 6, 214-218, 2000.
  6. Alkon A, Tschann JM, Ruane SH, Wolff M, Hittner A. A violence prevention and evaluation project with ethnically diverse populations. American Journal of Preventive Medicine, 20(1S), 48-55, 2001.
  7. Boyce WT, Quas J, Alkon A, Smider NA, Essex MJ, Kupfer DJ. Autonomic Reactivity and Psychopathology in Middle Childhood. British Journal of Psychiatry, 179,144-150, 2001.
  8. Alkon A, Sokal-Gutierrez K, Wolff, M. Child Care Health Consultation Improves Health Knowledge and Compliance. Pediatric Nursing, 28(1), 61-65, 2002.
  9. Alkon A, Ramler M., MacLennan K. Evaluation of mental health consultation in child care centers. Early Childhood Education Journal, 31(2), 91-99, 2003.
  10. Alkon A, Goldstein LH, Smider N, Essex M, Kupfer D, Boyce WT. Developmental and contextual influences on autonomic reactivity in young children. Developmental Psychobiology, 42(1), 64-78, 2003.
  11. Alkon A, Boyer-Chu L. Oral health care starts early. Young Children, 59(2): 47, 2004.
  12. Alkon A, Farrer, J., Bernzweig, J. Roles and responsibilities of child care health consultants: Focus group findings. Pediatric Nursing, 30(4): 315-321, 2004.
  13. Farrer J, Alkon, A, To, K. Child care health consultation programs: Barriers and opportunities. Maternal Child Health Journal. 11(2):111-8, 2007.
  14. Ward, T, Gay, C, Anders, TF, Alkon, A, Lee, KA. Sleep and napping patterns in 3-to 5-year old children attending full-day childcare centers. Journal of Pediatric Psychology. 33(6):666-672, 2008.
  15. Wayne, W, Alkon, A, Buchanan, E. Creating a State Strategic Plan for Integrating Services for Children Using Multiple Qualitative Methods. Maternal Child Health Journal. 12:15-23, 2008.
  16. Alkon, A, Bernzweig, J, To, K, Mackie, J, Wolff, M, Elman, J. Child Care Health Consultation Programs in California: Models, Services and Facilitators. Public Health Nursing. 25(2):126-139, 2008.
  17. Ward, T, Gay, C, Alkon, A, Anders, TF, Lee, KA. Nocturnal sleep and daytime nap behaviors in relation to salivary cortisol levels and temperament in preschool-age children attending child care. Biological Research for Nursing. 9(3):244-253, 2008.
  18. Alkon, A, To, K, Wolff, M, Mackie, J, Bernzweig, J. Assessing health and safety in early care and education programs: Development of the CCHP Health and Safety Checklist. Journal of Pediatric Health Care. 22(6):368-377, 2008.
  19. Bernzweig, J, Ramler, M, Alkon, A. Mental health consultation in early childhood classrooms. Zero to Three. 30(1): 47-51, 2009.
  20. Alkon A, Bernzweig J, To K, Wolff M, Mackie, JF. Child care health consultation improves health and safety policies and practices. Academic Pediatrics. 9(5): 366-370, 2009.
  21. Alkon, A, To, K, Mackie, JF, Wolff, M, Bernzweig, J. Health and safety needs in early care and education programs: What do directors, child health records, and national standards tell us? Public Health Nursing, 27(1), 3-16, 2010.
  22. Treadwell, M, Alkon, A, Quirolo, KC, Boyce WT. Stress reactivity as a moderator of family stress, physical and mental health, and functional impairment for children with sickle cell disease. Journal of Developmental and Behavioral Pediatrics, 31(6): 491-497, 2010.
  23. Alkon A, Davis NV, Boyce WT, Eskenazi B. Developmental Changes in Autonomic Nervous System Resting and Reactivity Measures in Latino Children from Six to Sixty Months of Age. Journal of Developmental and Behavioral Pediatrics. 32:668-677, 2011.
  24. Alkon, A, Cole, P. Health and safety assessment in early care and education programs in Indiana. Maternal Child Health Journal. 16: 555-563, 2012.
  25. Alkon, A, Kalmar, E., Leonard, V, Flint, ML, Kuo, D, Davidson, N, Bradman A. Development and Evaluation of an Integrated Pest Management Toolkit for Child Care Providers, Early Childhood Research and Practice (ECRP), 14(2), 2013;
  26. Alkon, A, Boyce WT, Tran L, Harley, K, Eskenazi, B. Prenatal Adversities Predict Children’s Autonomic Nervous System Reactivity Trajectories from 6 to 60 Months of Age. PLOS ONE. 9(1), e86283, 2014. PMCID: 3897676. e86283.
  27. Kalmar, E, Ivey, S, Bradman, A, Leonard, V, Alkon A. Implementing an integrated pest management (IPM) program in child care centers: A qualitative study. Early Childhood Research Quarterly. 29, 2014: 245-254.
  28. Alkon A, Harley KG, Neilands, TB, Tambellini K, Boyce WT, Eskenazi B. Latino children's body mass index at 2 - 3.5 years predicts autonomic nervous system activity at 5 years. Childhood Obesity. 10(3): 1-11, 2014. PMCID: PMC4038992. doi: 10.1089/chi.2013.0063
  29. Alkon, A, Crowley, AA, Benjamin Neelon, SE, Hill, S, Pan, Y, Nguyen, V, Rose, R, Savage, E, Shipman, L, Kotch, J. Nutrition and physical activity intervention in child care improves knowledge, policies, and children's body mass index. BMC Public Health. 14: 215, 2014. doi:10.1186/1471-2458-14-215
  30. Alkon, A, Rose, R, Wolff, M, Kotch, JB, Aronson, SS. Health and safety checklist for early care and education programs to assess National Health and Safety Standards. Maternal and Child Health Journal. Jan;20(1):114-27, 2016. doi: 10.1007/s10995-015-1809-8
  31. Waters SF, Boyce WT, Eskenazi B, Alkon A. The impact of maternal depression and overcrowded housing on associations between autonomic nervous system reactivity and externalizing behavior problems in vulnerable Latino children. Psychophysiology, 53(1), 97-104, 2016. doi: 10.1111/psyp.12539.
  32. Alkon A, Waters SF, Boyce WT, Johnson MM, Harley KG, Eskenazi B. Latino children's autonomic nervous system reactivity moderates the relations between cumulative socioeconomic adversity in the first five years and externalizing behavior problems at seven years. Advances in Pediatric Research. 3:6, 2016. doi: 10.12715/apr.2016.3.6
  33. Bush NR, Caron ZK, Blackburn KS, Alkon A. Measuring cardiac autonomic nervous system (ANS) activity in toddlers - resting and developmental challenges. J Vis Exp.  (JoVE). 25;(108):53652, 2016. doi: 10.3791/53652.
  34. Stastny PF, Keens TG, Alkon A. Supporting SIDS families and caregivers: The public health nurse SIDS home visit. Public Health Nursing. 33(3):242-248, 2016. doi: 10.1111/phn.12251.
  35. Alkon A, Nouredini S, Swartz A, Sutherland AS, Stephens M, Davidson N, Rose R. Integrated pest management intervention in child care centers improves knowledge, pest control, and practices. Journal of Pediatric Health Care. Nov-Dec.; 30(6): e27-e41, 2016. doi: 10.1016/j.pedhc.2016.07.004.
  36. Johnson MM, Deardorff J, Martinez W, Eskenazi B, Alkon A. The relationship between maternal responsivity, socioeconomic status, and resting autonomic nervous system functioning in Mexican American children. Int J Psychophysiol. 116: 45-52, 2017. doi: 10.1016/j.ijpsycho.2017.02.010.
  37. Alkon A, Boyce WT, Neilands TB, Eskenazi B. Children's autonomic nervous system reactivity moderates the relations between family adversity and sleep problems in Latino 5-year olds in the CHAMACOS study. Frontiers in Public Health. 5:155, 2017. doi: 10.3389/fpubh.2017.00155.
  38. Stephens M, Hazard K, Moser D, Cox D, Rose R, Alkon A. An integrated pest management intervention improves knowledge, pest control, and practices in family child care homes. International Journal of Environmental Research and Public Health. 14: 1299, 2017. doi: 10.3390/ijerph141112999.
  39. Bush NR, Jones-Mason K, Coccia M, Caron Z, Alkon A, Thomas M, Coleman-Phox K, Wadhwa PD, Laraia BA, Adler NE, Epel ES. Effects of pre- and postnatal maternal stress on infant temperament and autonomic nervous system reactivity and regulation in a diverse, low-income population. Dev Psychopathol. Dec;29(5):1553-1571, 2017. doi: 10.1017/S0954579417001237.
  40. Swartz A, Collier T, Young CA, Cruz E, Bekmezian A, Coffman J, Celedon J, Alkon A, Cabana MD. The effect of early child care attendance on childhood asthma and wheezing: A meta-analysis. J Asthma.2018.Apr 9:1-11, 2018. doi: 10.1080/02770903.2018.1445268.
  41. Alkon A, Boyce WT, Shulman A, Rehm RS. An exploratory qualitative study of life trajectories from preschool-age to young adulthood: Identifying early biologic sensitivity, facing challenges, and moving forward. Adv Pediatr Res, 5(2), 2018. doi:10.24105/apr.2018.5.8.
  42. Grummon, AH, Cabana, MD, Hecht, AA, Alkon, A, McCulloch, CE, Brindis, CD, and Patel, AI. Effects of a multipronged beverage intervention on young children's beverage intake and weight: A cluster-randomized pilot study. Public Health Nutrition, 2019.
  43. Alkon A, Rose R, Hazard K, Moser D. National health and safety standards: Family child care homes compared to child care centers. Journal of Pediatric Health Care. 35(1): 5-15.
  44. Stephens M, Coccia M, Koget K, Weiss S, Bush N, Alkon A. Autonomic nervous system reactivity in early childhood: developmental patterns from 18- to 36-months of age. Biological Research for Nursing. doi:10.1177/1099800420943957
  45. Roubinov D, Tien, J-Y, Kogut K, Gunier R, Eskenazi B, Alkon A. Latent profiles of children's autonomic nervous system reactivity early in life predicts externalizing behavior problems. Developmental Psychobiology. In Press.
  46. Hazard K, Lee D, Ritchie L, Rose R, Diaz Rios LK, Plank K, Alkon A. Development of an online curriculum for California early care and education providers on healthy beverages. Early Childhood Education Journal. In Press.
  47. Ritchie LD, Keeton V, Lee DL, Gurzo K, Homel Vitale E, Au LE, Alkon A. Nutrition Standards For Infants and Young Children can be Implemented by Family Child Care Home Providers. Global Pediatric Health, Volume 8, 25 January 2021. DOI:
  48. Lee DL, Alkon A, Plank K, Neelon M, Diaz Rios LK, Hecht CE, Ritchie LD. Self-paced online training on healthy beverage policy for child care providers. Journal of Nutrition Education and Behavior, In Press.
  49. Hashikawa AN, Sells JM, DeJonge PM, Alkon A, Martin ET, Shope TR. Child care in the time of Coronavirus disease-19: A period of challenge and opportunity. J of Pediatrics, 225:239-245. DOI:10.1016/j.jpeds.2020.07.042
  50. Rudd K, Alkon A, Abrams B, Bush N. Infant weight-for-length gain associated with autonomic nervous system reactivity. Pediatric Research. https:/

Chapters in Books  

  1. Alkon A. Wolff, B. Boyce, WT. Poverty, Stress and Autonomic Reactivity. Chapter 12. In The Oxford Handbook of Poverty and Child Development. Editors: Maholmes, V. & King, R.B. New York: Oxford University Press, 2012.
  2. Donahue, E.A. and Kraft, C.A. (Editors), Managing Chronic Health Needs in Child Care and Schools, Second Edition. Alkon A and Rose R (Contributors), American Academy of Pediatrics, Elk Grove, IL., 2018



Health and School Readiness Literature Review

The purpose of this literature review is to summarize the health components, initiatives, and outcomes of key School Readiness Programs in the United States, not including California. The intent of this review is to provide relevant information for county First 5 staff renewing their School Readiness Programs and developing health interventions and/ or outcomes to address the required 'health and social services' element of their programs. This literature review summarizes key findings of program components and outcomes related to health and School Readiness.

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