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Evaluation of a long day care intervention targeting the mealtime environment and curriculum to increase children's vegetable intake: a cluster randomised controlled trial using the multiphase optimisation strategy framework.
Morgillo, Samantha; Bell, Lucinda K; Gardner, Claire; Kashef, Shabnam; Stafford, Karen; Zarnowiecki, Dorota; Poelman, Astrid Am; Cochet-Broch, Maeva O; Johnson, Brittany J; Gulyani, Aarti; Cox, David N; Golley, Rebecca K.
Afiliación
  • Morgillo S; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Bedford Park, SA, Australia.
  • Bell LK; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Bedford Park, SA, Australia.
  • Gardner C; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Bedford Park, SA, Australia.
  • Kashef S; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Bedford Park, SA, Australia.
  • Stafford K; Nutrition Australia Victorian Division, Carlton, VIC, Australia.
  • Zarnowiecki D; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Bedford Park, SA, Australia.
  • Poelman AA; Research and Innovation Services, University of South Australia, Mawson Lakes, SA, Australia.
  • Cochet-Broch MO; Commonwealth Scientific and Industrial Research Organisation (CSIRO), Health and Biosecurity, Westmead, NSW, Australia.
  • Johnson BJ; Commonwealth Scientific and Industrial Research Organisation (CSIRO), Agriculture & Food, North Ryde, NSW, Australia.
  • Gulyani A; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Bedford Park, SA, Australia.
  • Cox DN; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Bedford Park, SA, Australia.
  • Golley RK; Commonwealth Scientific and Industrial Research Organisation (CSIRO), Health and Biosecurity, Adelaide, SA, Australia.
Public Health Nutr ; 27(1): e87, 2024 Feb 26.
Article en En | MEDLINE | ID: mdl-38404253
ABSTRACT

OBJECTIVE:

To determine the reach, adoption, implementation and effectiveness of an intervention to increase children's vegetable intake in long day care (LDC).

DESIGN:

A 12-week pragmatic cluster randomised controlled trial, informed by the multiphase optimisation strategy (MOST), targeting the mealtime environment and curriculum. Children's vegetable intake and variety was measured at follow-up using a modified Short Food Survey for early childhood education and care and analysed using a two-part mixed model for non-vegetable and vegetable consumers. Outcome measures were based on the RE-AIM framework.

SETTING:

Australian LDC centres.

PARTICIPANTS:

Thirty-nine centres, 120 educators and 719 children at follow-up.

RESULTS:

There was no difference between intervention and waitlist control groups in the likelihood of consuming any vegetables when compared with non-vegetable consumers for intake (OR = 0·70, (95 % CI 0·34-1·43), P = 0·32) or variety (OR = 0·73 (95 % CI 0·40-1·32), P = 0·29). Among vegetable consumers (n 652), there was no difference between groups in vegetable variety (exp(b) 1·07 (95 % CI0·88-1·32, P = 0·49) or vegetable intake (exp(b) 1·06 (95 % CI 0·78, 1·43)), P = 0·71) with an average of 1·51 (95 % CI 1·20-1·82) and 1·40 (95 % CI 1·08-1·72) serves of vegetables per day in the intervention and control group, respectively. Intervention educators reported higher skills for promoting vegetables at mealtimes, and knowledge and skills for teaching the curriculum, than control (all P < 0·001). Intervention fidelity was moderate (n 16/20 and n 15/16 centres used the Mealtime environment and Curriculum, respectively) with good acceptability among educators. The intervention reached 307/8556 centres nationally and was adopted by 22 % eligible centres.

CONCLUSIONS:

The pragmatic self-delivered online intervention positively impacted educator's knowledge and skills and was considered acceptable and feasible. Intervention adaptations, using the MOST cyclic approach, could improve intervention impact on children' vegetable intake.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Verduras / Dieta Límite: Child / Child, preschool / Humans País/Región como asunto: Oceania Idioma: En Revista: Public Health Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Verduras / Dieta Límite: Child / Child, preschool / Humans País/Región como asunto: Oceania Idioma: En Revista: Public Health Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido