scholarly journals The Impact of a Childcare Food Service Intervention on Child Dietary Intake in Care: An Exploratory Cluster Randomized Controlled Trial

2019 ◽  
Vol 33 (7) ◽  
pp. 991-1001 ◽  
Author(s):  
Sze Lin Yoong ◽  
Alice Grady ◽  
Kirsty Seward ◽  
Meghan Finch ◽  
John Wiggers ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Dietary Intake ◽  
Diet Quality ◽  
Controlled Trial ◽  
Food Service ◽  
Cluster Randomized Controlled Trial ◽  
Audit And Feedback ◽  
Randomized Controlled ◽  
Service Intervention ◽  
Cluster Randomized

Purpose: To assess the efficacy of a food service implementation intervention designed to increase provision of foods consistent with nutrition guidelines on child consumption of fruit, vegetables, breads/cereals, meat/alternatives, dairy, and diet quality in care. Design: Exploratory cluster randomized controlled trial. Setting: Twenty-five childcare centers in New South Wales, Australia. Sample: Three hundred ninety-five children aged 2 to 5 years. Intervention: Centers were randomized to the intervention or control group. Intervention development was guided by the Theoretical Domains Framework and included securing executive support, provision of group training, resources, audit and feedback, and one-on-one support. The intervention was delivered across six months and the study was conducted between March and December 2016. Measures: Child diet was assessed by educators using a validated questionnaire modified for completion in childcare center. Analysis: Data were analyzed in SAS using generalized linear mixed models adjusted for clustering. Results: Children in the intervention group consumed significantly higher number of serves of vegetables (0.4 serves; P < .001), wholegrain cereals (0.7 serves; P = .02), and meat/alternatives (0.5 serves; P < .001), and had higher diet quality scores (10.3; P < .001). Conclusions: A food service intervention targeting the provision of food significantly improved child dietary intake in care. Such findings are relevant to health promotion practitioners responsible for supporting improvements in child diet.

scholarly journals A Cluster Randomized Controlled Trial of a Home-Delivered Food Box on Children’s Diet Quality in the Chickasaw Nation Packed Promise Project

2021 ◽  
Vol 121 (1) ◽  
pp. S59-S69
Author(s):  
Charlotte Cabili ◽  
Ronette Briefel ◽  
Sarah Forrestal ◽  
Vivian Gabor ◽  
Gregory Chojnacki
Keyword(s):  
Randomized Controlled Trial ◽  
Diet Quality ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Randomized Controlled ◽  
Chickasaw Nation ◽  
Cluster Randomized

scholarly journals The Effect of a Serious Health Game on Children’s Eating Behavior: Cluster-Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Frans Folkvord ◽  
Gosse Haga ◽  
Alexandra Theben
Keyword(s):  
Randomized Controlled Trial ◽  
Dietary Intake ◽  
Eating Behavior ◽  
Healthy Lifestyle ◽  
Controlled Trial ◽  
Computer Game ◽  
Dietary Guidelines ◽  
Cluster Randomized Controlled Trial ◽  
Randomized Controlled ◽  
Cluster Randomized

BACKGROUND Currently, children’s dietary intake patterns do not meet prescribed dietary guidelines. Consequently, childhood obesity is one of the most serious health concerns. Therefore, innovative methods need to be developed and tested in order to effectively improve the dietary intake of children. Teaching children how to cope with the overwhelming number of unhealthy food cues could be conducted effectively by serious health games. OBJECTIVE The main aim of this study was to examine the effect of a serious health computer game on young children’s eating behavior and attitudes toward healthy and unhealthy foods. METHODS A cluster-randomized controlled trial with a between-group design was conducted (n=157; 8-12 years), wherein children played a game that promoted a healthy lifestyle or attended regular classes and did not play a game (control). The game was designed in collaboration with researchers and pilot-tested among a group of children repeatedly before conducting the experiment. After 1 week of playing, attitudes toward food snacks and actual intake (children could eat <i>ad libitum</i> from fruits or energy-dense snacks) was assessed. RESULTS The results showed that playing a serious health game did not have an effect on attitude toward fruits or energy-dense snacks or on the intake of fruits or less energy-dense snacks. Additional Bayesian analyses supported these findings. CONCLUSIONS Serious health games are increasingly considered to be a potential effective intervention when it comes to behavior change. The results of the current study stress the importance of tailoring serious health games in order to be effective, because no effect was found on attitude or eating behavior. CLINICALTRIAL ClinicalTrials.gov NCT05025995; https://tinyurl.com/mdd7wrjd

scholarly journals 12Month changes in dietary intake of adolescent girls attending schools in low-income communities following the NEAT Girls cluster randomized controlled trial

Appetite ◽  
2014 ◽  
Vol 73 ◽  
pp. 147-155 ◽  
Author(s):  
Clare E. Collins ◽  
Deborah L. Dewar ◽  
Tracy L. Schumacher ◽  
Tara Finn ◽  
Philip J. Morgan ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Dietary Intake ◽  
Adolescent Girls ◽  
Low Income ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Randomized Controlled ◽  
Cluster Randomized

scholarly journals A school-based intervention improved dietary intake outcomes and reduced waist circumference in adolescents: a cluster randomized controlled trial

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Angélica Ochoa-Avilés ◽  
Roosmarijn Verstraeten ◽  
Lieven Huybregts ◽  
Susana Andrade ◽  
John Van Camp ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Waist Circumference ◽  
Dietary Intake ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
School Based Intervention ◽  
Randomized Controlled ◽  
School Based ◽  
Cluster Randomized

Cluster Randomized Controlled Trial of the Effectiveness of Audit and Feedback and Educational Outreach on Improving Nursing Practice and Patient Outcomes

Medical Care ◽  
2006 ◽  
Vol 44 (6) ◽  
pp. 542-551 ◽  
Author(s):  
Francine M. Cheater ◽  
Richard Baker ◽  
Stuart Reddish ◽  
Nicola Spiers ◽  
Allan Wailoo ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Patient Outcomes ◽  
Nursing Practice ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Audit And Feedback ◽  
Educational Outreach ◽  
Randomized Controlled ◽  
Cluster Randomized

scholarly journals Can Garfield make children eat healthier?: A cluster-randomized controlled trial to examine the effect of a serious health game on children’s eating behavior. (Preprint)

2019 ◽  
Author(s):  
Frans Folkvord ◽  
Gosse Hage ◽  
Alexandra Theben
Keyword(s):  
Randomized Controlled Trial ◽  
Dietary Intake ◽  
Eating Behavior ◽  
Healthy Lifestyle ◽  
Controlled Trial ◽  
Dietary Guidelines ◽  
Cluster Randomized Controlled Trial ◽  
Control Group ◽  
Randomized Controlled ◽  
Cluster Randomized

BACKGROUND Currently the dietary intake patterns of children do not meet the prescribed dietary guidelines. Consequently childhood obesity is one of the most serious health concerns and innovative methods need to be developed and tested in order effectively improve the dietary intake of children. Learning children how to cope with the overwhelming number of unhealthy food cues could be conducted effectively by serious health games. OBJECTIVE The main aim of this study was to examine the effect of a serious health computer game on young children’s eating behavior and attitudes towards healthy and unhealthy foods. METHODS A cluster-randomized controlled trial with a between-subject design was conducted (N=157; 8-12 years), whereby children played a game that promoted a healthy lifestyle or were in the control condition. The game was designed in collaboration with researchers and pilot-tested before conducting the experiment among a group of children repeatedly. After one week of playing, attitudes towards food snacks and actual intake was assessed, whereby children could eat at libitum from fruits or energy-dense snacks. RESULTS The results showed that playing a serious health game did not have an effect on the attitude towards fruits or energy-dense snacks and on the intake of fruits or less energy-dense snacks, compared to the control group. Additional Bayesian analyses supported these findings. CONCLUSIONS Serious health games are increasingly considered as a potential effective intervention technique when it comes to behavioral change. The results of the current study stress the importance to tailor serious health games in order to be effective, because no effect was found on attitude or eating behavior.

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