- Title
- Improving the implementation of nutrition guidelines in childcare centres improves child dietary intake: findings of a randomised trial of an implementation intervention
- Creator
- Seward, Kirsty; Wolfenden, Luke; Finch, Meghan; Wiggers, John; Wyse, Rebecca; Jones, Jannah; Yoong, Sze Lin
- Relation
- Public Health Nutrition Vol. 21, Issue 3, p. 607-617
- Publisher Link
- http://dx.doi.org/10.1017/s1368980017003366
- Publisher
- Cambridge University Press
- Resource Type
- journal article
- Date
- 2018
- Description
- Objective: Evidence suggests that improvements to the childcare nutrition environment can have a positive impact on child dietary intake. The primary aim of the present study was to assess, relative to usual care, the effectiveness of a multi-strategy implementation intervention in improving childcare compliance with nutrition guidelines. As a secondary aim, the impact on child dietary intake was assessed. Design: Parallel-group, randomised controlled trial design. The 6-month intervention was designed to overcome barriers to implementation of the nutrition guidelines that had been identified by applying the theoretical domains framework. Setting: Hunter New England region, New South Wales, Australia. Subjects: Forty-five centre-based childcare services. Results: There were no differences between groups in the proportion of services providing food servings (per child) compliant with nutrition guideline recommendations for all five (5/5) food groups at follow-up (i.e. full compliance). Relative to control services, intervention services were more likely to be compliant with guidelines (OR; 95 % CI) in provision of fruit (10·84; 1·19, 551·20; P=0·0024), meat and meat alternatives (8·83; 1·55, –; P=0·023), dairy (8·41; 1·60, 63·62; P=0·006) and discretionary foods (17·83; 2·15, 853·73; P=0·002). Children in intervention services consumed greater servings (adjusted difference; 95 % CI) of fruit (0·41; 0·09, 0·73; P=0·014) and vegetables (0·70; 0·33, 1·08; P<0·001). Conclusions: Findings indicate that service-level changes to menus in line with dietary guidelines can result in improvements to children’s dietary intake. The study provides evidence to advance implementation research in the setting as a means of enhancing child public health nutrition.
- Subject
- childcare; nutrition; children; diet; implementation; guidelines
- Identifier
- http://hdl.handle.net/1959.13/1407750
- Identifier
- uon:35775
- Identifier
- ISSN:1368-9800
- Rights
- © 2018. Cambridge University Press.
- Language
- eng
- Full Text
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