https://nova.newcastle.edu.au/vital/access/ /manager/Index en-au 5 https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:52845 Wed 21 Feb 2024 14:36:37 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:15732 Wed 11 Apr 2018 17:05:14 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:24271 Wed 11 Apr 2018 15:49:16 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:18673 Wed 11 Apr 2018 14:31:33 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:2751 Wed 11 Apr 2018 13:25:05 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:11048 Wed 11 Apr 2018 13:03:39 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:12642 Wed 11 Apr 2018 12:09:12 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:22748 Healthy Habits telephone-based parent intervention. Method: Analysis was conducted using 2-month (immediate) and 12-month (sustained) follow-up data from a cluster randomised control trial of a home food environment intervention to increase the fruit and vegetable consumption of preschool children. Using recursive path analysis, a series of mediation models were created to investigate the direct and indirect effects of immediate and sustained changes to characteristics of the home food environment (fruit and vegetable availability, accessibility, parent intake, parent providing behaviour, role-modelling, mealtime eating practices, child feeding strategies, and pressure to eat), on the change in children's fruit and vegetable consumption. Results: Of the 394 participants in the randomised trial, 357 and 329 completed the 2- and 12-month follow-up respectively. The final mediation model suggests that the effect of the intervention on the children's fruit and vegetable consumption was mediated by parent fruit and vegetable intake and parent provision of these foods at both 2- and 12-month follow-up. Conclusion: Analysis of data from the Healthy Habits trial suggests that two environmental variables (parental intake and parent providing) mediate the immediate and sustained effect of the intervention, and it is recommended these variables be targeted in subsequent home food environment interventions to bring about immediate and sustained changes in child fruit and vegetable intake. Trial registration:ACTRN12609000820202.]]> Wed 11 Apr 2018 10:45:59 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:4364 Wed 11 Apr 2018 10:45:00 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:15669 Wed 11 Apr 2018 09:55:28 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:54401 Wed 06 Mar 2024 14:09:00 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:56084 Tue 30 Jul 2024 15:44:12 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:54571 Tue 14 May 2024 14:15:56 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:30981 Thu 27 Jan 2022 15:56:46 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:22478 Thu 22 Sep 2016 11:16:40 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:35858 Thu 21 Oct 2021 12:45:46 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:14553 Sat 24 Mar 2018 08:19:37 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:18933 Sat 24 Mar 2018 07:58:58 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:21228 Romp & Chomp controlled trial, which aimed to prevent obesity in preschool Australian children, was recently found to reduce the prevalence of childhood overweight and obesity and improve children's dietary patterns. The intervention focused on capacity building and policy implementation within various early childhood settings. This paper reports on the process and impact evaluation of this trial and the lessons learned from this complex community intervention. Methods: Process data was collected throughout and audits capturing nutrition and physical activity-related environments and practices were completed postintervention by directors of Long Day Care (LDC) centers (n = 10) and preschools (n = 41) in intervention and comparison (n = 161 LDC and n = 347 preschool) groups. Results: The environmental audits demonstrated positive impacts in both settings on policy, nutrition, physical activity opportunities, and staff capacity and practices, although results varied across settings and were more substantial in the preschool settings. Important lessons were learned in relation to implementation of such community-based interventions, including the significant barriers to implementing health-promotion interventions in early childhood settings, lack of engagement of for-profit LDC centers in the evaluation, and an inability to attribute direct intervention impacts when the intervention components were delivered as part of a health-promotion package integrated with other programs. Conclusions: These results provide confidence that obesity prevention interventions in children's settings can be effective; however, significant efforts must be directed toward developing context-specific strategies that invest in policies, capacity building, staff support, and parent engagement. Recognition by funders and reviewers of the difficulties involved in implementing and evaluating such complex interventions is also critical to strengthening the evidence base on the effectiveness of such public health approaches to obesity prevention.]]> Sat 24 Mar 2018 07:53:04 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:29113 Sat 24 Mar 2018 07:36:55 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:23621 Sat 24 Mar 2018 07:13:28 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:32332 Mon 23 Sep 2019 12:42:15 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:18446 Fri 30 Aug 2024 16:39:41 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:33970 Fri 25 Jan 2019 14:42:00 AEDT ]]>