- Title
- A pilot randomised controlled trial of a web-based implementation intervention to increase child intake of fruit and vegetables within childcare centres
- Creator
- Barnes, Courtney; Grady, Alice; Nathan, Nicole; Wolfenden, Luke; Pond, Nicole; McFayden, Tameka; Ward, Dianne S.; Vaughn, Amber E.; Yoong, Sze Lin
- Relation
- ARC.DE170100382 http://purl.org/au-research/grants/arc/DE170100382 & NHMRC APP1128348 http://purl.org/au-research/grants/nhmrc/1128348 & APP1132450 http://purl.org/au-research/grants/nhmrc/1132450
- Relation
- Pilot and Feasibility Studies Vol. 6, no. 163
- Publisher Link
- http://dx.doi.org/10.1186/s40814-020-00707-w
- Publisher
- BioMed Central (BMC)
- Resource Type
- journal article
- Date
- 2020
- Description
- Background: As dietary behaviours developed during early childhood are known to track into adulthood, interventions that aim to improve child nutrition at a population level are recommended. Whilst early childhood education and care (ECEC) is a promising setting for interventions targeting children’s nutrition behaviours, previous interventions have largely used high intensity, face-to-face approaches, limiting their reach, implementation and potential impact at a population level. Web-based modalities represent a promising means of supporting the delivery of childcare-based interventions whilst overcoming challenges of previous approaches; however, the feasibility of using such modalities to support implementation is largely unknown. As such, this study sought to collect feasibility and pilot data to inform the design of a web-based intervention together with health promotion officer support within childcare centres. Child dietary intake will also be assessed to provide an estimate of the impact of the implementation intervention. Methods: A superiority cluster randomised controlled trial with repeat cross-sectional data collection employing an effectiveness-implementation type-II hybrid design will be conducted with childcare centres within the Hunter New England region of New South Wales, Australia. Type-II hybrid designs provide the opportunity to assess intervention efficacy whilst piloting the feasibility of the implementation strategies. Centres allocated to the intervention group will receive access to a web-based program together with health promotion officer support to implement targeted healthy eating practices to improve child diet in care. A number of outcomes will be assessed to inform the feasibility to conduct a larger trial, including childcare centre and parent recruitment and consent rates for each component of data collection, uptake of the implementation strategies, acceptability of the intervention and implementation strategies, appropriateness of the implementation strategies and the contextual factors influencing implementation. Discussion: This study will provide high-quality evidence regarding the potential feasibility of a web-based intervention and the impact of healthy eating practices on child diet in care. Web-based modalities provide a promising approach for population-wide implementation support to childcare centres given their potential reach and consistency with existing infrastructure. Trial registration: Prospectively registered with Australian New Zealand Clinical Trial Registry (ACTRN12619001158156).
- Subject
- child diet; obesity; childcare centre; web-based; implementation; randomised controlled trial; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1494718
- Identifier
- uon:53859
- Identifier
- ISSN:2055-5784
- Rights
- This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
- Language
- eng
- Full Text
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