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Effectiveness of an intervention to facilitate the implementation of healthy eating and physical activity policies and practices in childcare services: a randomised controlled trial

Jones, Jannah, Wyse, Rebecca, Finch, Meghan, Lecathelinais, Christophe, Wiggers, John, Marshall, Josephine, Falkiner, Maryann, Pond, Nicole, Yoong, Sze Lin, Hollis, Jenna, Fielding, Alison, Dodds, Pennie, Clinton-McHarg, Tara, Freund, Megan, McElduff, Patrick, Gillham, Karen and Wolfenden, Luke 2015, Effectiveness of an intervention to facilitate the implementation of healthy eating and physical activity policies and practices in childcare services: a randomised controlled trial, Implementation science, vol. 10, pp. 1-15, doi: 10.1186/s13012-015-0340-z.

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Title Effectiveness of an intervention to facilitate the implementation of healthy eating and physical activity policies and practices in childcare services: a randomised controlled trial
Author(s) Jones, Jannah
Wyse, Rebecca
Finch, Meghan
Lecathelinais, Christophe
Wiggers, John
Marshall, Josephine
Falkiner, Maryann
Pond, Nicole
Yoong, Sze Lin
Hollis, Jenna
Fielding, Alison
Dodds, Pennie
Clinton-McHarg, Tara
Freund, Megan
McElduff, Patrick
Gillham, Karen
Wolfenden, Luke
Journal name Implementation science
Volume number 10
Article ID 147
Start page 1
End page 15
Total pages 15
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2015-10
ISSN 1748-5908
Keyword(s) Australia
Child
Child Day Care Centers
Communication
Diet
Exercise
Health Policy
Health Promotion
Humans
Inservice Training
Program Evaluation
Residence Characteristics
Single-Blind Method
Socioeconomic Factors
Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
Obesity prevention
Healthy eating
Physical activity
Childcare
Implementation
SETTINGS
CENTERS
NUTRITION
DISSEMINATION
TRANSLATION
GUIDELINES
KNOWLEDGE
FRAMEWORK
VALIDITY
Summary Background
The primary aim of this study was to evaluate the effectiveness of an intervention to increase the implementation of healthy eating and physical activity policies and practices by centre-based childcare services. The study also sought to determine if the intervention was effective in improving child dietary intake and increasing child physical activity levels while attending childcare.

Methods
A parallel group, randomised controlled trial was conducted in a sample of 128 childcare services. Intervention strategies included provision of implementation support staff, securing executive support, staff training, consensus processes, academic detailing visits, tools and resources, performance monitoring and feedback and a communications strategy. The primary outcome of the trial was the proportion of services implementing all seven healthy eating and physical activity policies and practices targeted by the intervention. Outcome data were collected via telephone surveys with nominated supervisors and room leaders at baseline and immediately post-intervention. Secondary trial outcomes included the differences between groups in the number of serves consumed by children for each food group within the Australian Guide to Healthy Eating and in the proportion of children engaged in sedentary, walking or very active physical activity assessed via observation in a random subsample of 36 services at follow-up.

Results
There was no significant difference between groups for the primary trial outcome (p = 0.44). Relative to the control group, a significantly larger proportion of intervention group services reported having a written nutrition and physical activity policy (p = 0.05) and providing adult-guided activities to develop fundamental movement skills (p = 0.01). There were no significant differences between groups at follow-up on measures of child dietary intake or physical activity.

Conclusions
The findings of the trial were equivocal. While there was no significant difference between groups for the primary trial outcome, the intervention did significantly increase the proportion of intervention group services implementing two of the seven healthy eating and physical activity policies and practices. High levels of implementation of a number of policies and practices at baseline, significant obesity prevention activity in the study region and higher than previously reported intra-class correlation of child behaviours may, in part, explain the trial findings.
Language eng
DOI 10.1186/s13012-015-0340-z
Field of Research 111799 Public Health and Health Services not elsewhere classified
11 Medical And Health Sciences
08 Information And Computing Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Jones et al.
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30100748

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.