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Identifying opportunities for strengthening advice to enhance vegetable liking in the early years of life: Qualitative consensus and triangulation methods

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journal contribution
posted on 2024-06-19, 02:45 authored by LK Bell, C Gardner, S Kumar, HY Wong, B Johnson, R Byrne, Karen CampbellKaren Campbell, Gie LiemGie Liem, Georgie RussellGeorgie Russell, E Denney-Wilson, M Netting, L Bishop, DN Cox, AAAM Poelman, J Arguelles, RK Golley
AbstractObjective:To prioritise and refine a set of evidence-informed statements into advice messages to promote vegetable liking in early childhood, and to determine applicability for dissemination of advice to relevant audiences.Design:A nominal group technique (NGT) workshop and a Delphi survey were conducted to prioritise and achieve consensus (≥70 % agreement) on thirty evidence-informed maternal (perinatal and lactation stage), infant (complementary feeding stage) and early years (family diet stage) vegetable-related advice messages. Messages were validated via triangulation analysis against the strength of evidence from an Umbrella review of strategies to increase children’s vegetable liking, and gaps in advice from a Desktop review of vegetable feeding advice.Setting:Australia.Participants:A purposeful sample of key stakeholders (NGT workshop, n 8 experts; Delphi survey, n 23 end users).Results:Participant consensus identified the most highly ranked priority messages associated with the strategies of: ‘in-utero exposure’ (perinatal and lactation, n 56 points) and ‘vegetable variety’ (complementary feeding, n 97 points; family diet, n 139 points). Triangulation revealed two strategies (‘repeated exposure’ and ‘variety’) and their associated advice messages suitable for policy and practice, twelve for research and four for food industry.Conclusions:Supported by national and state feeding guideline documents and resources, the advice messages relating to ‘repeated exposure’ and ‘variety’ to increase vegetable liking can be communicated to families and caregivers by healthcare practitioners. The food industry provides a vehicle for advice promotion and product development. Further research, where stronger evidence is needed, could further inform strategies for policy and practice, and food industry application.

History

Journal

Public Health Nutrition

Volume

25

Article number

PII S1368980021001907

Pagination

1217-1232

Location

England

Open access

  • Yes

ISSN

1368-9800

eISSN

1475-2727

Language

English

Notes

Article in Press

Publication classification

C1 Refereed article in a scholarly journal

Issue

5

Publisher

CAMBRIDGE UNIV PRESS