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The Impact of a Childcare Food Service Intervention on Child Dietary Intake in Care: An Exploratory Cluster Randomized Controlled Trial
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posted on 2023-02-15, 01:52 authored by Serene YoongSerene Yoong, A Grady, K Seward, M Finch, J Wiggers, C Lecathelinais, T Wedesweiler, L WolfendenPurpose: To assess the efficacy of a food service implementation intervention designed to increase provision of foods consistent with nutrition guidelines on child consumption of fruit, vegetables, breads/cereals, meat/alternatives, dairy, and diet quality in care. Design: Exploratory cluster randomized controlled trial. Setting: Twenty-five childcare centers in New South Wales, Australia. Sample: Three hundred ninety-five children aged 2 to 5 years. Intervention: Centers were randomized to the intervention or control group. Intervention development was guided by the Theoretical Domains Framework and included securing executive support, provision of group training, resources, audit and feedback, and one-on-one support. The intervention was delivered across six months and the study was conducted between March and December 2016. Measures: Child diet was assessed by educators using a validated questionnaire modified for completion in childcare center. Analysis: Data were analyzed in SAS using generalized linear mixed models adjusted for clustering. Results: Children in the intervention group consumed significantly higher number of serves of vegetables (0.4 serves; P <.001), wholegrain cereals (0.7 serves; P =.02), and meat/alternatives (0.5 serves; P <.001), and had higher diet quality scores (10.3; P <.001). Conclusions: A food service intervention targeting the provision of food significantly improved child dietary intake in care. Such findings are relevant to health promotion practitioners responsible for supporting improvements in child diet.
History
Journal
American Journal of Health PromotionVolume
33Pagination
991-1001Location
United StatesPublisher DOI
ISSN
0890-1171eISSN
2168-6602Language
enPublication classification
C1.1 Refereed article in a scholarly journalIssue
7Publisher
SAGE PublicationsUsage metrics
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Keywords
childcarediethealth promotionnutritionobesityChild Day Care CentersChild, PreschoolCross-Sectional StudiesDietEnvironmentFood ServicesHealth Knowledge, Attitudes, PracticeHealth PromotionHumansInfantNew South WalesNutrition PolicyClinical ResearchNutritionPediatricClinical Trials and Supportive ActivitiesPreventionCancer2 Zero HungerHuman Movement and Sports Science not elsewhere classifiedPublic Health and Health Services not elsewhere classifiedCurriculum and Pedagogy not elsewhere classified
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