A Three-Arm Randomised Controlled Trial of High- and Low-Intensity Implementation Strategies to Support Centre-Based Childcare Service Implementation of Nutrition Guidelines: 12-Month Follow-Up
The study aimed to compare the effectiveness of a suite of implementation strategies of varying intensities on centre-based childcare service implementation of nutrition guideline recommendations at 12-month follow-up. A six-month three-arm parallel group randomised controlled trial was undertaken w...
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| Veröffentlicht in: | International journal of environmental research and public health 2020-06, Vol.17 (13), p.4664, Article 4664 |
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| creator | Grady, Alice Seward, Kirsty Finch, Meghan Wolfenden, Luke Wyse, Rebecca Wiggers, John Lecathelinais, Christophe Yoong, Sze Lin |
| description | The study aimed to compare the effectiveness of a suite of implementation strategies of varying intensities on centre-based childcare service implementation of nutrition guideline recommendations at 12-month follow-up. A six-month three-arm parallel group randomised controlled trial was undertaken with 69 services, randomised to one of three arms: high-intensity strategies (executive support; group face-to-face training; provision of resources; multiple rounds of audit and feedback; ongoing face-to-face and phone support); low-intensity strategies (group face-to-face training; provision of resources; single round of audit and feedback); or usual care control. Across all study arms, only three high-intensity services were compliant with overall nutrition guidelines. A significant group interaction was found between the three arms for compliance with individual food groups. Relative to control, a significantly greater proportion of low-intensity services were compliant with dairy, and a significantly greater proportion of high-intensity services were compliant with fruit, vegetables, dairy, breads and cereals, and discretionary foods. No significant differences between the high- and low-intensity for individual food group compliance were found. High-intensity implementation strategies may be effective in supporting childcare service implementation of individual food group recommendations. Further research is warranted to identify strategies effective in increasing overall nutrition compliance. |
| doi_str_mv | 10.3390/ijerph17134664 |
| format | Article |
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| subjects | Cereals Compliance Consent Dietary guidelines Environmental Sciences Environmental Sciences & Ecology Feedback Food Food groups Guidelines Intervention Life Sciences & Biomedicine Nutrition Public health Public, Environmental & Occupational Health Randomization Science & Technology |
| title | A Three-Arm Randomised Controlled Trial of High- and Low-Intensity Implementation Strategies to Support Centre-Based Childcare Service Implementation of Nutrition Guidelines: 12-Month Follow-Up |
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