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

Alice Grady, Kirsty Seward, Meghan Finch, Luke Wolfenden, Rebecca Wyse, John Wiggers, Christophe Lecathelinais and Sze Lin Yoong
Additional contact information
Alice Grady: School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
Kirsty Seward: School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
Meghan Finch: School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
Luke Wolfenden: School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
Rebecca Wyse: School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
John Wiggers: School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
Christophe Lecathelinais: Hunter New England Local Health District, Population Health, Wallsend 2287, Australia
Sze Lin Yoong: School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia

IJERPH, 2020, vol. 17, issue 13, 1-20

Abstract: 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.

Keywords: childcare; nutrition; children; diet; implementation; guidelines; menu (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/17/13/4664/pdf (application/pdf)
https://www.mdpi.com/1660-4601/17/13/4664/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:13:p:4664-:d:377708

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().