一项关于在线菜单规划干预措施以提高儿童保育服务对饮食指南依从性的随机对照试验：研究方案。

A randomised controlled trial of an online menu planning intervention to improve childcare service adherence to dietary guidelines: a study protocol.

作者信息

Yoong Sze Lin, Grady Alice, Wiggers John, Flood Victoria, Rissel Chris, Finch Meghan, Searles Andrew, Salajan David, O'Rourke Ruby, Daly Jaqueline, Gilham Karen, Stacey Fiona, Fielding Alison, Pond Nicole, Wyse Rebecca, Seward Kirsty, Wolfenden Luke

机构信息

School of Medicine and Public Health, University of Newcastle, Callaghan, Australia.

Hunter New England Local Health District, Population Health, Wallsend, Australia.

出版信息

BMJ Open. 2017 Sep 11;7(9):e017498. doi: 10.1136/bmjopen-2017-017498.

DOI:10.1136/bmjopen-2017-017498

PMID:28893755

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5595182/

Abstract

INTRODUCTION

The implementation of dietary guidelines in childcare settings is recommended to improve child public health nutrition. However, foods provided in childcare services are not consistent with guidelines. The primary aim of the trial is to assess the effectiveness of a web-based menu planning intervention in increasing the mean number of food groups on childcare service menus that comply with dietary guidelines regarding food provision to children in care.

METHODS AND ANALYSIS

A parallel group randomised controlled trial will be undertaken with 54 childcare services that provide food to children within New South Wales, Australia. Services will be randomised to a 12-month intervention or usual care. The experimental group will receive access to a web-based menu planning and decision support tool and online resources. To support uptake of the web program, services will be provided with training and follow-up support. The primary outcome will be the number of food groups, out of 6 (vegetables, fruit, breads and cereals, meat, dairy and 'discretionary'), on the menu that meet dietary guidelines (Caring for Children) across a 1-week menu at 12-month follow-up, assessed via menu review by dietitians or nutritionists blinded to group allocation. A nested evaluation of child dietary intake in care and child body mass index will be undertaken in up to 35 randomly selected childcare services and up to 420 children aged approximately 3-6 years.

ETHICS AND DISSEMINATION

Ethical approval has been provided by Hunter New England and University of Newcastle Human Research Ethics Committees. This research will provide high-quality evidence regarding the impact of a web-based menu planning intervention in facilitating the translation of dietary guidelines into childcare services. Trial findings will be disseminated widely through national and international peer-reviewed publications and conference presentations.

TRIAL REGISTRATION

Prospectively registered with Australian New Zealand Clinical Trial Registry (ANZCTR) ACTRN12616000974404.

摘要

引言

建议在儿童保育机构实施饮食指南，以改善儿童公共卫生营养状况。然而，儿童保育服务中提供的食物与指南并不一致。该试验的主要目的是评估基于网络的菜单规划干预措施在增加儿童保育服务菜单上符合儿童饮食供应饮食指南的食物组平均数量方面的有效性。

方法与分析

将对澳大利亚新南威尔士州54家为儿童提供食物的儿童保育服务机构进行平行组随机对照试验。这些服务机构将被随机分为12个月的干预组或常规护理组。实验组将可以使用基于网络的菜单规划和决策支持工具以及在线资源。为了支持网络项目的采用，将为服务机构提供培训和后续支持。主要结果将是在12个月随访时，通过由对分组情况不知情的营养师或营养学家进行菜单审查来评估，在一周的菜单中符合饮食指南（《关爱儿童》）的6个食物组（蔬菜、水果、面包和谷物、肉类、奶制品和“ discretionary”）的数量。将在最多35家随机选择的儿童保育服务机构和最多420名年龄约为3至6岁的儿童中进行儿童保育期间饮食摄入量和儿童体重指数的嵌套评估。