Efficacy of the Lunch is in the Bag intervention to increase parents’ packing of healthy bag lunches for young children: a cluster-randomized trial in early care and education centers

Autor: Maria Romo Palafox, Nalini Ranjit, Courtney E. Byrd-Williams, Margaret E. Briley, Sara J. Sweitzer, Cindy Roberts-Gray, Shreela V. Sharma, Deanna M. Hoelscher
Rok vydání: 2016
Předmět:
Zdroj: The International Journal of Behavioral Nutrition and Physical Activity
ISSN: 1479-5868
Popis: Lunches that parents pack for their young children to eat at school or the Early Care and Education (ECE) center fall short of recommended standards. Lunch is in the Bag is a multi-level behavioral nutrition intervention to increase parents’ packing of fruit, vegetables, and whole grains in their children’s lunches. Designed for implementation in ECE centers, the five-week long intervention is followed three months later with a one-week booster. Efficacy of Lunch is in the Bag was tested in cluster randomized trial. Participants were 633 families from 30 ECE centers (15 intervention, 15 control) across Austin, San Antonio, and Houston, Texas, USA. Primary outcomes were servings of fruit, vegetables, and whole grains observed in the children’s parent-packed bag lunches. Servings of refined grains, meats/beans/eggs/nuts, dairy, chips, and sweets also were observed. Data were collected at baseline, post-intervention (6-week follow-up), pre-booster (22-weeks follow-up), and post-booster (28-week follow-up). Time-by-treatment interactions were analyzed separately for each of the food groups using multi-level models to compare changes from baseline. Analyses were adjusted for relevant demographic variables and clustering within centers and parents. The intervention effected increases from baseline to 6-week follow-up in vegetables (0.17 servings, SE = 0.04, P
Databáze: OpenAIRE