- Title
- An implementation intervention to encourage healthy eating in centre-based child-care services: impact of the Good for Kids Good for Life programme
- Creator
- Bell, A. Colin; Davies, Lynda; Finch, Meghan; Wolfenden, Luke; Francis, J. Lynn; Sutherland, Rachel; Wiggers, John
- Relation
- Public Health Nutrition Vol. 18, Issue 9, p. 1610-1619
- Publisher Link
- http://dx.doi.org/10.1017/S1368980013003364
- Publisher
- Cambridge University Press
- Resource Type
- journal article
- Date
- 2015
- Description
- Objective: To determine the impact of an implementation intervention designed to introduce policies and practices supportive of healthy eating in centre-based child-care services. Intervention strategies included staff training, resources, incentives, follow-up support, and performance monitoring and feedback. Design: A quasi-experimental design was used to assess change over 20 months in healthy eating policy and practice in intervention and comparison child-care services. Setting: The Hunter New England (HNE) region of New South Wales (NSW), Australia. Subjects All centre-based child-care services (n 287) in the intervention region (HNE) were invited and 240 (91% response rate) participated. Two hundred and ninety-six services in the rest of NSW were randomly selected as a comparison region and 191 participated (76% response rate). A sub-analysis was conducted on those services that provided children food (n 196 at baseline and n 190 at follow-up). Ninety-six provided menus for analysis at baseline (HNE, n 36; NSW, n 50) and 102 provided menus at follow-up (HNE, n 50; NSW, n 52). Results: Services in the intervention region were significantly more likely to provide only plain milk and water for children (P = 0.018) and to engage parents in nutrition policy or programmes (P = 0.002). They were also more likely (P = 0.056) to have nutrition policy on home packed food. In addition, menus of services that provided lunch were significantly more likely to comply with healthy eating guidelines for sweetened drinks (P < 0.001), fruit (P < 0.001) and vegetables (P = 0.01). Conclusions: An implementation intervention was able to modify policy and practice in a large number of child-care services so that they were more supportive of healthy eating.
- Subject
- healthy eating; implementation intervention; child-care services
- Identifier
- http://hdl.handle.net/1959.13/1317577
- Identifier
- uon:23442
- Identifier
- ISSN:1368-9800
- Language
- eng
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