Perceptions of nursery staff and parent views of healthy eating promotion in preschool settings: an exploratory qualitative study

McSweeney, Lorraine; Rapley, Tim; Summerbell, Carolyn; Haighton, Catherine; Adamson, Ashley J.

doi:10.1186/s12889-016-3507-x

Cited by 12 publications

(21 citation statements)

References 27 publications

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“…It was concluded that family friendly healthy eating strategies and activities should be developed and delivered in preschool settings in a manner that is sensitive to parents’ needs [45]. Preschool staff shared ideas and strategies for engaging parents and children.…”

Section: Methodsmentioning

confidence: 99%

A feasibility study with process evaluation of a preschool intervention to improve child and family lifestyle behaviours

et al. 2017

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BackgroundAround a fifth of children starting school in England are now overweight/obese. There is a paucity of interventions with the aim of obesity prevention in preschool-age children in the UK. Previous research has demonstrated some positive results in changing specific health behaviours, however, positive trends in overall obesity rates are lacking. Preschool settings may provide valuable opportunities to access children and their families not only for promoting healthy lifestyles, but also to develop and evaluate behaviour-change interventions.MethodsThis paper presents a cluster randomised feasibility study of a theory based behaviour-change preschool practitioner-led intervention tested in four preschool centres in the North East of England. The primary outcome measures were to test the acceptability and feasibility of the data collection measures and intervention. Secondary measures were collected and reported for extra information. At baseline and post intervention, children’s anthropometric, dietary and physical activity measures as well as family ‘active’ time data were collected. The preschool practitioner-led intervention included family intervention tasks such as ‘family goal-setting activities’ and ‘cooking challenges’. Preschool activities included increasing physical activity and providing activities with the potential to change behaviour with increased knowledge of and acceptance of healthy eating. The process evaluation was an on-going monthly process and was collected in multiple forms such as questionnaires, photographs and verbal feedback.Results‘Gatekeeper’ permission and lower-hierarchal adherence were initially a problem for recruitment and methods acceptance. However, at intervention end the preschool teachers and parents stated they found most intervention methods and activities acceptable, and some positive changes in family health behaviours were reported. However, the preschool centres appeared to have difficulties with enforcing everyday school healthy eating policies.ConclusionsThe findings from the current study may have implications for nursery practitioners, nursery settings, Local Educational Authorities and policy makers, and contributes to the body of literature. However, further work with preschool practitioners is required to determine how personal attitudes and school policy application can be supported to implement successfully such an intervention.Trial registration ISRCTN12345678 (16/02/17) retrospectively registered.

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Section: Methodsmentioning

confidence: 99%

A feasibility study with process evaluation of a preschool intervention to improve child and family lifestyle behaviours

et al. 2017

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“…; McSweeney et al . ). It is also useful to make teachers aware of how sedentary some children are during the kindergarten/school day, as they too can help deliver strategies to decrease sedentariness in the classroom and playground (De Decker et al .…”

Section: Introductionmentioning

confidence: 97%

“…Given that childhood obesity is increasing in many countries worldwide, there is a clear need for effective interventions that target infancy or early childhood and shift children towards a healthy weight trajectory (de Onis et al 2010). School and kindergartens are a convenient environment for interventions (Waters et al 2011), but research into strategies that aid parents in modifying their children's diet and activity levels is also necessary (Gibson et al 2012;McSweeney et al 2016). It is also useful to make teachers aware of how sedentary some children are during the kindergarten/school day, as they too can help deliver strategies to decrease sedentariness in the classroom and playground (De Decker et al 2013).…”

Section: Introductionmentioning

confidence: 99%

ToyBox Study Malaysia: Improving healthy energy balance and obesity‐related behaviours among pre‐schoolers in Malaysia

et al. 2018

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The prevalence of childhood overweight and obesity is increasing in Malaysia and currently nearly 10% of children aged between 6 months and 12 years are overweight and almost 12% are obese. Early interventions to prevent excess weight gain are needed. ToyBox Study Malaysia is a feasibility project, funded by the Medical Research Council Newton‐Ungku Omar Fund, to assess the practicalities of adapting the existing European ToyBox Study intervention programme to the Malaysian kindergarten setting. The main aims of all ToyBox programmes are related to improving four key energy balance‐related behaviours, namely drinking water, eating healthy snacks and meals, reducing sedentary behaviour and increasing physical activity. Using stratified sampling, the ToyBox Study Malaysia intervention will be delivered and compared to usual practice by assessing behaviour, physical activity and health‐related outcomes as measured by questionnaires, accelerometry and anthropometry. It is hoped that the evidence‐based ToyBox Study Malaysia will help to achieve healthier energy balance‐related behaviours in the children and their families and provide lifelong benefits to health. This article provides information on the dietary patterns, physical activity levels and prevalence of overweight and obesity in Malaysian children, and the approach of the ToyBox Study Malaysia.

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“…The number of children who start school with obesity in the UK has risen to 9.7% [ 1 ]. There are inequalities in prevalence, with children living in the most deprived areas more likely to be overweight or obese [ 1 , 2 ]. Childhood obesity often persists into adulthood [ 3 , 4 ], and due to related health issues, children with obesity can experience consequences as older children or adults.…”

Section: Introductionmentioning

confidence: 99%

Measuring commissioners’ willingness-to-pay for community based childhood obesity prevention programmes using a discrete choice experiment

et al. 2020

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Background In the UK, rates of childhood obesity remain high. Community based programmes for child obesity prevention are available to be commissioned by local authorities. However, there is a lack of evidence regarding how programmes are commissioned and which attributes of programmes are valued most by commissioners. The aim of this study was to determine the factors that decision-makers prioritise when commissioning programmes that target childhood obesity prevention. Methods An online discrete choice experiment (DCE) was used to survey commissioners and decision makers in the UK to assess their willingness-to-pay for childhood obesity programmes. Results A total of 64 commissioners and other decision makers completed the DCE. The impact of programmes on behavioural outcomes was prioritised, with participants willing to pay an extra £16,600/year if average daily fruit and vegetable intake increased for each child by one additional portion. Participants also prioritised programmes that had greater number of parents fully completing them, and were willing to pay an extra £4810/year for every additional parent completing a programme. The number of parents enrolling in a programme (holding the number completing fixed) and hours of staff time required did not significantly influence choices. Conclusions Emphasis on high programme completion rates and success increasing children’s fruit and vegetable intake has potential to increase commissioning of community based obesity prevention programmes.

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Perceptions of nursery staff and parent views of healthy eating promotion in preschool settings: an exploratory qualitative study

Cited by 12 publications

References 27 publications

A feasibility study with process evaluation of a preschool intervention to improve child and family lifestyle behaviours

A feasibility study with process evaluation of a preschool intervention to improve child and family lifestyle behaviours

ToyBox Study Malaysia: Improving healthy energy balance and obesity‐related behaviours among pre‐schoolers in Malaysia

Measuring commissioners’ willingness-to-pay for community based childhood obesity prevention programmes using a discrete choice experiment

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