Feasibility of conducting a randomized trial to promote healthy eating, active play and sustainability awareness in early childhood curricula

Morris, Heather; Skouteris, Helen; Edwards, Susan; Rutherford, Leonie; Cutter-Mackenzie, Amy; O’Connor, Amanda; Mantilla, Ana; Huang, Terry T.‐K.; Lording, Kate Marion; Williams-Smith, Janet

doi:10.1080/03004430.2015.1131158

Cited by 11 publications

(20 citation statements)

References 7 publications

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“…Eighteen studies were randomized controlled trials (RCTs) , four were quasi‐experimental studies and five were single‐group pre‐post studies (Table ). Twelve studies were conducted in the USA , 11 in Europe and 4 in Australia . Studies were conducted in the following primary settings: 11 in healthcare (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…Studies were conducted in the following primary settings: 11 in healthcare (e.g. primary care, dentist and community health centre) , 4 in preschool/daycare , 3 at home , 3 in community/recreation centres and 6 in other settings (e.g. research centres and web‐based/online) .…”

Section: Resultsmentioning

confidence: 99%

“…Eighteen studies implemented SSB reduction strategies that only targeted parents , two studies only targeted children , and seven studies targeted both children and parents . The majority of studies ( n = 16) aimed to reduce SSB consumption among toddlers and preschool‐aged children (aged 2–5 years) , while seven studies included only infants (aged 0–2 years) , and four studies included a combination of both age groups . Eleven studies specifically targeted children in low‐income families , four studies focused on racial/ethnic minorities (Hispanic and/or non‐Hispanic black) and four studies targeted participants in Special Supplemental Nutrition Assistance Program for Women, Infants and Children (WIC) .…”

Section: Resultsmentioning

confidence: 99%

“…With respect to outcome assessment, all 27 studies assessed SSB consumption of children using parent‐reported measures. Seven studies used a 24‐h recall , eight used a food frequency questionnaire , five used a validated questionnaire , five used a questionnaire that was not validated (e.g. created by researchers for use in that study) , one used a food diary and one used a mobile tracking system .…”

Section: Resultsmentioning

confidence: 99%

“…television watching) . With respect to targeting SSB‐related behaviours, many studies ( n = 16) implemented a comprehensive approach using multiple strategies . The most commonly implemented strategies to reduce SSB consumption among 0–5‐year olds included individual education ( n = 14), group education ( n = 12) and written educational materials (e.g.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of strategies to reduce sugar‐sweetened beverage consumption among 0‐year to 5‐year olds

et al. 2018

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A systematic review of strategies to reduce sugar‐sweetened beverage consumption among 0‐year to 5‐year olds

et al. 2018

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Environmental interventions to reduce the consumption of sugar-sweetened beverages and their effects on health

Philipsborn

Stratil

Burns

et al. 2019

Cochrane Database of Systematic Reviews

155

136

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BackgroundFrequent consumption of excess amounts of sugar‐sweetened beverages (SSB) is a risk factor for obesity, type 2 diabetes, cardiovascular disease and dental caries. Environmental interventions, i.e. interventions that alter the physical or social environment in which individuals make beverage choices, have been advocated as a means to reduce the consumption of SSB.ObjectivesTo assess the effects of environmental interventions (excluding taxation) on the consumption of sugar‐sweetened beverages and sugar‐sweetened milk, diet‐related anthropometric measures and health outcomes, and on any reported unintended consequences or adverse outcomes.Search methodsWe searched 11 general, specialist and regional databases from inception to 24 January 2018. We also searched trial registers, reference lists and citations, scanned websites of relevant organisations, and contacted study authors.Selection criteriaWe included studies on interventions implemented at an environmental level, reporting effects on direct or indirect measures of SSB intake, diet‐related anthropometric measures and health outcomes, or any reported adverse outcome. We included randomised controlled trials (RCTs), non‐randomised controlled trials (NRCTs), controlled before‐after (CBA) and interrupted‐time‐series (ITS) studies, implemented in real‐world settings with a combined length of intervention and follow‐up of at least 12 weeks and at least 20 individuals in each of the intervention and control groups. We excluded studies in which participants were administered SSB as part of clinical trials, and multicomponent interventions which did not report SSB‐specific outcome data. We excluded studies on the taxation of SSB, as these are the subject of a separate Cochrane Review.Data collection and analysisTwo review authors independently screened studies for inclusion, extracted data and assessed the risks of bias of included studies. We classified interventions according to the NOURISHING framework, and synthesised results narratively and conducted meta‐analyses for two outcomes relating to two intervention types. We assessed our confidence in the certainty of effect estimates with the GRADE framework as very low, low, moderate or high, and presented ‘Summary of findings’ tables.Main resultsWe identified 14,488 unique records, and assessed 1030 in full text for eligibility. We found 58 studies meeting our inclusion criteria, including 22 RCTs, 3 NRCTs, 14 CBA studies, and 19 ITS studies, with a total of 1,180,096 participants. The median length of follow‐up was 10 months. The studies included children, teenagers and adults, and were implemented in a variety of settings, including schools, retailing and food service establishments. We judged most studies to be at high or unclear risk of bias in at least one domain, and most studies used non‐randomised designs. The studies examine a broad range of interventions, and we present results for these separately.Labelling interventions (8 studies): We found moderate‐certainty evidence that traffic‐light labelli...

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Beverage behaviors and correlates among Head Start preschooler-parent dyads

Zoellner

Kirkpatrick

Allanson

et al. 2022

Matern Child Health J

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Feasibility of conducting a randomized trial to promote healthy eating, active play and sustainability awareness in early childhood curricula

Cited by 11 publications

References 7 publications

A systematic review of strategies to reduce sugar‐sweetened beverage consumption among 0‐year to 5‐year olds

A systematic review of strategies to reduce sugar‐sweetened beverage consumption among 0‐year to 5‐year olds

Environmental interventions to reduce the consumption of sugar-sweetened beverages and their effects on health

Beverage behaviors and correlates among Head Start preschooler-parent dyads

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