Influence of Behavioral Theory on Fruit and Vegetable Intervention Effectiveness Among Children: A Meta-Analysis

Diep, Cassandra S.; Chen, Tzu-An; Davies, Vanessa; Baranowski, Janice; Baranowski, Tom

doi:10.1016/j.jneb.2014.05.012

Cited by 70 publications

(57 citation statements)

References 94 publications

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“…While there is no comparison in the literature for the effects on asking behaviors, the effects obtained on child FV intake are in line with those obtained in FV interventions [50]. Although the effects are not close to the desired minimum of 5 servings a day, the public health community often states that even small average increases spread across a large population can have substantial benefits for some in that population [51].…”

Section: Discussionmentioning

confidence: 80%

The effectiveness of asking behaviors among 9–11 year-old children in increasing home availability and children’s intake of fruit and vegetables: results from the Squire’s Quest II self-regulation game intervention

DeSmet

Liu

Bourdeaudhuij

et al. 2017

Int J Behav Nutr Phys Act

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BackgroundHome environment has an important influence on children’s fruit and vegetable (FV) consumption, but children may in turn also impact their home FV environment, e.g. by asking for FV. The Squire’s Quest II serious game intervention aimed to increase asking behaviors to improve home FV availability and children’s FV intake. This study’s aims were to assess: 1) did asking behaviors at baseline predict home FV availability at baseline (T0) (RQ1); 2) were asking behaviors and home FV availability influenced by the intervention (RQ2); 3) did increases in asking behaviors predict increased home FV availability (RQ3); and 4) did increases in asking behaviors and increases in home FV availability mediate increases in FV intake among children (RQ4)?MethodsThis is a secondary analysis of a study using a randomized controlled trial, with 4 groups (each n = 100 child–parent dyads). All groups were analyzed together for this paper since groups did not vary on components relevant to our analysis. All children and parents (n = 400 dyads) received a self-regulation serious game intervention and parent material. The intervention ran for three months. Measurements were taken at baseline, immediately after intervention and at 3-month follow-up. Asking behavior and home FV availability were measured using questionnaires; child FV intake was measured using 24-h dietary recalls. ANCOVA methods (research question 1), linear mixed-effect models (research question 2), and Structural Equation Modeling (research questions 3 and 4) were used.ResultsBaseline child asking behaviors predicted baseline home FV availability. The intervention increased child asking behaviors and home FV availability. Increases in child asking behaviors, however, did not predict increased home FV availability. Increased child asking behaviors and home FV availability also did not mediate the increases in child FV intake.ConclusionsChildren influence their home FV environment through their asking behaviors, which can be enhanced via a serious game intervention. The obtained increases in asking behavior were, however, insufficient to affect home FV availability or intake. Other factors, such as child preferences, sample characteristics, intervention duration and parental direct involvement may play a role and warrant examination in future research.Trials RegistrationClinicalTrials.gov NCT01004094. Date registered 10/28/2009Electronic supplementary materialThe online version of this article (doi:10.1186/s12966-017-0506-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 80%

The effectiveness of asking behaviors among 9–11 year-old children in increasing home availability and children’s intake of fruit and vegetables: results from the Squire’s Quest II self-regulation game intervention

DeSmet

Liu

Bourdeaudhuij

et al. 2017

Int J Behav Nutr Phys Act

Self Cite

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“…A previous review by Diep et al (2014) found that the quality of the study determined the success of the intervention. This was not apparent in the present review.…”

Section: Main Findingsmentioning

confidence: 99%

“…Most reviews of fruit and vegetable intake tend to focus on children aged 5 and over, reporting intakes of both food groups (e.g. Blanchette & Brug, 2005;Delgado-Noguera, Tort, Martinez-Zapata, & Bonfill, 2011;Diep, Chen, Davies, Baranowski, & Baranowski, 2014;Evans et al, 2012;French & Stables, 2003;Krolner et al, 2011;Rasmussen et al, 2006). A systematic research review by Appleton et al (2016) described vegetable promoting interventions across the lifespan.…”

Section: Introductionmentioning

confidence: 99%

Systematic review and meta-analysis of strategies to increase vegetable consumption in preschool children aged 2–5 years

et al. 2018

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specifically with measured vegetable consumption were included. Results: 30 articles and 44 intervention arms were identified for inclusion (n = 4017). Nine dominant intervention strategies emerged to promote vegetable intake in preschool children. These included; choice, pairing (stealth), education, food service, modelling, reward, taste exposure, variety and visual presentation. The metaanalysis revealed that interventions implementing repeated taste exposure had better pooled effects than those which did not. Intake increased with number of taste exposures and intake was greater when vegetables offered were in their plain form rather than paired with a flavor, dip or added energy (e.g. oil). Moreover, intake of vegetables which were unfamiliar/disliked increased more than those which were familiar/liked. Conclusions: Repeated taste exposure is a simple technique that could be implemented in childcare settings and at home by parents. Health policy could specifically target the use of novel and disliked vegetables in childcare settings with emphasis on a minimum 8-10 exposures.The systematic review protocol was registered on the PROSPERO (number: CRD42016033984).

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“…Moderator analyses might explain why some interventions are more effective than others and could increase the effectiveness of future interventions. In this respect, a broad framework for moderator analyses (28) that has been adopted often (29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39) and includes participant features (i.e. participant age, gender, ethnicity and overweight/obesity risk) and intervention features (e.g.…”

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confidence: 99%

Interventions aimed at preventing and reducing overweight/obesity among children and adolescents: a meta-synthesis

Kobes¹,

Kretschmer²,

Timmerman³

et al. 2018

Preprint

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The prevalence of childhood and adolescent obesity has been a major worldwide problem for decades. To stop the number of children and adolescents with overweight or obesity from increasing, numerous interventions focusing on improving children’s weight status have been designed and implemented. This vastly growing body of research on weight-related interventions for children and adolescents has been summarized by several meta-analyses that aim to provide an overview of the effectiveness of these interventions. Yet, the number of meta-analyses is expanding so quickly and overall results differ, making a comprehensive synopsis of the literature difficult. To tackle this problem, a meta- synthesis was conducted to draw informed conclusions about the state of the effectiveness of interventions targeting child and adolescent overweight. The results of the quantitative synthesis of 26 meta-analyses resulted in a standardized mean difference of -0.12 (95%CI: -0.16;-0.08). Several moderator analyses (e.g., gender, age, duration of the intervention, parental involvement) showed that participant and intervention characteristics had little impact on the overall effect size. Overall, the results of this meta-synthesis suggest that interventions result in statistically significant effects albeit of relatively little clinical relevance.

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Influence of Behavioral Theory on Fruit and Vegetable Intervention Effectiveness Among Children: A Meta-Analysis

Cited by 70 publications

References 94 publications

The effectiveness of asking behaviors among 9–11 year-old children in increasing home availability and children’s intake of fruit and vegetables: results from the Squire’s Quest II self-regulation game intervention

The effectiveness of asking behaviors among 9–11 year-old children in increasing home availability and children’s intake of fruit and vegetables: results from the Squire’s Quest II self-regulation game intervention

Systematic review and meta-analysis of strategies to increase vegetable consumption in preschool children aged 2–5 years

Interventions aimed at preventing and reducing overweight/obesity among children and adolescents: a meta-synthesis

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