A computerised tailored intervention for increasing intakes of fruit, vegetables, brown bread and wholegrain cereals in adolescent girls

Abstract

Objective: To evaluate the effectiveness of a computer-generated tailored intervention leaflet compared with a generic leaflet aimed at increasing brown bread, wholegrain cereal, fruit and vegetable intakes in adolescent girls. Design: Clustered randomised controlled trial. Dietary intake was assessed via three 24 h dietary recalls. Setting: Eight secondary schools in areas of low income and/or high ethnic diversity, five in London and three in the West Midlands, UK. Subjects: Girls aged 12-16 years participated (n 823) and were randomised by school class to receive either the tailored intervention (n 406) or a generic leaflet (n 417). Results: At follow-up 637 (77 %) participants completed both baseline and follow-up dietary recalls. The tailored intervention leaflet had a statistically significant effect on brown bread intake (increasing from 0?39 to 0?51 servings/d) with a smaller but significant increase in the control group also (increasing from 0?28 to 0?35 servings/ d). The intervention group achieved 0?05 more servings of brown bread daily than the control group (P , 0?05), which is equivalent to 0?35 servings/week. For the other foods there were no significant effects of the tailored intervention. Conclusions: The intervention group consumed approximately 0?35 more servings of brown bread weekly than the control group from baseline. Although this change between groups was statistically significant the magnitude was small. Evaluation of the intervention was disappointing but the tailored leaflet was received more positively in some respects than the control leaflet. More needs to be done to increase motivation to change dietary intake in adolescent girls.

Nutritional interventions for adolescents using information and communication technologies (ICTs): A systematic review

“…Participant age ranged from nine to seventeen. Four studies focused on twelve- to fourteen-year-olds [ 8 – 9 , 11 , 17 ], four included older participants (fifteen- to seventeen-year-olds) [ 10 , 12 – 13 , 18 ], and three encompassed younger ones [ 13 – 14 , 16 ]. All studies included participants from developed countries, but five interventions targeted specific populations such as low-income groups, ethnic minorities, or minority females or males [ 11 – 14 , 18 ].…”

“…Sample sizes ranged from 87 to 1298 participants, and three studies observed over 800 adolescents [ 8 , 10 , 12 ]. Of the eleven interventions, two were randomized controlled trials [ 11 , 17 ], five were cluster randomized controlled trials [ 9 – 10 , 13 , 15 , 18 ], and four used a quasi-experimental design [ 8 , 12 , 14 , 16 ].…”

Attitudes, knowledge and practices concerning delirium: a survey among intensive care unit professionals

“…In general, adherence to clinical guidelines depends on the attitude of the health care professional, the guideline, the organizational context and social and cultural factors (Cabana et al, ; Grol and Grimshaw, ; Cahill et al, ). The effectiveness of guideline implementation is enhanced if the strategy is appropriate for the innovation, setting and target group and includes assessment of current practice and barriers for adherence (Grol et al, ; Rees et al, ). Therefore, we designed the ICU DElirium in Clinical PracTice Implementation Evaluation (iDECePTIvE) study, which is a prospective multicentre study in the Netherlands aimed at a multifaceted implementation program to increase adherence to ICU delirium guidelines and to evaluate effects of the programme on processes of care and clinical outcomes (Ista et al, ).…”

Key Characteristics of Public Health Interventions Aimed at Increasing Whole Grain Intake: A Systematic Review

“…42 A final characteristic of successful interventions to increase WG intake was the use of social media and the Internet. 22,43 Internet-based interventions were convenient and flexible and enabled the instantaneous and inexpensive distribution of nutrition education; many people already used it as a source of health information. 44 Any WG intervention needs a coordinated and comprehensive integrated contribution from all sectors (academia, government, trade and industry, and advocacy groups), disciplines (from plant geneticists through growers, product developers, distributors, and food service personnel), and, importantly, consumers.…”