Effectiveness of the Lunch is in the Bag program on communication between the parent, child and child-care provider around fruits, vegetables and whole grain foods: A group-randomized controlled trial

Sharma, Shreela V.; Rashid, Tasnuva; Ranjit, Nalini; Byrd-Williams, Courtney E.; Chuang, Ru‐Jye; Roberts-Gray, Cynthia; Briley, Margaret E.; Sweitzer, S.J.; Hoelscher, Deanna M.

doi:10.1016/j.ypmed.2015.07.005

Cited by 16 publications

(11 citation statements)

References 28 publications

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“…Communication of nutrition information with ECE children and parents was measured using 2 items from previous studies 20 —for example, “How often do you talk with children about the healthiness of their eating habits?” Response options ranging from 0 = never to 4 = every day.…”

Section: Methodsmentioning

confidence: 99%

A Pilot Randomized Controlled Trial of a Nutrition and Dietary Intervention for Early Care and Education Providers

Chuang

Cox

Mincemoyer

et al. 2020

Journal of School Health

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BACKGROUND: The aim of this study is to evaluate the feasibility and preliminary impact of the Create Healthy Futures program, a self-paced, 6-lesson, web-based intervention on promoting healthy eating for Early Care and Education (ECE) providers, using a group-randomized controlled trial design with 3 repeated measurements. METHODS: Nine ECE facilities in Ohio were recruited and randomly assigned to intervention (N = 4) and comparison (N = 5). The 111 participants are mostly female (97.3%), college graduated (59.5%), and overweight or obese (75.2%). Nutrition-related psychosocial and environmental factors and individual behaviors were assessed at baseline, post-test, and 3-month follow-up. We used mixed model analyses to compare changes between time points, controlling for ethnicity, age, and center effect, and calculated effect size to assess the magnitude of change. RESULTS: We observed significant between-group changes in improving nutrition knowledge (p = .003), increasing perceived support for staff wellness (p = .038), and reducing perceived barriers to eating fruits and vegetables (p = .004) and promoting nutrition in classrooms (p = .038), with small to medium effect sizes. The study demonstrated high feasibility with 94.1% enrollment rate, 87.5% intervention completion rate, and 83.8% retention rate. CONCLUSIONS: This pilot study demonstrated high feasibility and acceptability of nutrition intervention programs using an online platform among ECE providers.

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Section: Methodsmentioning

confidence: 99%

A Pilot Randomized Controlled Trial of a Nutrition and Dietary Intervention for Early Care and Education Providers

Chuang

Cox

Mincemoyer

et al. 2020

Journal of School Health

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“… 27 Also, the content of the Jump2Health Website ™ , organized as 7 Healthy Habits, was based on current best practices and evidence analysis, including new factors related to childhood obesity, such as sleep. 7 , 8 Other obesity prevention research involving parents of preschool children has included only one or a few healthy habits simultaneously, such as a program focusing on fruits, vegetables, and whole grains 40 and a program focusing on sugar-sweetened beverage and juice intake. 41 Of these, only the latter program was designed to be delivered by e-Health.…”

Section: Resultsmentioning

confidence: 99%

Jump2Health Website^™ for Head Start Parents to Promote a Healthy Home Environment: Results from Formative Research

Gurajada

Reed

Taylor

2017

Journal of Public Health Research

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Background: In US, approximately 23% of children between the ages of 2-5 years are overweight or obese. Parents need access to information to create healthy home environments for obesity prevention, yet participation for in-person education programs is challenging. Web-based interventions are promising educational tools due to 24/7 availability. However, information is limited on their development and evaluation.Design and Methods: This study reports on a rigorous development process that included six focus group discussions (FGD) with stakeholders (three FGD each with parents and teachers) to assess education needs and inform the development of the Jump2Health Website™ by a multidisciplinary team. After development, the Website was evaluated by telephone interviews with stakeholders (five parents and six teachers) and reviewed by an expert panel of five Registered Dietitians.Results: Twenty Head Start parents and 22 Head Start teachers participated in the FGD. To address the needs identified by these stakeholders, the Website was designed to include components that were enabling and motivating, such as descriptions of health benefits by achieving the desired behaviours, short videos on easy meal preparation, and tip sheets on how to achieve healthy behaviours in easy, economical ways. Stakeholder evaluation of the Website indicated that the information was helpful, easy to use, and would be beneficial for parents.Conclusions: The development of Jump2Health Website™ was strengthened by FGD with stakeholders that assessed educational needs. Interviews with stakeholders and an expert panel review showed that the Website may be an effective educational method to teach parents about healthy behaviours related to obesity prevention.Significance for public healthOverweight and obesity in preschool children are at undesirable levels, reflecting a need for parent education programs that address a comprehensive set of obesigenic behaviors (diet, family meals, physical activity, sleep, and screen time) and meet parental needs in terms of accessibility and appeal. Formative evaluation with stakeholders (parents, teachers, and nutrition experts) was useful in shaping the development of the Jump2Health Website™. Websites may be able to overcome some of the challenges of traditional in-person education programs as parents can learn at their own pace and schedule. Parents may be able to obtain information from a website that they would have not felt comfortable asking their paediatrician. Stakeholders suggested that shorter text passages and additional topics on weight control and bullying be included. To provide more access and appeal, a mobile website for smartphones and other supportive materials (newsletters, text messages, and an interactive discussion blog) may be needed.

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“…An intervention study conducted in the United States reported that parent–child communication is benefited by preparing meals together because the children have the opportunity to ask their parents about the ingredients of healthy lunch recipes that are provided in school lunch programs [24]. Another study reported that liking of different foods of children was determined by food-related behaviors learned at a young age [25].…”

Section: Discussionmentioning

confidence: 99%

Parent–child cooking meal together may relate to parental concerns about the diets of their toddlers and preschoolers: a cross-sectional analysis in Japan

Ishikawa

Eto

Miyoshi

et al. 2019

Nutr J

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BackgroundParents often have concerns about the food habits of their young children. Cooking is a frequent behavior related to dietary activities at home. We hypothesized that “a parent cooking meals together with young children might alleviate dietary concerns.” The aim of this study was to identify the relationship between parental cooking practices (e.g., cooking meals together with the child) and diet-related concerns.MethodsData were extracted from the “National nutrition survey on preschool children” conducted among nation-wide households with toddlers and preschoolers in 2015 by the Ministry of Health, Labour and Welfare of Japan. Parents were classified into two groups comprising those who cooked meals together with their children and those who did not. The following variables were compared: taking too much time to eat (slow eaters), “picky” eating (eating only certain foods), inconsistent food intake (eating too much or too little), playing with food/utensils while eating, preferring sweetened beverages and snacks over meals, eating too fast to chew well, not swallowing food, disinterested in eating, and spitting out food. The associations between parent–child cooking meals together and the concerns pertaining to the child’s dietary habits and food intake were analyzed and compared between the two groups.ResultsThe concerns of “picky eating” and “playing with food/utensils while eating” were lower, while “eating too much” was higher in the parent-cooking together group. The intake frequency of fish, soybeans/soy products, vegetables, and milk among children were higher in the “cooking together” group than among those in the “not cooking together” group. Children in the “cooking together” group consumed a significantly greater variety of foods than those in the “not cooking together” group.ConclusionsCooking a meal together with a child may be related to the parent’s lower concerns about the dietary habits of the child, including “picky eating” and “playing with food/utensils while eating,” but may also be related to the higher concerns of “eating too much.”Electronic supplementary materialThe online version of this article (10.1186/s12937-019-0480-0) contains supplementary material, which is available to authorized users.

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Effectiveness of the Lunch is in the Bag program on communication between the parent, child and child-care provider around fruits, vegetables and whole grain foods: A group-randomized controlled trial

Cited by 16 publications

References 28 publications

A Pilot Randomized Controlled Trial of a Nutrition and Dietary Intervention for Early Care and Education Providers

A Pilot Randomized Controlled Trial of a Nutrition and Dietary Intervention for Early Care and Education Providers

Jump2Health Website^™ for Head Start Parents to Promote a Healthy Home Environment: Results from Formative Research

Parent–child cooking meal together may relate to parental concerns about the diets of their toddlers and preschoolers: a cross-sectional analysis in Japan

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Effectiveness of the Lunch is in the Bag program on communication between the parent, child and child-care provider around fruits, vegetables and whole grain foods: A group-randomized controlled trial

Cited by 16 publications

References 28 publications

A Pilot Randomized Controlled Trial of a Nutrition and Dietary Intervention for Early Care and Education Providers

A Pilot Randomized Controlled Trial of a Nutrition and Dietary Intervention for Early Care and Education Providers

Jump2Health Website™ for Head Start Parents to Promote a Healthy Home Environment: Results from Formative Research

Parent–child cooking meal together may relate to parental concerns about the diets of their toddlers and preschoolers: a cross-sectional analysis in Japan

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Product

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Jump2Health Website^™ for Head Start Parents to Promote a Healthy Home Environment: Results from Formative Research