A theory-based evaluation of a dissemination intervention to improve childcare cooks’ intentions to implement nutritional guidelines on their menus
نویسندگان
چکیده
BACKGROUND Childcare services represent a key setting to implement nutritional interventions to support the development of healthy eating behaviours in young children. Childcare-specific nutritional guidelines outlining recommendations for provision of food in care have been developed. Despite this, research suggests that few childcare services currently implement these guidelines. This study aimed to examine the impact of providing printed educational materials on childcare service cooks' intentions to use nutritional guidelines and provide fruit and vegetables on their menu. FINDINGS A randomised controlled trial was conducted with 77 childcare services (38 control and 39 intervention). Intervention service cooks were mailed a two-page educational material together with a menu planning checklist. Intervention development and evaluation was guided by the theory of planned behaviour. Outcome data assessing intentions to use nutritional guidelines and serves of fruit and vegetables provided on menus (primary outcomes) as well as secondary outcomes (attitudes, behavioural regulation and social norms) were collected via a telephone interview with cooks. Relative to the comparison group, cooks in the intervention arm had significantly higher intentions to use the guidelines (p value 0.0005), accompanied by significant changes in perceived behavioural control (p value 0.0008) and attitudes (p value 0.0071). No significant difference in serves of fruit (p value 0.7278) and vegetables (p value 0.0573) was observed. CONCLUSIONS The use of educational materials can improve childcare service cooks' intentions to use nutritional guidelines; however, as a standalone strategy, it may not improve provision of food on menus.
منابع مشابه
A randomised controlled trial of an online menu planning intervention to improve childcare service adherence to dietary guidelines: a study protocol
INTRODUCTION The implementation of dietary guidelines in childcare settings is recommended to improve child public health nutrition. However, foods provided in childcare services are not consistent with guidelines. The primary aim of the trial is to assess the effectiveness of a web-based menu planning intervention in increasing the mean number of food groups on childcare service menus that com...
متن کاملDeveloping an Intervention Guidelines for Social Health Promotion Based on the Social Capital Theory
Introduction: Social capital can influence social health so it is essential to consider their interaction for health promotion. Guidelines for applying social capital theory in social health promotion programs will help practitioners to intervene step by step and make sure that all components of social capital theory will consider in health promotion programs. This article presents the results ...
متن کاملHow cooks navigate nutrition, hunger and care in public-sector foodservice settings.
OBJECTIVE To examine the perspectives and practices of cooks responsible for carrying out healthy meal programmes in publicly funded foodservice, in order to better understand what they consider to be 'good' food and where nutrition and nutritional standards fit into this conceptualization. DESIGN A qualitative, exploratory study involving in-depth interviews that were conducted with cooks an...
متن کاملEffectiveness of an educational intervention based on theory of planned behavior to reduce intentions to smoke among secondary school students
Beliefs about smoking are important predictors of smoking behavior among adolescents. An alarming fact is the rising smoking prevalence in Asian countries especially in the Middle East, particularly the increasing trend in smoking during adolescence. In a randomized controlled trial study, 150 students e were selected using multistage sampling procedure from boy-specific high schools in Qazvi...
متن کاملMultistrategy childcare-based intervention to improve compliance with nutrition guidelines versus usual care in long day care services: a study protocol for a randomised controlled trial
INTRODUCTION Interventions to improve child diet are recommended as dietary patterns developed in childhood track into adulthood and influence the risk of chronic disease. For child health, childcare services are required to provide foods to children consistent with nutrition guidelines. Research suggests that foods and beverages provided by services to children are often inconsistent with nutr...
متن کامل