Evidence map›Paper›PMID 27301484›Full record

Trial reportBMJ open2016

Multistrategy 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.

Kirsty Seward, Luke Wolfenden, Meghan Finch, John Wiggers, Rebecca Wyse, Jannah Jones, Karen Gillham, Sze Lin Yoong

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
    Pooled it
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  4. Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kirsty SewardHunter New England Population Health, Wallsend, New South Wales, Australia School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.
Luke WolfendenHunter New England Population Health, Wallsend, New South Wales, Australia Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia.ORCID 0000-0002-6178-3868
Meghan FinchHunter New England Population Health, Wallsend, New South Wales, Australia Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia.
John WiggersHunter New England Population Health, Wallsend, New South Wales, Australia Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia.
Rebecca WyseHunter New England Population Health, Wallsend, New South Wales, Australia Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia.
Jannah JonesHunter New England Population Health, Wallsend, New South Wales, Australia Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia.
Karen GillhamHunter New England Population Health, Wallsend, New South Wales, Australia Hunter Medical Research Institute, Newcastle, New South Wales, Australia.
Sze Lin YoongSchool of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInterventions 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 nutrition guidelines. The primary aim of this study is to assess, relative to a usual care control group, the effectiveness of a multistrategy childcare-based intervention in improving compliance with nutrition guidelines in long day care services. METHODS AND ANALYSIS: The study will employ a parallel group randomised controlled trial design. A sample of 58 long day care services that provide all meals (typically includes 1 main and 2 mid-meals) to children while they are in care, in the Hunter New England region of New South Wales, Australia, will be randomly allocated to a 6-month intervention to support implementation of nutrition guidelines or a usual care control group in a 1:1 ratio. The intervention was designed to overcome barriers to the implementation of nutrition guidelines assessed using the theoretical domains framework. Intervention strategies will include the provision of staff training and resources, audit and feedback, ongoing support and securing executive support. The primary outcome of the trial will be the change in the proportion of long day care services that have a 2-week menu compliant with childcare nutrition guidelines, measured by comprehensive menu assessments. As a secondary outcome, child dietary intake while in care will also be assessed. To assess the effectiveness of the intervention, the measures will be undertaken at baseline and ∼6 months postbaseline. ETHICS AND DISSEMINATION: The study was approved by the Hunter New England Human Research Ethics Committee. Study findings will be disseminated widely through peer-reviewed publications.

Indexed as

Nutrition PolicyChildChild Day Care CentersDietFood ServicesHumansNew South WalesChildcareHealthy eatingImplementationNutrition guidelinesObesity prevention

Identifiers

PMID27301484
PMCPMC4916586

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.