Evidence map›Paper›PMID 31718597›Full record

ArticleBMC public health2019

Protocol for an effectiveness- implementation hybrid trial to assess the effectiveness and cost-effectiveness of an m-health intervention to decrease the consumption of discretionary foods packed in school lunchboxes: the 'SWAP IT' trial.

Rachel Sutherland, Alison Brown, Nicole Nathan, Lisa Janssen, Renee Reynolds, Alison Walton, Nayerra Hudson, Amelia Chooi, Serene Yoong, John Wiggers and 12 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
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

5 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
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

22 authors at 5 institutions in 1 country.

Rachel SutherlandHunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia. Rachel.Sutherland@health.nsw.gov.au.ORCID http://orcid.org/0000-0003-0470-7663
Alison BrownHunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia.
Nicole NathanHunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia.
Lisa JanssenHunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia.
Renee ReynoldsHunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia.
Alison WaltonMid North Coast Local Health District, P.O. Box 126, Port Macquarie, NSW, Australia.
Nayerra HudsonHunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia.
Amelia ChooiHunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia.
Serene YoongHunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia.
John WiggersHunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia.
Andrew BaileyMid North Coast Local Health District, P.O. Box 126, Port Macquarie, NSW, Australia.
Nicole EvansCentral Coast Local Health District, 4-6 Watt Street, Gosford, NSW, 2250, Australia.
Karen GillhamHunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia.
Christopher OldmeadowHunter Medical Research Institute, 1/Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.
Andrew SearlesHunter Medical Research Institute, 1/Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.
Penny ReevesSchool of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Chris RisselNew South Wales Ministry of Health, NSW Office of Preventive Health, Liverpool, NSW, Australia.
Marc DaviesNew South Wales Ministry of Health, NSW Office of Preventive Health, Liverpool, NSW, Australia.
Kathryn ReillyHunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia.
Brad CohenSkoolbag, Hamilton, NSW, Australia.
Tim McCallumNew South Wales Department of Education, Sydney, NSW, Australia.
Luke WolfendenHunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia.
Hunter Medical Research Institute · AUHunter New England Local Health District · AUCentral Coast Local Health District · AUNew South Wales Department of Health · AUNSW Department of Education · AU

Funding

Hunter New England Local Health District N/ANational Health and Medical Research Council APP1128348National Health and Medical Research Council APP1132450National Health and Medical Research Council APP1150661National Heart Foundation of Australia 101175
6 · The paper itself

Abstract

backgroundAt a population level, small reductions in energy intake have the potential to contribute to a reduction in the prevalence of childhood obesity. In many school systems, there is the potential to achieve a reduction in energy intake through modest improvements in foods packed in children's school lunchboxes. This study will assess the effectiveness and cost-effectiveness of a multi-component intervention that uses an existing school-based communication application to reduce the kilojoule content from discretionary foods and drinks consumed by children from school lunchboxes whilst at school.

methodsA Type I hybrid effectiveness-implementation cluster randomised controlled trial will be conducted in up to 36 primary schools in the Hunter New England, Central Coast and Mid North Coast regions of New South Wales, Australia. Designed using the Behaviour Change Wheel, schools will be randomly allocated to receive either a 5-month (1.5 school terms) multi-component intervention that includes: 1) school lunchbox nutrition guidelines; 2) curriculum lessons; 3) information pushed to parents via an existing school-based communication application and 4) additional parent resources to address common barriers to packing healthy lunchboxes or a control arm (standard school practices). The study will assess both child level dietary outcomes and school-level implementation outcomes. The primary trial outcome, mean energy (kJ) content of discretionary lunchbox foods packed in children's lunchboxes, will be assessed at baseline and immediately post intervention (5 months or 1.5 school terms). Analyses will be performed using intention to treat principles, assessing differences between groups via hierarchical linear regression models. DISCUSSION: This study will be the first fully powered randomised controlled trial internationally to examine the impact of an m-health intervention to reduce the mean energy from discretionary food and drinks packed in the school lunchbox. The intervention has been designed with scalability in mind and will address an important evidence gap which, if shown to be effective, has the potential to be applied at a population level.

trial registrationAustralian Clinical Trials Registry ACTRN:12618001731280 registered on 17/10/2018. Protocol Version 1.

Indexed as

DietLunchSchool Health ServicesSchoolsTelemedicineChildChild, PreschoolCommunicationCost-Benefit AnalysisCurriculumEnergy IntakeFemaleHealth PromotionHumansMaleMobile ApplicationsChildhood obesityChild nutritionChildrenHybridLunchboxesM-healthRandomised controlled trialSchoolsTechnology

Identifiers

PMID31718597
PMCPMC6852728
OpenAlexW2982764651

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.