Evidence map›Paper›PMID 33928896›Full record

Trial reportPublic health nutrition2021

A 6-week healthy eating intervention with family engagement improves food knowledge and preferences but not dietary diversity among urban preschool children in Sri Lanka.

Fathima Sirasa, Lana Mitchell, Aslan Azhar, Anoma Chandrasekara, Neil Harris

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

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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

5 authors at 3 institutions in 2 countries.

Fathima SirasaPublic Health, School of Medicine, Griffith University, Parklands Drive, Southport, Gold Coast, QLD4222, Australia.ORCID 0000-0002-6724-534X
Lana MitchellSchool of Allied Health Sciences, Griffith University, Gold Coast, QLD, Australia.ORCID 0000-0002-7892-2131
Aslan AzharPostgraduate Institute of Agriculture, University of Peradeniya, Sri Lanka.
Anoma ChandrasekaraDepartment of Applied Nutrition, Wayamba University of Sri Lanka, Sri Lanka.ORCID 0000-0002-9917-2667
Neil HarrisPublic Health, School of Medicine, Griffith University, Parklands Drive, Southport, Gold Coast, QLD4222, Australia.ORCID 0000-0002-1786-3967
Griffith University · AUUniversity of Peradeniya · LKWayamba University of Sri Lanka · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of a multicomponent intervention (MCI) on children's dietary diversity and its impact pathway components of children's food knowledge and healthy food preferences.

designA 6-week cluster randomised controlled trial with a MCI consisting of child nutrition education plus family engagement through parental nutrition education, meal preparation and tasting was compared with two groups: single component intervention (SCI) of child nutrition education, and control, conducted during February to July 2018. Preschool centres were randomly assigned to one of the three arms. Children's food knowledge, healthy food preferences and dietary diversity scores were collected. Intervention effects were analysed using a pre-post analysis and a difference-in-difference model.

settingFourteen preschool centres in an urban area of Kurunegala, Sri Lanka.

participantsChild-parent dyads of children aged 4-6 years. Final analyses included 306 (for food knowledge and preferences) and 258 (for dietary diversity) dyads.

resultsMCI significantly influenced the impact pathways to children's dietary diversity by increasing children's food knowledge and healthy food preferences scores by 3·76 and 2·79 (P < 0·001), respectively, but not the dietary diversity score (P = 0·603), compared with the control arm. Relative to SCI, MCI significantly improved children's food knowledge score by 1·10 (P < 0·001), but no significant effects were noted for other outcome variables.

conclusionsImproved food knowledge and preferences require a positive food environment and time to develop into healthy eating behaviours. Research into dietary diversity should broaden to incorporate the contextual roles of the home and general food environments to more completely understand food choices of children.

Indexed as

Diet, HealthyFeeding BehaviorChildChild Nutritional Physiological PhenomenaChild, PreschoolDietFood PreferencesHumansSri LankaDietary diversityKnowledge and preferencesMulticomponent interventionParent involvementRandomised controlled trial

Identifiers

PMID33928896
PMCPMC10195252
OpenAlexW3157236290

What OpenQuestion holds

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Registered trials

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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.