Evidence map›Paper›PMID 34982718›Full record

Trial reportJMIR mHealth and uHealth2022

A Mobile App to Increase Fruit and Vegetable Acceptance Among Finnish and Polish Preschoolers: Randomized Trial.

Henna Vepsäläinen, Essi Skaffari, Katarzyna Wojtkowska, Julia Barlińska, Satu Kinnunen, Riikka Makkonen, Maria Heikkilä, Mikko Lehtovirta, Carola Ray, Eira Suhonen and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR mHealth and uHealth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05173311 (Pilot Study), which is not on this map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 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.

NCT05173311 nacompletednot on this map

Pilot Study: The Effectiveness of a Mobile Application in Increasing Vegetable Acceptance

TypeinterventionalSponsorUniversity of HelsinkiRan2019 to 2019Enrolled326ConditionsHealthy Nutrition, Eating BehaviorArmsIntervention arm
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
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

13 authors.

Henna VepsäläinenDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-0177-3609
Essi SkaffariDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-1451-534X
Katarzyna WojtkowskaFaculty of Psychology, University of Warsaw, Warsaw, Poland.ORCID 0000-0003-4074-2669
Julia BarlińskaFaculty of Psychology, University of Warsaw, Warsaw, Poland.ORCID 0000-0001-6014-9390
Satu KinnunenDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-7673-0243
Riikka MakkonenDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-1745-8045
Maria HeikkiläDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-3645-3349
Mikko LehtovirtaInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-9165-0516
Carola RayDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-1443-3531
Eira SuhonenDepartment of Education, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-1718-9463
Jaakko NevalainenFaculty of Social Sciences, Tampere University, Tampere, Finland.ORCID 0000-0001-6295-0245
Nina SajaniemiSchool of Applied Educational Science and Teacher Education, University of Eastern Finland, Joensuu, Finland.ORCID 0000-0002-5959-7572
Maijaliisa ErkkolaDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-6966-1523

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly childhood education and care (ECEC) centers are ideal venues for food education. As smartphones and tablets are becoming increasingly popular in ECEC centers, technology can be used to deliver such pedagogical content. Evidence suggests that video games can affect fruit and vegetable (FV) consumption among 9- to 12-year-old children, but studies among preschoolers are scarce.

objectiveThis paper describes the development of the Mole's Veggie Adventures app and its effectiveness in increasing FV acceptance among Finnish and Polish preschoolers aged 3 to 6 years.

methodsA multiprofessional team created an app to be used in ECEC centers in groups of 3 to 10 children. The app aimed to increase vegetable acceptance, and it was built using elements that support the development of self-regulation and social skills. Altogether, 7 Finnish and 4 Polish ECEC centers participated in the study. Before randomization, parents reported background factors and their children's willingness to taste different FVs. The ECEC professionals in the intervention arm were instructed to use the app at least once a week during the 3- to 4-week intervention period. The main outcomes in this unblinded, cluster-randomized study were FV acceptance and relative FV acceptance. The first was calculated as a sum variable describing the children's willingness to taste 25 different FVs, the second as FV acceptance divided by the number of FVs served. We used analysis of covariance to compare the FV acceptance and relative FV acceptance scores between the intervention and control groups at follow-up.

resultsA total of 221 children were included in the analysis. At follow-up, the intervention group (115/221, 52%) had higher FV acceptance scores (baseline adjusted difference of mean 7.22; 95% CI 1.41-13.03) than the control group (106/221, 48%). The intervention effect was parallel for relative FV acceptance scores (baseline adjusted difference of mean 0.28; 95% CI 0.05-0.52).

conclusionsThe Mole's Veggie Adventures app has the potential to increase FV acceptance among preschoolers and can be a valuable tool in supporting food education in ECEC centers. Furthermore, the app can be feasibly incorporated into preschool routines in countries with different educational environments.

trial registrationClinicalTrials.gov NCT05173311; https://tinyurl.com/4vfbh283.

Indexed as

Mobile ApplicationsVegetablesChildChild, PreschoolFinlandFruitHumansPolandbehavior changegames for healthgamificationhealth gameinterventionmobile phonesmartphone app

Identifiers

PMID34982718
PMCPMC8767468

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.