Evidence map›Paper›PMID 36704042›Full record

ArticleFrontiers in endocrinology2022

Evaluating the effectiveness and implementation of evidence-based early-life nutrition interventions in a community setting a hybrid type 1 non-randomized trial - the Nutrition Now project protocol.

Nina Cecilie Øverby, Elisabet Rudjord Hillesund, Sissel Heidi Helland, Christine Helle, Andrew Keith Wills, Admassu Nadew Lamu, Natalie Garzon Osorio, Henrik Lian, Torunn Iveland Ersfjord, Wim Van Daele and 13 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Frontiers in endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

10 citing papers in PubMed, 13 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

23 authors at 6 institutions in 4 countries.

Nina Cecilie ØverbyDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Elisabet Rudjord HillesundDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Sissel Heidi HellandDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Christine HelleDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Andrew Keith WillsDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Admassu Nadew LamuDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Natalie Garzon OsorioDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Henrik LianDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Torunn Iveland ErsfjordDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Wim Van DaeleDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Tormod BjørkkjærDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Erlend Nuland ValenDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Mekdes Kebede GebremariamDepartment of Community Medicine and Global Health , Institute of Health and Society, University of Oslo, Oslo, Norway.
Erik GrasaasDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Charlotte KilandDepartment of Political Science and Management, Faculty of Social Sciences, University of Agder, Kristiansand, Norway.
Ulrica von Thiele SchwarzSchool of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
Marianne Hope AbelCentre for Evaluation of Public Health Measures, Norwegian Institute of Public Health, Oslo, Norway.
Penny LoveInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Science, Deakin University, Geelong, VIC, Australia.
Karen CampbellInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Science, Deakin University, Geelong, VIC, Australia.
Harry RutterDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Mary Elizabeth BarkerDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Frøydis Nordgård VikDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
Anine Christine MedinDepartment of Nutrition and Public Health, Faculty of Health and Sport Sciences, Priority Research Centre Lifecourse Nutrition, University of Agder, Kristiansand, Norway.
University of Agder · NODeakin University · AUMälardalen University · SENorwegian Institute of Public Health · NOUniversity of Bath · GBUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disappointingly few efficacious health interventions are successfully scaled up and implemented in real world settings. This represents an evidence-to-practice gap, with loss of opportunity to improve practice. Aiming to improve nutrition in the first 1000 days of life, we have combined four efficacious dietary interventions into a single adapted digital resource (Nutrition Now) for implementation in a Norwegian community setting. Nutrition Now targets pregnant women and parents of 0-2-year-olds with messages focusing on healthy dietary behaviours. Early childhood education and care (ECEC) staff are provided with pedagogical tools addressing healthy food exposure and child food acceptance. Objectives: a) evaluate the effectiveness of provision of the Nutrition Now resource on child diet and diet-related outcomes, with special attention to the influence of socio-economic position, b) gather information on the effectiveness of the implementation process to inform forthcoming scale-up and c) perform trial- and model-based economic evaluations. This is a hybrid type 1 implementation study, focusing on evaluation of effectiveness. A quasi-experimental design with pre- and post-tests, where one municipality gets access to the resource (n~800), while a matched non-equivalent control municipality (n~800) does not, will be used. Effectiveness will be assessed by examining e.g., diet outcomes, developmental outcomes, and feeding practices. The resource will be implemented in ECEC settings and made available to pregnant women and parents through the Norwegian system of maternal and child health (MCH) care. The implementation process includes iterative adjustments and implementation strategies from the implementation framework Expert Recommendations for Implementing Change (ERIC) informed by dialogues with stakeholders. Implementation outcomes (e.g., acceptability and adoption) will be assessed through questionnaires and interviews with parents, ECEC and MCH staff, with particular attention to ethnic diverse groups. Both within-trial and modelling-based economic evaluation will be performed. Nutrition Now will bridge the existing evidence-to-practice gap through rigorous scientific effectiveness evaluation of municipal scale up and inform subsequent county scale up. The study is the first to implement efficacious nutrition interventions in early life with potential for health improvement using technology to maximise the reach and impact of both parental and MCH dietary guidance and ECEC practice. Clinical Trial Registration: https://www.isrctn.com/, identified ISRCTN10694967.

Indexed as

DietFeeding BehaviorChild, PreschoolFemaleHumansInfantInfant, NewbornNon-Randomized Controlled Trials as TopicNutritional StatusParentsPregnancyResearch Designdigital diet interventionearly life obesity preventionfeeding practicesimplementationmaternal and child health caremunicipality scale upthe Nutrition Now project protocol

Identifiers

PMID36704042
PMCPMC9871808
OpenAlexW4315434022

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.