Evidence map›Paper›PMID 36839364›Full record

ArticleNutrients2023

Healthy Snacks and Drinks for Toddlers: A Qualitative Study of Caregivers' Understanding of Expert Recommendations and Perceived Barriers to Adherence.

Jennifer L Harris, Maria J Romo-Palafox, Haley Gershman, Inna Kagan, Valerie Duffy

Registry-linked trialAbstract read
In one paragraph

Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06057324 (Switching Mediterranean Consumers to Mediterranean Sustainable Healthy Dietary Patterns by Combining Digital Interactive Tools with Targeted Educational Material and Sustainable Snacks), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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.

NCT06057324 naenrolling by invitationnot on this map

Switching Mediterranean Consumers to Mediterranean Sustainable Healthy Dietary Patterns by Combining Digital Interactive Tools with Targeted Educational Material and Sustainable Snacks

TypeinterventionalSponsorFundació EurecatRan2023 to 2025Enrolled480ConditionsHealthy Subjects, Behavior, Health, FamilyArmsAI-based Apps, Mediterranean-based diet toolkit and activities, Healthy plant-based snacks, AI-based Apps + Mediterranean-based diet toolkit and activities, AI-based Apps + Healthy plant-based snacks
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Prospective associations of infant food exposures and appetitive traits with early childhood diet quality.The international journal of behavioral nutrition and physical activity · 2024
    Article
  5. Article
  6. Article
  7. 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

5 authors.

Jennifer L HarrisRudd Center for Food Policy & Health, University of Connecticut, Hartford, CT 06103, USA.
Maria J Romo-PalafoxNutrition and Dietetics, Doisy College of Health Sciences, Saint Louis University, St. Louis, MO 63104, USA.ORCID 0000-0001-8690-4593
Haley GershmanRudd Center for Food Policy & Health, University of Connecticut, Hartford, CT 06103, USA.
Inna KaganDepartment of Allied Health Sciences, College of Agriculture, Health and Natural Resources, University of Connecticut, Storrs, CT 06269, USA.
Valerie DuffyDepartment of Allied Health Sciences, College of Agriculture, Health and Natural Resources, University of Connecticut, Storrs, CT 06269, USA.ORCID 0000-0002-4226-064X

Funding

Child Health and Development Institute N/AThe Robert Wood Johnson Foundation N/A
6 · The paper itself

Abstract

backgroundDespite expert recommendations, most toddlers consume sugary drinks and more sweet and salty snack foods than fruits and vegetables as snacks. Studies have examined toddler caregivers' reasons for providing sugary drinks, but few have examined the reasons for providing nutritionally poor snack foods.

methodsResearchers conducted focus groups in one low-income community to assess caregivers' familiarity, understanding and attitudes regarding healthy drink and snack recommendations for toddlers. A convenience sample of 24 caregivers of toddlers (12-36 months) participated. Researchers conducted a descriptive analysis of the participants' familiarity with recommendations and a thematic analysis of the barriers to adherence.

resultsMost participants were familiar with recommendations, but many were surprised that some drinks and snack foods are not recommended, and most believed recommendations were not realistic. Common barriers to adhering to recommendations included beliefs about their child's innate preferences, family modeling and others' provision of drinks and snacks in and outside the home. Practical barriers included the higher cost and inconvenience of serving fruits and vegetables on-the-go.

conclusionSimilar barriers limited caregivers' adherence to expert recommendations about healthy snacks and drinks for toddlers. Nutrition education interventions should provide practical strategies for addressing these barriers and enlist childcare and health providers to reinforce recommendations.

Indexed as

CaregiversSnacksChild, PreschoolFruitHumansQualitative ResearchVegetablesfood parentinghealthy snackingnutrition educationsugar-sweetened beveragessweet and salty snacktoddlers

Identifiers

PMID36839364
PMCPMC9966055

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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.