Evidence map›Paper›PMID 41285505›Full record

ArticleBMJ open2025

Tiny Bites, a digital health intervention delivered in early childhood education and care centres to support educators and caregivers to prevent childhood obesity: study protocol for a cluster randomised controlled trial.

Sze Lin Yoong, Melanie Lum, Gloria K W Leung, Nicole Pearson, Helen Truby, Clare Dix, Najma A Moumin, Luke Wolfenden, Jaithri Ananthapavan, Alice Grady and 10 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

20 authors.

Sze Lin YoongGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, School of Health and Social Development, Deakin University, Geelong, Victoria, Australia s.yoong@deakin.edu.au.ORCID http://orcid.org/0000-0002-0836-017X
Melanie LumGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, School of Health and Social Development, Deakin University, Geelong, Victoria, Australia.
Gloria K W LeungGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, School of Health and Social Development, Deakin University, Melbourne, Victoria, Australia.
Nicole PearsonCollege of Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia.
Helen TrubyThe University of Queensland, Saint Lucia, Queensland, Australia.
Clare DixUniversity of the Sunshine Coast, Sippy Downs, Queensland, Australia.
Najma A MouminInstitute of Health Transformation, Deakin University, Burwood, Victoria, Australia.
Luke WolfendenCollege of Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia.
Jaithri AnanthapavanDepartment of Economics, Cost-effectiveness, Deakin University, Burwood, Victoria, Australia.
Alice GradyCollege of Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia.
John WiggersUniversity of Newcastle, Newcastle, New South Wales, Australia.
Tessa DelaneyNSW Centre for Population Health, Sydney, New South Wales, Australia.
Lucie RychetnikThe University of Sydney, Sydney, New South Wales, Australia.
Maria RomitiDepartment of Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Hannah LamontDepartment of Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Sonya StanleyDepartment of Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Michelle LimDeakin University, Geelong, Victoria, Australia.
Chris OldmeadowUniversity of Newcastle, Newcastle, New South Wales, Australia.
Nadia MasterssonThe Prevention Centre, Sax Institute, Sydney, New South Wales, Australia.
Rachel SutherlandCollege of Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInfant feeding practices in the first 2 years of life are linked to long-term weight trajectories. Despite the importance of obesity prevention interventions, there are no randomised controlled trials (RCTs) evaluating early childhood education and care (ECEC) and primary caregiver-targeted interventions on child weight and feeding outcomes.

aimTo assess the efficacy of an 18-month digital health intervention (Tiny Bites) delivered to ECEC services and primary caregivers of children aged 4 to ≤12 months on child age-adjusted and sex-adjusted body mass index-for-age z-score (zBMI) relative to usual care control in the Hunter New England (HNE) region of New South Wales, Australia. METHODS AND ANALYSIS: This type 1 hybrid cluster RCT will include up to 60 ECEC services and 540 children/caregiver dyads. The intervention supports ECEC services and caregivers to deliver recommended responsive feeding practices to infants. ECEC services will receive access to an online assessment platform, training and resources, and implementation support. Primary caregivers will receive text messages, monthly e-newsletters, online links and direct communication from ECEC services. We will assess the impact on child zBMI at 18-month follow-up. Secondary outcomes include duration of consuming any breastmilk, child diet and caregiver responsive feeding practices. We will also assess ECEC policy and practice implementation related to targeted feeding practices, programme cost effectiveness, adverse effects and engagement with the programme (ECECs and caregivers). For the primary outcome, between-group differences will be assessed for paired data using two-level hierarchical linear regression models. ETHICS AND DISSEMINATION: Ethics approval has been provided by HNE Human Research Ethics Committee (HREC) (2023/ETH01158), Deakin University (2024-202) and University of Newcastle HREC (R-2024-0039). Trial results will be submitted for publication in peer-reviewed journals, presented at scientific conferences locally and internationally and to relevant practice stakeholders. TRIAL REGISTRATION NUMBER: ACTRN12624000576527.

Indexed as

CaregiversPediatric ObesityBody Mass IndexChild, PreschoolDigital HealthFeeding BehaviorFemaleHumansInfantMaleNew South WalesRandomized Controlled Trials as TopicBody Mass IndexCommunity child healthHealth EducationNUTRITION & DIETETICSRandomized Controlled Trial

Identifiers

PMID41285505
PMCPMC12645655

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.