A randomised controlled trial and mediation analysis of the ‘Healthy Habits’, telephone-based dietary intervention for preschool children
Open accessAbstract
Background: Consumption of non-core foods in childhood is associated with excessive weight gain in childhood. Parents play a vital role in establishing healthy diet behaviours in young children. The aim of this study was to assess the effectiveness of a telephone-based intervention in reducing child consumption of non-core foods, and to examine parent and home food environment mediators of change in child consumption. Methods: The ‘Healthy Habits’ trial utilised a clustered randomised controlled design. Setting/participants: Parents were recruited from 30 preschools (N = 394 participants, mean age 35.2±5.6 years). Parents randomized to the intervention group received four telephone contacts and print materials. Parents allocated to the control condition receive generic print materials only. Non-core food consumption was assessed using a validated child dietary questionnaire at baseline, 2 and 6 months post recruitment in 2010. Results: The intervention was effective in reducing child consumption of non-core foods at 2 months (intention to treat analysis: z=-2.83, p<.01), however this effect was not maintained at 6 months. Structural equation modelling using 2 month data indicated that child access to non-core foods in the home and child feeding strategies mediated the effect of the intervention. Conclusion: The telephone-based intervention shows promise in improving short term dietary behaviour in preschool age children, however further development is needed to sustain the effect in the long-term. Trial registration: Australian Clinical Trials Registry:ACTRN12609000820202
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Research has attempted to map BCTs to theoretical domains, which are clusters of theoretical constructs, and to identify theoretical mediators of change using process evaluations.
“Research has also attempted to map BCTs to theoretical domains, which are clusters of theoretical constructs [22, 66], and to identify theoretical mediators of change using process evaluations [81–83].”
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- Authors
- Fletcher, A., Wolfenden, L., Wyse, R., Bowman, J., McElduff, P., & Duncan, S.
- Affiliations
- University of Newcastle Australia (AU)
- Hunter Medical Research Institute (AU)
- Corresponding author
- Wolfenden, Luke
- Venue
- International Journal of Behavioral Nutrition and Physical Activity
- Published
- 2013-04-08
- Volume
- 10
- Issue
- 1
- Pages
- 43-43
- ISSN
- 1479-5868 (ISSN-L)
- PMC
- PMC3663731
- OpenAlex
- W2132833624
- Cited by
- 46
- References
- 49
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 9 · 2019: 2 · 2018: 8 · 2017: 3 · 2016: 5 · 2015: 5 · 2014: 3
- FWCI
- 4.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Funders
- Hunter Medical Research Institute
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- preschool children, parent-led intervention, home food environment, childhood obesity prevention, dietary behavior change, mediation analysis
- MeSH terms
- Adult, Australia, Child Behavior, Child, Preschool, Diet, Environment, Feeding Behavior, Follow-Up Studies, Health Promotion, Humans, Parents, Social Environment, Telephone, Health Behavior, Parenting, Treatment Outcome, Intention to Treat Analysis
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