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Evaluating a child care-based social marketing approach for improving children’s diet and physical activity: results from the Healthy Me, Healthy We cluster-randomized controlled trial
Journal article   Open access   Peer reviewed

Evaluating a child care-based social marketing approach for improving children’s diet and physical activity: results from the Healthy Me, Healthy We cluster-randomized controlled trial

Amber E Vaughn, Heidi Hennink-Kaminski, Renee Moore, Regan Burney, Jesse L Chittams, Portia Parker, Courtney T Luecking, Derek Hales and Dianne S Ward
Translational behavioral medicine, v 11(3), pp 775-784
07 Apr 2021
PMID: 33231679
url
https://doi.org/10.3390/ijerph20176648View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Intervention Physical activity practices Feeding practices Early care and education Nutrition
Abstract Child care-based interventions offer an opportunity to reach children at a young and impressionable age to support healthy eating and physical activity behaviors. Ideally, these interventions engage caregivers, including both childcare providers and parents, in united effort. This study evaluated the impact of the Healthy Me, Healthy We intervention on children’s diet quality and physical activity. A sample of 853 three- to four-year-old children from 92 childcare centers were enrolled in this cluster-randomized control trial. Healthy Me, Healthy We was an 8-month, social marketing intervention delivered through childcare that encouraged caregivers (childcare providers and parents) to use practices that supported children’s healthy eating and physical activity behaviors. Outcome measures, collected at baseline and post-intervention, assessed children’s diet quality, physical activity, and BMI as well as caregivers’ feeding and physical activity practices. Generalized Linear Mixed Models were used to assess change from baseline to post-intervention between intervention and control arms. No significant changes were noted in any of the outcome measures except for small improvements in children’s sodium intake and select parent practices. Despite the negative findings, this study offers many lessons about the importance and challenges of effective parent engagement which is critical for meaningful changes in children’s health behaviors.

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Collaboration types
Industry collaboration
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Web of Science research areas
Public, Environmental & Occupational Health
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