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
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.
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
Creators
Amber E Vaughn - University of North Carolina at Chapel Hill
Heidi Hennink-Kaminski - University of North Carolina at Chapel Hill
Renee Moore - Emory University
Regan Burney - University of North Carolina at Chapel Hill
Jesse L Chittams - Biostatistical Consulting (United States)
Portia Parker - SAS Institute (United States)
Courtney T Luecking - University of Kentucky
Derek Hales - University of North Carolina at Chapel Hill
Dianne S Ward - University of North Carolina at Chapel Hill
Publication Details
Translational behavioral medicine, v 11(3), pp 775-784
Publisher
Oxford University Press
Resource Type
Journal article
Language
English
Academic Unit
Epidemiology and Biostatistics
Web of Science ID
WOS:000649397400011
Scopus ID
2-s2.0-85104209610
Other Identifier
991021448056804721
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