A Trial to Increase Child Vegetable Intake Through Behavioral Strategies

NCT03641521 | Completed

• 1 other identifier: 1111S06501
• Study Type: interventional
• Target: 103
• Locations: 0 countries
• Sites: N/A

Brief Summary

A community nutrition trial among a diverse low-income population that tested the effect of parent-child cooking nutrition intervention on vegetable intake among 9-12 children.

Conditions

Obesity, Childhood

Keywords

child vegetable intake; behavioral strategy; intervention

Outcome Measures

Primary Outcomes (3)

• change in # of vegetable servings consumed by child measured by averaging vegetable serving data extracted from 3, 24-hr recalls.

  Number of vegetable servings were assessed from 3, 24-hr dietary recalls, collected by trained study personnel in-person and over the phone from each child, using Nutrition Data System for Research (NDSR®)software). The 3, 24-hr recalls were averaged to come up with an aggregate # of vegetable servings.

  change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention)

• change in # of vegetable servings consumed by child measured by averaging vegetable serving data extracted from 3, 24-hr recalls.

  Number of vegetable servings were assessed from 3, 24-hr dietary recalls, collected by trained study personnel in-person and over the phone from each child, using Nutrition Data System for Research (NDSR®)software). The 3, 24-hr recalls were averaged to come up with an aggregate # of vegetable servings.

  change from baseline to 6 months post-baseline

• change in # of vegetable servings consumed by child measured by averaging vegetable serving data extracted from 3, 24-hr recalls.

  Number of vegetable servings were assessed from 3, 24-hr dietary recalls, collected by trained study personnel in-person and over the phone from each child, using Nutrition Data System for Research (NDSR®)software). The 3, 24-hr recalls were averaged to come up with an aggregate # of vegetable servings.

  change from baseline to 12 months post-baseline

Secondary Outcomes (20)

• change in liking of vegetables by child (liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it"))

  change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention)

• change in liking of vegetables by child ( liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it"))

  change from baseline to 6-months post baseline

• change in liking of vegetables by child ( liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it"))

  change from baseline to 12-months post baseline

• change in number different of vegetables tried by child

  change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention)

• change in number different of vegetables tried by child

  change from baseline to 6-months post-baseline

Study Arms (2)

Intervention

EXPERIMENTAL

The intervention consisted of an enhanced Cooking Matters® for Families program that included behavioral strategies derived from behavioral economics, to be implemented by parents at home for increasing vegetable intake of low-income 9-12 year old children

Behavioral: Parent-led behavioral strategies

Control

NO INTERVENTION

The control arm consisted of the enhanced Cooking Matters® for Families program alone--without lessons about the behavioral strategies for the parents

Interventions

Parent-led behavioral strategies BEHAVIORAL

Intervention parents participated in an additional 20-25-min segment led by the nutrition educator during which the week's behavioral strategy was introduced. The following six behavioral strategies were introduced (one each week) as a segment of each cooking skills session: 1) have your child help prepare vegetables for meals (Child Help), 2) use a plate that shows the amount of vegetables to include for a meal (My Plate), 3) make vegetables visible and accessible by removing other foods from the dining area during the meal and leaving the vegetables (Make Avail/Visible), 4) serve at least 2 vegetables with the meal (Serve 2), 5) serve vegetables before the meal (Serve First), and 6) use a bigger spoon to serve the vegetables (Big Spoon).

Intervention

Eligibility Criteria

• Age: 9 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Participant child must be 9-12 years old
• Parent must be the main food preparer for the household
• The family must qualify for some form of public assistance
• Have a phone
• Must not have participated in a previous Cooking Matters for Families in the past 3 years
• Be able to read, speak, and understand English (or Spanish for Spanish-only courses).

Sponsors & Collaborators

• University of Minnesota: lead

Related Publications (3)

• Overcash F, Ritter A, Mann T, Mykerezi E, Redden J, Rendahl A, Vickers Z, Reicks M. Impacts of a Vegetable Cooking Skills Program Among Low-Income Parents and Children. J Nutr Educ Behav. 2018 Sep;50(8):795-802. doi: 10.1016/j.jneb.2017.10.016. Epub 2017 Dec 12.

  PMID: 29242140 RESULT

• Overcash FM, Reicks M, Ritter A, Leak TM, Swenson A, Vickers Z. Children Residing in Low-Income Households Like a Variety of Vegetables. Foods. 2018 Jul 20;7(7):116. doi: 10.3390/foods7070116.

  PMID: 30036932 RESULT

• Overcash FM, Vickers Z, Ritter AE, Mann T, Mykerezi E, Redden J, Rendahl AK, Davey C, Reicks M. An in-home intervention of parent-implemented strategies to increase child vegetable intake: results from a non-randomized cluster-allocated community trial. BMC Public Health. 2019 Jul 4;19(1):881. doi: 10.1186/s12889-019-7079-4.

  PMID: 31272404 DERIVED

MeSH Terms

Conditions

Pediatric Obesity

Condition Hierarchy (Ancestors)

Obesity; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Marla Reicks, PhD

  University of Minnesota

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: controlled, non-randomized community nutrition intervention

Study Record Dates

• First Submitted: August 14, 2018
• First Posted: August 22, 2018
• Study Start: September 24, 2014
• Primary Completion: May 2, 2017
• Study Completion: May 2, 2017
• Last Updated: July 12, 2019

Record last verified: 2019-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: No time frame
• Access Criteria: Email Study Contact