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Trial registered on ANZCTR

Registration number
Ethics application status
Date submitted
Date registered
Date last updated
Type of registration
Retrospectively registered

Titles & IDs
Public title
A pragmatic randomised trial of an intervention to increase childcare service implementation of healthy eating and physical activity promoting policies and practices
Scientific title
The impact of a review and feedback intervention to increase the healthy eating and physical activity policy and practices in centre based child care versus standard care
Secondary ID [1] 285254 0
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Childhood overweight and obesity 292879 0
Condition category
Condition code
Public Health 293172 293172 0 0
Health promotion/education
Diet and Nutrition 293242 293242 0 0

Study type
Description of intervention(s) / exposure
The intervention will seek to increase service implementation of healthy eating and physical activity policies and practices consistent with best practice Australian healthy eating and physical activity guidelines for the childcare setting, and evidence reviews of policies and practices shown to be associated with child healthy eating and physical activity

Five performance review and feedback cycles will be provided to nominated supervisors across a period of 10 months. Each performance review and feedback cycle will include a written feedback report and one telephone feedback discussion. The review process will require service’s nominated supervisor (or other identified lead educator) to complete a brief telephone survey regarding current implementation of the targeted policies and practices. Using this information, feedback will be provided by a support officer (via a face-to-face visit for cycle 1 and by telephone in following cycles.

Services will also receive quarterly interactive email newsletters which will communicate key messages relating to the healthy eating and physical activity policies and practices.

The intervention aims to facilitate the following policies and practice changes

1. Policies: Service will be supported to develop and implement three policies; nutrition policy, physical activity policy and small screen recreation policy (if they have a TV on site).
2. Provision of information to families: Services will be supported to provide information to families from registered health authority about healthy eating, physical activity, limiting screen time.
3. Engagement in Daily fundamental movement skill (FMS) development: Services will be supported to implement a daily fundamental movement skill component into their program.
4. Healthy eating learning experiences: Services will be supported to engage children in a healthy eating learning experience two times per week.
5. Appropriate drinks: Services will be supported to provide appropriate drinks for children every day (only water and plain milk and reduced fat milk for children over 2 years of age.
6. Small screen recreation: Services will be supported to use small screen recreation within their service appropriately, by limiting use for 3 – 5 year olds for educational purposes.
Intervention code [1] 290121 0
Intervention code [2] 290122 0
Intervention code [3] 290123 0
Comparator / control treatment
Usual support - consisting of standard staff development opportunities regarding child health and development which could include staff training or resources.
Control group

Primary outcome [1] 293031 0
The change in prevalence of all targeted service policies and practices from baseline to immediately following the intervention as assessed via telephone interview with Nominated Supervisor/ or key service contact.

Specifically, the policies and practices to be measured include:
i.Service policy (nutrition, physical activity and small screen recreation
ii.Service provides information to families (healthy eating, physical activity, small screen time and breast feeding, where relevant).
iii.Service provides structured and specific learning experiences about healthy eating at least two times/week
iv.Service supplies age appropriate drinks to children
v.Service provides fundamental movement skills activities for children aged 3-5 years every day to at least 90% of children
vi.Service limits use of small screen recreation by children aged 3-5 years for educational purposes and learning experiences
Timepoint [1] 293031 0
At baseline and 1 month after the completion of the intervention
Secondary outcome [1] 310215 0
Timepoint [1] 310215 0

Key inclusion criteria
Centre based child care services: eligible services within the Hunter, Taree and New England geographical areas of NSW Australia will be invited to participate.
Minimum age
16 Years
Maximum age
80 Years
Both males and females
Can healthy volunteers participate?
Key exclusion criteria
Exclusion criteria include:
*Services already involved in an alternative randomised controlled trial currently underway in the Hunter New England Area Health Service;
*Services already implementing healthy eating and physical activity policies to a high standard (as defined by a government region wide surveillance system) (state-wide program)
*Services catering exclusively for children requiring specialist care; Mobile preschools, Department of Education and Communities preschools.

Study design
Purpose of the study
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Study information and consent forms will be mailed to services approximately 2 weeks before a telephone call from a research assistant requesting consent to participate in data collection. Randomisation will occur after baseline data collection and will be carried out centrally using a random number function in Mircosoft Excel.
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Services will be randomised in a 1:1 ratio to either an intervention or control group by an independent statistician using a computerised random number function .
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?

Intervention assignment
Other design features
Not Applicable
Type of endpoint(s)
Statistical methods / analysis

Recruitment status
Date of first participant enrolment
Date of last participant enrolment
Date of last data collection
Sample size
Accrual to date
Recruitment in Australia
Recruitment state(s)

Funding & Sponsors
Funding source category [1] 289864 0
Government body
Name [1] 289864 0
Hunter New England Population Health
Address [1] 289864 0
Longworth Ave, Wallsend, NSW, 2287
Country [1] 289864 0
Primary sponsor type
Government body
Hunter New England Population Health
Longworth Ave, Wallsend, NSW, 2287
Secondary sponsor category [1] 288557 0
Name [1] 288557 0
Address [1] 288557 0
Country [1] 288557 0
Other collaborator category [1] 278143 0
Name [1] 278143 0
University of Newcastle
Address [1] 278143 0
University Dr, Callaghan NSW 2308
Country [1] 278143 0

Ethics approval
Ethics application status
Ethics committee name [1] 291585 0
Hunter New England Human Research Ethics Committee
Ethics committee address [1] 291585 0
Locked Bag 1, New Lambton NSW 2305
Ethics committee country [1] 291585 0
Date submitted for ethics approval [1] 291585 0
Approval date [1] 291585 0
Ethics approval number [1] 291585 0

Brief summary
Implementing initiatives to promote healthy eating and physical activity in childcare services has been identified as a priority to prevent excessive child weight gain. Despite this, few trials have been conducted to assess the effectiveness of interventions to support population-wide implementation of such initiatives. The aim of this study is to assess the effectiveness and acceptability of a performance review and feedback intervention, targeting childcare service staff, in increasing the implementation of healthy eating and physical activity promoting policies and practices.
Trial website
Trial related presentations / publications
Finch M, Yoong SL, Thomson R, Seward K, Cooney M, Jones J, Fielding A, Wiggers J, Gillham K, Wolfenden L. A pragmatic randomised controlled trial of an implementation intervention to increase healthy eating and physical activity promoting policies and practices in centre-based childcare services: Study protocol. BMJ Open, 2015; 21;5(5):e006706. doi: 10.1136/bmjopen-2014-006706.
Public notes

Principal investigator
Name 51018 0
Mrs Meghan Finch
Address 51018 0
Hunter New England Population Health
Locked bag 10
Wallsend, NSW, 2287
Country 51018 0
Phone 51018 0
+61 2 49246131
Fax 51018 0
Email 51018 0
Contact person for public queries
Name 51019 0
Dr Luke Wolfenden
Address 51019 0
Hunter New England Population Health
Locked bag 10
Wallsend, NSW, 2287
Country 51019 0
Phone 51019 0
+61 2 4985 5168
Fax 51019 0
Email 51019 0
Contact person for scientific queries
Name 51020 0
Mrs Meghan Finch
Address 51020 0
Hunter New England Population Health
Locked bag 10
Wallsend, NSW, 2287
Country 51020 0
Phone 51020 0
+61 2 49246131
Fax 51020 0
Email 51020 0

No data has been provided for results reporting
Summary results
Have study results been published in a peer-reviewed journal?
Other publications
Have study results been made publicly available in another format?
Results – basic reporting
Results – plain English summary