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Trial registered on ANZCTR


Registration number
ACTRN12615001032549
Ethics application status
Approved
Date submitted
4/09/2015
Date registered
1/10/2015
Date last updated
18/10/2018
Type of registration
Prospectively registered

Titles & IDs
Public title
A randomised controlled trial of an intervention to improve the implementation of nutrition guidelines in childcare services
Scientific title
The impact of a multi-strategy childcare-based intervention to improve compliance with nutrition guidelines versus usual care in long day care services on child intake while in care.
Secondary ID [1] 287418 0
NIL
Universal Trial Number (UTN)
NIL
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Childhood overweight and obesity 296123 0
Condition category
Condition code
Public Health 296386 296386 0 0
Health promotion/education
Diet and Nutrition 296387 296387 0 0
Obesity

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
An intervention to improve childcare service implementation of nutrition guidelines (i.e. approximately 50% of serves as specified by the Australian dietary guidelines) will be delivered to eligible long day care centres over six months. The intervention will primarily target childcare service managers and service cooks. Strategy selection will be guided by the theoretical domains framework and consist of the following implementation strategies:

1. Provision of staff training: Service managers and service cooks will be provided with a one-day workshop. The workshop will be delivered by experienced dietitians and health promotion staff and focus on improving skills and knowledge related to menu planning.

2. Provision of resources: A resource pack will be provided to all intervention services. The pack will include the Caring for Children resource, menu planning checklists and recipe ideas. The Caring for children resource, developed by the NSW Ministry of health and summarises best practice nutrition guidelines for the sector and has a focus on menu planning.

3. Ongoing support: An implementation support officer will be allocated to each intervention service. Two face-to-face contacts (duration 1-2 hours), will be provided to intervention services 1 month and 3 months following the menu planning workshop. During the support contacts the service manager and service cook will receive expert advice and support from their allocated support officer to facilitate the implementation of nutrition guidelines.

4. Audit and feedback: Menus of intervention services will be assessed for compliance by a dietitian and feedback provided to implementation support officers at two time points (baseline and 4 months). The implementation support officer will then distribute the feedback to intervention services.

5. Securing executive support: A memorandum of understanding (MOU) will be signed by the implementation support officer, the service manager and the service cook. Intervention service managers will be encouraged provide support and endorse the adherence of nutrition guidelines to all other staff within their service.
Intervention code [1] 292769 0
Prevention
Comparator / control treatment
No treatment, standard care – participating services randomised to the wait list control group will receive the intervention after follow-up data collection.
Control group
Active

Outcomes
Primary outcome [1] 296032 0
Change in proportion of services who have a two week menu that is compliant with nutrition guidelines (provides 50% of children’s RDI)
Timepoint [1] 296032 0
At baseline and at the end of the intervention period (approximately 6-months post-baseline)
Primary outcome [2] 300029 0
Change in proportion of services who are compliant with the nutrition guidelines for individual Australian Guide to healthy Eating food groups ((1) Vegetables and legumes/beans; (2) Fruit; (3) Wholegrain cereal foods and breads; (4) Lean meat and poultry, fish, eggs, tofu, seeds and legumes; (5) Milk, yoghurt, cheese and alternatives; and (6) Discretionary foods).
As per the sector nutrition guidelines services are required to provided: 2 serves of the vegetable and legumes/beans food group; 1 serve of the fruit food group; 2 serves of the wholegrain cereals and breads food group; 0.75 serve of Lean meat and poultry, fish, eggs, tofu, seeds and legumes food group; 1 serve of Milk, yoghurt, cheese and alternative food group and; 0 serves of discretionary foods, per child each day. A service will be deemed compliant with a food group if their planned menu provides the recommended serve of the food group for each child on everyday across the 2 week menu (10 days),
This outcome will be assessed by comprehensive two-week menu reviews undertaken by a dietitian who is blinded to group allocation.
Timepoint [2] 300029 0
At baseline, at the end of the intervention period (approximately 6-months post baseline) and 6 months post intervention (12 months post-baseline).
Secondary outcome [1] 317291 0
Child dietary intake as assessed using aggregate level plate waste measures and self-reported questionnaire completed by childcare providers. The questionnaire was adapted from a previously validated dietary index short food survey (Hendrie, 2012).
Timepoint [1] 317291 0
At baseline and at the end of the intervention period (6-months post-baseline)
Secondary outcome [2] 328842 0
Post-intervention between-group differences in the theoretical domains framework constructs targeted by the intervention will be assessed as a process measure as part of the cook’s pen and paper follow-up questionnaire.
Timepoint [2] 328842 0
End of intervention period (6-months post-baseline)
Secondary outcome [3] 328843 0
Intervention acceptability -As part of the follow-up pen and paper questionnaires, services allocated to the intervention group will answer items related to the use, appropriateness and satisfaction with the resources, training and ongoing support provided by the implementation team. Both the service cook and service manager will answer these acceptability items. The items are not validated and will be similar to those used by the research team to evaluate previous health promotion programmes in childcare services
Timepoint [3] 328843 0
End of intervention (6-months post-baseline)
Secondary outcome [4] 328844 0
Contamination and co-intervention - Intervention contamination and receipt of other interventions provided separate to the trial will be assessed via pen and paper questionnaires completed by service cooks and service managers both in intervention and
control groups at follow-up. The questionnaire items will assess if the control services were exposed to any intervention materials or support during the study period. If the participants received any additional support to improve menu planning or food preparation during the study period, they will be asked to describe such support.
Timepoint [4] 328844 0
End of intervention (6-months post-baseline)
Secondary outcome [5] 328845 0
Context -A systematic search will be conducted to aid the assessment of the external validity of the trial findings and to describe the context in which the trial was conducted. The search will include national and state education websites, local newspaper archives and accreditation and national healthy eating recommendations and guidelines to identify any changes in government policy, standards, sector accreditation requirements and nutrition guidelines that may impact on the healthy eating environment and the provision of healthy foods within the childcare setting. The date of events and release of promotional materials related to the dissemination of the Caring for Children resource will also be documented
Timepoint [5] 328845 0
The search will include the 12 months prior to and the 6 months during intervention delivery.
Secondary outcome [6] 328846 0
Delivery of intervention strategies- Project records maintained by implementation support staff will be used to monitor and assess the delivery and uptake of each of the intervention strategies.
Timepoint [6] 328846 0
End of intervention (6-months post-baseline)

Eligibility
Key inclusion criteria
Long Day Care Services: For a service to be eligible, it will be located within the Hunter and New England region of NSW Australia, provide all meals (at least one main meal and two mid-meals) to children while they are in care, and open for at least 8 hours per day. Services must conduct menu planning processes internally (ie, services do not out-source menu planning)
Minimum age
18 Years
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
Long Day Care Services: Services that do not prepare and provide meals to children onsite or do not have a cook with some responsibility for menu planning will be excluded from the study. Further, services catering exclusively for children requiring specialist care, mobile preschools and family day care centres will also be excluded from the study

Study design
Purpose of the study
Prevention
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 one week prior to a telephone call from a research assistant requesting consent to participate in data collection. Random allocation of services to groups will occur following baseline data collection from all long day care services. Allocation to groups will be conducted by an independent research assistant, at a centralised location, using opaque sealed envelopes.
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Consenting childcare services will be randomly allocated to an intervention or control group in a 1:1 ratio via block randomisation using a random number function in SAS statistical software following baseline data collection.
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?


The people assessing the outcomes
Intervention assignment
Parallel
Other design features
Phase
Not Applicable
Type of endpoint(s)
Efficacy
Statistical methods / analysis
A regression model (linear or logistic depending on outcome), adjusted for baseline values of the primary trial outcome will be used to examine changes in the primary and secondary outcomes.

Recruitment
Recruitment status
Completed
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW
Recruitment postcode(s) [1] 10241 0
2265 - Cooranbong
Recruitment postcode(s) [2] 10242 0
2265 - Martinsville
Recruitment postcode(s) [3] 10243 0
2267 - Wangi Wangi
Recruitment postcode(s) [4] 10244 0
2278 - Barnsley
Recruitment postcode(s) [5] 10245 0
2278 - Killingworth
Recruitment postcode(s) [6] 10246 0
2278 - Wakefield
Recruitment postcode(s) [7] 10249 0
2280 - Belmont South
Recruitment postcode(s) [8] 10250 0
2280 - Belmont
Recruitment postcode(s) [9] 10251 0
2280 - Belmont North
Recruitment postcode(s) [10] 10252 0
2280 - Croudace Bay
Recruitment postcode(s) [11] 10253 0
2280 - Floraville
Recruitment postcode(s) [12] 10254 0
2280 - Jewells
Recruitment postcode(s) [13] 10255 0
2280 - Marks Point
Recruitment postcode(s) [14] 10256 0
2281 - Blacksmiths
Recruitment postcode(s) [15] 10257 0
2281 - Cams Wharf
Recruitment postcode(s) [16] 10258 0
2281 - Catherine Hill Bay
Recruitment postcode(s) [17] 10259 0
2280 - Valentine
Recruitment postcode(s) [18] 10260 0
2281 - Caves Beach
Recruitment postcode(s) [19] 10261 0
2281 - Little Pelican
Recruitment postcode(s) [20] 10262 0
2281 - Middle Camp
Recruitment postcode(s) [21] 10263 0
2281 - Murrays Beach
Recruitment postcode(s) [22] 10264 0
2281 - Nords Wharf
Recruitment postcode(s) [23] 10265 0
2281 - Pelican
Recruitment postcode(s) [24] 10266 0
2281 - Pinny Beach
Recruitment postcode(s) [25] 10267 0
2281 - Swansea
Recruitment postcode(s) [26] 10268 0
2281 - Swansea Heads
Recruitment postcode(s) [27] 10269 0
2282 - Eleebana
Recruitment postcode(s) [28] 10270 0
2282 - Lakelands
Recruitment postcode(s) [29] 10271 0
2282 - Warners Bay
Recruitment postcode(s) [30] 10272 0
2283 - Arcadia Vale
Recruitment postcode(s) [31] 10273 0
2283 - Awaba
Recruitment postcode(s) [32] 10274 0
2283 - Balmoral
Recruitment postcode(s) [33] 10275 0
2283 - Blackalls Park
Recruitment postcode(s) [34] 10276 0
2283 - Bolton Point
Recruitment postcode(s) [35] 10277 0
2283 - Buttaba
Recruitment postcode(s) [36] 10278 0
2283 - Carey Bay
Recruitment postcode(s) [37] 10279 0
2283 - Coal Point
Recruitment postcode(s) [38] 10280 0
2283 - Fassifern
Recruitment postcode(s) [39] 10281 0
2283 - Fennell Bay
Recruitment postcode(s) [40] 10282 0
2283 - Fishing Point
Recruitment postcode(s) [41] 10283 0
2283 - Kilaben Bay
Recruitment postcode(s) [42] 10284 0
2283 - Rathmines
Recruitment postcode(s) [43] 10285 0
2283 - Ryhope
Recruitment postcode(s) [44] 10286 0
2283 - Toronto
Recruitment postcode(s) [45] 10287 0
2284 - Argenton
Recruitment postcode(s) [46] 10288 0
2284 - Boolaroo
Recruitment postcode(s) [47] 10289 0
2284 - Booragul
Recruitment postcode(s) [48] 10290 0
2284 - Speers Point
Recruitment postcode(s) [49] 10291 0
2284 - Marmong Point
Recruitment postcode(s) [50] 10292 0
2284 - Teralba
Recruitment postcode(s) [51] 10293 0
2284 - Woodrising
Recruitment postcode(s) [52] 10294 0
2285 - Cameron Park
Recruitment postcode(s) [53] 10295 0
2285 - Cardiff
Recruitment postcode(s) [54] 10296 0
2285 - Cardiff Heights
Recruitment postcode(s) [55] 10297 0
2285 - Cardiff South
Recruitment postcode(s) [56] 10298 0
2285 - Edgeworth
Recruitment postcode(s) [57] 10299 0
2285 - Glendale
Recruitment postcode(s) [58] 10300 0
2285 - Macquarie Hills
Recruitment postcode(s) [59] 10301 0
2286 - Holmesville
Recruitment postcode(s) [60] 10302 0
2286 - Seahampton
Recruitment postcode(s) [61] 10303 0
2286 - West Wallsend
Recruitment postcode(s) [62] 10304 0
2287 - Birmingham Gardens
Recruitment postcode(s) [63] 10305 0
2287 - Elermore Vale
Recruitment postcode(s) [64] 10306 0
2287 - Fletcher
Recruitment postcode(s) [65] 10307 0
2287 - Maryland
Recruitment postcode(s) [66] 10308 0
2287 - Minmi
Recruitment postcode(s) [67] 10309 0
2287 - Rankin Park
Recruitment postcode(s) [68] 10310 0
2287 - Summer Hill
Recruitment postcode(s) [69] 10311 0
2287 - Wallsend
Recruitment postcode(s) [70] 10312 0
2287 - Wallsend South
Recruitment postcode(s) [71] 10313 0
2289 - Adamstown
Recruitment postcode(s) [72] 10314 0
2289 - Adamstown Heights
Recruitment postcode(s) [73] 10315 0
2289 - Garden Suburb
Recruitment postcode(s) [74] 10316 0
2289 - Highfields
Recruitment postcode(s) [75] 10317 0
2289 - Kotara
Recruitment postcode(s) [76] 10318 0
2289 - Kotara Fair
Recruitment postcode(s) [77] 10319 0
2289 - Kotara South
Recruitment postcode(s) [78] 10320 0
2290 - Bennetts Green
Recruitment postcode(s) [79] 10321 0
2290 - Charlestown
Recruitment postcode(s) [80] 10322 0
2290 - Dudley
Recruitment postcode(s) [81] 10323 0
2290 - Gateshead
Recruitment postcode(s) [82] 10324 0
2290 - Hillsborough
Recruitment postcode(s) [83] 10325 0
2290 - Kahibah
Recruitment postcode(s) [84] 10326 0
2290 - Mount Hutton
Recruitment postcode(s) [85] 10327 0
2290 - Redhead
Recruitment postcode(s) [86] 10328 0
2290 - Tingira Heights
Recruitment postcode(s) [87] 10329 0
2290 - Whitebridge
Recruitment postcode(s) [88] 10330 0
2291 - Merewether
Recruitment postcode(s) [89] 10331 0
2291 - Merewether Heights
Recruitment postcode(s) [90] 10332 0
2291 - The Junction
Recruitment postcode(s) [91] 10333 0
2292 - Broadmeadow
Recruitment postcode(s) [92] 10334 0
2292 - Hamilton North
Recruitment postcode(s) [93] 10335 0
2293 - Maryville
Recruitment postcode(s) [94] 10336 0
2293 - Wickham
Recruitment postcode(s) [95] 10337 0
2294 - Carrington
Recruitment postcode(s) [96] 10338 0
2295 - Fern Bay
Recruitment postcode(s) [97] 10339 0
2295 - Stockton
Recruitment postcode(s) [98] 10340 0
2296 - Islington
Recruitment postcode(s) [99] 10341 0
2297 - Tighes Hill
Recruitment postcode(s) [100] 10342 0
2298 - Georgetown
Recruitment postcode(s) [101] 10343 0
2298 - Waratah
Recruitment postcode(s) [102] 10344 0
2298 - Waratah West
Recruitment postcode(s) [103] 10345 0
2299 - Jesmond
Recruitment postcode(s) [104] 10346 0
2299 - Lambton
Recruitment postcode(s) [105] 10347 0
2299 - North Lambton
Recruitment postcode(s) [106] 10348 0
2300 - Bar Beach
Recruitment postcode(s) [107] 10349 0
2300 - Cooks Hill
Recruitment postcode(s) [108] 10350 0
2300 - Newcastle
Recruitment postcode(s) [109] 10351 0
2300 - Newcastle East
Recruitment postcode(s) [110] 10352 0
2300 - The Hill
Recruitment postcode(s) [111] 10353 0
2302 - Newcastle West
Recruitment postcode(s) [112] 10354 0
2303 - Hamilton
Recruitment postcode(s) [113] 10355 0
2303 - Hamilton East
Recruitment postcode(s) [114] 10356 0
2303 - Hamilton South
Recruitment postcode(s) [115] 10357 0
2304 - Kooragang
Recruitment postcode(s) [116] 10358 0
2304 - Mayfield
Recruitment postcode(s) [117] 10359 0
2304 - Mayfield East
Recruitment postcode(s) [118] 10360 0
2304 - Mayfield North
Recruitment postcode(s) [119] 10361 0
2304 - Mayfield West
Recruitment postcode(s) [120] 10362 0
2304 - Sandgate
Recruitment postcode(s) [121] 10363 0
2304 - Warabrook
Recruitment postcode(s) [122] 10366 0
2305 - Kotara East
Recruitment postcode(s) [123] 10367 0
2305 - New Lambton
Recruitment postcode(s) [124] 10368 0
2305 - New Lambton Heights
Recruitment postcode(s) [125] 10369 0
2306 - Windale
Recruitment postcode(s) [126] 10370 0
2307 - Shortland
Recruitment postcode(s) [127] 10371 0
2308 - Callaghan
Recruitment postcode(s) [128] 10372 0
2308 - Newcastle University
Recruitment postcode(s) [129] 10373 0
2309 - Dangar
Recruitment postcode(s) [130] 10374 0
2312 - Minimbah
Recruitment postcode(s) [131] 10375 0
2312 - Nabiac
Recruitment postcode(s) [132] 10376 0
2314 - Williamtown Raaf
Recruitment postcode(s) [133] 10377 0
2315 - Corlette
Recruitment postcode(s) [134] 10378 0
2315 - Fingal Bay
Recruitment postcode(s) [135] 10379 0
2315 - Nelson Bay
Recruitment postcode(s) [136] 10380 0
2315 - Shoal Bay
Recruitment postcode(s) [137] 10381 0
2316 - Anna Bay
Recruitment postcode(s) [138] 10382 0
2316 - Boat Harbour
Recruitment postcode(s) [139] 10383 0
2316 - Bobs Farm
Recruitment postcode(s) [140] 10384 0
2316 - Fishermans Bay
Recruitment postcode(s) [141] 10385 0
2316 - One Mile
Recruitment postcode(s) [142] 10386 0
2316 - Taylors Beach
Recruitment postcode(s) [143] 10387 0
2317 - Salamander Bay
Recruitment postcode(s) [144] 10388 0
2317 - Soldiers Point
Recruitment postcode(s) [145] 10389 0
2318 - Campvale
Recruitment postcode(s) [146] 10390 0
2318 - Ferodale
Recruitment postcode(s) [147] 10391 0
2318 - Fullerton Cove
Recruitment postcode(s) [148] 10392 0
2318 - Medowie
Recruitment postcode(s) [149] 10393 0
2318 - Oyster Cove
Recruitment postcode(s) [150] 10394 0
2318 - Salt Ash
Recruitment postcode(s) [151] 10395 0
2318 - Williamtown
Recruitment postcode(s) [152] 10398 0
2319 - Lemon Tree Passage
Recruitment postcode(s) [153] 10399 0
2319 - Mallabula
Recruitment postcode(s) [154] 10400 0
2319 - Tanilba Bay
Recruitment postcode(s) [155] 10401 0
2319 - Tilligerry Creek
Recruitment postcode(s) [156] 10402 0
2264 - Bonnells Bay
Recruitment postcode(s) [157] 10403 0
2320 - Aberglasslyn
Recruitment postcode(s) [158] 10404 0
2320 - Bolwarra
Recruitment postcode(s) [159] 10405 0
2320 - Bolwarra Heights
Recruitment postcode(s) [160] 10406 0
2320 - Maitland
Recruitment postcode(s) [161] 10407 0
2320 - Lorn
Recruitment postcode(s) [162] 10408 0
2320 - Maitland North
Recruitment postcode(s) [163] 10409 0
2320 - Louth Park
Recruitment postcode(s) [164] 10410 0
2320 - Maitland Vale
Recruitment postcode(s) [165] 10411 0
2320 - South Maitland
Recruitment postcode(s) [166] 10412 0
2320 - Rutherford
Recruitment postcode(s) [167] 10413 0
2320 - Telarah
Recruitment postcode(s) [168] 10414 0
2320 - Pokolbin
Recruitment postcode(s) [169] 10415 0
2320 - Rothbury
Recruitment postcode(s) [170] 10416 0
2322 - Beresfield
Recruitment postcode(s) [171] 10417 0
2322 - Black Hill
Recruitment postcode(s) [172] 10418 0
2322 - Chisholm
Recruitment postcode(s) [173] 10419 0
2322 - Hexham
Recruitment postcode(s) [174] 10420 0
2322 - Stockrington
Recruitment postcode(s) [175] 10421 0
2322 - Tarro
Recruitment postcode(s) [176] 10422 0
2322 - Thornton
Recruitment postcode(s) [177] 10423 0
2322 - Woodberry
Recruitment postcode(s) [178] 10424 0
2322 - Tomago
Recruitment postcode(s) [179] 10425 0
2322 - Lenaghan
Recruitment postcode(s) [180] 10426 0
2323 - Ashtonfield
Recruitment postcode(s) [181] 10427 0
2323 - Brunkerville
Recruitment postcode(s) [182] 10428 0
2323 - East Maitland
Recruitment postcode(s) [183] 10429 0
2323 - Green Hills
Recruitment postcode(s) [184] 10430 0
2323 - Metford
Recruitment postcode(s) [185] 10431 0
2323 - Metford Dc
Recruitment postcode(s) [186] 10432 0
2323 - Tenambit
Recruitment postcode(s) [187] 10433 0
2324 - Brandy Hill
Recruitment postcode(s) [188] 10434 0
2324 - East Seaham
Recruitment postcode(s) [189] 10435 0
2324 - Heatherbrae
Recruitment postcode(s) [190] 10436 0
2324 - Raymond Terrace
Recruitment postcode(s) [191] 10437 0
2324 - Raymond Terrace East
Recruitment postcode(s) [192] 10438 0
2324 - Seaham
Recruitment postcode(s) [193] 10439 0
2324 - Karuah
Recruitment postcode(s) [194] 10440 0
2325 - Cessnock
Recruitment postcode(s) [195] 10441 0
2325 - Cessnock West
Recruitment postcode(s) [196] 10442 0
2325 - Aberdare
Recruitment postcode(s) [197] 10443 0
2326 - Abermain
Recruitment postcode(s) [198] 10444 0
2327 - Kurri Kurri
Recruitment postcode(s) [199] 10445 0
2327 - Pelaw Main
Recruitment postcode(s) [200] 10446 0
2327 - Stanford Merthyr
Recruitment postcode(s) [201] 10447 0
2330 - Singleton
Recruitment postcode(s) [202] 10448 0
2330 - Singleton Heights
Recruitment postcode(s) [203] 10449 0
2333 - Muswellbrook
Recruitment postcode(s) [204] 10450 0
2334 - Greta
Recruitment postcode(s) [205] 10451 0
2420 - Dungog
Recruitment postcode(s) [206] 10452 0
2428 - Tuncurry
Recruitment postcode(s) [207] 10453 0
2428 - Forster
Recruitment postcode(s) [208] 10454 0
2428 - Elizabeth Beach
Recruitment postcode(s) [209] 10455 0
2428 - Pacific Palms
Recruitment postcode(s) [210] 10456 0
2261 - The Entrance
Recruitment postcode(s) [211] 10457 0
2264 - Morisset
Recruitment postcode(s) [212] 10458 0
2264 - Dora Creek
Recruitment postcode(s) [213] 12123 0
2340 - Tamworth
Recruitment postcode(s) [214] 12124 0
2370 - Glen Innes
Recruitment postcode(s) [215] 12125 0
2390 - Narrabri
Recruitment postcode(s) [216] 12126 0
2430 - Taree
Recruitment postcode(s) [217] 12127 0
2430 - Old Bar
Recruitment postcode(s) [218] 12128 0
2350 - Armidale
Recruitment postcode(s) [219] 12129 0
2360 - Inverell
Recruitment postcode(s) [220] 12130 0
2400 - Moree
Recruitment postcode(s) [221] 12131 0
2429 - Wingham
Recruitment postcode(s) [222] 12132 0
2380 - Gunnedah

Funding & Sponsors
Funding source category [1] 291986 0
Government body
Name [1] 291986 0
Hunter New England Population Health
Address [1] 291986 0
Longworth Avenue, Wallsend, NSW 2287
Country [1] 291986 0
Australia
Funding source category [2] 291987 0
University
Name [2] 291987 0
University of Newcastle
Address [2] 291987 0
University Drive, Callaghan NSW 2308
Country [2] 291987 0
Australia
Primary sponsor type
Government body
Name
Hunter New England Population Health
Address
Longworth Avenue, Wallsend, NSW 2287
Country
Australia
Secondary sponsor category [1] 290651 0
University
Name [1] 290651 0
University of Newcastle
Address [1] 290651 0
University Drive, Callaghan NSW 2308
Country [1] 290651 0
Australia

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 293477 0
Hunter New England Human Research Ethics Committee
Ethics committee address [1] 293477 0
Hunter New England Health
Locked Bag 1, New Lambton NSW 2305
Ethics committee country [1] 293477 0
Australia
Date submitted for ethics approval [1] 293477 0
01/09/2015
Approval date [1] 293477 0
24/09/2015
Ethics approval number [1] 293477 0
(06/07/26/4.04)

Summary
Brief summary
Childcare centres represent a promising setting for interventions to improve the dietary behaviours of children as they provide broad reach to a large number of children and opportunities to be exposed to a range of nutrition promoting practices. While nutrition guidelines recommend that childcare centres provides food consistent with dietary guidelines, the impact of improving childcare food service environment on children’s diet in care has not been previously quantified. Previous childcare-based interventions have largely examined the modification of food environments in conjunction with other components which limits the ability to assess the isolated impact of improving food environment and availability on child behaviour. This study aims to assess the effect of an intervention to improve childcare service menus to comply with National nutrition guidelines. The intervention will target childcare service managers and cooks. We hypothesise the intervention will positively impact on service menus and child food intake.
Trial website
Trial related presentations / publications
Seward K, Wolfenden L, Finch M, et al. Multistrategy childcare-based intervention to improve compliance with nutrition guidelines versus usual care in long day care services: a study protocol for a randomised controlled trial. BMJ Open 2016;6:e010786. doi:10.1136/bmjopen-2015- 010786
Public notes
Attachments [1] 1208 1208 0 0

Contacts
Principal investigator
Name 60078 0
Dr Sze Lin (Serene) Yoong
Address 60078 0
Heart Foundation Postdoctoral Fellowship
University of Newcastle
School of Medicine and Pubic Health
c/o Hunter New England Population Health
Locked Bag No. 10
Wallsend NSW 2287
Country 60078 0
Australia
Phone 60078 0
+61 2 40420649
Fax 60078 0
+61 2 40420044
Email 60078 0
Serene.Yoong@hnehealth.nsw.gov.au
Contact person for public queries
Name 60079 0
Ms Kirsty Seward
Address 60079 0
Hunter New England Population Health
Locked Bag 10
Wallsend, New South Wales 2287
Country 60079 0
Australia
Phone 60079 0
+61 2 4924 6565
Fax 60079 0
+61 2 4924 6215
Email 60079 0
Kirsty.seward@hnehealth.nsw.gov.au
Contact person for scientific queries
Name 60080 0
Ms Kirsty Seward
Address 60080 0
Hunter New England Population Health
Locked Bag 10
Wallsend, New South Wales 2287
Country 60080 0
Australia
Phone 60080 0
+61 2 4924 6565
Fax 60080 0
+61 2 4924 6215
Email 60080 0
Kirsty.seward@hnehealth.nsw.gov.au

No information has been provided regarding IPD availability
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