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A Three-Arm Randomised Controlled Trial of High- and Low-Intensity Implementation Strategies to Support Centre-Based Childcare Service Implementation of Nutrition Guidelines: 12-Month Follow-Up

Author

Listed:
  • Alice Grady

    (School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
    Hunter New England Local Health District, Population Health, Wallsend 2287, Australia
    Hunter Medical Research Institute, New Lambton Heights, Newcastle 2305, Australia
    Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan 2308, Australia)

  • Kirsty Seward

    (School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
    Hunter New England Local Health District, Population Health, Wallsend 2287, Australia
    Hunter Medical Research Institute, New Lambton Heights, Newcastle 2305, Australia
    Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan 2308, Australia)

  • Meghan Finch

    (School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
    Hunter New England Local Health District, Population Health, Wallsend 2287, Australia
    Hunter Medical Research Institute, New Lambton Heights, Newcastle 2305, Australia
    Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan 2308, Australia)

  • Luke Wolfenden

    (School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
    Hunter New England Local Health District, Population Health, Wallsend 2287, Australia
    Hunter Medical Research Institute, New Lambton Heights, Newcastle 2305, Australia
    Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan 2308, Australia)

  • Rebecca Wyse

    (School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
    Hunter New England Local Health District, Population Health, Wallsend 2287, Australia
    Hunter Medical Research Institute, New Lambton Heights, Newcastle 2305, Australia
    Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan 2308, Australia)

  • John Wiggers

    (School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
    Hunter New England Local Health District, Population Health, Wallsend 2287, Australia
    Hunter Medical Research Institute, New Lambton Heights, Newcastle 2305, Australia
    Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan 2308, Australia)

  • Christophe Lecathelinais

    (Hunter New England Local Health District, Population Health, Wallsend 2287, Australia)

  • Sze Lin Yoong

    (School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia
    Hunter New England Local Health District, Population Health, Wallsend 2287, Australia
    Hunter Medical Research Institute, New Lambton Heights, Newcastle 2305, Australia
    Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan 2308, Australia)

Abstract

The study aimed to compare the effectiveness of a suite of implementation strategies of varying intensities on centre-based childcare service implementation of nutrition guideline recommendations at 12-month follow-up. A six-month three-arm parallel group randomised controlled trial was undertaken with 69 services, randomised to one of three arms: high-intensity strategies (executive support; group face-to-face training; provision of resources; multiple rounds of audit and feedback; ongoing face-to-face and phone support); low-intensity strategies (group face-to-face training; provision of resources; single round of audit and feedback); or usual care control. Across all study arms, only three high-intensity services were compliant with overall nutrition guidelines. A significant group interaction was found between the three arms for compliance with individual food groups. Relative to control, a significantly greater proportion of low-intensity services were compliant with dairy, and a significantly greater proportion of high-intensity services were compliant with fruit, vegetables, dairy, breads and cereals, and discretionary foods. No significant differences between the high- and low-intensity for individual food group compliance were found. High-intensity implementation strategies may be effective in supporting childcare service implementation of individual food group recommendations. Further research is warranted to identify strategies effective in increasing overall nutrition compliance.

Suggested Citation

  • Alice Grady & Kirsty Seward & Meghan Finch & Luke Wolfenden & Rebecca Wyse & John Wiggers & Christophe Lecathelinais & Sze Lin Yoong, 2020. "A Three-Arm Randomised Controlled Trial of High- and Low-Intensity Implementation Strategies to Support Centre-Based Childcare Service Implementation of Nutrition Guidelines: 12-Month Follow-Up," IJERPH, MDPI, vol. 17(13), pages 1-20, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4664-:d:377708
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    References listed on IDEAS

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    1. Simon D French & Joanne E McKenzie & Denise A O'Connor & Jeremy M Grimshaw & Duncan Mortimer & Jill J Francis & Susan Michie & Neil Spike & Peter Schattner & Peter Kent & Rachelle Buchbinder & Matthew, 2013. "Evaluation of a Theory-Informed Implementation Intervention for the Management of Acute Low Back Pain in General Medical Practice: The IMPLEMENT Cluster Randomised Trial," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-15, June.
    2. Richard J. Cook & Vern T. Farewell, 1996. "Multiplicity Considerations in the Design and Analysis of Clinical Trials," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 159(1), pages 93-110, January.
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