Lunch in the Bag: Packing More Fruit, Vegetables, Grain in Preschool Sack Lunches

袋子里的午餐：在学前袋午餐中装更多的水果、蔬菜、谷物

• 批准号: 8433439
• 负责人: DEANNA MARIE HOELSCHER
• 金额: $ 44.57万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-04-15 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8433439
• 关键词: 5 year old; Affect; Age; American; Attention; Attitude; Awareness; Behavior; Behavior Control; Behavioral; Calcium; Carbohydrates; Caregivers; Caring; Cereals; Characteristics; Child; Childhood; Chronic Disease; Consultations; Consumption; Control Groups; Data; Data Collection; Development; Diet; Diet Habits; Dietary Fiber; Dietary Intervention; Dietary intake; Eating; Eating Behavior; Educational process of instructing; Energy Intake; Enrollment; Environment; Evaluation; Evidence based intervention; Family; Food; Food Preferences; Food Services; Frequencies; Fruit; Gatekeeping; Goals; Home environment; Intake; Intention; Intervention; Iron; Knowledge; Life; Link; Malignant Neoplasms; Mediating; Mediation; Nursery Schools; Nutrient; Outcome; Outcome Measure; Parents; Participant; Pathway interactions; Perception; Planning Theory; Preschool Child; Process; Randomized; Regulation; Relative (related person); Research; Research Personnel; Self Efficacy; Services; Site; Social support; Surveys; Temperature; Texas; Time; Trans Fats; Vegetables; Vitamin A; Weight; Work; Zinc; age group; aged; base; cancer risk; comparison group; contextual factors; design; diabetes risk; drinking; early childhood; emerging adult; expectation; follow-up; food standard; fruits and vegetables; good diet; group intervention; improved; intervention effect; nutrition; programs; psychosocial; public health relevance; saturated fat; social cognitive theory; teacher; waiver

DESCRIPTION (provided by applicant): The majority of Americans eat less than the recommended amounts of fruits, vegetables, and whole grains. This includes preschool age children, which is a major concern since food preferences and eating habits developed in early childhood track into later childhood and early adulthood. In addition, diets rich in fruits, vegetables and whole grains protect against certain cancers, help maintain healthy weight, and reduce risks for diabetes and other chronic diseases. Thus, there is an urgent need for increasing consumption of fruits, vegetables, and whole grains in the diets of preschool children. With 73% of US children ages 3-5 in regular non-parental care, childcare is a very important setting for encouraging parents to increase young children's opportunities to eat and enjoy fruits, vegetables and whole grains; despite this opportunity, few studies have been conducted in childcare settings. The primary aim of this proposal is to evaluate Lunch is in the Bag, a behaviorally-based, multilevel intervention to increase the availability of fruits, vegetables, and whole grains in sack lunches in childcare centers. The intervention includes 5 weekly parent handouts, along with center- based parent and child activities to reinforce concepts in the handouts, followed by a booster activity three months after the initial intervention. Outcome measures include changes in (1) the amounts of fruits, vegetables, whole grains, chips, and sweets packed in the sack lunches; (2) the amounts of these foods consumed by the children; (3) parent knowledge, norms and intention; (4) teacher support and awareness; and (5) center environment to support a healthy diet. Secondary aims are to determine the mediating factors for the intervention. Additional aims include the evaluation of factors affecting implementation and adaption. Childcare centers (n=40) that require parents to send sack lunches from home will be randomized to intervention and control groups. Families (n=800) will be enrolled as parent-child dyads comprised of the primary lunch packer and one 3 to 5 year old child per family. Outcome measures will be assessed at (1) baseline, (2) immediately after the five-week intervention (6 weeks), (3) 3 months later immediately before a "booster" activity (23 weeks), and (4) 5 weeks after the booster (28 weeks). Mediation analyses will be guided by the Theory of Planned Behavior (TPB) and Social Cognitive Theory (SCT), with particular attention to the reciprocal influences of the child's eating behavior and the parent's food packing behavior and perceptions of child food preferences. Qualitative and process data collection will be conducted throughout the intervention. Data from this study will enable us to determine the efficacy and feasibility of a parent-based intervention implemented through childcare centers to increase the availability of fruits, vegetables, and whole grains in diets of preschool children. The ultimate goal for this work is the development of new strategies for the promotion of healthy eating practices in children through childcare centers, which will decrease their risk of cancer and other chronic diseases later in life.

描述（由申请人提供）：大多数美国人的饮食少于建议的水果，蔬菜和全谷物。这包括学龄前儿童，这是一个主要问题，因为食物偏好和饮食习惯是在幼儿期到幼儿和成年初期的。此外，富含水果，蔬菜和全谷物的饮食可以防止某些癌症，有助于保持健康体重，并降低糖尿病和其他慢性疾病的风险。因此，迫切需要增加学龄前儿童饮食中水果，蔬菜和全谷物的消费。对于普通的非父母护理，有73％的美国儿童中有73％的儿童是鼓励父母增加幼儿吃饭和享用水果，蔬菜和全谷物的机会的非常重要的环境。尽管有机会，但在托儿机构中很少进行研究。该提案的主要目的是评估午餐是在袋子中，这是一种基于行为的多层次干预措施，以增加育儿中心的麻袋午餐中的水果，蔬菜和全谷物的可用性。该干预措施包括每周的5个父母讲义，以及中心的父母和子女活动，以加强讲义中的概念，然后在初次干预后三个月进行助推活动。结果措施包括（1）包装在麻袋午餐中包装的水果，蔬菜，全谷物，薯条和糖果的变化； （2）儿童消耗的这些食物的数量； （3）父母的知识，规范和意图； （4）教师的支持和意识； （5）支持健康饮食的中心环境。次要目的是确定干预措施的中介因素。其他目标包括评估影响实施和适应的因素。要求父母在家发送麻袋午餐的托儿中心（n = 40）将被随机分为干预和对照组。家庭（n = 800）将作为由主要午餐包装工和每个家庭的3至5岁的孩子组成的亲子二元组。五周干预（6周），（3）3个月后，即将在“助推器”活动（23周）和（4）助推器后5周（28周）前3个月后，（3）3个月后，将在（1）基线（2）立即评估结果指标。调解分析将以计划行为理论（TPB）和社会认知理论（SCT）为指导，特别关注孩子饮食行为的相互影响以及父母的食物包装行为以及对儿童食物偏爱的看法。整个干预措施将进行定性和过程数据收集。这项研究的数据将使我们能够确定通过育儿中心实施的基于父母的干预措施的功效和可行性，以增加学龄前儿童饮食中水果，蔬菜和全谷物的可用性。这项工作的最终目标是开发通过育儿中心促进儿童健康饮食实践的新策略，这将降低其癌症和其他慢性疾病的风险。

项目成果

Structuring Process Evaluation to Forecast Use and Sustainability of an Intervention: Theory and Data From the Efficacy Trial for Lunch Is in the Bag.

构建过程评估以预测干预措施的使用和可持续性：午餐功效试验的理论和数据已成定局。

• DOI: 10.1177/1090198116676470
• 发表时间: 2017
• 期刊: Health education & behavior : the official publication of the Society for Public Health Education
• 作者: Roberts-Gray,Cindy;Sweitzer,SaraJ;Ranjit,Nalini;Potratz,Christa;Rood,Magdalena;Romo-Palafox,MariaJose;Byrd-Williams,CourtneyE;Briley,MargaretE;Hoelscher,DeannaM
• 通讯作者: Hoelscher,DeannaM

Dietary Quality of Preschoolers' Sack Lunches as Measured by the Healthy Eating Index.

通过健康饮食指数衡量学龄前儿童袋装午餐的膳食质量。

• DOI: 10.1016/j.jand.2015.05.017
• 发表时间: 2015
• 期刊: Journal of the Academy of Nutrition and Dietetics
• 影响因子: 4.8
• 作者: Romo-Palafox,MariaJose;Ranjit,Nalini;Sweitzer,SaraJ;Roberts-Gray,Cindy;Hoelscher,DeannaM;Byrd-Williams,CourtneyE;Briley,MargaretE
• 通讯作者: Briley,MargaretE

Contribution of Beverage Selection to the Dietary Quality of the Packed Lunches Eaten by Preschool-Aged Children.

饮料选择对学龄前儿童盒装午餐膳食质量的影响。

• DOI: 10.1016/j.jand.2017.11.008
• 发表时间: 2018
• 期刊: Journal of the Academy of Nutrition and Dietetics
• 影响因子: 4.8
• 作者: Romo-Palafox,MariaJose;Ranjit,Nalini;Sweitzer,SaraJ;Roberts-Gray,Cindy;Byrd-Williams,CourtneyE;Briley,MargaretE;Hoelscher,DeannaM
• 通讯作者: Hoelscher,DeannaM