scholarly journals The long-term effectiveness of a multi-strategy behavioural intervention to increase the nutritional quality of primary school students’ online lunch orders: 18-month follow-up of the ‘Click & Crunch’ cluster randomized controlled trial (Preprint)

10.2196/31734 ◽  
2021 ◽  
Author(s):  
Rebecca Wyse ◽  
Tessa Delaney ◽  
Fiona Stacey ◽  
Christophe Lecathelinais ◽  
Kylie Ball ◽  
...  
Keyword(s):  
Nutritional Quality ◽  
Controlled Trial ◽  
Behavioural Intervention ◽  
Primary School Students ◽  
School Students ◽  
Randomized Controlled ◽  
Cluster Randomized

The long-term effectiveness of a multi-strategy behavioural intervention to increase the nutritional quality of primary school students’ online lunch orders: 18-month follow-up of the ‘Click & Crunch’ cluster randomized controlled trial (Preprint)

2021 ◽  
Author(s):  
Rebecca Wyse ◽  
Tessa Delaney ◽  
Fiona Stacey ◽  
Christophe Lecathelinais ◽  
Kylie Ball ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Saturated Fat ◽  
Sodium Content ◽  
Behavioural Intervention ◽  
Primary School Students ◽  
School Students ◽  
Randomized Controlled ◽  
Cluster Randomized

BACKGROUND School food services, including cafeterias and canteens are an ideal setting in which to improve child nutrition. Online canteen ordering systems are increasingly common and provide unique opportunities to deliver choice architecture strategies to nudge users to select healthier items. Despite evidence of short-term effectiveness, there is little evidence regarding the long-term effectiveness of choice architecture interventions, particularly those delivered online. OBJECTIVE To determine the long-term effectiveness of a multi-strategy behavioural intervention (‘Click & Crunch’) embedded within an existing online school lunch ordering system on the energy, saturated fat, sugar and sodium content of primary school students’ lunch orders 18 months after baseline. METHODS A cluster randomized controlled trial that involved a cohort of 2,207 students (aged 5-12 years) from 17 schools in New South Wales, Australia. Schools were randomized to receive either a multi-strategy behavioural intervention or control (usual online ordering only). The intervention strategies ran continuously for 14-16.5 months until the end of follow-up data collection. Trial primary outcomes (i.e. mean total energy, saturated fat, sugar and sodium content of student online lunch orders) and secondary outcomes (i.e. the proportion of online lunch order items that were ‘Everyday’, ‘Occasional’ and ‘Caution’) were assessed over an eight week period at baseline and 18-months follow-up. RESULTS 16 schools (94%) participated in the 18-month follow-up. Over time, from baseline to follow-up, relative to control orders, intervention orders had significantly lower energy (-74.1kJ; 95%CI -124.7, -23.4; P=.006) and saturated fat (-0.4g; 95%CI -0.7, -0.1; P=.003), but no significant differences in sugar or sodium content. Relative to control schools, the odds of purchasing ‘Everyday’ items increased significantly (OR=1.2; 95%CI 1.1, 1.4; P=.009, corresponding to a +3.8% change) and the odds of purchasing ‘Caution’ items significantly decreased among intervention schools (OR=0.7, 95%CI 0.6, 0.9; P=.002, corresponding to a -2.6% change). There was no between-group difference over time in canteen revenue. CONCLUSIONS The findings suggest that there are intervention effects up to 18-months post baseline in terms of decreased energy and saturated fat content and changes in the relative proportions of healthy and unhealthy food purchased for student lunches. As such, this intervention approach may hold promise as a population health behaviour change strategy within schools. CLINICALTRIAL The trial methods were prospectively registered (ACTRN12618000855224) and the 18-month follow-up was conducted in accordance with these registered procedures.

scholarly journals Evaluation of a Brief Intervention for Promoting Mental Health among Employees in Social Enterprises: A Cluster Randomized Controlled Trial

2018 ◽  
Vol 15 (10) ◽  
pp. 2107 ◽  
Author(s):  
Benedicte Deforche ◽  
Jasmine Mommen ◽  
Anne Hublet ◽  
Winnie De Roover ◽  
Nele Huys ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Promotion ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Social Enterprises ◽  
Randomized Controlled ◽  
Cluster Randomized

Evidence on the effectiveness of workplace mental health promotion for people with disabilities is limited. This study aimed to evaluate the effectiveness of a brief mental health promotion intervention in social enterprises. It had a non-blinded cluster randomized controlled trial design with follow-up one and four months after the intervention. In total 196 employees agreed to participate (86 intervention and 110 control). Empowerment was the main outcome; secondary outcomes were resilience, palliative behavior, determinants of four coping strategies of mental health, quality of life, and life satisfaction. A brief participant satisfaction survey was conducted after the intervention. No significant intervention effect on empowerment was found. However, at one month follow-up, significant favorable effects were found on perceived social support for coping strategies for mental health and on palliative behavior. At four months follow-up, favorable intervention effects were found on quality of life, but unfavorable effects were found on unjustified worrying. In addition, the intervention was well received by the employees. This brief intervention might be a promising first step to improve mental health in people with disabilities working in social enterprises. Nevertheless, additional monitoring by professionals and managers working in the organizations might be needed to maintain these effects.

Long-term effect of physical activity on menopause-related quality of life – a 4 year follow-up study of a randomized controlled trial

Maturitas ◽  
2015 ◽  
Vol 81 (1) ◽  
pp. 139
Author(s):  
Kirsi Mansikkamäki ◽  
Jani Raitanen ◽  
Clas-Håkan Nygård ◽  
Eija Tomás ◽  
Reetta Rutanen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Controlled Trial ◽  
Term Effect ◽  
Follow Up Study ◽  
Randomized Controlled ◽  
Long Term Effect ◽  
Related Quality

scholarly journals Effects of a health educational intervention on cardiovascular disease knowledge, motivation and behavioral skills: A cluster randomized controlled trial

2019 ◽  
Author(s):  
John Amoah ◽  
Salmiah Md. ◽  
Lekhraj Rampal ◽  
Rosliza A Manaf ◽  
Normala Ibrahim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Education ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
School Students ◽  
Behavioral Skills ◽  
Randomized Controlled ◽  
Cluster Randomized

Abstract Background Cardiovascular diseases (CVD) are the number one public health challenge of the 21st century. Globally, the disease causes more deaths than any other cause. Unfortunately, many people are not aware of CVDs and its risk factors and because of this the disease burden keeps on rising. Objective of this study was to develop, implement and evaluate the effects of a health education program to improve CVD knowledge, motivation, and behavioral skills among secondary school students in Ghana. Methods A parallel single-blind cluster randomized controlled trial was carried out for a period of six-months with baseline and post intervention evaluations. Participants (n=848) were secondary school students of ages of 14-19 years from four schools (clusters) in Brong Ahafo, Ghana. Students in the intervention group received health education intervention whereas those of the control group received no intervention. The intervention included information on cardiovascular diseases and its risk factors, motivation, and behavioral skills modules. At six months, a follow-up data using same questionnaire were collected after the intervention was completed. The generalized linear mixed model (GLMM) was used to assess the overall effects of the intervention. Results Of the 848 students, 836 completed the follow-up assessment immediately after six-month. The GLMM showed the intervention was significant in improving 6.85(p<0.001), 0.90(p<0.001), 0.94(p<0.001) higher total CVD knowledge, motivation, and behavioral skills scores respectively for the intervention group when compared to the control group. Conclusions The intervention was effective in increasing CVD knowledge, motivation, and behavioral skills of students in the intervention arm of the study. It is recommended that the health education module be implemented into secondary schools education curricula in Ghana to improve CVD knowledge, motivation, and behavioral skills. Equipping students with the IMB will reduce CVD risk factors and prevent the onset of CVDs in future.

scholarly journals Using a brief web-based 5A intervention to improve weight management in primary care: results of a cluster-randomized controlled trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Franziska D. Welzel ◽  
Jonathan Bär ◽  
Janine Stein ◽  
Margrit Löbner ◽  
Alexander Pabst ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Management ◽  
Controlled Trial ◽  
Obesity Management ◽  
Online Tutorial ◽  
Low Threshold ◽  
Cluster Randomized

Abstract Background The primary health care setting is considered a major starting point in successful obesity management. However, research indicates insufficient quality of weight counseling in primary care. Aim of the present study was to implement and evaluate a 5A online tutorial aimed at improving weight management and provider-patient-interaction in primary health care. The online tutorial is a stand-alone low-threshold minimal e-health intervention for general practitioners based on the 5As guidance for obesity management by the Canadian Obesity Network. Methods In a cluster-randomized controlled trial, 50 primary care practices included 160 patients aged 18 to 60 years with obesity (BMI ≥ 30). The intervention practices had continuous access to the 5A online tutorial for the general practitioner. Patients of control practices were treated as usual. Primary outcome was the patients’ perspective of the doctor-patient-interaction regarding obesity management, assessed with the Patient Assessment of Chronic Illness Care before and after (6/12 months) the training. Treatment effects over time (intention-to-treat) were evaluated using mixed-effects linear regression models. Results More than half of the physicians (57%) wished for more training offers on obesity counseling. The 5A online tutorial was completed by 76% of the physicians in the intervention practices. Results of the mixed-effects regression analysis showed no treatment effect at 6 months and 12 months’ follow-up for the PACIC 5A sum score. Patients with obesity in the intervention group scored lower on self-stigma and readiness for weight management compared to participants in the control group at 6 months’ follow-up. However, there were no significant group differences for weight, quality of life, readiness to engage in weight management, self-stigma and depression at 12 months’ follow-up. Conclusion To our knowledge, the present study provides the first long-term results for a 5A-based intervention in the context of the German primary care setting. The results suggest that a stand-alone low-threshold minimal e-health intervention for general practitioners does not improve weight management in the long term. To improve weight management in primary care, more comprehensive strategies are needed. However, due to recruitment difficulties the final sample was smaller than intended. This may have contributed to the null results. Trial registration The study has been registered at the German Clinical Trials Register (Identifier: DRKS00009241, Registered 3 February 2016).

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