heather ohly registered nutritionist

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Heather Ohly Registered Nutritionist. Introduction. Food Standards Agency funded (now DH) Exploratory and developmental trial of a family-centred nutrition intervention delivered in children’s centres Rural/urban settings – Cornwall and Islington Collaboration with UCL. Study design. - PowerPoint PPT Presentation

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  • Heather OhlyRegistered Nutritionist

  • IntroductionFood Standards Agency funded (now DH)Exploratory and developmental trial of a family-centred nutrition intervention delivered in childrens centresRural/urban settings Cornwall and IslingtonCollaboration with UCL

  • Study design

  • Exploratory phaseConsultations with parents and childrens centre staffFocus groups (39 parents; 24 staff)Individual interviews (6 parents)Questionnaire surveys (261 parents; 31 centre managers)

  • Summary of findingsNutrition intervention is neededShort.....flexible.....community outreachEmphasis on practical skills cooking, recipe ideas, food shopping, budgeting, overcoming fussy eatingStaff capacity and training needs

  • Development phaseLiterature review of nutrition interventions targeting under fives (UK & Worldwide)Review of resources availableConsultations with local steering groups in both locations

  • Cherry courseFour week course (2 hours per week)Free crche providedParent and child involvementInteractive and practical sessionsRecruited and trained of tutors (FL)

  • Overview of sessionsWeek 1: Family friendly foodsWeek 2: Introducing new foodsWeek 3: Healthy snacks and drinksWeek 4: Healthy eating on a budgetFood preparation and tasting each weekCherry at home

  • RCT study designRandomly selected childrens centres (16)Randomly allocated to intervention or control group (8 pairs)Pairs matched by location and deprivationBaseline and 6 month follow-up evaluations

  • Evaluation methodsPrimary outcome: childrens consumption of fruits and vegetables (24 hour recalls)Secondary outcome: childrens consumption of sugary drinks and snacks (24 hour recalls)Other dietary outcomes and parents knowledge, attitudes etc (questionnaire)

  • Sample characteristicsTotal 394 families recruited (Cornwall = 190)Children aged 18 months five yearsGood retention rate to follow-up (77%)As many low income families as possibleMatched groups

  • Positive feedbackTalking to other parents was great and realising I wasnt the only one going through itTo see the children getting involved was inspiringShes eating tangerines and cucumber which she never did before. She even gets cross if I forget to buy them!

  • Key results

    Childs dietActual values of difference at follow upDifference in change between INT & CONInterventionControlWhole sampleFruit + Veg intake (g)28.76.422.3(-3.2, 47.8)Fruit intake(g)19.18.210.8(-13.0, 34.6)Veg intake (g)9.6-1.811.5(0.1, 22.8)Fruit intake (excluding >1 portion juice)37.527.89.6(-6.4, 25.7)Sugary drinks (ml)-9.322.8-32.1(-85.6, 21.4)Sugary snacks (# occasions)-0.060.11-0.17(-0.34, 0.01)

  • Process evaluationEngagement with staff was importantNutrition training importantGroup dynamics could be challengingDifficulty of applying RCT modelMost and least useful components

  • Future contact detailsDr Gail ReesLecturer in Human NutritionPlymouth Universitygail.rees@plymouth.ac.uk

    MRC guidance on complex interventions*Choosing Healthy Eating when Really Young*

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