The use of a communication tool about diet at the child health centre: A cluster randomized controlled trial

• Published in: Nursing open 2020-07, Vol.7 (4), p.1217-1232
• Main Authors: Holmberg Fagerlund, Bettina, Helseth, Sølvi, Andersen, Lene F., Småstuen, Milada C., Glavin, Kari
• Format: Article
• Language: English
• Subjects: Age; Breastfeeding & lactation; Child; Child Day Care Centers; Child Health; child health services; Child, Preschool; Children & youth; Childrens health; clinical trial; Clinical trials; Communication; Councils; Counseling; counselling; Diet; Dietary guidelines; Families & family life; Feeding Behavior; Food; Health care; Humans; Intervention; nursing; nutrition; Nutrition research; Parents & parenting; Pediatrics; preschool child; Public health; public health nursing; Questionnaires; vegetables; Weaning
• ISSN: 2054-1058; 2054-1058
• DOI: 10.1002/nop2.498

Aim To investigate the effect of a communication tool about diet used in public health nurse consultations with parents compared with standard consultations concerning the 2‐year‐old child's diet. Design A cluster randomized controlled trial. Methods Ten municipalities were selected randomly and matched in pairs. In each pair, the control or intervention group was randomly allocated. Parents were recruited to participate from January 2015 to January 2017. In intervention clusters, a communication tool about diet was used to help the parents (N = 140) to focus on a healthy diet for their child. In the control clusters, parents (N = 110) attended standard consultations. The participants completed semi‐quantitative food frequency questionnaires at baseline and end point. Results No effect of the intervention was seen on the child's daily intake of vegetables or saturated fat, or body mass index. Significantly fewer parents desired more information about food for toddlers in the intervention than in the control group.