基于网络的菜单计划干预提高儿童膳食指南依从性的有效性卡塔尔世界杯8强波胆分析随机对照试验%A Grady,Alice %A Wolfenden,Luke %A Wiggers,John %A Rissel,Chris %A Finch,Meghan %A Flood,Victoria %A Salajan,David %A O'Rourke,Ruby %A Stacey,Fiona %A Wyse,Rebecca %A Lecathelinais,Christophe %A Barnes,Courtney %A Green,Sue %A Herrmann,Vanessa %A young,Sze Lin %+澳大利亚卡拉汉大学大道纽卡斯尔大学医学与公共卫生学院，61 0249246310,alice.grady@health.nsw.gov.au %K儿童保育%K儿童，学前教育在线系统菜单计划营养政策随机对照试验基于互联网的干预研究背景:托儿服务机构提供的食物与膳食指南建议不一致。基于web的系统为支持这些指导方针的实施提供了独特的机会。目的:本研究旨在评估基于网络的菜单规划干预在增加儿童保育服务菜单中符合膳食指南的食物组的平均数量方面的有效性。次要目的是评估干预措施对符合以下建议的服务菜单比例的影响:(1)所有食物类别;(2)单个食品组;(3)指单个食物组的份量。儿童保育服务的使用和网络项目的可接受性也被评估。方法:对澳大利亚新南威尔士州54家托儿服务机构进行单盲、平行组随机对照试验。 Services were randomized to a 12-month intervention or usual care control. Intervention services received access to a Web-based menu planning program linked to their usual childcare management software system. Childcare service compliance with dietary guidelines and servings of food groups were assessed at baseline, 3-month follow-up, and 12-month follow-up. Results: No significant differences in the mean number of food groups compliant with dietary guidelines and the proportion of service menus compliant with recommendations for all food groups, or for individual food groups, were found at 3- or 12-month follow-up between the intervention and control groups. Intervention service menus provided significantly more servings of fruit (P<.001), vegetables (P=.03), dairy (P=.03), and meat (P=.003), and reduced their servings of discretionary foods (P=.02) compared with control group at 3 months. This difference was maintained for fruit (P=.03) and discretionary foods (P=.003) at 12 months. Intervention childcare service staff logged into the Web-based program an average of 40.4 (SD 31.8) times and rated the program as highly acceptable. Conclusions: Although improvements in childcare service overall menu and individual food group compliance with dietary guidelines were not statistically significant, findings indicate that a Web-based menu planning intervention can improve the servings for some healthy food groups and reduce the provision of discretionary foods. Future research exploring the effectiveness of differing strategies in improving the implementation of dietary guidelines in childcare services is warranted. Trial Registration: Australian New Zealand Clinical Trial Registry (ANZCTR): 16000974404; http://www.anzctr.org.au/ACTRN12616000974404.aspx %M 32014843 %R 10.2196/13401 %U //www.mybigtv.com/2020/2/e13401 %U https://doi.org/10.2196/13401 %U http://www.ncbi.nlm.nih.gov/pubmed/32014843