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School-based Internet-tailored fruit and vegetable education combined with brief counselling increases children's awareness of intake levels

Bibliographic Data

ID15094201
AuthorsResiti T Mangunkusumo (Erasmus MC), J Brug (0000-0002-1904-7349, Erasmus MC), Harry J De Koning (0000-0003-4682-3646, Erasmus MC), Johan Van Der Lei (0000-0002-9203-3410, Erasmus MC), Hein Raat (0000-0002-6000-7445, Erasmus MC, corresponding author)
Year2007
Volume10
Issue3
Pages273-279
Publication date2007-03-01
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980007246671
PMID17288625
OpenAlexW2125472259
LanguageEN
Citations received15
References cited25

Objective Children's fruit/vegetable intake is still below recommended levels. This study applied Internet-tailored advice for schoolchildren and Internet-supported brief dietary counselling (with child and parent) within preventive health care to promote fruit/vegetable intake. Setting/subjects The study involved 30 seventh-grade classes (16 in the intervention group and 14 in the control group) with a total of 675 children aged 9–12 years, of whom 495 were allowed to participate. Design A cluster-randomised baseline–post-test experimental design was applied. During school hours, all children completed Internet-administered questionnaires on fruit/vegetable intake and related determinants. Children in the intervention group received immediate online individually tailored nutrition feedback. For each child in the intervention group, a nurse received information concerning the assessment of fruit/vegetable intake via the Internet to support a 5 min counselling protocol to promote fruit/vegetable intake. Children completed a similar post-test questionnaire 3 months after the first assessment. Intention-to-treat analyses were conducted using multilevel regression analyses. Results A total of 486 children (98% of 495) participated (263 in the intervention group, 223 in the control group); 240 child–parent couples in the intervention group attended the counselling. Awareness of inadequate fruit intake (odds ratio (OR) = 3.0; 95% confidence interval (CI) = 1.8–5.3) and knowledge of recommended vegetable intake levels (OR = 2.7; 95% CI = 1.8–4.1) were significantly more likely at post-test in the intervention group than in the control group. No significant effects were found on intake or other determinants. Conclusions A compact, integrated two-component intervention can induce positive changes in knowledge and awareness of intake levels of fruit/vegetables among schoolchildren. To induce changes in intake levels, more comprehensive interventions may be needed

Confidence interval · Environmental health · Family medicine · Intervention (counseling · Odds ratio · Test (biology · Child Development and Digital Technology · Medicine · Mobile Health and mHealth Applications · Nursing · Obesity, Physical Activity, Diet · Internal Medicine

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Citations per year0.79
Citation span2007 - 2023 (17)
Highly citedNo

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