A restaurant-based intervention to promote sales of healthy children's menu items: the Kids' Choice Restaurant Program cluster randomized trial.
A restaurant-based intervention to promote sales of healthy children's menu items: the Kids' Choice Restaurant Program cluster randomized trial.
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DOI：
10.1186/s12889-016-2892-5
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发表时间：
2016-03-10
影响因子：
4.5
通讯作者：
Zive M
中科院分区：
文献类型：
--
作者：
Ayala GX;Castro IA;Pickrel JL;Williams CB;Lin SF;Madanat H;Jun HJ;Zive M
外出就餐是一种重要的饮食行为，对饮食质量有影响。因此，预防和控制儿童肥胖和其他慢性健康状况是一项重要的行为目标。为了改善儿童在家庭、早期护理和教育以及学校的饮食摄入量，已经进行了大量研究；然而，很少有研究试图改变儿童餐厅的饮食环境。这项研究通过描述一种创新干预措施的开发和启动来促进美国南加州独立餐厅健康儿童菜单项目的销售，从而丰富了这一研究体系。这是一项在加利福尼亚州圣地亚哥对八家配对餐厅进行的整群随机试验。餐厅被随机分为仅菜单与菜单加干预条件。仅菜单干预条件涉及经理/业主合作添加预先确定的健康儿童菜单项目，以及厨房经理/业主合作准备和装盘这些项目并培训厨房工作人员。菜单加干预条件涉及更广泛的经理/业主合作和厨房员工培训，以选择、准备和摆盘新的健康儿童菜单项目，以及健康儿童菜单活动，包括营销材料和服务器培训以推广这些项目。主要成果是 18 周内健康儿童菜单的销量。此外，在 18 周的研究期间，我们会对由成人和 18 岁以下儿童组成的用餐团体进行不引人注意的观察，然后在整个 18 周的研究期间进行访谈，以确定干预措施对点餐行为的影响。经理/业主访谈和餐厅审计提供了对顾客、员工和餐厅环境影响的额外证据。我们的过程评估评估输送的剂量、接收的剂量和干预保真度。餐厅的成功招募已经完成，这提供了证据表明餐饮业愿意致力于应对儿童肥胖的公共卫生挑战。确定餐厅干预是否可以促进健康儿童菜单项的销售将为如何创造支持预防和控制肥胖所需的健康选择的环境提供证据。尽管有这些优势，收集销售数据以全面分析干预效果仍然是一个挑战。 NCT02511938
Away-from-home eating is an important dietary behavior with implications on diet quality. Thus, it is an important behavior to target to prevent and control childhood obesity and other chronic health conditions. Numerous studies have been conducted to improve children’s dietary intake at home, in early care and education, and in schools; however, few studies have sought to modify the restaurant food environment for children. This study adds to this body of research by describing the development and launch of an innovative intervention to promote sales of healthy children’s menu items in independent restaurants in Southern California, United States. This is a cluster randomized trial with eight pair-matched restaurants in San Diego, California. Restaurants were randomized to a menu-only versus menu-plus intervention condition. The menu-only intervention condition involves manager/owner collaboration on the addition of pre-determined healthy children’s menu items and kitchen manager/owner collaboration to prepare and plate these items and train kitchen staff. The menu-plus intervention condition involves more extensive manager/owner collaboration and kitchen staff training to select, prepare, and plate new healthy children’s menu items, and a healthy children’s menu campaign that includes marketing materials and server training to promote the items. The primary outcome is sales of healthy children’s menu items over an 18-week period. In addition, dining parties consisting of adults with children under 18 years of age are being observed unobtrusively while ordering and then interviewed throughout the 18-week study period to determine the impact of the intervention on ordering behaviors. Manager/owner interviews and restaurant audits provide additional evidence of impact on customers, employees, and the restaurant environment. Our process evaluation assesses dose delivered, dose received, and intervention fidelity. Successful recruitment of the restaurants has been completed, providing evidence that the restaurant industry is open to working on the public health challenge of childhood obesity. Determining whether a restaurant intervention can promote sales of healthy children’s menu items will provide evidence for how to create environments that support the healthy choices needed to prevent and control obesity. Despite these strengths, collection of sales data that will allow comprehensive analysis of intervention effects remains a challenge. NCT02511938