Promoting healthier meal selection and intake among children in restaurants

促进餐厅儿童更健康的膳食选择和摄入

• 批准号: 10162631
• 负责人: Stephanie Anzman-Frasca
• 金额: $ 44.66万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-06-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10162631
• 关键词: 8 year old; Adaptive Behaviors; Address; Age; Architecture; Attention; Back; Basic Science; Behavior; Behavioral; Businesses; Calories; Child; Consumption; Data; Data Collection; Diet; Dietary intake; Eating; Eating Behavior; Effectiveness; Elements; Energy Intake; Environment; Environment Design; Exposure to; Family; Food; Food Selections; Goals; Grant; Health; Health Food; Healthy Eating; Incentives; Intake; Intervention; Link; Location; Monitor; Nutrient; Obesity Epidemic; Parents; Participant; Pattern; Pilot Projects; Public Health; Randomized; Research; Research Support; Restaurants; Sales; Services; Sodium; Taste Perception; Taste preferences; Testing; Time; Toy; Treatment Efficacy; Unhealthy Diet; Visit; Weight; base; cohort; design; dissemination research; efficacy testing; evidence base; fast food; group intervention; implementation research; improved; intervention effect; novel; obesity in children; recruit; saturated fat; sex; sugar

ABSTRACT US children’s diets are unhealthy, a critical issue to address in the context of the obesity epidemic. Restaurants are one setting in which environmental shifts could promote healthier eating among children. One-third of children eat food from quick-service (fast food) restaurants on a given day, and consumption of restaurant food has been linked with increased energy intake and poorer diet quality. Taste is a key factor influencing food choices for children in restaurants, so approaches that increase children’s liking of healthier options offer promise to improve their eating behavior in these settings and more broadly. The goal of the proposed research is to make healthier options more appealing and easier to choose via an in-restaurant intervention that combines choice architecture and repeated exposure strategies. The choice architecture element will be a placemat designed to make it easier to choose healthier kids’ meal items and omit dessert. The repeated exposure element will be frequent diner cards, designed to increase exposure to and enjoyment of target foods. Extensive basic research supports repeated exposure as a powerful strategy to improve children’s taste preferences. Further, in a pilot study of 58 families in a quick-service restaurant, we showed the promise of our planned intervention: Children provided with placemats promoting healthier kids’ meals ordered a greater number of healthier foods than controls, and children who ordered promoted main dishes consumed less saturated fat than those who did not. Our long-term goal is to establish the effectiveness of an in-restaurant healthy eating intervention that can be implemented and disseminated across restaurants. The objective of this grant is to expand on our preliminary research by rigorously testing effects of an intervention that combines choice architecture and repeated exposure strategies on children’s food selection and intake in quick-service restaurants and throughout the day. We will randomize restaurant locations to groups, and children who visit restaurants regularly (n=930; 310 per cohort) will be exposed to placemats and frequent diner cards promoting healthier meals or generic (control) versions of these materials. The frequent diner cards will incentivize selection of a healthier featured meal over 6 occasions in the intervention group. The central hypothesis is that after these exposures, intervention group children will be more likely to select a healthier meal. Children’s meal selection and dietary intake in the restaurant and throughout the day will be assessed at initial and post-test time points to test hypotheses that this intervention promotes healthier meal selection (Specific Aim 1) and dietary intake (Specific Aim 2). Families’ behaviors at interim time points and potential impacts on restaurants will also be monitored. Given how frequently children eat food from restaurants, the typical consumption patterns while there, and the promise of repeated exposure to impact eating behaviors broadly, this intervention has the potential for meaningful public health impact. The present approach is novel in its application of behavioral strategies and offers the potential for lasting impacts on children’s diets and health.

抽象的 美国儿童的饮食不健康，这是肥胖流行背景下需要解决的一个关键问题。餐厅 是环境变化可以促进儿童健康饮食的一种环境。三分之一 儿童在某一天从快餐店吃的食物以及餐厅食物的消耗 与能量摄入增加和饮食质量较差有关。味道是影响食物的关键因素 儿童在餐馆的选择，因此增加儿童对更健康选择的喜爱的方法提供了 承诺改善他们在这些环境下以及更广泛的饮食行为。拟议的目标 研究旨在通过餐厅内干预使更健康的选择更具吸引力且更容易选择 结合了选择架构和重复暴露策略。选择的架构元素将是 餐垫旨在让您更轻松地选择更健康的儿童餐点并省略甜点。重复的 曝光元素将是常客卡，旨在增加目标的曝光和享受 食物。广泛的基础研究支持重复接触是改善儿童品味的有力策略 偏好。此外，在一家快餐店对 58 个家庭进行的试点研究中，我们展示了我们的承诺 有计划的干预：为儿童提供餐垫，提倡更健康的儿童餐，并订购更多 与对照组相比，健康食品的数量，并且点了促销主菜的孩子消耗的更少 饱和脂肪比没有饱和脂肪的人高。我们的长期目标是建立餐厅内的有效性 可以在餐馆中实施和传播的健康饮食干预措施。此举的目的 赠款的目的是通过严格测试干预措施的效果来扩展我们的初步研究，该干预措施结合了 快速服务中儿童食物选择和摄入的选择架构和重复暴露策略 餐厅和全天。我们将根据团体和儿童随机分配餐厅位置 餐厅定期（n = 930；每组 310 家）将展示餐垫和常客卡，以宣传 更健康的膳食或这些材料的通用（对照）版本。常客卡将激励 干预组中 6 次选择更健康的特色膳食。中心假设是 在这些接触之后，干预组的儿童将更有可能选择更健康的膳食。儿童餐 将在初始测试和测试后评估餐厅和全天的选择和饮食摄入量 测试该干预措施促进更健康膳食选择的假设的时间点（具体目标 1）以及 膳食摄入量（具体目标 2）。家庭在临时时间点的行为及其对餐厅的潜在影响 也将受到监控。鉴于儿童从餐馆吃食物的频率，典型的消费量 那里的模式，以及反复接触的承诺会广泛影响饮食行为，这 干预措施有可能对公共卫生产生有意义的影响。本方法的新颖之处在于 行为策略的应用，并有可能对儿童的饮食和健康产生持久影响。