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 美国儿童饮食不健康，这是在肥胖症流行中要解决的关键问题。餐馆 环境转变可以促进儿童更健康的饮食。三分之一 儿童在给定的一天里吃速服务（快餐）餐厅的食物，以及食用餐厅食物 与能量摄入量增加和饮食质量较差有关。味道是影响食物的关键因素 餐馆中儿童的选择，因此可以增加儿童喜欢健康选择的方法 承诺在这些环境中改善他们的饮食行为。提议的目标 研究是为了使更健康的选择更具吸引力，更容易通过餐厅内干预 结合了选择体系结构和重复的曝光策略。选择体系结构元素将是 Placemat旨在使选择更健康的孩子的餐点并省略甜点变得更加容易。重复 曝光元素将经常是用餐卡，旨在增加目标和享受目标 食物。广泛的基础研究支持重复接触，这是改善儿童口味的有力策略 偏好。此外，在一家快速服务餐厅的58个家庭的试点研究中，我们展示了我们的希望 计划中的干预措施：促进健康儿童餐的餐饮服务的儿童订购了更大的 比对照组的健康食品数量，命令促进主菜的儿童消耗更少 饱和脂肪比没有的脂肪。我们的长期目标是确定餐厅内的有效性 可以在餐馆中实施和传播的健康饮食干预措施。这个目的 格兰特（Grant 选择架构以及关于儿童食物选择和摄入量的重复曝光策略 餐馆和一整天。我们将将餐厅的位置随机分配给团体，以及访问的孩子 餐馆定期（n = 930;每个队列310）将暴露于餐桌上，经常促销餐厅卡 这些材料的更健康的餐或通用（对照）版本。餐车经常会激励 在干预组中，选择了6次的更健康的餐点。中心假设是 这些暴露后，干预小组的儿童将更有可能选择更健康的饭菜。儿童餐 餐厅的选择和饮食摄入量以及全天的饮食摄入量将在初始和测试后进行评估 时间点检验假设，即这种干预措施促进了更健康的进餐选择（特定目的1）和 饮食摄入量（特定目标2）。家庭在临时时间点的行为以及对餐馆的潜在影响 也将受到监视。鉴于儿童的餐馆吃饭频率是典型的消费 那里的模式，以及一再暴露于影响饮食行为的承诺，这 干预有可能产生有意义的公共卫生影响。目前的方法是新颖的 行为策略的应用，并为对儿童饮食和健康的持久影响提供了潜力。