{"id":25794,"date":"2015-07-01T00:00:00","date_gmt":"2018-12-03T21:27:51","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/making-healthy-eating-policy-practice-a-group-randomized\/"},"modified":"2018-12-03T22:27:51","modified_gmt":"2018-12-03T21:27:51","slug":"making-healthy-eating-policy-practice-a-group-randomized","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/making-healthy-eating-policy-practice-a-group-randomized\/","title":{"rendered":"Making Healthy Eating Policy Practice: A Group Randomized Controlled Trial on Changes in Snack Quality, Costs, and Consumption in After-School Programs."},"content":{"rendered":"<p style=\"text-align:justify\"><strong>Purpose <\/strong>. The aim of this study was to evaluate an intervention designed to assist after-school programs (ASPs) in meeting snack nutrition policies that specify that a fruit or vegetable be served daily and sugar-sweetened beverages\/foods and artificially flavored foods eliminated.<\/p>\n<p style=\"text-align:justify\"><strong>Design <\/strong>. The study used a 1-year group-randomized controlled trial. Setting . The study took place in ASPs operating in South Carolina, United States.<\/p>\n<p style=\"text-align:justify\"><strong>Subjects <\/strong>. Twenty ASPs serving over 1700 children were recruited, match-paired postbaseline on enrollment size and days fruits\/vegetables were served per week, and randomized to either intervention (n = 10) or control (n = 10) groups. Intervention . The study used Strategies To Enhance Practice for Healthy Eating (STEPs-HE), a multistep adaptive intervention framework that assists ASP leaders and staff to serve snacks that meet nutrition policies while maintaining cost.<\/p>\n<p style=\"text-align:justify\"><strong>Measures <\/strong>. Direct observation of snacks served and consumed and monthly snack expenditures as determined by receipts were used.<\/p>\n<p style=\"text-align:justify\"><strong>Analysis <\/strong>. The study used nonparametric and mixed-model repeated measures.<\/p>\n<p style=\"text-align:justify\"><strong>Results <\/strong>. By postassessment, intervention ASPs increased serving of fruits\/vegetables to 3.9 &plusmn; 2.1 vs. 0.7 &plusmn; 1.7 d\/wk and decreased serving sugar-sweetened beverages to 0.1 &plusmn; 0.7 vs. 1.8 &plusmn; 2.4 d\/wk and sugar-sweetened foods to 0.3 &plusmn; 1.1 vs. 2.7 &plusmn; 2.5 d\/wk compared to controls, respectively. Cost of snacks increased by $0.02\/snack in the intervention ASPs ($0.36 to $0.38) compared to a $0.01 per snack decrease in the control group ($0.39 to $0.38). Across both assessments and groups, 80% to 100% of children consumed FVs.<\/p>\n<p style=\"text-align:justify\"><strong>Conclusions <\/strong>. The STEPs-HE intervention can assist ASPs in meeting nationally endorsed nutrition policies with marginal increases in cost.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-25794","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"","annee":"2015","mois":"7","numero":"","page":"","auteurs":[{"ID":8568,"post_author":"0","post_date":"2018-12-03 18:01:39","post_date_gmt":"2018-12-03 17:01:39","post_content":"","post_title":"Michael W Beets","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"michael-w-beets","to_ping":"","pinged":"","post_modified":"2018-12-03 18:01:39","post_modified_gmt":"2018-12-03 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16:39:47","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/brent-hutto\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":15770,"post_author":"0","post_date":"2018-12-03 19:30:42","post_date_gmt":"2018-12-03 18:30:42","post_content":"","post_title":"Aaron Beighle","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"aaron-beighle","to_ping":"","pinged":"","post_modified":"2018-12-03 19:30:42","post_modified_gmt":"2018-12-03 18:30:42","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/aaron-beighle\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":23020,"post_author":"0","post_date":"2018-12-03 21:16:17","post_date_gmt":"2018-12-03 20:16:17","post_content":"","post_title":"Jennifer L 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