Evidence map›Paper›PMID 36471322›Full record

Trial reportBMC public health2022

Effects of the DAGIS randomized controlled trial on home environment and children's food consumption according to the degree of implementation.

Reetta Lehto, Henna Vepsäläinen, Aku-Ville Lehtimäki, Elviira Lehto, Marja H Leppänen, Essi Skaffari, Anna M Abdollahi, Eva Roos, Maijaliisa Erkkola, Carola Ray

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Reetta LehtoFolkhälsan Research Center, Topeliuksenkatu 20, 00250, Helsinki, Finland. reetta.lehto@folkhalsan.fi.
Henna VepsäläinenDepartment of Food and Nutrition, University of Helsinki, P.O. Box 66, 00014, Helsinki, Finland.
Aku-Ville LehtimäkiFolkhälsan Research Center, Topeliuksenkatu 20, 00250, Helsinki, Finland.
Elviira LehtoFaculty of Social Sciences, Department of Sociology, University of Helsinki, P.O. Box, 00014, Helsinki, Finland.
Marja H LeppänenFolkhälsan Research Center, Topeliuksenkatu 20, 00250, Helsinki, Finland.
Essi SkaffariDepartment of Food and Nutrition, University of Helsinki, P.O. Box 66, 00014, Helsinki, Finland.
Anna M AbdollahiDepartment of Food and Nutrition, University of Helsinki, P.O. Box 66, 00014, Helsinki, Finland.
Eva RoosFolkhälsan Research Center, Topeliuksenkatu 20, 00250, Helsinki, Finland.
Maijaliisa ErkkolaDepartment of Food and Nutrition, University of Helsinki, P.O. Box 66, 00014, Helsinki, Finland.
Carola RayFolkhälsan Research Center, Topeliuksenkatu 20, 00250, Helsinki, Finland.
University of Helsinki · FIFolkhälsans Forskningscentrum · FIHelsinki Institute of Physics · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCombining process evaluation data with effectiveness data and examining the possible mediators of intervention effects elicits valuable knowledge about how and for whom these interventions are effective. The aim of this study was to examine whether the parental degree of implementation (DOI) of a home-involving preschool intervention affected children's food consumption via home mediators.

methodsThe five-month Increased Health and Wellbeing in Preschools (DAGIS) intervention involved 476 participating children aged 3-6 years and was conducted in 2017-2018. Parents reported children's food consumption (g/day) outside childcare hours, the availability of foods at home, role modelling of food consumption, and the norms related to food consumption. In addition, parents reported the extent to which they had implemented the intervention program at home. Mediation analyses were conducted to examine the effect of low and high DOI compared to control group on the change in children's consumption of fruit and vegetables (FV), sugary everyday foods, sugary treats, and sugar-sweetened beverages (SSB) via food availability in the home, parental role modelling and parental norms.

resultsCompared to the control group, there was a direct effect of a high DOI on diminishing consumption of SSB (B -27.71, 95% CI -49.05, -4.80). No indirect effects were detected. In the high DOI group, a change in parental norm was associated with increased FV consumption showing an indirect effect (B 4.31, 95% CI 0.23, 10.59). In the low DOI group, there was an indirect effect via decreased food availability leading to decreased sugary everyday food consumption (B -2.17, 95% CI -5.09,  -0.09).

conclusionsCombining process evaluation and effectiveness data revealed a decrease in children's SSB consumption only in the high DOI group, as well as indirect effects on children's consumption of FV and sugary everyday foods. In order to gain more intervention effects, further studies are required in order to examine parental facilitators and barriers to the implementation of interventions and how to impact effectively the determinants of the targeted behavior.

trial registrationISRCTN57165350 (8 January, 2015).

Indexed as

Feeding BehaviorHome EnvironmentChildChild, PreschoolFruitHumansParentsVegetablesFood intakeFruit and vegetablesPreschoolerProcess evaluationSugar intakeSugary drinks

Identifiers

PMID36471322
PMCPMC9720976
OpenAlexW4311290177

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.