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Reducing Young Schoolchildren’s Intake of Sugar-Rich Food and Drinks: Study Protocol and Intervention Design for “Are You Too Sweet?” A Multicomponent 3.5-Month Cluster Randomised Family-Based Intervention Study

Author

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  • Sidse Marie Sidenius Bestle

    (Division of Food Technology, National Food Institute, Technical University of Denmark, Kemitorvet Building 201, 2800 Kongens Lyngby, Denmark)

  • Bodil Just Christensen

    (Division of Food Technology, National Food Institute, Technical University of Denmark, Kemitorvet Building 201, 2800 Kongens Lyngby, Denmark)

  • Ellen Trolle

    (Division of Food Technology, National Food Institute, Technical University of Denmark, Kemitorvet Building 201, 2800 Kongens Lyngby, Denmark)

  • Anja Pia Biltoft-Jensen

    (Division of Food Technology, National Food Institute, Technical University of Denmark, Kemitorvet Building 201, 2800 Kongens Lyngby, Denmark)

  • Jeppe Matthiessen

    (Division of Food Technology, National Food Institute, Technical University of Denmark, Kemitorvet Building 201, 2800 Kongens Lyngby, Denmark)

  • Sarah Jegsmark Gibbons

    (Division of Food Technology, National Food Institute, Technical University of Denmark, Kemitorvet Building 201, 2800 Kongens Lyngby, Denmark)

  • Bjarne Kjær Ersbøll

    (Department of Applied Mathematics and Computer Science, Technical University of Denmark, 2800 Kongens Lyngby, Denmark)

  • Anne Dahl Lassen

    (Division of Food Technology, National Food Institute, Technical University of Denmark, Kemitorvet Building 201, 2800 Kongens Lyngby, Denmark)

Abstract

A high consumption of sugar-rich discretionary food and drinks has several health implications, which have been traced from childhood into adulthood. Parents act as primary mediators shaping children’s dietary habits, and interventions that engage parents have shown to result in positive outcomes. Further, collaboration with local school health nurses and dentists provides an effective structural frame to support behaviour change and anchor new initiatives. The multicomponent 3.5-month cluster randomised family-focused intervention “Are you too Sweet?” aims to evaluate the effectiveness of communicating new Danish guidelines for sugar-rich discretionary food and drinks for school starters (5–7 years). This paper describes the development, outcomes and process evaluation of the intervention that includes three main components: extended dialogue during a school health nurse consultation, a box with home-use materials, and a social media platform to facilitate interaction among participants. Children ( n = 160) and their parents were scheduled for a baseline interview at six different schools. The intervention was developed to increase self-efficacy, knowledge about guidelines, observational learning and reduce impediments for behavioural change. The desired primary outcome was a reduction in intake of sugar-rich food measured through a 7-day dietary record. The results contribute to the evidence on effective health promotion strategies.

Suggested Citation

  • Sidse Marie Sidenius Bestle & Bodil Just Christensen & Ellen Trolle & Anja Pia Biltoft-Jensen & Jeppe Matthiessen & Sarah Jegsmark Gibbons & Bjarne Kjær Ersbøll & Anne Dahl Lassen, 2020. "Reducing Young Schoolchildren’s Intake of Sugar-Rich Food and Drinks: Study Protocol and Intervention Design for “Are You Too Sweet?” A Multicomponent 3.5-Month Cluster Randomised Family-Based Interve," IJERPH, MDPI, vol. 17(24), pages 1-20, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9580-:d:465860
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    References listed on IDEAS

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    1. Dorus W. M. Gevers & Stef P. J. Kremers & Nanne K. De Vries & Patricia Van Assema, 2018. "The Comprehensive Snack Parenting Questionnaire (CSPQ): Development and Test-Retest Reliability," IJERPH, MDPI, vol. 15(5), pages 1-10, April.
    2. Carolina Bassul & Clare A. Corish & John M. Kearney, 2020. "Associations between the Home Environment, Feeding Practices and Children’s Intakes of Fruit, Vegetables and Confectionary/Sugar-Sweetened Beverages," IJERPH, MDPI, vol. 17(13), pages 1-21, July.
    3. Schmacker, Renke & Smed, Sinne, 2020. "Do prices and purchases respond similarly to soft drink tax increases and cuts?," Economics & Human Biology, Elsevier, vol. 37(C).
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    Cited by:

    1. Bodil Just Christensen & Sidse Marie Sidenius Bestle & Ellen Trolle & Anja Pia Biltoft-Jensen & Jeppe Matthiessen & Anne Dahl Lassen, 2022. "A Qualitative Evaluation of Social Aspects of Sugar-Rich Food and Drink Intake and Parental Strategies for Reductions," IJERPH, MDPI, vol. 19(18), pages 1-20, September.
    2. Bodil Just Christensen & Sidse Marie Sidenius Bestle & Ellen Trolle & Anja Pia Biltoft-Jensen & Jeppe Matthiessen & Sarah Jegsmark Gibbons & Anne Dahl Lassen, 2022. "Evaluation of Parental Acceptability and Use of Intervention Components to Reduce Pre-School Children’s Intake of Sugar-Rich Food and Drinks," IJERPH, MDPI, vol. 19(13), pages 1-23, June.

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