Effects of the Preschool-Based Family-Involving DAGIS Intervention on Family Environment: A Cluster Randomised Trial
Interventions promoting young children’s healthy energy balance-related behaviours (EBRBs) should also examine changes in the family environment as this is an important determinant that may affect the effectiveness of the intervention. This study examines family environmental effects of the Increase...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-11-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/12/11/3387 |
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| author | Carola Ray Rejane Figueiredo Riikka Pajulahti Henna Vepsäläinen Elviira Lehto Reetta Lehto Maijaliisa Erkkola Eva Roos |
| author_facet | Carola Ray Rejane Figueiredo Riikka Pajulahti Henna Vepsäläinen Elviira Lehto Reetta Lehto Maijaliisa Erkkola Eva Roos |
| author_sort | Carola Ray |
| collection | DOAJ |
| description | Interventions promoting young children’s healthy energy balance-related behaviours (EBRBs) should also examine changes in the family environment as this is an important determinant that may affect the effectiveness of the intervention. This study examines family environmental effects of the Increased Health and Wellbeing in Preschools (DAGIS) intervention study, and whether these effects differed when considering three parental educational level (PEL) groups. The DAGIS intervention was conducted in preschools and involving parents in Southern Finland from September 2017 to May 2018. It was designed as a randomised trial, clustered at preschool-level. Parents of 3–6-year-olds answered questionnaires recording PEL, parental role modelling for EBRBs, and the family environment measured as EBRBs availability and accessibility. Linear Mixed Models with Repeated Measures were used in order to detect intervention effects. Models included group by time interactions. When examining intervention effects separated by PEL groups, models with three-level interactions (group × time-points × PEL) were evaluated. There was an interaction effect for the availability of sugary everyday foods and drinks (<i>p</i> = 0.002). The analyses showed that the control group increased availability (<i>p</i> = 0.003), whereas in the intervention group no changes were detected (<i>p</i> = 0.150). In the analysis separated by PEL groups, changes were found only for the accessibility of sugary treats at home; the high PEL control group increased the accessibility of sugary treats (<i>p</i> = 0.022) (interaction effect: <i>p</i> = 0.027). Hence, results suggest that the DAGIS multicomponent intervention had a limited impact on determinants for children’s healthy EBRBs, and no impact was found in the low PEL group. |
| first_indexed | 2024-03-10T15:05:45Z |
| format | Article |
| id | doaj.art-15b8e7744c45454f9f798f63e2939667 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T15:05:45Z |
| publishDate | 2020-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-15b8e7744c45454f9f798f63e29396672023-11-20T19:44:25ZengMDPI AGNutrients2072-66432020-11-011211338710.3390/nu12113387Effects of the Preschool-Based Family-Involving DAGIS Intervention on Family Environment: A Cluster Randomised TrialCarola Ray0Rejane Figueiredo1Riikka Pajulahti2Henna Vepsäläinen3Elviira Lehto4Reetta Lehto5Maijaliisa Erkkola6Eva Roos7Folkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, FinlandFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, FinlandFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, FinlandDepartment of Food and Nutrition, University of Helsinki, P.O. Box 66, FI-00014 Helsinki, FinlandFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, FinlandFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, FinlandDepartment of Food and Nutrition, University of Helsinki, P.O. Box 66, FI-00014 Helsinki, FinlandFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, FinlandInterventions promoting young children’s healthy energy balance-related behaviours (EBRBs) should also examine changes in the family environment as this is an important determinant that may affect the effectiveness of the intervention. This study examines family environmental effects of the Increased Health and Wellbeing in Preschools (DAGIS) intervention study, and whether these effects differed when considering three parental educational level (PEL) groups. The DAGIS intervention was conducted in preschools and involving parents in Southern Finland from September 2017 to May 2018. It was designed as a randomised trial, clustered at preschool-level. Parents of 3–6-year-olds answered questionnaires recording PEL, parental role modelling for EBRBs, and the family environment measured as EBRBs availability and accessibility. Linear Mixed Models with Repeated Measures were used in order to detect intervention effects. Models included group by time interactions. When examining intervention effects separated by PEL groups, models with three-level interactions (group × time-points × PEL) were evaluated. There was an interaction effect for the availability of sugary everyday foods and drinks (<i>p</i> = 0.002). The analyses showed that the control group increased availability (<i>p</i> = 0.003), whereas in the intervention group no changes were detected (<i>p</i> = 0.150). In the analysis separated by PEL groups, changes were found only for the accessibility of sugary treats at home; the high PEL control group increased the accessibility of sugary treats (<i>p</i> = 0.022) (interaction effect: <i>p</i> = 0.027). Hence, results suggest that the DAGIS multicomponent intervention had a limited impact on determinants for children’s healthy EBRBs, and no impact was found in the low PEL group.https://www.mdpi.com/2072-6643/12/11/3387intervention effectsparental role modellingfamily environmentavailability and accessibilityenergy balance-related behaviorschildren |
| spellingShingle | Carola Ray Rejane Figueiredo Riikka Pajulahti Henna Vepsäläinen Elviira Lehto Reetta Lehto Maijaliisa Erkkola Eva Roos Effects of the Preschool-Based Family-Involving DAGIS Intervention on Family Environment: A Cluster Randomised Trial Nutrients intervention effects parental role modelling family environment availability and accessibility energy balance-related behaviors children |
| title | Effects of the Preschool-Based Family-Involving DAGIS Intervention on Family Environment: A Cluster Randomised Trial |
| title_full | Effects of the Preschool-Based Family-Involving DAGIS Intervention on Family Environment: A Cluster Randomised Trial |
| title_fullStr | Effects of the Preschool-Based Family-Involving DAGIS Intervention on Family Environment: A Cluster Randomised Trial |
| title_full_unstemmed | Effects of the Preschool-Based Family-Involving DAGIS Intervention on Family Environment: A Cluster Randomised Trial |
| title_short | Effects of the Preschool-Based Family-Involving DAGIS Intervention on Family Environment: A Cluster Randomised Trial |
| title_sort | effects of the preschool based family involving dagis intervention on family environment a cluster randomised trial |
| topic | intervention effects parental role modelling family environment availability and accessibility energy balance-related behaviors children |
| url | https://www.mdpi.com/2072-6643/12/11/3387 |
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