A randomised controlled trial of an online menu planning intervention to improve childcare service adherence to dietary guidelines: A study protocol

Sze Lin Yoong, Alice Grady, John Wiggers, Victoria Flood, Chris Rissel, Meghan Finch, Andrew Searles, David Salajan, Ruby O'Rourke, Jaqueline Daly, Karen Gilham, Fiona Stacey, Alison Fielding, Nicole Pond, Rebecca Wyse, Kirsty Seward, Luke Wolfenden

Research output: Contribution to journalArticlepeer-review

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Introduction The implementation of dietary guidelines in childcare settings is recommended to improve child public health nutrition. However, foods provided in childcare services are not consistent with guidelines. The primary aim of the trial is to assess the effectiveness of a web-based menu planning intervention in increasing the mean number of food groups on childcare service menus that comply with dietary guidelines regarding food provision to children in care. Methods and analysis A parallel group randomised controlled trial will be undertaken with 54 childcare services that provide food to children within New South Wales, Australia. Services will be randomised to a 12-month intervention or usual care. The experimental group will receive access to a web-based menu planning and decision support tool and online resources. To support uptake of the web program, services will be provided with training and follow-up support. The primary outcome will be the number of food groups, out of 6 (vegetables, fruit, breads and cereals, meat, dairy and 'discretionary'), on the menu that meet dietary guidelines (Caring for Children) across a 1-week menu at 12-month follow-up, assessed via menu review by dietitians or nutritionists blinded to group allocation. A nested evaluation of child dietary intake in care and child body mass index will be undertaken in up to 35 randomly selected childcare services and up to 420 children aged approximately 3-6 years. Ethics and dissemination Ethical approval has been provided by Hunter New England and University of Newcastle Human Research Ethics Committees. This research will provide high-quality evidence regarding the impact of a web-based menu planning intervention in facilitating the translation of dietary guidelines into childcare services. Trial findings will be disseminated widely through national and international peer-reviewed publications and conference presentations. Trial registration Prospectively registered with Australian New Zealand Clinical Trial Registry (ANZCTR) ACTRN12616000974404.

Original languageEnglish
Article numbere017498
Number of pages10
JournalBMJ Open
Issue number9
Publication statusPublished - 11 Sept 2017
Externally publishedYes

Bibliographical note

open Access This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/


  • Child Care
  • Child Preschool
  • Menu Planning
  • Nutrition Policy
  • Online Systems
  • Practice Guidelines
  • Randomized Controlled Trial


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