Pauleen Mannevaara, Ulla-Mari Kinnunen, Nicole Egbert, Ursula Hübner, Pedro Vieira-Marques, Paulino Sousa, Kaija Saranto
Discovering the importance of health informatics education competencies in healthcare practice. A focus group interview
International journal of medical informatics
childrens diets affect health trajectories difficult influence especially resourceconstrained families assess effectiveness providing 4 weeks grocery gift cards small produce boxes caregivers ability support healthy shifts childrens diets 2group randomized clinical trial conducted may july 2021 4 weeks intervention followup 8 weeks resources provided curbside 3 schools 3 housing sites 1 afterschool site use home participants consisted 1 index child ages 5 11 years 1 index caregiver 68 lowincome families data analyzed july 2021 march 2022 week 4 weeks caregivers offered 10lb 45 kg boxes fruits vegetables 1000 grocery gift cards additional 1000 gift card last 3 weeks triggered task completion 1time choice 2500 food preparation tool index child caregiver diets measured together phone baseline 4 weeks 8 weeks using 2019 2020 texas school physical activity nutrition span tool measures number times food items eaten prior day report span healthy eating index shei score subscores specific categories foods range 057 higher scores indicating healthful diet among 68 children mean sd age 82 17 years 35 515 girls caregivers mean sd age 379 79 years 63 mothers 926 primarily lowincome families 26 caregivers hispanic latino 382 18 caregivers black 264 25 caregivers white 367 24 caregivers 1 race 353 families federal poverty level 41 60 families reported income 683 per participating caregiver mean sd 27 14 fruit vegetable boxes 4235 2546 worth gift cards picked 4 weeks mean se child span shei increased 3203 062 timesd 3375 069 timesd 4 weeks ie postintervention 3403 069 timesd 4 weeks later ie 8 weeks followup mean se child fruit vegetable intake increased 531 047 timesd 578 051 timesd postintervention 603 051 timesd followup children control group improved diet overall mean se shei 3148 058 timesd baseline 3168 054 timesd postintervention 3181 052 timesd followup mean se fruit vegetable intake 521 045 timesd baseline 477 045 timesd postintervention 468 041 timesd followup compared children control group mean shei increased children intervention group 207 timesd postintervention 223 timesd followup improvements function program dose statistically significant child shei p 01 fruit vegetable intake p 03 significant changes caregiver diets found study found easily accessed fruits vegetables unconstrained grocery store cards provided directly caregivers 4 weeks resulted improvements child diet sustained 4 additional weeks future work may investigate whether diet improvement brief intervention optimized caregiver flexibility reflects natural maximum potential greater improvements extension clinicaltrialsgov identifier nct04827654