Flerida Imperial-Perez, MarySue V Heilemann, Lynn V Doering, Jo-Ann Eastwood, Nancy A Pike
Developing a sense of self-reliance: caregivers of infants with single-ventricle heart disease during the interstage period
Cardiology in the young
determine reach adoption implementation effectiveness intervention increase childrens vegetable intake long day care ldc 12week pragmatic cluster randomised controlled trial informed multiphase optimisation strategy targeting mealtime environment curriculum childrens vegetable intake variety measured followup using modified short food survey early childhood education care analysed using twopart mixed model nonvegetable vegetable consumers outcome measures based reaim framework australian ldc centres thirtynine centres 120 educators 719 children followup difference intervention waitlist control groups likelihood consuming vegetables compared nonvegetable consumers intake 070 95 ci 034143 p 032 variety 073 95 ci 040132 p 029 among vegetable consumers n 652 difference groups vegetable variety expb 107 95 ci088132 p 049 vegetable intake expb 106 95 ci 078 143 p 071 average 151 95 ci 120182 140 95 ci 108172 serves vegetables per day intervention control group respectively intervention educators reported higher skills promoting vegetables mealtimes knowledge skills teaching curriculum control p 0001 intervention fidelity moderate n 1620 n 1516 centres used mealtime environment curriculum respectively good acceptability among educators intervention reached 3078556 centres nationally adopted 22 eligible centres pragmatic selfdelivered online intervention positively impacted educators knowledge skills considered acceptable feasible intervention adaptations using cyclic approach could improve intervention impact children vegetable intake