PMID- 37830292 OWN - NLM STAT- MEDLINE DCOM- 20231221 LR - 20231231 IS - 1475-2727 (Electronic) IS - 1368-9800 (Print) IS - 1368-9800 (Linking) VI - 26 IP - 12 DP - 2023 Dec TI - Evaluation of a menu box delivery service for Australian long-day care services to improve food provision and child intake: a cluster randomised controlled trial. PG - 3122-3133 LID - 10.1017/S1368980023002136 [doi] AB - OBJECTIVE: To evaluate the impact of a menu box delivery service tailored to the long-day care (LDC) setting on improving menu compliance with recommendations, children's diet quality and dietary intake while in care. DESIGN: A cluster randomised controlled trial in LDC centres randomly assigned to an intervention (menu box delivery) or comparison (menu planning training) group. The primary outcome was child food provision and dietary intake. Secondary outcomes include menu compliance and process evaluation, including acceptability, fidelity and menu cost (per child, per day). SETTING: South Australian LDC centres. PARTICIPANTS: Eight LDC centres (n 224 children) provided data. RESULTS: No differences were observed in serves/d between intervention and comparison centres, for provision (intervention, 0.9 inter-quartile range (IQR) 0.7-1.2; comparison, 0.8 IQR 0.5-1.3) or consumption (intervention, 0.5 IQR 0.2-0.8; comparison, 0.5 IQR 0.3-0.9) of vegetables. Child food provision and dietary intake were similar across both groups for all food groups (P < 0.05). At follow-up, all intervention centres met menu planning guidelines for vegetables, whereas only one comparison centre met guidelines. Intervention centre directors found the menu box delivery more acceptable than cooks. Cost of the intervention was AUD$2.34 greater than comparison centres (intervention, AUD$4.62 (95 % CI ($4.58, $4.67)); comparison, AUD$2.28 (95 % CI ($2.27, $2.30)) per child, per day). CONCLUSIONS: Menu compliance can be improved via a menu delivery service, delivering equivalent impacts on child food provision and dietary intake compared with an online training programme. Further exploration of cooks acceptability and cost is essential before scaling up to implementation. FAU - Kashef, Shabnam AU - Kashef S AUID- ORCID: 0000-0002-2350-9665 AD - Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park South Australia, GPO Box 2100, Adelaide, SA5001, Australia. FAU - Bell, Lucinda K AU - Bell LK AUID- ORCID: 0000-0001-7251-9176 AD - Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park South Australia, GPO Box 2100, Adelaide, SA5001, Australia. FAU - Brown, Victoria AU - Brown V AD - Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, VIC, Australia. FAU - Gardner, Claire AU - Gardner C AD - Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park South Australia, GPO Box 2100, Adelaide, SA5001, Australia. FAU - Zarnowiecki, Dorota AU - Zarnowiecki D AD - Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park South Australia, GPO Box 2100, Adelaide, SA5001, Australia. FAU - Morgillo, Samantha AU - Morgillo S AD - Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park South Australia, GPO Box 2100, Adelaide, SA5001, Australia. FAU - Arguelles, Jennifer C AU - Arguelles JC AD - Nutrition Australia Victoria Division, Docklands, VIC, Australia. FAU - Cox, David N AU - Cox DN AUID- ORCID: 0000-0001-7625-0098 AD - Commonwealth Scientific and Industrial Research Organisation (CSIRO) Health and Biosecurity, Adelaide, SA, Australia. FAU - Golley, Rebecca K AU - Golley RK AD - Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park South Australia, GPO Box 2100, Adelaide, SA5001, Australia. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20231013 PL - England TA - Public Health Nutr JT - Public health nutrition JID - 9808463 SB - IM MH - Child MH - Humans MH - Australia MH - *Child Day Care Centers MH - *Food Services MH - Day Care, Medical MH - Health Promotion MH - Nutrition Policy MH - Vegetables PMC - PMC10755420 OTO - NOTNLM OT - Childcare OT - Children OT - Diet OT - Food environments OT - Preschool OT - Public health COIS- There are no conflicts of interest. EDAT- 2023/10/13 06:45 MHDA- 2023/12/21 06:42 PMCR- 2023/12/01 CRDT- 2023/10/13 05:43 PHST- 2023/12/21 06:42 [medline] PHST- 2023/10/13 06:45 [pubmed] PHST- 2023/10/13 05:43 [entrez] PHST- 2023/12/01 00:00 [pmc-release] AID - S1368980023002136 [pii] AID - 10.1017/S1368980023002136 [doi] PST - ppublish SO - Public Health Nutr. 2023 Dec;26(12):3122-3133. doi: 10.1017/S1368980023002136. Epub 2023 Oct 13.