The feasibility, acceptability and potential efficacy of a parental text message and social media program on children's vegetable consumption and movement behaviours: A pilot randomised controlled trial

Author:

Norman Jennifer12ORCID,Furber Susan12ORCID,Bauman Adrian3,Okely Anthony D.4ORCID

Affiliation:

1. Health Promotion Service Illawarra Shoalhaven Local Health District, New South Wales Health Wollongong New South Wales Australia

2. School of Health and Society University of Wollongong Wollongong New South Wales Australia

3. School of Public Health, and the Charles Perkins Centre University of Sydney Sydney New South Wales Australia

4. Early Start, School of Health and Society University of Wollongong Wollongong New South Wales Australia

Abstract

AbstractIssue AddressedAustralian children fall short of meeting the dietary, physical activity and sedentary behaviour guidelines. This study aimed to test the feasibility, acceptability and potential efficacy of a parental text message and social media program on, primarily, their school‐aged children's vegetable consumption and movement behaviours, and, secondarily, their own.MethodsBetween August and November 2022, we conducted a two‐armed randomised controlled trial with 242 parents/caregivers of primary school‐aged children in New South Wales. The ‘Adventure & Veg’ intervention ran for 8 weeks, promoting vegetable eating behaviours, local outdoor physical activity opportunities and ideas for reducing screen time. Feasibility and acceptability were assessed via recruitment and retention data, intervention metrics and self‐reported participant data. Vegetable intake and movement behaviour data were collected via online‐surveys and effect sizes were examined.ResultsMost participants reported that they enjoyed receiving the text messages (88%) and the delivery frequency was acceptable (94%). Limitations to Facebook as a delivery platform were reported. The majority of participants used the text messages to influence the vegetable eating (65%) and movement (77%) behaviours of their child. Significant effects were observed among intervention child participants compared with control for mean daily vegetable consumption (0.45 serves, CI: .19; .71, p = .001, d = .5); weekly vegetable variety (1.85, CI: .25; 3.45, p < .001, d = .6); and weekly physical activity variety (.64 CI: .09; 1.19, p = .022, d = .3). Parents in the intervention group increased their daily vegetable intake by .44 serves (CI: .11; .78, p = .01, d = .4).ConclusionsA parental text message and social media program has potential to support children's vegetable intake and movement behaviours. Further research is required to explore different online delivery methods to promote local outdoor activity options.So What?The Adventure & Veg program holds promise as a stand‐alone health promotion intervention or as a useful adjunct to current family or school‐based healthy lifestyle programs.

Funder

Illawarra Health and Medical Research Institute

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,Community and Home Care

Reference59 articles.

1. Australian Bureau of Statistics.Australian Health Survey: Consumption of Food Groups from the Australian Dietary Guidelines 2011‐12.2016Available from:https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/4364.0.55.012~2011‐12~Main%20Features~Vegetables %20legumes%20and%20beans~10

2. Australian Bureau of Statistics.Australian Health Survey: Physical Activity 2011‐12.2013.

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