Lucinda K Bell1, Claire Gardner1, Saravana Kumar2, Hoi Y Wong1, Brittany Johnson1, Rebecca Byrne3, Karen J Campbell4, Djin Gie Liem5, Catherine G Russell5, Elizabeth Denney-Wilson6, Merryn Netting7,8,9, Lola Bishop10, David Cox11, Astrid Am Poelman12, Jennifer C Arguelles13, Rebecca K Golley1. 1. Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide5001, Australia. 2. UniSA Allied Health and Human Performance, University of South Australia (SK). 3. School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, Queensland, 4059Australia. 4. Institute for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, 3220, Australia. 5. Deakin University, CASS Food Research Centre, School of Exercise and Nutrition Sciences, Faculty of Health, 221 Burwood High, 3125 Burwood, VIC, Australia. 6. Faculty of Medicine and Health, University of Sydney and Sydney Local Health District, New South Wales, Australia. 7. Women and Kids Theme, South Australian Health and Medical Research Institute, Adelaide, 5006, South Australia. 8. Discipline of Paediatrics, University of Adelaide, Adelaide, South Australia. 9. Nutrition Department, Women's and Children's Health Network, North Adelaide, 5006, South Australia. 10. College of Nursing and Health Sciences, Flinders University, Adelaide5001, Australia. 11. CSIRO Health and Biosecurity, Adelaide, SA5000, Australia. 12. Commonwealth Scientific and Industrial Research Organisation (CSIRO) Agriculture and Food, North Ryde, NSW, Australia. 13. Nutrition Australia Vic Division, Carlton, Victoria, 3053, Australia.
Abstract
OBJECTIVE: To prioritise and refine a set of evidence-informed statements into advice messages to promote vegetable liking in early childhood, and to determine applicability for dissemination of advice to relevant audiences. DESIGN: A nominal group technique (NGT) workshop and a Delphi survey were conducted to prioritise and achieve consensus (≥70% agreement) on 30 evidence-informed maternal (perinatal and lactation stage), infant (complementary feeding stage) and early years (family diet stage) vegetable-related advice messages. Messages were validated via triangulation analysis against the strength of evidence from an Umbrella review of strategies to increase children's vegetable liking, and gaps in advice from a Desktop review of vegetable feeding advice. SETTING: Australia. PARTICIPANTS: A purposeful sample of key stakeholders (NGT workshop, n=8 experts; Delphi survey, n=23 end-users). RESULTS: Participant consensus identified the most highly ranked priority messages associated with the strategies of: 'in-utero exposure' (perinatal and lactation, n=56 points); and 'vegetable variety' (complementary feeding, n=97 points; family diet, n=139 points). Triangulation revealed two strategies ('repeated exposure' and 'variety') and their associated advice messages suitable for policy and practice, 12 for research and four for food industry. CONCLUSIONS: Supported by national and state feeding guideline documents and resources, the advice messages relating to 'repeated exposure' and 'variety' to increase vegetable liking can be communicated to families and caregivers by healthcare practitioners. The food industry provides a vehicle for advice promotion and product development. Further research, where stronger evidence is needed, could further inform strategies for policy and practice, and food industry application.
OBJECTIVE: To prioritise and refine a set of evidence-informed statements into advice messages to promote vegetable liking in early childhood, and to determine applicability for dissemination of advice to relevant audiences. DESIGN: A nominal group technique (NGT) workshop and a Delphi survey were conducted to prioritise and achieve consensus (≥70% agreement) on 30 evidence-informed maternal (perinatal and lactation stage), infant (complementary feeding stage) and early years (family diet stage) vegetable-related advice messages. Messages were validated via triangulation analysis against the strength of evidence from an Umbrella review of strategies to increase children's vegetable liking, and gaps in advice from a Desktop review of vegetable feeding advice. SETTING: Australia. PARTICIPANTS: A purposeful sample of key stakeholders (NGT workshop, n=8 experts; Delphi survey, n=23 end-users). RESULTS:Participant consensus identified the most highly ranked priority messages associated with the strategies of: 'in-utero exposure' (perinatal and lactation, n=56 points); and 'vegetable variety' (complementary feeding, n=97 points; family diet, n=139 points). Triangulation revealed two strategies ('repeated exposure' and 'variety') and their associated advice messages suitable for policy and practice, 12 for research and four for food industry. CONCLUSIONS: Supported by national and state feeding guideline documents and resources, the advice messages relating to 'repeated exposure' and 'variety' to increase vegetable liking can be communicated to families and caregivers by healthcare practitioners. The food industry provides a vehicle for advice promotion and product development. Further research, where stronger evidence is needed, could further inform strategies for policy and practice, and food industry application.
Entities:
Keywords:
Children; Delphi; Guidelines; Nominal Group Technique; Stakeholders