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Randomized Controlled Trial
. 2015 Jun;18(9):1554-64.
doi: 10.1017/S1368980013002760. Epub 2013 Oct 18.

Pre-school manager training: a cost-effective tool to promote nutrition- and health-related practice improvements in the Irish full-day-care pre-school setting

Charlotte Johnston Molloy  1 , John Kearney  2 , Nóirín Hayes  3 , Corina Glennon Slattery  1 , Clare Corish  2
Affiliations
Randomized Controlled Trial

Pre-school manager training: a cost-effective tool to promote nutrition- and health-related practice improvements in the Irish full-day-care pre-school setting

Charlotte Johnston Molloy et al. Public Health Nutr. 2015 Jun.

Abstract

Objective: To evaluate the impact on nutrition- and health-related practice of two methods of delivery of a nutrition and health intervention in Irish full-day-care pre-schools: training of pre-school managers only or training of managers and their staff.

Design: A simple randomised study with pre-schools divided into two training groups: 'manager trained' and 'manager and staff trained'. Direct observational data--food and fluid provision, physical activity, outdoor time, staff practices and availability of nutrition and health resources--were recorded during one full day spent in each pre-school both pre- and post-intervention, using a specifically developed and validated Pre-school Health Promotion Activity Scored Evaluation Form. Post-intervention, self-assessment data were also collected using the same evaluation tool.

Setting: Pre-schools, Midlands of Ireland.

Subjects: A convenience sample of forty-two pre-schools registered with the Irish Health Service Executive.

Results: From pre- to post-intervention, significant improvement (P < 0.05) in nutrition- and health-related practice was observed within both intervention delivery groups in all areas evaluated: environment, food service, meals and snacks. No additional effect attributable to staff training was observed. Scores assigned by direct independent observation were lower than pre-school self-assessment scores.

Conclusions: The implementation of a training intervention in pre-schools significantly improved practice with no significant benefit of additional staff training. Direct independent observation is required to quantify practice accurately.

Keywords: Child care; Health promotion practice; Nutrition; Pre-schools; Training.

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Figures

Fig. 1
Fig. 1
Flow diagram showing the progress of pre-schools through the randomised parallel-group study
See this image and copyright information in PMC

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