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Fruit and vegetable (F&V) intake among children in western countries is below recommended levels. To increase F&V consumption in children (3-6 years), a novel method is proposed based on the concepts of repetitive taste exposure, role models, and non-food rewards guided by the dietary advice: "Eat the rainbow: go for color!" The aim is to determine the effect of this intervention to stimulate the consumption of color on the willingness to try different fruits and vegetables in 210 children aged 3-7 years old
Rationale: A diet rich in fruits and vegetables (F&V) has many health benefits in early childhood. Nevertheless, F&V intake among children in western countries is below recommended levels. To increase F&V consumption in children (3-6 years), a novel method is proposed based on the concepts of repetitive taste exposure, role models, and non-food rewards guided by the dietary advice: "Eat the rainbow: go for color!" Objective: To determine the effect of a modeling- and reward-based intervention to stimulate the consumption of color on the willingness to try different fruits and vegetables in children aged 3-7 years old.
Study design: The study follows a parallel study design. All participants will participate in a baseline session after which they are exposed to a color intervention, a reference intervention, or a control session. Each of the three conditions will be randomly assigned to one of the groups (classrooms) in the participating preschools.
Intervention: The color intervention group listens to a story of Miffy who eats vegetables and fruits in all colors of the rainbow. Afterward, subjects are invited to taste different F&Vs. They are rewarded with a sticker for each color they have eaten. The reference intervention group does not listen to a story and is given a sticker for each type of F&V they have eaten. In the control session, the children are invited to eat F&Vs without any introduction story or reward.
Main study parameters/endpoints: The number of pieces of F&Vs and the number of different types of F&Vs selected, tried, and consumed by the children.
Nature and extent of the burden and risks associated with participation, benefit and group relatedness: The study is non-therapeutic to the subjects. No immediate benefits for the subjects are expected from participation in this study, and the risk associated with participation can be considered negligible. In terms of time, the subject's burden is as follows: 30 minutes for the questionnaires prior to the intervention sessions for the caregiver and 15 minutes for the child; 30 minutes for each of the two intervention sessions, however, this coincides with the regular morning break of the children and therefore does not cost extra time, and lastly, 15 minutes for the questionnaire after the intervention sessions for both the child and the caregiver. In total, the time burden amounts to 45 minutes for the participating caregiver and 1 hour and 30 minutes for the participating child.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Miffy intervention | Experimental | story of miffy, rewards based on colour they ate |
|
| Reward intervetion | Active Comparator | no story, rewards not assigned to colours |
|
| Control | No Intervention | no story, no rewards |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Miffy | Behavioral | A method to stimulate children to try different fruits and vegetables using reward and role modelling |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Willingness to try between | Children's' willingness to try pieces of fruit and vegetables is measured in three levels. Children can either eat the study foods or try the study foods: A study food is considered as eaten when: • The piece of food is completely swallowed by the child; A study food is considered as tried when:
Change in willingness to try is taken between the baseline session (week 1) and the intervention session (week 2) | Two sessions (30 minuntes) in two weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Femke J de Gooijer, MSc | Contact | 0612156023 | +31 | femke.degooijer@wur.nl |
| Guido Camps, PhD | Contact | guido.camps@wur.nl |
| Name | Affiliation | Role |
|---|---|---|
| Guido Camps | Wageningen University, Division of Human Nutrition and Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wageningen University and Research | Recruiting | Wageningen | Gelderland | 6708 WE | Netherlands |
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Parallel intervention study design.
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| Reward | Behavioral | Reference method to stimulate children to try fruits and vegetables using reward alone |
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