Abstract:
INTRODUCTION:School canteens represent an opportune setting in which to deliver public health nutrition strategies given their wide reach, and frequent use by children. Online school canteen ordering systems, where students order and pay for their lunch online, provide an avenue to improve healthy canteen purchases through the application of consumer behaviour strategies that impact on purchasing decisions. The aim of this study is to assess the efficacy of a consumer behaviour intervention implemented in an online school canteen ordering system in reducing the kilojoule, saturated fat, sugar and sodium content of primary student lunch orders. METHODS AND ANALYSIS:The study will employ a cluster randomised controlled trial design. Approximately 1040 students (aged 5-12 years) from 10 primary schools in New South Wales, Australia, currently using an online canteen ordering system will be invited to participate. Schools will be randomised in a 1:1 ratio to receive either the intervention (enhanced system) or control (standard online ordering only). The intervention will include evidence-based strategies shown to influence healthy food purchasing (strategies targeting availability, menu labelling, placement and prompting). The primary outcomes of the trial will be the mean content per student online lunch order of (1) energy (kJ), (2) saturated fat (g), (3) sugar (g) and (4) sodium (mg). The impact of the intervention will be determined by between-group assessment of the nutritional content of lunch purchases over a 2-month period postintervention initiation. ETHICS AND DISSEMINATION:The study was approved by the Hunter New England Human Research Ethics Committee, University of Newcastle Human Research Ethics Committee and New South Wales Department of Education and School Communities. Study findings will be disseminated widely through peer-reviewed publications and relevant presentations in international conferences and to stakeholders. TRIAL REGISTRATION NUMBER:ACTRN12616000499482.
journal_name
BMJ Openjournal_title
BMJ openauthors
Delaney T,Wyse R,Yoong SL,Sutherland R,Wiggers J,Ball K,Campbell K,Rissel C,Wolfenden Ldoi
10.1136/bmjopen-2016-014569subject
Has Abstractpub_date
2017-04-17 00:00:00pages
e014569issue
4issn
2044-6055pii
bmjopen-2016-014569journal_volume
7pub_type
杂志文章,随机对照试验相关文献
BMJ Open文献大全abstract:OBJECTIVES:Explore the function of three specific modes of talk (discourse types) in decision-making processes. DESIGN:Ten real-life admissions of patients with critical illness were audio/video recorded and transcribed. Activity-type analysis (a qualitative discourse analytical method) was applied. SETTING:Interdisc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023749
更新日期:2018-11-03 00:00:00
abstract:OBJECTIVES:An operations leader (OL) takes an important role in occupational health management for radiation decontamination workers in Japan, and candidates for the position must participate in a training session to acquire the necessary knowledge as required by law. However, it has not been clarified whether the cand...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025729
更新日期:2019-05-05 00:00:00
abstract:OBJECTIVE:This study assessed the incidence of tuberculosis (TB) and its predictors among adults living with HIV/AIDS in government health facilities in north-east Ethiopia. SETTING:A 5-year retrospective cohort study was conducted from May to June 2015 on 451 adult HIV/AIDS-infected individuals who enrolled in the HI...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-016961
更新日期:2018-02-06 00:00:00
abstract:INTRODUCTION:Diabetic macular oedema (DMO) and proliferative diabetic retinopathy (PDR) are the major causes of sight loss in people with diabetes. Due to the increased prevalence of diabetes, the workload related to these complications is increasing making it difficult for Hospital Eye Services (HSE) to meet demands. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027795
更新日期:2019-06-28 00:00:00
abstract:INTRODUCTION:Case management allows us to respond to the complex needs of a vulnerable clientele through a structured approach that promotes enhanced interaction between partners. Syntheses on the subject converge towards a need for a better description of the relationships between programmes and their local context, a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006991
更新日期:2014-12-02 00:00:00
abstract:INTRODUCTION:Age-related loss of muscle mass and strength, sarcopaenia, burdens many older adults. The process is accelerated with bed rest, protein intakes below requirements and the catabolic effect of certain illnesses. Thus, acutely ill, hospitalised older adults are particularly vulnerable. Protein supplementation...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-019210
更新日期:2018-02-01 00:00:00
abstract:INTRODUCTION:There is no definitive cure for Dupuytren disease (DD), and recurrence of finger contractures after treatment is common. Surgical fasciectomy is considered the standard treatment method for recurrence, although associated with a high incidence of complications. Collagenase injection, a non-surgical treatme...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-024424
更新日期:2019-02-25 00:00:00
abstract:OBJECTIVES:To understand the challenges faced by patients with tuberculosis (TB) and factors that influence TB treatment adherence in Ukraine. DESIGN:Qualitative study. SETTING:TB treatment facilities in Kyiv Oblast, Ukraine. PARTICIPANTS:Sixty adults who had undergone treatment for drug-sensitive TB between June 20...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032027
更新日期:2020-02-02 00:00:00
abstract:OBJECTIVE:The current study aimed to better understand trends and risk factors associated with non-fatal drowning of infants and children in the USA using two large, national databases. METHODS:A secondary data analysis was conducted using the National Inpatient Sample and the Nationwide Emergency Department Sample da...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008444
更新日期:2015-12-15 00:00:00
abstract:INTRODUCTION:High-flow nasal oxygen (HFNO) use in adults hospitalised with acute respiratory failure (ARF) is increasing. However, evidence to support widespread use of HFNO compared with non-invasive ventilation (NIV) and conventional oxygen therapy (COT) is unclear. This protocol describes the methods for a systemati...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034956
更新日期:2020-02-12 00:00:00
abstract:INTRODUCTION:Chronic subdural haematomas (CSDHs) are one of the most common neurosurgical conditions. The goal of surgery is to alleviate symptoms and minimise the risk of symptomatic recurrences. In the past, reoperation rates as high as 20%-30% were described for CSDH recurrences. However, following the introduction ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038275
更新日期:2020-06-21 00:00:00
abstract:INTRODUCTION:Evidence from animal studies suggest that the rate of ageing may be influenced not only by genetic and lifestyle factors, but also by the prenatal environment. We have previously shown that people who were exposed to famine during early gestation performed worse on a selective attention task, which may be ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003167
更新日期:2013-06-20 00:00:00
abstract:OBJECTIVES:The Stretching And strengthening for Rheumatoid Arthritis of the Hand (SARAH) randomised controlled trial evaluated the effectiveness of a hand exercise programme and demonstrated it was clinically effective and cost-effective at 12 months. The aim of this extended follow-up was to evaluate the effects of th...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-013121
更新日期:2017-04-12 00:00:00
abstract:OBJECTIVES:Improving outcomes for older people with long-term conditions and multimorbidity is a priority. Current policy commits to substantial expansion of social prescribing to community assets, such as charity, voluntary or community groups. We use longitudinal data to add to the limited evidence on whether this is...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033186
更新日期:2020-02-06 00:00:00
abstract:OBJECTIVES:Sickness absence after mild traumatic brain injury (mTBI) is frequent due to postconcussive symptoms. We examined labour market attachment following mTBI up to 5 years postinjury. DESIGN AND SETTING:Nationwide cohort study with register follow-up. PARTICIPANTS:Patients between 18 and 60 years with mTBI (In...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-026104
更新日期:2019-04-11 00:00:00
abstract:INTRODUCTION:In the recent past, training systems using an interactive virtual environment have been introduced to neurorehabilitation. Such systems can be applied to encourage purposeful limb movements and will increasingly be used at home by the individual patient. Therefore, an integrated valid and reliable assessme...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019646
更新日期:2018-07-16 00:00:00
abstract:INTRODUCTION:The association between long-chain omega-3 polyunsaturated fatty acids (PUFAs), brain health, cognitive function and mood has been the subject of intensive research. Marine-derived omega-3 PUFAs, such as docosahexaenoic acid and eicosapentaenoic acid, are highly concentrated in neuronal membranes and affec...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027167
更新日期:2019-06-22 00:00:00
abstract:INTRODUCTION:Multimorbidity is a major challenge for current healthcare systems and professionals. From the different approaches that have been proposed to analyse this issue, the hypothesis of the existence of association patterns of different chronic conditions is gaining visibility. In addition, multimorbidity can b...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2019-033322
更新日期:2020-01-26 00:00:00
abstract:PURPOSE:In response to the need for more advanced and longitudinal data concerning chronic diseases, behavioural risk factors and social support systems in India, the SWADES (Social Well-being and Determinants of Health Study) was established. PARTICIPANTS:At baseline, 997 adults aged 30 years and over, living in the ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032803
更新日期:2020-03-09 00:00:00
abstract:OBJECTIVE:The purpose of this study was to determine the current work distribution of health professionals from a public Ugandan medical school in a period of major donor funding for HIV programmes. We explore the hypothesis that programmes initiated under unprecedented health investments from the US President's Emerge...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002875
更新日期:2013-05-31 00:00:00
abstract:INTRODUCTION:Fetal growth restriction (FGR) is a serious pregnancy complication, associated with increased rates of perinatal death and morbidity among survivors. Most commonly FGR results from placental insufficiency, where the placenta fails to deliver the oxygen and nutrients required for normal fetal growth. This l...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028243
更新日期:2019-06-22 00:00:00
abstract:INTRODUCTION:Ambient air pollution is a global environmental problem, which causes adverse health effects and premature deaths worldwide. Although regular exercise and physical activity have evident health benefits, the influence of long-term air pollution exposure during regular outdoor running has not been definitive...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040529
更新日期:2020-12-10 00:00:00
abstract:OBJECTIVES:Transgender women (TW) are highly burdened by HIV infection in the USA. Research is needed into drivers of the HIV epidemic for TW, including longitudinal studies to identify risks for incident HIV infection and optimal intervention targets. This formative research sought to understand TW's experiences with,...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029852
更新日期:2020-01-19 00:00:00
abstract:PURPOSE:The ChicagO Multiethnic Prevention and Surveillance Study or 'COMPASS' is a population-based cohort study with a goal to examine the risk and determinants of cancer and chronic disease. COMPASS aims to address factors causing and/or exacerbating health disparities using a precision health approach by recruiting...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038481
更新日期:2020-09-16 00:00:00
abstract:OBJECTIVE:To investigate variations in quality of acute stroke care and outcomes by day and time of admission in London hyperacute stroke units compared with the rest of England. DESIGN:Prospective cohort study using anonymised patient-level data from the Sentinel Stroke National Audit Programme. SETTING:Acute stroke...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-025366
更新日期:2019-11-07 00:00:00
abstract:INTRODUCTION:In breast cancer, local tumour control is thought to be optimised by administering higher local levels of cytotoxic chemotherapy, in particular doxorubicin. However, systemic administration of higher dosages of doxorubicin is hampered by its toxic side effects. In this study, we aim to increase doxorubicin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040162
更新日期:2020-11-26 00:00:00
abstract:OBJECTIVES:To assess the internal consistency and construct validity of the Finnish translation of the Jenkins Sleep Scale (JSS) in a large healthy working-age population with diverse work characteristics. DESIGN:Survey-based cross-sectional cohort study. SETTING:Survey conducted by an institute of occupational healt...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043276
更新日期:2021-01-18 00:00:00
abstract:INTRODUCTION:The rising popularity of social media, since their inception around 20 years ago, has been echoed in the growth of health-related research using data derived from them. This has created a demand for literature reviews to synthesise this emerging evidence base and inform future activities. Existing reviews ...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2018-022931
更新日期:2018-12-14 00:00:00
abstract:IMPORTANCE:The Use of a Multidrug Pill In Reducing cardiovascular Events (UMPIRE) trial has shown improved adherence with the use of a polypill strategy when compared with usual medications for cardiovascular disease (CVD) prevention. To advance from efficacy to impact, we need a better understanding of why and how suc...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2015-008018
更新日期:2015-09-30 00:00:00
abstract:INTRODUCTION:Families in low-income and middle-income countries (LMICs) face multiple challenges (eg, poverty and adverse childhood experiences) that increase the risk for child mental health problems, while the context may provide them with few resources. Existing prevention-oriented parenting programmes have been sho...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026684
更新日期:2019-01-25 00:00:00