Characteristics of the home food environment that mediate immediate and sustained increases in child fruit and vegetable consumption: mediation analysis from the Healthy Habits cluster randomised controlled trial

BACKGROUND: The home food environment can influence the development of dietary behaviours in children, and interventions that modify characteristics of the home food environment have been shown to increase children’s fruit and vegetable consumption. However to date, interventions to increase children’s fruit and vegetable consumption have generally produced only modest effects. Mediation analysis can help in the design of more efficient and effective interventions by identifying the mechanisms through which interventions have an effect. This study aimed to identify characteristics of the home food environment that mediated immediate and sustained increases in children’s fruit and vegetable consumption following the 4-week Healthy Habits telephone-based parent intervention. METHOD: Analysis was conducted using 2-month (immediate) and 12-month (sustained) follow-up data from a cluster randomised control trial of a home food environment intervention to increase the fruit and vegetable consumption of preschool children. Using recursive path analysis, a series of mediation models were created to investigate the direct and indirect effects of immediate and sustained changes to characteristics of the home food environment (fruit and vegetable availability, accessibility, parent intake, parent providing behaviour, role-modelling, mealtime eating practices, child feeding strategies, and pressure to eat), on the change in children’s fruit and vegetable consumption. RESULTS: Of the 394 participants in the randomised trial, 357 and 329 completed the 2- and 12-month follow-up respectively. The final mediation model suggests that the effect of the intervention on the children’s fruit and vegetable consumption was mediated by parent fruit and vegetable intake and parent provision of these foods at both 2- and 12-month follow-up. CONCLUSION: Analysis of data from the Healthy Habits trial suggests that two environmental variables (parental intake and parent providing) mediate the immediate and sustained effect of the intervention, and it is recommended these variables be targeted in subsequent home food environment interventions to bring about immediate and sustained changes in child fruit and vegetable intake. TRIAL REGISTRATION: ACTRN12609000820202

The Temperate House Restoration Project

There is a long tradition at the Royal Botanic Gardens, Kew (RBG, Kew) of cultivating and displaying exotic plants from all over the globe, and the largest Victorian glasshouse, the Temperate House, traditionally  showcases plants from temperate regions. The Temperate House Restoration Project was undertaken at RBG, Kew from 2012 to 2018. Over 1,000 species of plants were removed, propagated and replanted for this project, and this article describes the propagation of some of the most difficult to reproduce plant material. Four plant groups or species are presented: Erica verticillata P.J.Bergius, Quercus insignis M.Martens Galeotti, Pinus roxburghii Sargent and Banksia spp. L. This is in order to illustrate the variety of options available for propagating challenging species with attention to their ecology, biology and growing requirements. Also provided are background information, reasons why these plants are considered difficult to multiply in cultivation, how plant material was sourced and the methods employed which led to successful propagation of the material at RBG, Kew. Propagation of the plants was heavily reliant on the horticultural expertise of those involved, and this expertise ensured that most of the original plant material was rejuvenated and new collections with scientific significance were added to the restored Temperate House

Navigating interdisciplinarity:Negotiating discipline, embodiment, and materiality on a field methods training course

This article elucidates some of the opportunities and challenges of interdisciplinary collaboration in teaching, drawing on our participant observation as both instructors of anthropological methods and honorary students of marine ecology and geomorphology methods on a research training field course. We argue that interdisciplinary methods training offers educators opportunities for self-reflexivity, recognition of the taken-for-granted aspects of our knowledge, and improved communication of the value of our work to others. However, we also show how decisions about course structure can reinforce disciplinary boundaries, limiting inter-epistemic knowledge production; how one epistemological approach may overshadow others, hindering interdisciplinary learning; and how methods training involves tacit and embodied knowledge and mastery of material methods, requiring repetition and experimentation. We offer insights into how we as educators can improve our communication of the value of anthropology and its methods. First, instructors in any discipline should develop an awareness of how their tacit knowledge affects the pedagogical process. Second, instead of enskilling instructors to teach a variety of methods, it may be more beneficial for instructors to teach their own areas of expertise, in dialogue and collaboration with other disciplines. Third, interdisciplinary courses must be carefully planned to allow equal participation of different disciplines, so that anthropology is understood on its own terms and embedded in the course from the outset

Commentary: Improving treatment for youth with callous‐unemotional traits through the intersection of basic and applied science – reflections on Dadds et al. (2014)

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/107588/1/jcpp12274.pd

Observed fearlessness and positive parenting interact to predict childhood callous‐unemotional behaviors among low‐income boys

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136269/1/jcpp12666.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136269/2/jcpp12666_am.pd

Developing an evidence-based program sustainability training curriculum: A group randomized, multi-phase approach

Abstract Background The emergence of dissemination and implementation (D&I) science has driven a rapid increase in studies of how new scientific discoveries are translated and developed into evidence-based programs and policies. However, D&I science has paid much less attention to what happens to programs once they have been implemented. Public health programs can only deliver benefits if they reach maturity and sustain activities over time. In order to achieve the full benefits of significant investment in public health research and program development, there must be an understanding of the factors that relate to sustainability to inform development of tools and trainings to support strategic long-term program sustainability. Tobacco control programs, specifically, vary in their abilities to support and sustain themselves over time. As of 2018, most states still do not meet the CDC-recommended level for funding their TC program, allowing tobacco use to remain the leading cause of preventable disease and death in the USA. The purpose of this study is to empirically develop, test, and disseminate training programs to improve the sustainability of evidence-based state tobacco control programs and thus, tobacco-related health outcomes. Methods This paper describes the methods of a group randomized, multi-phase study that evaluates the empirically developed “Program Sustainability Action Planning Training” and technical assistance in US state-level tobacco control programs. Phase 1 includes developing the sustainability action planning training curriculum and technical assistance protocol and developing measures to assess long-term program sustainability. Phase 2 includes a group randomized trial to test the effectiveness of the training and technical assistance in improving sustainability outcomes in 24 state tobacco control programs (12 intervention, 12 comparison). Phase 3 includes the active dissemination of final training curricula materials to a broader public health audience. Discussion Empirical evidence has established that program sustainability can improve through training and technical assistance; however, to our knowledge, no evidence-based sustainability training curriculum program exists. Therefore, systematic methods are needed to develop, test, and disseminate a training that improves the sustainability of evidence-based programs. Trial registration NCT03598114. Registered 25 July 2018—retrospectively registered

Associations between characteristics of the home food environment and fruit and vegetable intake in preschool children: A cross-sectional study

Early childhood is critical to the development of lifelong food habits. Given the high proportion of children with inadequate fruit and vegetable consumption, identification of modifiable factors associated with higher consumption may be useful in developing interventions to address this public health issue. This study aimed to identify the characteristics of the home food environment that are associated with higher fruit and vegetable consumption in a sample of Australian preschool children. A cross-sectional telephone survey was conducted with 396 parents of 3 to 5 year-old children attending 30 preschools within the Hunter region, New South Wales, Australia. Children's fruit and vegetable consumption was measured using a valid and reliable subscale from the Children's Dietary Questionnaire. Associations were investigated between children's fruit and vegetable intake and characteristics of the home food environment including parental role-modeling, parental providing behaviour, fruit and vegetable availability, fruit and vegetable accessibility, pressure to eat, family eating policies and family mealtime practices. Characteristics of the home food environment that showed evidence of an association with children's fruit and vegetable consumption in simple regression models were entered into a backwards stepwise multiple regression analysis. The multiple regression analysis used generalised linear mixed models, controlled for parental education, household income and child gender, and was adjusted for the correlation between children's fruit and vegetable consumption within a preschool. The multiple regression analysis found positive associations between children's fruit and vegetable consumption and parental fruit and vegetable intake (p = 0.005), fruit and vegetable availability (p = 0.006) and accessibility (p = 0.012), the number of occasions each day that parents provided their child with fruit and vegetables (p < 0.001), and allowing children to eat only at set meal times all or most of the time (p = 0.006). Combined, these characteristics of the home food environment accounted for 48% of the variation in the child's fruit and vegetable score. This study identified a range of modifiable characteristics within the home food environment that are associated with fruit and vegetable consumption among preschool children. Such characteristics could be considered potential targets for interventions to promote intake among children of this age

From ecosystems to advicescapes: business, development and advice in Sri Lanka and Bangladesh

The provision of entrepreneurship advice is a growing feature of private sector development in South Asia but has so far received little attention from researchers. The article explores the theme of business advice in Sri Lanka and Bangladesh, drawing on recent ethnographic fieldwork among advice seekers to explore the significance of low-income households of business advice within the unfolding processes of both marketization and state support. It offers a theoretical innovation in the concept of ‘advicescape’, supported by ethnographic materials conveying local-level perspectives and experiences of business advice users. Despite the growth of a complex business support ecosystem in each country, the article finds that many such people are falling through the cracks, in that they face problems accessing advice, find its quality variable and instead rely heavily on informal advice. It ends with reflections on the now dominant business-and-development approach, including a brief observation on improving the inclusivity and effectiveness of entrepreneurship advice