Nutrition Now

Collaboration

Over the past 40 years, research has revealed that the foundation for lifelong health is particularly established from conception to two years of age. Nutrition is a particularly important factor in this regard.

Duration: 01.01.2021–31.12.2025
Affiliation: Department of Nutrition and Public Health
Funding: Research Council of Norway

Purpose

In Nutrition Now, we will address NCD prevention through investments in dietary care in the first 1000 days of life.

About the project in two minutes

Project description

Poor diet quality is a leading cause for the global epidemic of non-communicable diseases (NCD), resulting in large disease-related negative impacts well beyond the health sector. The understanding of how life-long health is rooted in conditions early in life has developed enormously over the past 40 years, and it has become clear that early-life nutrition strongly influences health throughout life. Still, there is a critical lack of public health action and response to these insights.

The project acts on the existing evidence-to-practice gap; that successful interventions are not being implemented at scale for the benefit of population health and community resilience. We have previously developed several e-learning interventions targeting nutrition, evaluated in controlled settings, showing promising results. They address diet during pregnancy, infancy, and toddlerhood, and includes kindergarten educational tools. Now, we will scale up and implement the interventions in a community setting tailored to context and users’ needs, especially those from less advantaged groups.The effectiveness will be assessed in one municipality vs control before moving on to a fully scaled-up program at county-level.

This interdisciplinary project brings together experts with extensive experience in designing, implementing, and assessing scalable interventions in a variety of contexts. We will advance the field by investigating potential cumulative health effects of a lifecourse intervention approach, and implement multiple, low-cost, equitable, evidence-based e-learning resources at scale. The project harnesses an untapped potential for improving nutrition in early life through improved dietary guidance in primary health care and better feeding practices in kindergartens. Time is not on our side for reducing the NCD burden; we need to act to improve nutrition now.

Medin, Anine Christine; Vik, Frøydis Nordgård; Helle, Christine; Helland, Sissel Heidi; Wills, Andrew Keith & Osorio, Natalie Garzon [Show all 22 contributors for this article] (2024). Scaling up evidence-based digital early life nutrition interventions in a county setting: an implementation trial – protocol for Phase 2 of the Nutrition Now project. Frontiers in Public Health. ISSN 2296-2565. 11. doi: 10.3389/fpubh.2023.1326787. Full text in Research Archive Show summary
Background: Few effective health interventions transition from smaller efficacy or effectiveness studies to real-world implementation at scale, representing a gap between evidence and practice. Recognising this, we have developed Nutrition Now – a tailored digital resource building on four efficacious dietary interventions, aiming to improve nutrition in the important first 1,000 days of life. Nutrition Now targets and guides expectant parents and parents of 0–2 year olds, serves as a reliable source of evidence-based information for midwives and public health nurses at maternal and child healthcare (MCH) centres, and offers pedagogical tools for early childhood education and care (ECEC) staff. The aim of this study is to implement Nutrition Now at scale and evaluate the impact of different sets of multifaceted implementation strategies on implementation outcomes. Methods: A quasi-experimental design with three study arms will be used, providing either low, medium or high implementation support, when rolled out in 50 municipalities in 2 counties in Norway. Nutrition Now will be implemented in MCH and ECEC settings and made available to expectant parents and parents of 0–2 year olds through social media and MCH. The implementation support builds on strategies described in the Expert Recommendations for Implementing Change (ERIC) implementation framework and is informed by dialogues with stakeholders. Impact of the different degree of implementation support will be assessed by examining reach, adoption, fidelity, and sustainability using usage data generated from the Nutrition Now resource, publicly available municipal data and qualitative interviews with MCH and ECEC staff. Discussion: Nutrition Now Phase 2 will break new ground by scaling up successively delivered and complementary dietary interventions in the first 1,000 days of life in a real-life context. The project also seeks to identify what level of implementation support is most effective when implementing digital, scalable, evidence-based early-life nutrition interventions in community settings. The project will inform implementation research and provide knowledge about effective implementation strategies to be used in a national scale-up of Nutrition Now. Trial registration: The study is registered prospectively (submitted 14/06/2022, registration date: 19/06/2022) in the International Standard Randomised Controlled Trial Number registry (ISRCTN): reg. Number: ISRCTN10694967, https://doi.org/10.1186/ISRCTN10694967.

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Øverby, Nina Cecilie; Helle, Christine & Helland, Sissel Heidi (2024). Forskerfokus: Den lange veien mot (noe) Matnyttig.
Helle, Christine & Øverby, Nina Cecilie (2024). Hvordan fremme gode spisevaner blant barn gjennom helsestasjonen. Christine Helle og Nina Cecilie Øverby fra UIA presenterer Matnyttig –forskningsprosjekt som skal fremme god ernæring tidlig i livet.
Øverby, Nina Cecilie (2024). Nutrition now – intervention to enhance early-life nutrition by focusing on the essential first 1000 days.
Øverby, Nina Cecilie; Hillesund, Elisabet Rudjord; Helland, Sissel Heidi; Helle, Christine; Wills, Andrew Keith & Lamu, Admassu Nadew [Show all 23 contributors for this article] (2023). Evaluating the effectiveness and implementation of evidence-based early-life nutrition interventions in a community setting a hybrid type 1 non-randomized trial – the Nutrition Now project protocol. Frontiers in Endocrinology. ISSN 1664-2392. 13. doi: 10.3389/fendo.2022.1071489. Full text in Research Archive
Vik, Frøydis Nordgård & Medin, Anine Christine (2023). Matnyttig.
Øverby, Nina Cecilie (2023). The Nutrition Now project- implementing digital dietary interventions in Norway targeting diet in the first 1000 days of life.
Vik, Frøydis Nordgård; Rutter, Harry; Medin, Anine Christine; Hillesund, Elisabet Rudjord & Øverby, Nina Cecilie (2023). Implementation of early-life nutrition through digital interventions in a community in Southern Norway -The Nutrition Now project.
Øverby, Nina Cecilie (2023). UiA-prosjektet Matnyttig skal nå lanseres i 400 barnehager. [Radio]. NRK, Sørlandssendingen.
Helland, Sissel Heidi & Øverby, Nina Cecilie (2023). The Sapere Method in Early Childhood Education and Care. Nutrition Now project and Sensory training according to the Sapere method.
Vik, Frøydis Nordgård & Medin, Anine Christine (2023). Matnyttig - digital ressurs - de første 1000 dagene.
Vik, Frøydis Nordgård & Øverby, Nina Cecilie (2023). Matnyttig - en digital ressurs med fokus på de 1000 første dagene.
Vik, Frøydis Nordgård & Medin, Anine Christine (2023). Matnyttig - digital ressurs med fokus på de første 1000 dagene.
Vik, Frøydis Nordgård & Øverby, Nina Cecilie (2023). 320521.
Vik, Frøydis Nordgård & Øverby, Nina Cecilie (2023). Matnyttig - tidlig innsats med fokus på de første 1000 dagene.
Vik, Frøydis Nordgård & Medin, Anine Christine (2023). Matnyttig - tidlig innsats med fokus på de første 1000 dagene.
Vik, Frøydis Nordgård & Medin, Anine Christine (2023). Matnyttig - kosthold de første 1000 dagene.
Vik, Frøydis Nordgård & Medin, Anine Christine (2023). Matnyttig, tidlig innsats - de første 1000 dagene.
Vik, Frøydis Nordgård & Øverby, Nina Cecilie (2023). Matnyttig - Hvordan fremme gode matvaner de første 1000 dagene? Show summary
Matnyttig er et samarbeidsprosjekt mellom UiA, Agder Fylkeskommune, Arendal kommune og Agder kommuner hvor implementering av ny forskningsbasert kunnskap omkring matvaner tidlig i livet er sentralt. Målgruppene er gravide, foreldre til barn 0-2 år og barnehageansatte. Arenaene hvor Matnyttig kan brukes er barnehagen og helsestasjon. Matnyttig er støttet av Norges Forskningsråd.
Øverby, Nina Cecilie & Helland, Sissel Heidi (2023). Matnyttig- å fremme gode matvaner og matomsorg de første 1000 dagene av livet.
Øverby, Nina Cecilie & Helland, Sissel Heidi (2023). Matnyttig- Å fremme gode matvaner og matomsorg de første 1000 dagene av et barns liv.
Medin, Anine Christine & Øverby, Nina Cecilie (2023). Matnyttig - tidlig innsats - de første 1000 dagene.
Vik, Frøydis Nordgård & Medin, Anine Christine (2023). Matnyttig - tidlig innsats, de første 1000 dagene.
Vik, Frøydis Nordgård & Øverby, Nina Cecilie (2023). Matnyttig - tidlig innsats - de første 1000 dagene.
Vik, Frøydis Nordgård & Øverby, Nina Cecilie (2023). Presentasjon av Matnyttig .
Øverby, Nina Cecilie & Vik, Frøydis Nordgård (2022). Tar matforskningen ut i barnehagen. [Newspaper]. Agderposten.
Øverby, Nina Cecilie & Vik, Frøydis Nordgård (2022). Nytt tilbud til foreldre og barnehager. Mål: Bedre kosthold til barna. [Internet]. Agderposten.no.
Øverby, Nina Cecilie & Vik, Frøydis Nordgård (2022). Scaling up and implementation of obesity prevention interventions in the first 2000 days. Perspectives from Norway.
Øverby, Nina Cecilie & Vik, Frøydis Nordgård (2022). Matnyttig - et NFR implementeringsforskningsprosjekt .
Øverby, Nina Cecilie; Helland, Sissel Heidi; Helle, Christine & Vik, Frøydis Nordgård (2021). Kosthold og ernæring i de første 1000 dagene – kan vi investere klokere?
Hillesund, Elisabet Rudjord & Helle, Christine (2021). «Om kosthold og ernæring de første 1000 dagene – utfordringer og muligheter».
Øverby, Nina Cecilie; Helle, Christine; Medin, Anine Christine; Hillesund, Elisabet Rudjord & Vik, Frøydis Nordgård (2021). Tidlig innsats som virker! Fædrelandsvennen. ISSN 0805-3790.
Leister, Wolfgang; Tjøstheim, Ingvar; Kristoffersen, Thor O.; Halbach, Till ; Boudko, Svetlana & Bai, Aleksander [Show all 7 contributors for this article] (2017). The Project GB-MULTE-2016/17 - Final Report. Norsk Regnesentral.
Leister, Wolfgang; Tjøstheim, Ingvar; Kristoffersen, Thor O.; Halbach, Till ; Boudko, Svetlana & Bai, Aleksander [Show all 8 contributors for this article] (2015). The Project GB-BOHEME-2014/15 -- Final Report. Norsk Regnesentral. Show summary
This document is the final report of the GB project GB-BOHEME-2014/2015. We present a brief list of the project achievements followed by a characterisation of the tree focus areas: open content lifecycle management, user experiences & gamification, and eHealth & welfare.We also present some thoughts on how to organise a follow-up project. Section 2 of this note presents an overview of the developed concepts and their applications areas.
Leister, Wolfgang (2015). Towards a Generic Assessment Framework - Ideas and Cases. Norsk Regnesentral. Show summary
This note describes ideas for a generic assessment framework (GAF) that can be applied to a variety of application areas. The GAF is structured into four Layers: the Scenario Layer, the Data Collection and Observer Layer, the Assessment Layer, and the Assessment Process Layer. The GAF can be used for purposes of estimation, validation, and decision making.

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Tags: Health and social care

Published May 2, 2024 8:20 AM - Last modified June 20, 2024 11:39 AM

Nutrition Now

Purpose

About the project in two minutes

Project description

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