Taking a long view in understanding children and young people's diets

Lead Research Organisation: University College London
Department Name: Childhood, Families and Health

Abstract

Given that social policies seek to influence behaviour, government is concerned to understand how behaviour changes over time. Parental employment and family food practices are central to public policy concerns about individual and community wellbeing. Whilst food and eating practices are typically habitual, they can change in response to expected and unexpected transitions and interventions. They may also play a part in coping with change. Changes in parental employment, family income, and life events such as the birth of a child, school transfer or family breakdown are examples of possible influences on the eating habits of children and families.

But while we know that children's food intake impacts upon later life chances and that food and eating practices change over the life course, not enough is known about the processes of change. For example, how change comes about or the role that children themselves or different environments play. Following children and their families over time and using a mixed methods approach offers the possibility of developing a better and more realistic understanding of how and why individuals and communities live - and eat - as they do as well as what the intended and unintended consequences of policies themselves might be.

Although there is currently interest in linking quantitative and qualitative data, it has been noted that there is little suitable data which might permit effective linkage in this area. The Food Practices and Working Families study provides a unique opportunity to take a longitudinal mixed methods approach, offering as it does data from the National Diet and Nutrition Survey (NDNS) and a sample of working parents and their children also drawn from the NDNS. The study, which is funded by the Economic and Social Research Council and Department of Health until October 2011, takes a multi-method approach, including secondary analysis of the NDNS and other large datasets and in-depth interviews with 48 children and their parents to consider how parental employment shapes eating habits and the diets of young children and the role different settings and children themselves play.

A follow-up in-depth interview study with the families who took part in the Food Practices and Working Families Study will be carried out to gain further understandings of how children and young people eat; the contexts in their lives in which they eat; and the particular transitions and experiences that children and parents encounter over time; and how these shape changes in their food practices, preferences and diets. Further secondary analysis of two new waves of the NDNS cross-sectional data will also be undertaken to consider changes over time and how family meal patterns relate to socio demographic factors and age of child. The findings will help to inform policies concerned with childhood obesity, healthy lifestyles, and children's wellbeing. Through its innovative methodology, linking mixed methods research to a national survey, the study also seeks to contribute to furthering the exploitation of quantitative longitudinal data resources.

Planned Impact

Who will benefit from this research?

Key target audiences include:
*Academic beneficiaries - the scientific communities of the sociological and related disciplines, biomedical and nutritional sciences

Public authorities including

*Government policy makers which have as their focus nutrition (DH), children (DfE), employment (BIS and DWP) and research funding (ESRC)
*NGOs which have as their focus:
*Children and families, e.g. National Children's Bureau, Family and Parenting Institute; MumsNet;
*Nutrition - FSA/DH and Social Science Research Committee;
*Child nutrition e.g. Caroline Walker Trust; School Food Trust;
*Work/life balance e.g. Work Foundation, TUC;
*Working parent interest groups. e.g. Workingfamilies.org;
*Childcare, e.g. Daycare Trust, National Childminding Association (NCMA);
*Practitioners - community health visitors, school nurses and their professional bodies (e.g. Trades Unions, NCMA)
*Food industry (e.g. Morrison's, Birds Eye)
*The mass media
*The general public
*Participants in the qualitative study

A database of contacts in each of these target groups will be set up and maintained for the duration of the project.

1. How will they benefit from this research?
The proposed research will provide further understandings of how children and young people eat and examine some of the contexts in their lives when they make changes in their food practices, preferences and diets. This will help to inform policies concerned with childhood obesity, healthy lifestyles, and children's well-being and findings therefore have the potential to impact upon the nation's health by enhancing the effectiveness of public services and policy concerned with health. It also has the potential to impact economically. The innovative methodology of the study, in which longitudinal qualitative research is linked to a national survey, may also contribute to the development of future linkages of qualitative research to the UK's national cohort studies and Understanding Society. In this way, the proposed study also seeks to contribute to furthering the exploitation of Britain's world leading quantitative longitudinal data resources.

Whilst a majority of research beneficiaries is liable only to be involved in the second stage (dissemination), these groups include those who may be invited to engage in dialogue at the stage of communication work on early findings in order to develop thinking about their application. They may also in turn be recipients of the communication of interim and final results. One of the aims of the first stage of engagement (closed seminar) will be to identify the specific information requirements of target audiences. The contribution of the Advisory Group will also be harnessed for this purpose.

Audiences' information needs involve issues about content and length but also the mode of communication. A range of means of engagement is to be employed in combinations aiming to optimise accessibility, ease of use and storage and that are also cost effective to create, maintain and update as necessary. These will include: (a) Face to face events aimed at initiating and maintaining a dialogue will include an Advisory Group (AG); a closed seminar (May 2013); National/International Conferences; and an open seminar (September 2013) (b) Dissemination tools aimed at communicating research findings will include a study website; newsletters; single page summaries; summaries on (external and internal) websites; and scientific communications (articles in peer reviewed journals aimed at practitioners and academics).

Publications

10 25 50
 
Description The secondary analysis of the National Diet and Nutrition Survey (NDNS) found that:

• Maternal employment is not associated with the healthiness of children's diets
• Confirming other UK research , children have healthier diets overall when they eat with family members in the evening, even when controlling for income and social class
• Contrary to some US research , there is no association between maternal employment and frequency of eating evening meals with family members

The qualitative research study of 47 in-depth cases at Wave 1 and 36 at Wave 2 added to the body of evidence by confirming previous research. Important conclusions were that:

• Family food practices such as eating together depend upon the extent to which the time schedules of all household members (including children) do or do not synchronise
• The preferences of children as well as parents influence what they and their families eat
• The children of working parents eat in a range of care and education settings. Transitions and changes in children's and parents' lives, such as starting secondary school or working longer hours, may affect children's diets, in some cases negatively, in others positively
• Parents and children were aware of healthy eating advice and were trying hard to follow a healthy diet in most cases. Constraints on their ability to do so included children's preferences for unhealthier foods, the perceived higher costs and time demands of providing healthier meals, and the expectation that mothers take responsibility for children's diets when they are in paid employment

Approaches that helped families manage busy lives with a diet more closely in line with recommendations included:

• The synchronisation of parents' and children's schedules that enabled families to eat together
• Men sharing responsibility for planning and preparing healthy meals
• Buying, saving or 'shifting' time, for example by employing paid help, using slow cookers or bulk cooking and freezing meals in advance, and using 'quick and easy' processed or pre-prepared foods
• Healthy foods in schools and childcare that can expand children's food preferences, introduce healthier foods and substitute for a less healthy diet at home

Methodological advances include

• Using the NDNS for both secondary analysis and a linked qualitative longitudinal study and integrating the different data where appropriate
• Making recommendations to collect additional socio-demographic data (maternal education and hours of work); these will be included in future years of the NDNS
• Defining a healthy diet for the purposes of drawing the sample and as an outcome variable for the quantitative research

• Defining 'family meals' for both the qualitative and quantitative parts of the research
Exploitation Route Healthy eating policies could usefully take into account (a) changing patterns of family life in a '24/7 society', together with (b) rising food prices and static incomes. The children of working parents eat in a range of settings and children influence their own and the family's food practices. Moreover children's diet preferences and intake may change over time in response to developmental change and life course transitions in their own lives. Further, whilst health messages are targeted at 'parents', it is mothers who continue to be largely responsible for feeding families even when they are also in paid employment. To take account of these findings we suggest that:

• Sustained attention and additional resources are devoted to the provision of healthy foods in school and childcare settings, including: continuation of the School Fruit and Vegetable Scheme; extending universal free school meals to older children; regulating the nutritional quality of food in all schools and childcare settings.
• Dietary guidance messages such as those of the social marketing campaign Change4Life are tailored to the needs of busy working parents and in particular targeted towards encouraging more fathers to prepare healthy balanced meals for families.
• Efforts to work with food manufacturers and retailers to make pre-prepared, processed and convenience foods healthier are intensified.
• The regulation of junk food marketing to children is extended to include all forms of media and that a body responsible for developing, monitoring and implementing regulations which is independent of the advertising industry is established
• Sufficient recognition is given to different types of research evidence which may each provide different insights or raise new questions regarding family food practices
Outputs from the study are listed seperately. Other impacts of the study to date include a number of methodological developments including:
• Demonstrating the value of the NDNS for answering policy relevant research questions and a means of purposive sampling on the basis of known diets
• Refinements to the NDNS to help researchers explore such issues further, including the addition of new variables from 2015 on maternal education and hours of employment
• Development of a methodology for assessing 'healthy' diets for children in different age groups using the NDNS data
Given that the qualitative sample was skewed towards the higher end of the household income range, further research is needed on food practices in low-income employed families.
Sectors Agriculture, Food and Drink,Communities and Social Services/Policy,Education,Healthcare,Retail

URL http://www.foodfamiliesandwork.co.uk/
 
Description In addition to academic outputs including a book, a chapter in an edited book and numerous presentations at national and international conferences, the study has engaged with beneficiaries beyond academia including: The general public: for example, through the design and maintenance of the study website, three blog postings and interview for an article in the magazine of a large supermarket chain. The media: for example, through taking part in a telephone interview with ITV researcher for television documentary on families and food. Third and private sector organisations: for example, by participating in a private round table and invite only conference by the Joseph Rowntree Foundation and PWC on food and low income consumers. Government: for example, through the production and distribution of a 4 page summary of findings for the Department of Health. Professionals and practitioners: for example, through a key note lecture for the Swedish National Conference of Social Workers and an article for Farechoice, Community Food and Healt Scotland Further details are provided in the 'Engagement Activities' section of the project award page of Research Fish.
First Year Of Impact 2011
Sector Agriculture, Food and Drink,Government, Democracy and Justice,Retail
Impact Types Cultural,Societal,Policy & public services

 
Description European Research Council Starting Grants
Amount € 1,370,942 (EUR)
Funding ID 337977 
Organisation European Research Council (ERC) 
Sector Public
Country Belgium
Start 05/2014 
End 04/2019
 
Title Refinements to the National Diet and Nutrition Survey 
Description With the support of colleagues in the Department of Health (now Public Health England) we were successful in contributing to improvements in the National Diet and Nutrition Survey. Specifically our recommendaion has been taken up, that additonal questions/variables are included concerning mothers' hours of employment and education, both of which are important in understanding children's food intake and eating behaviours. 
Type Of Material Improvements to research infrastructure 
Year Produced 2014 
Provided To Others? Yes  
Impact The NDNS, a national, annual, survey has been revised in line with our recommendations. 
 
Title Archived data USDS 
Description Wave 2 qualitative data uploaded to ReShare 
Type Of Material Database/Collection of data 
Year Produced 2015 
Provided To Others? Yes  
Impact None to date. 
URL https://ukdataservice.ac.uk
 
Description Blog Post response to David Barlex 'The case for food technology within D&T' 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Sparked further discussion

n/a
Year(s) Of Engagement Activity 2014
URL http://dandtfordandt.wordpress.com/2014/10/01/the-case-for-food-technology-within-dt/#comments
 
Description Blog posting 02/05/12 in response to newspaper report on benefits of 'family meals' (Telegraph, 02/05/12 Stephen Adams): IOE London blog. 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog
posting
02/05/12
in
response
to
newspaper
report
on
benefits
of
'family
meals'
(Telegraph,
02/05/12
Stephen
Adams):
IOE
London
blog.

n/a
Year(s) Of Engagement Activity 2012
URL http://ioelondonblog.wordpress.com/2012/05/02/working-­mums-orlazy­assumptions­whosto-­blamein-thefo...
 
Description Blog posting in response to A Soubry's claim that poorer children are 'ironically' more likely to be obese 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog posting received comments

n/a
Year(s) Of Engagement Activity 2013
URL http://ioelondonblog.wordpress.com/category/rebecca-­oconnell/
 
Description Brannen: How do parents and children negotiate changes in dietary issues and food practices/preferences over time? Case study as part of methodological paper to Swedish national conference of social workers (FORSA) 14 March 2013 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact discussion

n/a
Year(s) Of Engagement Activity 2013
 
Description Brannen: When do working families eat together? Findings from a mixed methods longitudinal study in the UK" Conference: Food, Children and Youth: What's Eating. Lisbon, Feb 2014. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Discussion

N/a
Year(s) Of Engagement Activity 2014
 
Description Conference paper ISBNPA: Changing families, changing food? Children's diets in working families over time 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact The panel comprised sociologists speaking at a conference of public health nutritionists. The discussion included consideration of the usefulness of applying sociological theoretical approaches and concepts to research in food and nutrition, including 'lifecourse' and 'food practices'.

At the talk I met potential collaborators including at University of Cambridge and Copenhagen.
Year(s) Of Engagement Activity 2015
URL http://www.isbnpa2015.org
 
Description Engineering Design Centre, University of Cambridge: "Interviewing researchers about using qualitative visual methods" Interview with Ting-Ray Chan 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Interview about use of visual methods on a research project to inform the design of a new piece of equipment for interviewing

na
Year(s) Of Engagement Activity 2014
 
Description IOE Research Briefing Jan 2014 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact n/a
Year(s) Of Engagement Activity 2014
URL http://www.ioe.ac.uk/research/87680.html
 
Description O'Connell and Brannen, interview on 'families and meals' published in Spring 2013 edition Morrisons magazine. 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact O'Connell
and
Brannen,
interview
on
'families
and
meals'
published
in
Spring
2013
edition
Morrisons
magazine.

na
Year(s) Of Engagement Activity 2013
 
Description O'Connell and Simon: A mixed methods approach to meals in working families: Addressing lazy assumptions and methodological difficulties. BSA Annual Conference 3 April 2013. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Discussion

n/a
Year(s) Of Engagement Activity 2013
 
Description O'Connell: Changing Families Changing Food? Food in working families over time. BSA Annual Conference, Leeds, April 2014. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Discussion, networking

N/a
Year(s) Of Engagement Activity 2014
 
Description O'Connell: Who does the food work in working families? Paper at LCIRAH workshop, London, 7 March 2013 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Discussion/international comparison

n/a
Year(s) Of Engagement Activity 2013
 
Description Owen and Simon: Do the children of employed mothers eat fewer 'family meals'? Understanding Society Research Conference 2013 24-­26 July 2013. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Discussion

n/a
Year(s) Of Engagement Activity 2013
 
Description Participation in JRF private round table on scoping measures to ease the impact of rising food prices on low income groups 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact In the first instance this helped shape a major JRF conference planned for the autumn that was designed to more publicly discuss the scope for more targeted action around the three (food, transport, energy) markets. Findings were also published in a think piece.

na
Year(s) Of Engagement Activity 2014
 
Description Summary of Findings for Department of Health (plus list of outputs and bibliography) 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Study findings booklets for distribution by DH and on the study website

n/a
Year(s) Of Engagement Activity 2014
URL http://www.foodfamiliesandwork.co.uk/news/summary-of-study-findings-now-available
 
Description Telephone Interview ITV 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Interview (telephone) for ITV researcher for food programme - employed women and 'convenience food'

na
Year(s) Of Engagement Activity 2014
 
Description Webinar with the UK Data Service 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Ceraolo, M. and O'Connell, R. (2016). Webinar: An introduction to data on food and food security. Collaboration with the UK Data Service. Online, 15.00 - 16.00, 9 November 2016. 70+ attendees.
Year(s) Of Engagement Activity 2016
URL https://www.ukdataservice.ac.uk/news-and-events/eventsitem/?id=4701
 
Description Website for the study 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact This is the website for the Food, Families and Work: Taking a Long View research project.

Interest from professionals in different sectors (media, academia, charities)
Year(s) Of Engagement Activity 2012
URL http://www.foodfamiliesandwork.co.uk/
 
Description Working Group - Revisiting Eating Out 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Invited member to the 'Revisiting Eating Out Working Group' workshop, Manchester, 10th March 2018
Year(s) Of Engagement Activity 2018
URL https://www.researchgate.net/project/Revisiting-Eating-Out-Three-English-Cities-1995-2015