Final Results from the CHERRY Project October 2012 The Cherry Project (“Choosing Healthy Eating when Really Young”) was developed by researchers at University College London and Plymouth University, with funding from the Food Standards Agency and support from the Department of Health. The aim of the study was to develop and pilot a family centred nutrition intervention to be delivered in children’s centres. We spent the first year of the study reviewing the evidence, collating resources and consulting with local stakeholders about how to support families with healthy eating. This included focus groups and questionnaire surveys with parents and children’s centre staff. We used the information gathered to develop Cherry – an interactive, practical course for parents and children delivered in four weekly sessions. Cherry was piloted in children’s centres in Islington as well as Cornwall, a rural county in SW England, to represent diverse communities across the UK. The intervention was delivered in 4 centres in Islington between October 2010 and November 2011 and evaluated using the randomised controlled trial (RCT) method. We assessed children’s diets at baseline and six months, and asked parents questions about their diets and attitudes towards food. Results Families who attended Cherry (intervention group) experienced greater changes over the six month period, compared to families who did not attend Cherry (control group). This table shows the main differences between the groups in Islington. Child outcomes Effect of intervention Actual difference* Fruit and vegetables Increased +54g per day Sugary drinks Decreased -81 ml per day Sugary snacks Decreased -0.41 occasions per day Parent outcomes Effect of intervention Actual difference* Fruit Decreased -75g per day Vegetables Increased +53g per day Sugary drinks Decreased -90ml per day Sugary foods Decreased -0.13 portions per day *This is the difference between the change observed in the intervention group and the change observed in the control group. These improvements show that Cherry made a positive difference to children’s diets, increasing fruit and vegetables by more than a portion and reducing sugary drinks consumption. Anecdotal feedback also showed that parents found the course helpful and they perceived improvements in healthy eating behaviours by successfully introducing new foods to their children, learning new cooking skills and recipes and gaining confidence in feeding their children. Children’s centre staff also reported that Cherry had helped some staff members to make positive changes to their diets which subsequently filtered down to the children attending the nursery. In Cornwall, some changes were found in children’s diets after six months but the differences found were smaller and not significant. Although there were some changes to parents’ diets, these differences were smaller than those seen in children and not significant; the only differences to note were that vegetables increased by half a portion and sugary drinks decreased. We believe that most of the change for parents was seen in their perceived levels of knowledge and confidence around food; parents reported that they knew how to make healthier food choices and cook from scratch, felt better able to read and understand food labels, and were eating less sugary and salty snacks as a result of attending the course. Future work This pilot study will be used to develop further interventions to help families to eat well; applications for further funding to continue this work are currently being submitted. Cherry: A Guide for Trainers which contains detailed information and guidance on how to run the course in similar settings, has been produced and will be available in the coming weeks on the UCL website. Additional resources, more detailed results and an evaluation of the study will also be available. If you would like a copy of any of these documents, or have any further questions about the study, please contact the research leader, Professor Richard Watt on r.watt@ucl.ac.uk