Overview of country location, study design, outcome measures and risk of bias for included studies
Ref | Region/country | Study design | Local* | Measured outcome | Evidence for effectiveness† | Risk of bias | |
Nutrition education | |||||||
S1 | Singapore | Individually randomised parallel group trial | No | Purchase—foods high in sugar | +/− | ||
S2 | Singapore | Non-randomised controlled pre/post-test study | No | Dietary intake— carbohydrate, protein, vegetable | + | ||
S3 | Mauritius | Non-randomised controlled pre/post-test study | Yes | Dietary intake— calcium | + | ||
S4 | Mauritius | Non-randomised uncontrolled pre/post-test study | No | Dietary intake—fruit and vegetable | + | ||
Nutrition knowledge score | + | ||||||
S5 | American Samoa | Non-randomised uncontrolled pre/post-test study | Yes | Nutrition knowledge score | + | ||
S6 | Guam | Non-randomised uncontrolled pre/post-test study | Yes | Dietary intake—fruit and vegetable | – | ||
Willingness to try fruit and vegetables | – | ||||||
S7 | Puerto Rico | Non-randomised uncontrolled pre/post-test study | No | Dietary intake—daily energy and fibre, fruit and vegetable | – | ||
S8 | Trinidad and Tobago | Cluster-randomised parallel group trial | No | Dietary intake—fruit, vegetable, soda, fried food, high fat, salt or sugar food (HFSS). | +/− | ||
Nutrition knowledge score | + | ||||||
Attitudes to eating | – | ||||||
Nutrition education plus additional support | |||||||
S9 | Singapore | Individually randomised parallel group trial | Yes | Dietary intake— energy, carbohydrate, protein, total fat, cholesterol, calcium, dietary fibre, sodium | – | ||
S10 | Puerto Rico | Individually randomised parallel group trial | No | Dietary intake— bread, SSB (self-reported) | – | ||
S11 | Trinidad and Tobago | Non-randomised uncontrolled pre/post-test study | No | Dietary intake—daily and 7-day fruit and vegetables | + | ||
S12 | Trinidad and Tobago | Non-randomised controlled pre/post-test study | No | Nutrition knowledge attitude practice score (mean) | + | ||
Nutrition education plus practical skills | |||||||
S13 | Dominican republic | Non-randomised controlled pre/post-test study | Yes | Dietary intake—vitamin A-rich foods | +/− | ||
S14 | Federated States of Micronesia | Non-randomised uncontrolled pre/post-test study | Yes | Dietary intake—frequency of consumption of various food groups | +/− | ||
S15 | Singapore | Non-randomised uncontrolled pre/post-test study | No | Dietary intake—whole grains (self-reported) | |||
Nutrition knowledge—wholegrain specific | + | ||||||
Actual or hypothetical tax | |||||||
S16 | Barbados | Interrupted time series study | No | Sales—Sugar-sweetened beverages (SSBs). | + | ||
S17 | Singapore | Individually randomised multiarm parallel group trial | No | Purchase of taxed products | + | ||
Advertising/marketing regulations | |||||||
S18 | Singapore | Non-randomised uncontrolled pre/post-test study | No | Dietary intake—HFSS, fruits and vegetables and nutrient dense foods | +/− | ||
Purchase—snacks (sweets and potato chips, burgers), fruit, vegetables | +/− | ||||||
Food provision | |||||||
S19 | Puerto Rico | Non-randomised controlled before-after study | No | Dietary intake—various macronutrient and micronutrients | – | ||
Multi-level intervention | |||||||
S20 | Tonga | Non-randomised controlled before-after study | Yes | Dietary intake—breakfast, fruit, vegetables, SSBs, fruit drink, and various snacks | – | ||
Purchase—snack food from shop or takeaway after school | + | ||||||
S21 | Fiji | Non-randomised controlled pre/post-test study | Yes | Dietary intake—fruit, vegetable, soft drink, fruit drink/cordial | – | ||
S22 | Fiji | Non-randomised uncontrolled pre/post-test study | No | Dietary intake—mean population salt intake | – | ||
S23 | Samoa | Non-randomised uncontrolled pre/post-test study | No | Dietary intake salt | – | ||
Nutrition knowledge, attitude and behaviour—salt related | +/− | ||||||
Restriction | |||||||
S24 | Solomon Islands | Non-randomised controlled before-after study | Yes | Dietary intake—energy, protein, fat | + |
Region: Pacific, Caribbean, AIMS.
ROB: low risk, moderate risk, high risk, severe/critical risk.
*Local defined as included process or outcome related components as defined in table 2.
†+ mostly significantly effective on outcomes measured; ± some significant positive effects plus some no change/insignificant effect; − no significant positive effects or negative effect.
AIMS, Atlantic, Indian Ocean, Mediterranean and South China Sea; ROB, risk of bias.