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The study found that Mandolean training encouraged children to think about their speed of eating and formalise meal times while helping parents understand portion size and what amount of different food types should be eaten. However, participants’ limited use of Mandolean did not appear to alter the speed of eating or the total meal consumption. The study was unable to recruit sufficient patients in a reasonable time frame, and participant usage of Mandolean was suboptimal in 80% of cases. Future work requires investigation in order to better understand the general public’s perceptions of childhood obesity and to identify ways of engaging target populations.

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Julian Hamilton-Shield,1,2,* Joanna Goodred,3 Lesley Powell,3 Joanna Thorn,4 Jon Banks,3 Sandra Hollinghurst,3 Alan Montgomery,5 Katrina Turner,3 Debbie Sharp,3 

1 School of Clinical Sciences, University of Bristol, Bristol, UK
2 Bristol NIHR Biomedical Research Unit in Nutrition, Bristol, UK
3 Centre for Academic Primary Care, School of Social and Community Medicine, UniversityofBristol, Bristol, UK
4 School of Social and Community Medicine, University of Bristol, Bristol, UK
5 Nottingham Clinical Trials Unit, University of Nottingham, Queens Medical Centre, Nottingham, UK
* Corresponding author ; Email:

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