Journal article
Implementation and outcome evaluation of a team nutrition intervention: increasing knowledge, attitudes, and preferences
Health education research, Vol.36(1), pp.75-86
03/23/2021
DOI: 10.1093/her/cyaa036
PMID: 33221862
Abstract
Abstract Low-income, rural children are at a greater risk for poor dietary intake. Schools offer a venue to deliver appropriate interventions. Our aim was to evaluate the implementation and effectiveness of Healthy Schools, Healthy Students (HSHS). We conducted a mixed-methods evaluation using a cluster-randomized trial design with 20 schools in a rural, Midwestern state. HSHS included education sessions, cafeteria coaching and taste testing. We interviewed implementers (n = 13) and nutrition educators (n = 8), conducted six focus groups with cafeteria coaches, and surveyed fourth graders (n = 1057) about their nutrition knowledge, attitudes toward and preferences for fruits and vegetables (F&V), F&V consumption and MyPlate awareness. We used multi-level linear models to estimate the intervention effect and qualitative data were coded. There were very few challenges to implementation. HSHS participation was positively associated with knowledge, attitudes toward F&V, preferences for vegetables from the taste tests, MyPlate awareness and vegetable consumption. HSHS was viewed as beneficial and easy to deliver, suggesting this type of intervention could be widely implemented. Improving knowledge and attitudes through nutrition education and preferences through taste testing have the potential to improve dietary intake among rural students. Low-cost nutrition interventions can be successfully implemented in rural elementary schools with positive outcomes.
Details
- Title: Subtitle
- Implementation and outcome evaluation of a team nutrition intervention: increasing knowledge, attitudes, and preferences
- Creators
- Natoshia M Askelson - University of Iowa College of Public Health, 145 N. Riverside Drive, Iowa city, IA 52246, USA, Public Policy Center, 310 S. Grand Ave, Iowa City, IA 52242, USAPatrick Brady - University of Iowa College of Public Health, 145 N. Riverside Drive, Iowa city, IA 52246, USA, Public Policy Center, 310 S. Grand Ave, Iowa City, IA 52242, USAGrace Ryan - University of Iowa College of Public Health, 145 N. Riverside Drive, Iowa city, IA 52246, USA, Public Policy Center, 310 S. Grand Ave, Iowa City, IA 52242, USACarrie Scheidel - Iowa Department of Education, 400 E. 14th Street, Des Moines, IA 50319, USAPatti Delger - Iowa Department of Education, 400 E. 14th Street, Des Moines, IA 50319, USAPhuong Nguyen - Public Policy Center, 310 S. Grand Ave, Iowa City, IA 52242, USA, University of Iowa School of Urban and Regional Planning, 327 Jessup Hall, Iowa City, IA 52242, USAYoun Soo Jung - Public Policy Center, 310 S. Grand Ave, Iowa City, IA 52242, USA
- Resource Type
- Journal article
- Publication Details
- Health education research, Vol.36(1), pp.75-86
- DOI
- 10.1093/her/cyaa036
- PMID
- 33221862
- NLM abbreviation
- Health Educ Res
- ISSN
- 1465-3648
- eISSN
- 1465-3648
- Grant note
- name: Team Nutrition Training Grant for Fiscal Year 2016, award: CFDA#:10.547; DOI: 10.13039/100000199, name: United States Department of Agriculture; DOI: 10.13039/100000199, name: United States Department of Agriculture; name: United States Government; name: The United Stastes Department of Agriculture
- Language
- English
- Date published
- 03/23/2021
- Academic Unit
- Injury Prevention Research Center; Public Policy Center (Archive); School of Planning and Public Affairs; Community and Behavioral Health
- Record Identifier
- 9984215020202771
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