Effect of an integrated nutrition-math curriculum to improve food-purchasing behavior of children

综合营养数学课程对改善儿童食品购买行为的影响

• 批准号: 10210300
• 负责人: Olajide Williams
• 金额: $ 61.64万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-24 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10210300
• 关键词: 5 year old; Abbreviations; Acute; Affect; Affective; Age; Arts; Awareness; Behavior; Behavior Therapy; Behavioral; Body mass index; California; Calories; Cardiovascular system; Centers for Disease Control and Prevention (U.S.); Child; Child Behavior; Cognitive; Common Core; Community Mental Health Centers; Conceptions; Conflict (Psychology); Consumption; Cues; Data; Dimensions; Dose; Economically Deprived Population; Economics; Educational Curriculum; Educational process of instructing; Evaluation; Fatty acid glycerol esters; Food; Food Services; Foundations; Health; Healthy Eating; Hip region structure; Hour; Institute of Medicine (U.S.); Instruction; Intervention; Knowledge; Language; Laws; Los Angeles; Low Literacy Population; Low income; Mathematics; Mathematics Curriculum; Measures; Mediating; Metabolic; Mind; Minority Groups; Multimedia; Music; Names; New York City; Outcome; Outcome Measure; Parents; Pilot Projects; Policies; Population; Procedures; Provider; Randomized; Randomized Controlled Trials; Recommendation; Restaurants; Risk; Sales; Schools; Self Efficacy; Site; Sports; Standardization; Statutes and Laws; Terminology; Testing; Vendor; Waiting Lists; Weight; Weight Gain; Youth; after-school program; aged; base; behavioral outcome; design; dietary; efficacy testing; evidence base; fast food; fifth grade; food consumption; food quality; fourth grade; improved; innovation; insight; instrument; intervention effect; literacy; novel; nutrition; nutrition education; obesity in children; obesogenic; overweight child; poor communities; post intervention; primary outcome; programs; school health; skills; sugar; support tools; theories; therapy design; transmission process; treatment arm; trend

PROJECT SUMMARY Project Title: Effect of an integrated nutrition-math curriculum to improve food-purchasing behavior of children. Data show that nearly 25% of children aged four to eight years consumed fast food on a typical day. These trends in fast food consumption are more acute among low-income urban dwellers where higher rates of overweight and childhood obesity are seen. This has led to a focus on providing fast food consumers with point-of-purchase nutrition information, such as the calorie posting mandates, in the hopes that these decision cues will help consumers make better informed dietary decisions. These efforts began in New York City in 2008 and spread to California by 2009 before being finally incorporated into federal law. But even prior to the federal roll out, local studies regarding their influence on purchasing behavior were conflicting. Moreover, studies revealed an even lower yield on behavior among low-income obesogenic populations. Barriers to the use of calorie postings not only include economic, affective and behavioral dimensions but also cognitive dimensions related to low literacy and poor numerical skills, especially among low literacy populations and the youth. Indeed studies evaluating the effect of calorie postings on parental purchases for children found no difference before and after calorie-posting legislation despite parents noticing the calorie postings. Most children chose their own meals at the point-of-purchase, and continued to choose the same items before and after legislation. It is clear that additional strategies are needed to encourage the point-of-purchase use of calorie postings, however available studies provide little insight into best practices or the types of approaches needed. It is with this in mind that we developed a school-based approach to improve point-of-purchase use of calorie postings, by creating a novel intervention that targets menu board calorie literacy as a means of improving food-purchasing behaviors. We have named this program, “Hip Hop HEALS” (Healthy Eating And Living in Schools; HHH). HHH is a novel behaviorally focused multimedia, musical school health rap toolkit that targets what we refer to as menu board calorie literacy. We have integrated 4th grade common core math standards into our HHH program in a manner that incorporates evidence-based nutrition education recommendations by the Institute of Medicine and the CDC. We propose to test the efficacy of our integrative approach on food purchasing behaviors of children in an adequately powered, controlled trial. We will test the intervention in the after-school setting among economically disadvantaged children and incorporate parental engagement in our outcome evaluations. We have partnered with New York City's largest after-school program vendor, Sports and Arts in Schools foundation, for the implementation of this study. After-school sites will be randomly assigned to either the intervention arm or a wait-list control.

项目摘要 项目名称：综合营养数学课程对改善儿童购买食物行为的影响。 数据显示，近25%的4至8岁儿童在典型的一天中食用快餐。这些 快餐消费的趋势在低收入城市居民中更为严重， 超重和儿童肥胖。这导致了对快餐消费者的关注， 购买点的营养信息，如卡路里张贴任务，希望这些决定 提示将帮助消费者做出更明智的饮食决定。这些努力始于年的纽约市， 2008年，并在2009年蔓延到加州，最终被纳入联邦法律。但即使在 联邦推出，当地的研究，他们对购买行为的影响是相互矛盾的。此外，委员会认为， 研究表明，低收入致肥胖人群的行为收益甚至更低。障碍 卡路里的使用不仅包括经济，情感和行为方面， 与识字率低和数字技能差有关的方面，特别是在识字率低的人口中， 青年事实上，研究评估了卡路里张贴对父母为孩子购买的影响， 尽管父母注意到了卡路里的张贴，但卡路里张贴立法前后的差异。最 孩子们在购买点选择自己的食物，并继续选择之前和 立法后。很明显，需要更多的战略来鼓励购买点使用 热量张贴，但现有的研究提供了最佳做法或方法类型的洞察力很少 needed.正是考虑到这一点，我们制定了一个以学校为基础的方法，以改善购买点的使用， 卡路里的帖子，通过创建一个新的干预措施，目标是菜单板卡路里识字作为一种手段， 改善食品购买行为。我们把这个项目命名为“嘻哈健康”（健康饮食和 生活在学校; HHH）。HHH是一个新颖的行为为重点的多媒体，音乐学校健康说唱工具包 我们称之为“菜单板卡路里素养”。我们已经整合了四年级的共同核心数学 标准纳入我们的HHH计划的方式，纳入循证营养教育 医学研究所和CDC的建议。我们建议测试我们的综合效果 在一项有充分把握的对照试验中对儿童购买食物行为的研究方法。我们将测试 在经济困难儿童的课后环境中进行干预， 参与我们的成果评估。我们与纽约市最大的课后项目合作 供应商，学校体育和艺术基金会，为实施这项研究。课后场地将 随机分配到干预组或等待列表对照组。