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Exploring strategies to increase school breakfast consumption in middle schools

探索增加中学早餐消费的策略

基本信息

批准号：
7295682
负责人：
KAREN Weber CULLEN
金额：
$ 16.32万
依托单位：
BAYLOR COLLEGE OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-22 至 2009-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7295682
关键词：
16p Absenteeism Administrator Adult Age American Applications Grants Area Asthma Behavior Blood Glucose Body Weight Child Childhood Cholesterol Chronic Disease Consent Consumption Cost Analysis Daily Data Diabetes Mellitus Dietary intake Discipline of Nursing Eating Economics Effectiveness of Interventions Energy Intake Environment Epidemic Evaluation Fasting Focus Groups Food Food Services Future Generations Goals Health Health Benefit High Blood Pressure High Density Lipoprotein Cholesterol Hour Hunger Hypertension Intake Intervention Interview Learning Link Low income Marketing Measures Metabolic syndrome Methods Monitor Non-Insulin-Dependent Diabetes Mellitus Nutrient Obesity Outcome Overweight Parents Performance Plasma Prevalence Prevention intervention Price Public Health Rate Records Research Personnel Risk Sample Size School Teachers Schools Score Source Students Testing Texas United States Department of Agriculture Visit Weight Youth aged computerized data processing cost design diabetes risk environmental intervention improved programs weight maintenance

项目摘要

DESCRIPTION (provided by applicant): School food environments are coming under increased scrutiny because of the obesity epidemic. However, school breakfast (SB) is often overlooked. Implemented in 1966, the SB program was designed to provide free or reduced price breakfast for eligible children to reduce hunger that might impair learning. In addition to learning improvement, SB consumption has also been linked to better attendance and classroom behavior, and important health benefits. Among children, breakfast consumption was related to lower daily energy intake, plasma cholesterol levels, and body weight, important factors related to reduced risk for diabetes and other chronic diseases. However, participation in the SB program is low; only 42% of eligible children received SB in the 2002-03 school year, and participation declines with age. Therefore the goal of this exploratory study is to investigate delivery methods and promotional strategies to improve SB participation among middle school students, implement the delivery methods and promotional strategies, and obtain participation rate data needed to calculate intervention effect and sample size for an R01 application. In Year 1, focus groups and interviews will be conducted with all stakeholders: students, parents, teachers, school administrators, and food service staff to identify issues associated with SB delivery, and to identify delivery methods, marketing strategies and methods to promote the free breakfast program. In year 2, selected SB delivery methods and promotional methods will be implemented and evaluated in three intervention schools. Participation rates between the different intervention schools will be compared, and also compared to one control school and the previous year SB rate data. Anonymous breakfast lunch records will be collected during breakfast to look at consumption. A subset of students will complete 24-hour recalls on 4 occasions during the school year in order to look at meal specific and meals source specific dietary behaviors. Outcomes data related to learning and the school environment (aggregate school level data on attendance, test scores, tardiness, and discipline and nurse visits) will also be collected and evaluated, as well as process data and evaluations from all stakeholders. Improving SB participation may be an important public health environmental intervention with both significant health and academic outcomes.

描述（由申请人提供）：由于肥胖流行，学校食品环境受到越来越严格的审查。然而，学校早餐（SB）经常被忽视。 SB 计划于 1966 年实施，旨在为符合条件的儿童提供免费或降价早餐，以减少可能影响学习的饥饿现象。除了学习进步之外，SB 消费还与更好的出勤率和课堂行为以及重要的健康益处有关。对于儿童来说，吃早餐与较低的每日能量摄入量、血浆胆固醇水平和体重有关，这些都是降低患糖尿病和其他慢性病风险的重要因素。然而，SB 计划的参与度较低；在 2002-03 学年，只有 42% 的符合条件的儿童获得了 SB，而且参与率随着年龄的增长而下降。因此，本探索性研究的目的是调查提高中学生SB参与的传递方法和促销策略，实施传递方法和促销策略，并获得计算R01应用的干预效果和样本量所需的参与率数据。在第一年，将与所有利益相关者进行焦点小组讨论和访谈：学生、家长、教师、学校管理人员和食品服务人员确定与 SB 配送相关的问题，并确定配送方式、营销策略和推广免费早餐计划的方法。第二年，选定的 SB 交付方法和促销方法将在三所干预学校实施和评估。将比较不同干预学校之间的参与率，并与一所对照学校和上一年的 SB 率数据进行比较。早餐期间将收集匿名早餐午餐记录以查看消费情况。一部分学生将在学年期间完成 4 次 24 小时回忆，以了解特定膳食和特定膳食来源的饮食行为。还将收集和评估与学习和学校环境相关的结果数据（有关出勤、考试成绩、迟到、纪律和护士就诊的学校级别汇总数据），以及所有利益相关者的过程数据和评估。提高SB参与可能是一项重要的公共卫生环境干预措施，具有显着的健康和学术成果。