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Increasing Fruit and Vegetable Intake Among Children

增加儿童水果和蔬菜的摄入量

基本信息

批准号：
9247787
负责人：
Gregory J Madden
金额：
$ 17.52万
依托单位：
UTAH STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-04-01 至 2019-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9247787
关键词：
Adolescence Carotenoids Child Childhood Chronic Disease Collaborations Consumer Satisfaction Consumption Data Decision Making Development Diet Diet Habits Eating Enrollment Expenditure Experimental Designs Exploratory/Developmental Grant Focus Groups Food Health Health Benefit Healthy Eating Home environment Human Resources Incentives Individual Intake Intervention Knowledge Link Location Long-Term Effects Low income Measurement Measures Mediator of activation protein Meta-Analysis Mind Obesity Outcome Parents Phase Pilot Projects Play Population Preparation Program Sustainability Property Randomized Clinical Trials Research Rewards Risk Role Schools Self Efficacy Skin Specialist Taste Perception Video Games Work World Health Organization base behavior change cost design elementary school emerging adult experience follow-up fruits and vegetables improved innovation intrinsic motivation lower income families nutrition post intervention public health relevance role model scale up social cognitive theory social learning success teacher therapy design

项目摘要

DESCRIPTION (provided by applicant): Despite the health benefits of a diet rich in fruits and vegetables (FV), US children do not consume the recommended levels of these foods; this is particularly true of children living in low-income families. Because low-income children tend to eat school provided lunch (which includes FV), elementary school cafeterias are a convenient location for improving dietary decision-making in this important population. The social-learning theory approach to improving healthy eating has proven effective in schools (see meta-analysis by Evans et al., 2012); this approach uses role modeling and tangible incentives to encourage the repeated tasting of FV. Although the social-learning approach yields good short- and long-term outcomes (e.g., Jones et al., in press) it is impractical - schools cannot afford tangible rewards and they do not have the discretionary labor needed to implement these interventions. This impracticality motivated the development of the FIT Game, a school- based intervention that integrates social-learning theory with game-design principles. The result is a low-cost, low-effort healthy eating intervention that has significantly increased FV consumption in four economically diverse elementary schools (Jones et al., 2014a, b; Joyner et al., in preparation). The first aim of the current proposal is to modify the FIT Game so that it further encourages the development of long-term healthy eating habits. This will be accomplished in two ways. First, with the aid of game design experts at Schell Games (Pittsburgh, PA) the duration of the FIT Game will be expanded from ~6 weeks to 10 weeks; the latter is an interval across which new eating habits reach their asymptote of automaticity (Lally et al., 2010). Second, the expanded FIT Game will target three potential mediators of long-term healthy eating: intrinsic motivation to consume FV, knowledge of the health-promoting properties of a diet rich in FV, and dietary self-efficacy. The proposal's second aim is to evaluate the short- and long-term effects of the FIT Game on FV consumption of 1st-5th graders. This will be accomplished in a randomized clinical trial enrolling four low-income schools. Two schools will play the FIT Game and two will serve as no-intervention control schools. The measurement of FV consumption will be identical across schools. FV consumption will be assessed twice during the FIT Game and at 2-weeks, 3-months, and 9-months after the FIT Game concludes. The proposal's third aim is to evaluate if the three potential mediators targeted by the FIT Game (intrinsic motivation, knowledge of the health- promoting properties of FV, and dietary self-efficacy) prove to be significant mediators of changes in FV consumption. We hypothesize that they will. If successful, the FIT Game will encourage the development of healthier eating habits and will maintain high levels of FV consumption after the game concludes. Because the FIT Game is a low-cost intervention that is easy for schools to implement, success in this project will prepare us to scale-up the intervention so that it may impact children's healthy eating habits in far more schools.