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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

基本信息

批准号：
9791353
负责人：
Olajide Williams
金额：
$ 64.4万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
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/9791353
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 Communities Community Mental Health Centers Conceptions Conflict (Psychology)Consumption Cues Data Diet 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 Multimedia Music Names New York City Outcome Outcome Measure Overweight 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 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 post intervention primary outcome programs school health skills sugar support tools theories therapy design transmission process treatment arm trend

项目摘要

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.

项目总结