Actively Involving Middle School Students in the Implementation of a Pilot of a Behavioral Economics–Based Lunchroom Intervention in Rural Schools

Askelson, Natoshia M.; Brady, Patrick; Ryan, Grace; Meier, Cristian L.; Ortiz, Cristina; Scheidel, Carrie; Delger, Patti

doi:10.1177/1524839918807717

Cited by 10 publications

(16 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We organized HEAL interventions’ implementation and evaluation activities by the 7 I+PSE components ( Figure 2 ). Healthy eating (n = 24) ( 19 , 22 , 28 – 30 , 32 , 34 , 35 , 38 , 39 , 43 , 44 , 46 – 48 , 52 , 53 , 56 , 59 – 62 , 64 , 66 , 68 , 71 ) and HEAL (n = 23) ( 1 , 20 , 21 , 24 , 26 , 27 , 33 , 36 , 37 , 40 – 42 , 45 , 49 – 51 , 54 , 57 , 58 , 63 , 65 , 67 , 69 , 72 ) initiatives included many intervention and evaluation activities across the 7 I+PSE components, with an emphasis on activities addressing organizational policy (I+PSE component 5) and environmental changes (I+PSE component 6) as anticipated because of the nature of this review. Those that only focused on active living (n = 5) ( 23 , 25 , 31 , 55 , 70 ) also emphasized activities addressing organizational policy (I+PSE component 5) and environmental changes (I+PSE component 6), to the near exclusion of all other components.…”

Section: Resultsmentioning

confidence: 99%

Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review

Cunningham‐Sabo

Tagtow²,

et al. 2022

Prev. Chronic Dis.

View full text Add to dashboard Cite

Introduction Policy, systems, and environmental (PSE) change approaches frequently address healthy eating and active living (HEAL) priorities. However, the health effects of PSE HEAL initiatives are not well known because of their design complexity and short duration. Planning and evaluation frameworks can guide PSE activities to generate collective impact. We applied a systematic mapping review to the Individual plus PSE Conceptual Framework for Action (I+PSE) to describe characteristics, achievements, challenges, and evaluation strategies of PSE HEAL initiatives. Methods We identified peer-reviewed articles published from January 2009 through January 2021 by using CINAHL, Web of Science, MEDLINE, PsycINFO, and CAB Abstracts databases. Articles describing implementation and results of PSE HEAL initiatives were included. Activities were mapped against I+PSE components to identify gaps in evaluation efforts. Results Independent reviewers examined 437 titles and abstracts; 52 peer-reviewed articles met all inclusion criteria. Twenty-four focused on healthy eating, 5 on active living, and 23 on HEAL. Descriptive analyses identified federal funding of initiatives (typically 1–3 years), multisector settings, and mixed-methods evaluation strategies as dominant characteristics. Only 11 articles reported on initiatives that used a formal planning and evaluation framework. Achievements focused on partnership development, individual behavior, environmental or policy changes, and provision of technical assistance. Challenges included lack of local coalition and community engagement in initiatives and evaluation activities and insufficient time and resources to accomplish objectives. The review team noted vague or absent descriptions of evaluation activities, resulting in questionable characterizations of processes and outcomes. Although formation of partnerships was the most commonly reported accomplishment, I+PSE mapping revealed a lack of engagement assessment and its contributions toward initiative impact. Conclusion PSE HEAL initiatives reported successes in multiple areas but also challenges related to partnership engagement and community buy-in. These 2 areas are essential for the success of PSE HEAL initiatives and need to be adequately evaluated so improvements can be made.

show abstract

Section: Resultsmentioning

confidence: 99%

Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review

Cunningham‐Sabo

Tagtow²,

et al. 2022

Prev. Chronic Dis.

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…Any changes made to the lunchroom should ensure that the lunchroom atmosphere improves in a way that supports healthy eating. For example, previous studies have shown that incorporating artwork and signage highlighting healthy food choices as part of a multicomponent intervention is one strategy to improve the atmosphere in order to promote healthy eating (N. M. Askelson et al, 2019;Quinn et al, 2018). Properly arranging the lunchroom and using signs and postings to improve the flow of traffic through the lunch line is another strategy to reduce time spent waiting for food, giving students more time to eat.…”

Section: Discussionmentioning

confidence: 99%

“…This data collection occurred as part of a larger, behavioral economics-based intervention in the lunchroom. Results and details about this project are published elsewhere (N. M. Askelson et al, 2019). All schools in the state were invited to apply, and the final schools invited to participate were selected based on their interest in the project, ability to identify a group of students to participate in the intervention activities, and the food service director's availability to complete intervention activities.…”

Section: Methods Participantsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Middle School Students’ Perceptions of the Lunchroom: Implications for Future Interventions

Askelson

Ryan

Brady

et al. 2020

The Journal of School Nursing

Self Cite

View full text Add to dashboard Cite

The National School Lunch Program provides nutritious and inexpensive lunches, but low participation and food waste are challenges in many schools. Interventions aim to improve participation in the program, but little is known about how students’ perceptions affect their participation. This study explored how middle school students in a rural state perceive school food service staff, food served, and lunchroom atmosphere. An online survey was administered to middle school students at six schools participating in a larger lunchroom intervention. Mean perception scores were calculated for all measures. Multilevel logistic regression was used to examine the relationship between perceptions and consumption. Overall perceptions of staff, food, and atmosphere were positive, and students classified as school lunch eaters had more positive perceptions in all three areas than noneaters. Interventions to increase participation in school lunch programs and promote consumption of healthy food items should address multiple factors that contribute to school lunch participation.

show abstract

Obesity Management Solutions in Rural Communities

Beverly

2023

Curr Cardiovasc Risk Rep

View full text Add to dashboard Cite

Purpose of Review Obesity is more common in rural than in urban areas. The disparities in body mass index (BMI) may be due to growing socioeconomic disparities in rural communities, including limited healthcare infrastructure, lack of access to healthy and affordable food, transportation barriers, financial insecurity, lower educational attainment, and barriers to physical activity. To address these issues, obesity management models are needed in rural areas to promote and sustain weight loss. Obesity interventions for rural populations published in the last 5 years are included in this review. Recent Findings Recent clinical trials report improvements in nutrition knowledge, physical activity, reduced energy consumption, and weight loss in rural populations. Three elementary school-based interventions implemented nutrition, physical activity, or a nutrition plus physical activity interventions ranging in duration from 2 months to 3 years. These interventions observed improvements in nutrition knowledge, daily energy intake, and body mass index (BMI), such that the trial resulted in weight loss or prevented weight gain. Two school-based lunch interventions observed increases in fruit and vegetable intake, reductions in energy consumption, and decreases sugar and sodium intake. Two large cluster randomized controlled trials in the USA showed clinically significant weight loss could be achieved via different lifestyle intervention approaches. Similarly, a 1-year intensive lifestyle intervention in Germany documented reductions in body weight and BMI. Additionally, recent telehealth interventions compared the use of teleconferencing, telephone counseling, and short message service (SMS) interventions to promote weight loss. Overall, findings showed that telehealth interventions can recruit and retain rural adults, and improvements in weight loss were greater than or equal to in-person interventions. Summary Obesity is a serious public health problem associated with cardiovascular disease, type 2 diabetes, osteoarthritis, and certain cancers. Well-designed, geographically tailored interventions with proper control conditions are needed for rural populations. Including data from neighborhood built environment with comprehensive interventions that address barriers to healthy eating, physical activity, and behavior change hold the most promise for the future.

show abstract

Actively Involving Middle School Students in the Implementation of a Pilot of a Behavioral Economics–Based Lunchroom Intervention in Rural Schools

Cited by 10 publications

References 33 publications

Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review

Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review

Middle School Students’ Perceptions of the Lunchroom: Implications for Future Interventions

Obesity Management Solutions in Rural Communities

Contact Info

Product

Resources

About