Boy Scout 5-a-Day Badge: Outcome results of a troop and Internet intervention

Thompson, Debbe; Baranowski, Tom; Baranowski, Janice; Cullen, Karen Weber; Jago, Russell; Watson, Kathy; Liang, Yan

doi:10.1016/j.ypmed.2009.09.010

Cited by 42 publications

(53 citation statements)

References 43 publications

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“…29 Of games for middle school students, one study directed at fruit juice and low-fat vegetable consumption found positive results for fruit juice but not for vegetables. 30 Another found positive pre-to post-test differences in the intervention group for both FV and PA. 44 A third focused on three behaviors: Increasing FV intake, water intake, and moderate to vigorous PA. 31 Study outcomes showed that students increased their FV intake. No changes were observed for the other behaviors.…”

Section: Discussionmentioning

confidence: 97%

“…28 However, there are few evidence-based educational nutrition games that are currently available for middle school adolescents. These games have focused on increasing students' FV intake only or accompanied by water intake and/ or PA. [29][30][31] The results are mixed. One game found an increase in FV intake but not water intake or PA, and the research study was conducted in the student's homes as opposed to classrooms.…”

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confidence: 99%

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“Creature-101”: A Serious Game to Promote Energy Balance-Related Behaviors Among Middle School Adolescents

Majumdar

Koch

Lee

et al. 2013

Games for Health Journal

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Background: Considering adolescents' heavy use of media, serious videogames may provide an engaging and innovative way to achieve positive impact on adolescents' diet and physical activity. The objective of this study was to evaluate the efficacy of playing a serious game, ''Creature-101'' (developed by Teachers College, Columbia University [New York, NY] and Stottler Henke Inc. [San Mateo, CA]), at promoting energy balancerelated behaviors (EBRBs) such as increasing fruits and vegetables intake, water intake, and physical activity and decreasing processed snacks intake, sweetened beverages intake, and recreational screen time. Subjects and Methods: This pre-post intervention-control study (n = 590) was conducted in New York City lowincome public middle schools. The students (11-13 years of age, 51.6 percent male) played ''Creature-101'' online in science/health education classes (seven sessions, 30 minutes each session for 1 month). ''Creature-101'' used behavioral theories as the framework for ''creature care'' in a world ''Tween.'' Students were provided with scientific evidence that promoted energy balance through minigames, educational videos, and slideshows and were motivated with interactive dialogues with game characters. Students also assessed their own behaviors, created their own ''real life'' food and activity goals, and reported their progress. A self-reported, validated, online instrument that measured frequency and amount of targeted behaviors was administered at baseline and post-intervention. Results: Analysis of covariance compared post-test means between groups with pretest scores as covariates. Intervention students reported significant decreases in frequency and amount of consumption of sweetened beverages and processed snacks compared with the controls. No changes were observed for the other behaviors. Conclusions: ''Creature-101'' was effective at reducing consumption of sweetened beverages and processed snacks, which are related to obesity risks, indicating that the game shows promise at promoting EBRBs.

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Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 99%

“Creature-101”: A Serious Game to Promote Energy Balance-Related Behaviors Among Middle School Adolescents

Majumdar

Koch

Lee

et al. 2013

Games for Health Journal

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“…Analysis took into account clustering within schools/classes 4. Groups were not randomized Thompson (2009) 87 Coin toss Troops were randomized to condition after baseline assessment, so risk of selection bias was low…”

Section: Unclearmentioning

confidence: 99%

Influence of Behavioral Theory on Fruit and Vegetable Intervention Effectiveness Among Children: A Meta-Analysis

Diep

Chen

Davies

et al. 2014

Journal of Nutrition Education and Behavior

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“…A Boy Scout 5-a-Day Badge program, based on our earlier Boy Scout intervention [55], combined brief in-troop activities with an internet program [65]. The troop activities involved FV recipe preparation and taste testing (procedures shown to influence intake [66]), while the internet program incorporated a story line about Boy Scouts trying to make dietary changes to earn a badge, facing and overcoming barriers, and also including the goal setting and review behavior change procedures.…”

Section: Innovative Interventionsmentioning

confidence: 99%

“…The troop activities involved FV recipe preparation and taste testing (procedures shown to influence intake [66]), while the internet program incorporated a story line about Boy Scouts trying to make dietary changes to earn a badge, facing and overcoming barriers, and also including the goal setting and review behavior change procedures. An evaluation involving 42 Boy Scout troops revealed increased fruit consumption in the treatment compared to the control groups at the end of the 9-week program, but not 6 months later [65]. …”

Section: Innovative Interventionsmentioning

confidence: 99%

Influences on Children's Dietary Behavior, and Innovative Attempts to Change It

2013

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Fruit and vegetable (FV) intake may protect against several chronic diseases, and the preferences and habits in relation to FV intake appear to form in early childhood. Child FV intake reflects many influences from multiple levels (e.g. internal to the child, family, school, and neighborhood). We have documented influences at each of these levels, but more definitive research in longitudinal samples remains to be conducted. Even though validated comprehensive models of influences on child FV intake in longitudinal studies are not available to guide intervention design for children of different ages, there has been an urgency to initiate chronic disease prevention interventions to mitigate the substantial health consequences. Effective interventions use known behavior change procedures to change the influences on FV intake enough to change the behavior, but few such interventions have demonstrated effectiveness at meaningful levels. Innovative methods need to be explored. Videogames for Health offer a medium that is attractive to children and shows promising results, especially for dietary behavior change. Exciting additional research is needed to clarify possible bidirectional influences between the environmental and individual influences on child intake with possible age-related differences in influence and in the optimal design of video games for dietary change.

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Boy Scout 5-a-Day Badge: Outcome results of a troop and Internet intervention

Cited by 42 publications

References 43 publications

“Creature-101”: A Serious Game to Promote Energy Balance-Related Behaviors Among Middle School Adolescents

“Creature-101”: A Serious Game to Promote Energy Balance-Related Behaviors Among Middle School Adolescents

Influence of Behavioral Theory on Fruit and Vegetable Intervention Effectiveness Among Children: A Meta-Analysis

Influences on Children's Dietary Behavior, and Innovative Attempts to Change It

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