Change and Maintaining Change in School Cafeterias: Economic and Behavioral-Economic Approaches to Increasing Fruit and Vegetable Consumption

Madden, Gregory J.; Price, Joseph; Wengreen, Heidi J.

doi:10.1007/978-3-319-96920-6_4

Cited by 6 publications

(4 citation statements)

References 125 publications

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“…Some evidence suggests that health behavior change takes approximately 10 weeks to become habitual [16], suggesting a minimum target for intervention duration. Within the healthy eating literature, long-term interventions using goals and incentives have produced encouraging outcomes [31]. In this pilot study, the FIT Game was played for only 2 weeks before reverting to baseline conditions; therefore, the reversions to baseline PA levels are not surprising.…”

Section: Discussionmentioning

confidence: 96%

Effects of the FIT Game on Physical Activity in Sixth Graders: A Pilot Reversal Design Intervention Study

et al. 2019

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Background The FIT Game is a low-cost intervention that increases fruit and vegetable consumption in elementary school children. For this study, the FIT Game was adapted into an intervention designed to increase children’s physical activity at school. Objective We aimed to evaluate if the FIT Game could increase children’s physical activity relative to their baseline levels. Methods A total of 29 participants were recruited from a sixth-grade classroom. An ABAB reversal design was used. Participants wore an accelerometer while at school during pre/postintervention baseline (A) and intervention (B) phases. During the FIT Game intervention, daily physical activity goals encouraged the class to increase their median daily step count above the 60th percentile of the previous 10 days. When daily goals were met, game-based accomplishments were realized. Results Children met their activity goals 80% of the time during the intervention phases. Physical activity at school increased from a median of 3331 steps per day during the baseline to 4102 steps during the FIT Game phases ( P <.001, Friedman test). Conclusions Preliminary evidence showed that playing the FIT Game could positively influence children’s physical activity at school.

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Section: Discussionmentioning

confidence: 96%

Effects of the FIT Game on Physical Activity in Sixth Graders: A Pilot Reversal Design Intervention Study

et al. 2019

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“…These components might include education or supplemental contingencies whereby game-based outcomes depend on parent-verified FV consumption at home. Long-term interventions focused on improving healthy eating both at school and at home may prove beneficial in producing the lasting behavior changes needed to have an impact on public health (Madden et al, 2018; Morrill et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Fruit and vegetable intake at and away from school during participation in the FIT Game

2021

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Background: The FIT Game is a multicomponent school-based incentive program aimed at increasing children’s fruit and vegetable (FV) intake. There has been no previous report on how playing the game at school influences FV intake away from school. Aim: To examine children’s ( n=37) FV intake away from school while participating in the FIT Game program at school. Methods: FV intake away from school was assessed using the ASA24-Kids-2014 Dietary Assessment Tool. Paired samples t-tests and the generalized linear model repeated measures analysis of variance were used to examine the difference in children’s mean FV intake away from school. Results: During the final three days of the FIT Game intervention, we observed no change in FV consumption away from school (p=0.30). Similarly, no differences were observed between FV intake away from school before the implementation of the FIT Game and during the final three days (p=0.81). Conclusions: The FIT Game modestly decreased the children’s FV intake in a nonstatistically significant manner away from school. Our previous report showed an increase in children’s FV intake at school; thus, the net effect of the game was a significant increase in total daily FV intake.

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“…However, low FV intake persists with US adults eating only about half the recommended amount of FV and children faring slightly worse (USDA, 2020). In addition, overweight and obesity are significant problems among children in the USA (Ogden et al, 2014(Ogden et al, , 2016 Although overweight and obesity have many contributing factors, evidence suggests that child obesity is negatively correlated with FV intake (Lorson et al, 2009;Madden et al, 2018). Thus, increasing children's FV consumption is an important focus of research, policy and practice to help improve overall nutrition and health and combat child obesity in the USA.…”

Section: Introductionmentioning

confidence: 99%

Impact of teacher encouragement on children’s consumption and non-eating behaviour in a Wisconsin elementary school vegetable snack programme

Chinchanachokchai

Jamelske

Vernon

2022

Health Education Journal

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Objective: Schools participating in the US Department of Agriculture (USDA) Fresh Fruit and Vegetable Programme (FFVP) serve more fruit than vegetables and tend not to implement activities designed to increase consumption. This research examines the impact of teacher encouragement on consumption of raw vegetables served through a non-FFVP elementary school snack programme. Method: Twelve teachers and 217 children in Grades K–3 were randomly assigned to one of three conditions. One condition served as the control group (no encouragement), while the other two conditions represented intervention groups (moderate and high encouragement). Three vegetables were served eight times each with teachers in both intervention conditions providing encouragement for the first six servings of each vegetable. All encouragement was discontinued during the final two servings of each vegetable. Average consumption and non-eating behaviour were analysed using differences in means, ordinary least squares and logistic regression analysis. Results: Moderate and high teacher encouragement significantly increased children’s consumption of vegetables compared to the control group. Both encouragement conditions also significantly reduced the likelihood of non-eating behaviour. The positive encouragement impacts were found to persist in the short term even when teacher encouragement had ceased, especially for the high encouragement condition. Conclusion: This study provides evidence that relatively low-cost teacher encouragement can decrease non-eating behaviour and increase children’s consumption of vegetable snacks served in elementary schools. This suggests that schools participating in the FFVP could see benefits from serving more vegetables and implementing encouragement activities. Moreover, these results could be informative to non-FFVP schools in implementing their own vegetable snack programme.

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Change and Maintaining Change in School Cafeterias: Economic and Behavioral-Economic Approaches to Increasing Fruit and Vegetable Consumption

Cited by 6 publications

References 125 publications

Effects of the FIT Game on Physical Activity in Sixth Graders: A Pilot Reversal Design Intervention Study

Effects of the FIT Game on Physical Activity in Sixth Graders: A Pilot Reversal Design Intervention Study

Fruit and vegetable intake at and away from school during participation in the FIT Game

Impact of teacher encouragement on children’s consumption and non-eating behaviour in a Wisconsin elementary school vegetable snack programme

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