Andrew L Larsen1, Yue Liao2, Janel Alberts3, Jimi Huh4, Trina Robertson5, Genevieve F Dunton6. 1. Department of Psychology, University of Southern California, SGM 501, 3620 South McClintock Ave, Los Angeles, CA 90089. 2. Department of Preventive Medicine, University of Southern California, 2001 North Soto Street, Los Angeles, CA 90032. 3. Alberts Research Consulting, Mission Viejo, CA 92691. 4. Department of Preventive Medicine, University of Southern California, Los Angeles, CA 90032. 5. Dairy Council of California, 2151 Michelson Drive, Suite 235, Irvine, CA 92612-1339. 6. Departments of Preventive Medicine and Psychology, University of Southern California, Los Angeles, CA 90032.
Abstract
BACKGROUND: Few nutrition interventions in kindergarten classes have been evaluated, and none has been tested for program effectiveness, implementation, and dissemination. Building a Healthy Me (BHM) is a nutrition intervention for kindergarteners that is classroom-based and includes a family component. This study evaluated the public health impact of BHM in California kindergarten classrooms using the RE-AIM (reach, efficacy, adoption, implementation, and maintenance) framework. METHODS: A quasi-experimental design assessed pre-to-post changes in nutrition knowledge, dietary consumption, and parent behaviors of 25 intervention classrooms (414 students, 264 parents); and postintervention differences in nutrition knowledge between the intervention classrooms and 4 control classrooms measured at postintervention only (103 students). RESULTS: Intervention students improved in knowledge of food groups and healthy breakfast/snack options, and scored higher than control students in food group knowledge at postintervention (ps < .05). Parents of intervention group children increased their use of food labels, and intervention group children increased intake of several healthy foods and decreased intake of candy and fried potatoes (ps < .05). The BHM program reached 41% of kindergarteners attending public schools in California, and teachers implemented most lesson material. CONCLUSIONS: The BHM program was effective, implemented with fidelity, and broadly disseminated, highlighting its potential public health impact for kindergarteners.
RCT Entities:
BACKGROUND: Few nutrition interventions in kindergarten classes have been evaluated, and none has been tested for program effectiveness, implementation, and dissemination. Building a Healthy Me (BHM) is a nutrition intervention for kindergarteners that is classroom-based and includes a family component. This study evaluated the public health impact of BHM in California kindergarten classrooms using the RE-AIM (reach, efficacy, adoption, implementation, and maintenance) framework. METHODS: A quasi-experimental design assessed pre-to-post changes in nutrition knowledge, dietary consumption, and parent behaviors of 25 intervention classrooms (414 students, 264 parents); and postintervention differences in nutrition knowledge between the intervention classrooms and 4 control classrooms measured at postintervention only (103 students). RESULTS: Intervention students improved in knowledge of food groups and healthy breakfast/snack options, and scored higher than control students in food group knowledge at postintervention (ps < .05). Parents of intervention group children increased their use of food labels, and intervention group children increased intake of several healthy foods and decreased intake of candy and fried potatoes (ps < .05). The BHM program reached 41% of kindergarteners attending public schools in California, and teachers implemented most lesson material. CONCLUSIONS: The BHM program was effective, implemented with fidelity, and broadly disseminated, highlighting its potential public health impact for kindergarteners.
Authors: Graciele Sbruzzi; Bruna Eibel; Sandra M Barbiero; Rosemary O Petkowicz; Rodrigo A Ribeiro; Claudia C Cesa; Carla C Martins; Roberta Marobin; Camila W Schaan; Willian B Souza; Beatriz D Schaan; Lucia C Pellanda Journal: Prev Med Date: 2013-02-27 Impact factor: 4.018
Authors: Michelle L Gattshall; Jo Ann Shoup; Julie A Marshall; Lori A Crane; Paul A Estabrooks Journal: Int J Behav Nutr Phys Act Date: 2008-01-11 Impact factor: 6.457
Authors: Paula W Tucker; Rachel Bull; Alex Hall; Tim P Moran; Shabnam Jain; Usha Sathian; Harold K Simon; Gerard A Gioia; Jonathan J Ratcliff; David W Wright Journal: Front Public Health Date: 2022-02-17