Mary O Hearst1, Amy Shanafelt2, Qi Wang3, Robert Leduc4, Marilyn S Nanney5. 1. St. Catherine University - Henrietta Schmoll School of Health, 2004 Randolph Ave, St. Paul, MN 55105. 2. University of Minnesota - Department of Family Medicine and Community Health, Program in Health Disparities Research, 717 Delaware Ave, Minneapolis, MN 55454. 3. University of Minnesota - Clinical and Translational Science Institute, 717 Delaware Street S.E, Minneapolis, MN 55414. 4. University of Minnesota - CCBR, 717 Delaware Ave, Minneapolis, MN 55454. 5. University of Minnesota, Department of Family Medicine and Community Health, Program in Health Disparities Research, 717 Delaware Ave, Minneapolis, MN 55454.
Abstract
BACKGROUND: The purpose is to determine if altering school breakfast policies and the school breakfast environment will positively impact adolescent beliefs of the barriers and benefits of eating breakfast. METHODS: There were 904 adolescents from 16 rural high schools, Minnesota, in the BreakFAST Study who reported eating breakfast fewer than 4 times per week at baseline. Schools were randomized to intervention (N = 8 schools) or delayed intervention (N = 8) condition. The intervention lasted 1 school year. Students completed an online survey of beliefs of barriers and benefits to eating breakfast at baseline and follow-up. Summative scales were created. Bivariate and multivariate linear regression, accounting for clustering by school, was performed using SAS. Sex interaction was tested. Models tested the effect of the intervention on change in summative scales from baseline to follow -up. RESULTS:Participants were 54% female, 69.1% white, 36.6% eligible for free or reduced-price meals (FRM) and 13.1% of families received public assistance. The change in reported barriers was significantly different in intervention versus control schools (Net difference = 1.0, p = .03). There was no intervention effect of perceived benefits. CONCLUSIONS: A school-based policy and environmental change intervention can successfully reduce perceived barriers to eating school breakfast.
RCT Entities:
BACKGROUND: The purpose is to determine if altering school breakfast policies and the school breakfast environment will positively impact adolescent beliefs of the barriers and benefits of eating breakfast. METHODS: There were 904 adolescents from 16 rural high schools, Minnesota, in the BreakFAST Study who reported eating breakfast fewer than 4 times per week at baseline. Schools were randomized to intervention (N = 8 schools) or delayed intervention (N = 8) condition. The intervention lasted 1 school year. Students completed an online survey of beliefs of barriers and benefits to eating breakfast at baseline and follow-up. Summative scales were created. Bivariate and multivariate linear regression, accounting for clustering by school, was performed using SAS. Sex interaction was tested. Models tested the effect of the intervention on change in summative scales from baseline to follow -up. RESULTS:Participants were 54% female, 69.1% white, 36.6% eligible for free or reduced-price meals (FRM) and 13.1% of families received public assistance. The change in reported barriers was significantly different in intervention versus control schools (Net difference = 1.0, p = .03). There was no intervention effect of perceived benefits. CONCLUSIONS: A school-based policy and environmental change intervention can successfully reduce perceived barriers to eating school breakfast.
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