Literature DB >> 35224419

Do Behavioral Interventions Increase the Intake of Biofortified Foods in School Lunch Meals? Evidence from a Field Experiment with Elementary School Children in Ethiopia.

Julius J Okello1, David R Just2, Wellington Jogo3, Norman Kwikiriza1, Haile Tesfaye4.   

Abstract

BACKGROUND: Many African countries are seeking to improve nutrition by introducing biofortified foods in school feeding programs. These programs are generally designed to create demand for biofortified foods both in and outside of school. Finding ways to encourage child acceptance of novel biofortified foods is key to the success of this strategy.
OBJECTIVES: The aim was to assess effects of 2 behavioral interventions in promoting the consumption of biofortified foods as part of school lunch meals.
METHODS: The study is based on a field experiment involving 360 school-going children of in the third, fourth, and sixth grades. We tested if structured provision of information about the nutritional benefits of a biofortified food and its association with an aspirational figure influence its consumption when served alongside a favorite local food as part of school lunch meal. Six schools in Tigray, Ethiopia, were randomly selected to participate, with 4 participating in the Orange-Fleshed Sweetpotato (OFSP) Program. Of the 4 participating in the program, 2 were assigned to provide educational information about sweetpotato, whereas 2 presented the same information plus depictions of an aspirational figure (a famous local athlete) associated with the sweetpotato.
RESULTS: Provision of information on the nutritional benefits of biofortified food combined with an aspirational figure resulted in increased consumption of biofortified food by children. However, provision of the information alone did not detectably increase consumption. An analysis of trends over the course of the study revealed no discernable decay effect.
CONCLUSIONS: Our results highlight the potential for relatively inexpensive behavioral interventions to increase acceptance of novel biofortified foods among children in a developing-country context. Larger studies with more varied interventions and larger numbers of participating schools could address several of the weaknesses in this study and establish more robust findings.
© The Author(s) 2022. Published by Oxford University Press on behalf of the American Society for Nutrition.

Entities:  

Keywords:  Ethiopia; acceptance; behavioral nudges; biofortified foods; promotion; school children; school lunch meals

Year:  2022        PMID: 35224419      PMCID: PMC8866104          DOI: 10.1093/cdn/nzac008

Source DB:  PubMed          Journal:  Curr Dev Nutr        ISSN: 2475-2991


  23 in total

1.  Pilot Evaluation of Aggregate Plate Waste as a Measure of Students' School Lunch Consumption.

Authors:  Leah Elizabeth Chapman; Scott Richardson; Lori McLeod; Eric Rimm; Juliana Cohen
Journal:  J Acad Nutr Diet       Date:  2019-05-29       Impact factor: 4.910

Review 2.  Incorporating orange-fleshed sweet potato into the food system as a strategy for improved nutrition: The context of South Africa.

Authors:  Sunette M Laurie; Mieke Faber; Nicole Claasen
Journal:  Food Res Int       Date:  2017-09-09       Impact factor: 6.475

3.  Using Nudges to Promote Healthy Food Choices in the School Dining Room: A Systematic Review of Previous Investigations.

Authors:  Mariel I Marcano-Olivier; Pauline J Horne; Simon Viktor; Mihela Erjavec
Journal:  J Sch Health       Date:  2019-12-18       Impact factor: 2.118

4.  A Randomized Trial of Iron-Biofortified Pearl Millet in School Children in India.

Authors:  Julia L Finkelstein; Saurabh Mehta; Shobha A Udipi; Padmini S Ghugre; Sarah V Luna; Michael J Wenger; Laura E Murray-Kolb; Eric M Przybyszewski; Jere D Haas
Journal:  J Nutr       Date:  2015-05-06       Impact factor: 4.798

5.  The impact of food branding on children's eating behavior and obesity.

Authors:  Kathleen L Keller; Laura G Kuilema; Norman Lee; Joyce Yoon; Brittany Mascaro; Anne-Laure Combes; Bryan Deutsch; Kathryn Sorte; Jason C G Halford
Journal:  Physiol Behav       Date:  2012-03-16

6.  Marketing Vegetables in Elementary School Cafeterias to Increase Uptake.

Authors:  Andrew S Hanks; David R Just; Adam Brumberg
Journal:  Pediatrics       Date:  2016-07-05       Impact factor: 7.124

7.  School feeding program has resulted in improved dietary diversity, nutritional status and class attendance of school children.

Authors:  Mastewal Zenebe; Samson Gebremedhin; Carol J Henry; Nigatu Regassa
Journal:  Ital J Pediatr       Date:  2018-01-23       Impact factor: 2.638

Review 8.  Food Waste in the National School Lunch Program 1978-2015: A Systematic Review.

Authors:  Carmen Byker Shanks; Jinan Banna; Elena L Serrano
Journal:  J Acad Nutr Diet       Date:  2017-08-12       Impact factor: 4.910

9.  Prevalence and factors associated with undernutrition and anaemia among school children in Durbete Town, northwest Ethiopia.

Authors:  Tilahun Alelign; Abraham Degarege; Berhanu Erko
Journal:  Arch Public Health       Date:  2015-08-10

Review 10.  Tackling vitamin A deficiency with biofortified sweetpotato in sub-Saharan Africa.

Authors:  Jan W Low; Robert O M Mwanga; Maria Andrade; Edward Carey; Anna-Marie Ball
Journal:  Glob Food Sec       Date:  2017-09
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