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Kristine A Madsen - One of the best experts on this subject based on the ideXlab platform.
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the impact of a multi pronged intervention on students perceptions of School Lunch quality and convenience and self reported fruit and vegetable consumption
International Journal of Environmental Research and Public Health, 2020Co-Authors: Stephanie S Machado, Lorrene D Ritchie, Hannah R Thompson, Kristine A MadsenAbstract:School Lunch programs provide an opportunity to improve students' diets. We sought to determine the impact of a multifaceted intervention (cafeteria redesigns, increased points-of-sale and teacher education) on secondary students' perceptions of School-Lunch quality and convenience and fruit and vegetable intake. Surveys (n = 12,827) from middle and high School students in 12 intervention and 11 control Schools were analyzed. We investigated change in School-Lunch perceptions and Lunchtime and daily fruit and vegetable consumption from 2016 to 2018. Among 8th graders, perceptions that School Lunch tastes good and that School Lunch was enough to make students feel full increased 0.2 points (on a 5-point scale; p < 0.01) in intervention Schools relative to control Schools. Among 10th graders, Lunchtime fruit and vegetable consumption increased 6% in intervention relative to control Schools (p < 0.05 and p < 0.01 respectively). Daily fruit intake increased 0.1 cups/day in intervention relative to control Schools among 9th graders (p < 0.01). This study provides important evidence on the limited effect of design approaches in the absence of meal changes. We observed only modest changes in School Lunch perceptions and fruit and vegetable consumption that were not consistent across grades, suggesting that additional efforts are needed to improve School-Lunch uptake.
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np6 preliminary results from the multi pronged intervention to increase secondary student participation in School Lunch mpi
Journal of Nutrition Education and Behavior, 2019Co-Authors: Kristine A Madsen, Stephanie S Machado, Hannah R Thompson, Ana Ibarra Castro, Marisa Neelon, Wendi Gosliner, Lorrene D RitchieAbstract:Objective The National School Lunch Program is a healthy Lunch option for students, yet participation is suboptimal and fruit and vegetable waste remains high. The study intervention consisted of adding School-Lunch vending machines and mobile carts, School-Lunch outreach to teachers, and cafeteria redesigns. The objectives were to determine the impact on School-Lunch participation, perceptions and fruit and vegetable consumption. Description This three-year quasi-experimental study included 24 middle and high Schools of which half received the intervention and half served as controls. Daily meal participation data were available through electronic point-of-sale records. Student and teacher surveys (20,905 and 1,941, respectively) assessed consumption and perceptions. Mixed effects linear and logistic regression models were used to assess differences between intervention and control groups in outcomes. Evaluation No significant differences in overall Lunchtime fruit and vegetable consumption or student Lunch participation were observed between control and intervention groups. There was a decrease in participation among teachers at intervention compared to control Schools (0.5% difference, P Conclusion and Implications The intervention did not have a positive effect on overall Lunchtime fruit and vegetable consumption or Lunch participation but had a modest effect on student and teacher perceptions of School-Lunch and FRPM student Lunch participation. Additional innovations are needed to improve School-Lunch participation and student dietary intakes. Funding 2015-68001-23236.
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multi pronged intervention to increase secondary student participation in School Lunch design and rationale
Contemporary Clinical Trials, 2019Co-Authors: Stephanie S Machado, Lorrene D Ritchie, Hannah R Thompson, Annie Reed, Ana Ibarra Castro, Marisa Neelon, Kristine A MadsenAbstract:Abstract Background In the United States, the National School Lunch Program (NSLP) is the healthiest Lunch option for students, yet participation is suboptimal and fruit and vegetable waste remains high. Improving School meal convenience, engaging teachers in the School-Lunch program, and enhancing the cafeteria environment are promising strategies to improve participation and dietary intake, yet little evidence is available on their impact. Methods/design The Multi-Pronged Intervention to Increase Secondary Student Participation in School Lunch (MPI) is a 3-year quasi-experimental study in a large urban School district in California. A total of 24 middle and high Schools participated in the study: half received the intervention and half served as controls. The intervention consisted of additional School Lunch points of sale (vending machines and mobile carts), a School meal outreach program for teachers, and cafeteria redesigns. School meal participation, student-reported fruit and vegetable consumption, and School Lunch plate waste were assessed at baseline and in years 1 and 2 of the intervention. Change in meal participation and fruit and vegetable consumption were compared between intervention and control arms to determine the impact of the intervention on School meal participation and dietary intake. Discussion This study is positioned to provide evidence on the feasibility and efficacy of a multi-level intervention to increase School meal participation and consumption of fruits and vegetables.
Lorrene D Ritchie - One of the best experts on this subject based on the ideXlab platform.
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the impact of a multi pronged intervention on students perceptions of School Lunch quality and convenience and self reported fruit and vegetable consumption
International Journal of Environmental Research and Public Health, 2020Co-Authors: Stephanie S Machado, Lorrene D Ritchie, Hannah R Thompson, Kristine A MadsenAbstract:School Lunch programs provide an opportunity to improve students' diets. We sought to determine the impact of a multifaceted intervention (cafeteria redesigns, increased points-of-sale and teacher education) on secondary students' perceptions of School-Lunch quality and convenience and fruit and vegetable intake. Surveys (n = 12,827) from middle and high School students in 12 intervention and 11 control Schools were analyzed. We investigated change in School-Lunch perceptions and Lunchtime and daily fruit and vegetable consumption from 2016 to 2018. Among 8th graders, perceptions that School Lunch tastes good and that School Lunch was enough to make students feel full increased 0.2 points (on a 5-point scale; p < 0.01) in intervention Schools relative to control Schools. Among 10th graders, Lunchtime fruit and vegetable consumption increased 6% in intervention relative to control Schools (p < 0.05 and p < 0.01 respectively). Daily fruit intake increased 0.1 cups/day in intervention relative to control Schools among 9th graders (p < 0.01). This study provides important evidence on the limited effect of design approaches in the absence of meal changes. We observed only modest changes in School Lunch perceptions and fruit and vegetable consumption that were not consistent across grades, suggesting that additional efforts are needed to improve School-Lunch uptake.
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np6 preliminary results from the multi pronged intervention to increase secondary student participation in School Lunch mpi
Journal of Nutrition Education and Behavior, 2019Co-Authors: Kristine A Madsen, Stephanie S Machado, Hannah R Thompson, Ana Ibarra Castro, Marisa Neelon, Wendi Gosliner, Lorrene D RitchieAbstract:Objective The National School Lunch Program is a healthy Lunch option for students, yet participation is suboptimal and fruit and vegetable waste remains high. The study intervention consisted of adding School-Lunch vending machines and mobile carts, School-Lunch outreach to teachers, and cafeteria redesigns. The objectives were to determine the impact on School-Lunch participation, perceptions and fruit and vegetable consumption. Description This three-year quasi-experimental study included 24 middle and high Schools of which half received the intervention and half served as controls. Daily meal participation data were available through electronic point-of-sale records. Student and teacher surveys (20,905 and 1,941, respectively) assessed consumption and perceptions. Mixed effects linear and logistic regression models were used to assess differences between intervention and control groups in outcomes. Evaluation No significant differences in overall Lunchtime fruit and vegetable consumption or student Lunch participation were observed between control and intervention groups. There was a decrease in participation among teachers at intervention compared to control Schools (0.5% difference, P Conclusion and Implications The intervention did not have a positive effect on overall Lunchtime fruit and vegetable consumption or Lunch participation but had a modest effect on student and teacher perceptions of School-Lunch and FRPM student Lunch participation. Additional innovations are needed to improve School-Lunch participation and student dietary intakes. Funding 2015-68001-23236.
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student perception of healthfulness School Lunch healthfulness and participation in School Lunch the healthy communities study
Journal of Nutrition Education and Behavior, 2019Co-Authors: Marisa Tsai, Lorrene D Ritchie, Punam OhrivachaspatiAbstract:Abstract Objective To increase understanding about the healthfulness of School Lunch and participation, this study measured 3 School Lunch variables, students’ perception of healthfulness, objective healthfulness, and participation, and examined associations between each pair of variables (3 associations). Methods Multilevel models were used for a secondary analysis of data from the Healthy Communities Study, a 2013–2015 observational study of Schools (n = 423) and children (n = 5,106) from 130 US communities. Results Students who reported that School Lunches were sometimes, often, or very often healthy ate School Lunches more frequently per week (β = .71; P Conclusions and Implications Student perception of healthfulness of School Lunch is positively associated with participation but not with objective School Lunch healthfulness. Understanding how student perception is associated with participation can inform effective communications to students to increase participation in the School Lunch program.
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multi pronged intervention to increase secondary student participation in School Lunch design and rationale
Contemporary Clinical Trials, 2019Co-Authors: Stephanie S Machado, Lorrene D Ritchie, Hannah R Thompson, Annie Reed, Ana Ibarra Castro, Marisa Neelon, Kristine A MadsenAbstract:Abstract Background In the United States, the National School Lunch Program (NSLP) is the healthiest Lunch option for students, yet participation is suboptimal and fruit and vegetable waste remains high. Improving School meal convenience, engaging teachers in the School-Lunch program, and enhancing the cafeteria environment are promising strategies to improve participation and dietary intake, yet little evidence is available on their impact. Methods/design The Multi-Pronged Intervention to Increase Secondary Student Participation in School Lunch (MPI) is a 3-year quasi-experimental study in a large urban School district in California. A total of 24 middle and high Schools participated in the study: half received the intervention and half served as controls. The intervention consisted of additional School Lunch points of sale (vending machines and mobile carts), a School meal outreach program for teachers, and cafeteria redesigns. School meal participation, student-reported fruit and vegetable consumption, and School Lunch plate waste were assessed at baseline and in years 1 and 2 of the intervention. Change in meal participation and fruit and vegetable consumption were compared between intervention and control arms to determine the impact of the intervention on School meal participation and dietary intake. Discussion This study is positioned to provide evidence on the feasibility and efficacy of a multi-level intervention to increase School meal participation and consumption of fruits and vegetables.
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eating School Lunch is associated with higher diet quality among elementary School students
Journal of the Academy of Nutrition and Dietetics, 2016Co-Authors: Nila J Rosen, Keenan Fenton, Ken Hecht, Lorrene D RitchieAbstract:Abstract Background Few studies have assessed the dietary quality of children who eat meals from home compared with School meals according to the 2010 Dietary Guidelines for Americans. Objective The objective of this study was to examine diet quality for elementary School students in relation to source of breakfast and Lunch (whether School meal or from an outside source). Design An observational study was conducted of students in 43 Schools in San Diego, CA, during the 2011-2012 School year. Participants/setting Fourth- and fifth-grade students (N=3,944) completed a diary-assisted 24-hour food recall. Main outcome measures The Healthy Eating Index-2010 (HEI-2010) scores of children who ate breakfast and Lunch at School were compared with the HEI-2010 scores of children who obtained their meals from home and a combination of both School and home. Statistical analysis Analysis of variance, χ 2 test, and generalized estimating equation models adjusted for age, sex, race/ethnicity, grade, language, and School level clustering were performed. Results School Lunch eaters had a higher mean±standard deviation overall diet quality score (HEI-2010=49.0±11.3) compared with students who ate a Lunch obtained from home (46.1±12.2; P =0.02). There was no difference in overall diet quality score by breakfast groups. Students who ate School breakfast had higher total fruit ( P =0.01) and whole fruit ( P =0.0008) scores compared with students who only ate breakfast obtained from home. Students who ate School foods had higher scores for dairy ( P =0.007 for breakfast and P P =0.01 for breakfast and P =0.007 for Lunch). Conclusions Eating School Lunch was associated with higher overall diet quality compared with obtaining Lunch from home. Future studies are needed that assess the influence of the Healthy Hunger-Free Kids Act on children's diet quality.
Eric B Rimm - One of the best experts on this subject based on the ideXlab platform.
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School Lunch waste among middle School students
American Journal of Preventive Medicine, 2013Co-Authors: Juliana F W Cohen, Scott Richardson, Bryn S Austin, Christina D Economos, Eric B RimmAbstract:Background The National School Lunch Program has been guided by modest nutrient standards, and the palatability of meals, which drives consumption, receives inadequate attention. School food waste can have important nutritional and cost implications for policymakers, students, and their families. Purpose Nutrient losses and economic costs associated with School meal waste were examined. The study also assessed if School foods served were valid proxies for foods consumed by students. Methods Plate waste measurements were collected from middle School students in Boston attending two Chef Initiative Schools ( n =1609) and two control Schools ( n =1440) during a 2-year pilot study (2007–2009) in which a professional chef trained cafeteria staff to make healthier School meals. The costs associated with food waste were calculated and the percentage of foods consumed was compared with a gold standard of 85% consumption. Analyses were conducted in 2010–2011. Results Overall, students consumed less than the required/recommended levels of nutrients. An estimated $432,349 of food (26.1% of the total food budget) was discarded by middle School students annually at Lunch in these Boston middle Schools. For most meal components, substantially less than 85% was consumed. Conclusions There is substantial food waste among middle School students in Boston. Overall, students' nutrient consumption levels were below School meal standards, and foods served were not valid proxies for foods consumed. The costs associated with discarded foods are high; if translated nationally for School Lunches, roughly $1,238,846,400 annually is wasted. Students might benefit if additional focus were given to the quality and palatability of School meals.
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School Lunch waste among middle School students nutrients consumed and costs
American Journal of Preventive Medicine, 2013Co-Authors: Juliana F W Cohen, Scott Richardson, Bryn S Austin, Christina D Economos, Eric B RimmAbstract:Background The National School Lunch Program has been guided by modest nutrient standards, and the palatability of meals, which drives consumption, receives inadequate attention. School food waste can have important nutritional and cost implications for policymakers, students, and their families. Purpose Nutrient losses and economic costs associated with School meal waste were examined. The study also assessed if School foods served were valid proxies for foods consumed by students. Methods Plate waste measurements were collected from middle School students in Boston attending two Chef Initiative Schools (n=1609) and two control Schools (n=1440) during a 2-year pilot study (2007–2009) in which a professional chef trained cafeteria staff to make healthier School meals. The costs associated with food waste were calculated and the percentage of foods consumed was compared with a gold standard of 85% consumption. Analyses were conducted in 2010–2011. Results Overall, students consumed less than the required/recommended levels of nutrients. An estimated $432,349 of food (26.1% of the total food budget) was discarded by middle School students annually at Lunch in these Boston middle Schools. For most meal components, substantially less than 85% was consumed. Conclusions There is substantial food waste among middle School students in Boston. Overall, students' nutrient consumption levels were below School meal standards, and foods served were not valid proxies for foods consumed. The costs associated with discarded foods are high; if translated nationally for School Lunches, roughly $1,238,846,400 annually is wasted. Students might benefit if additional focus were given to the quality and palatability of School meals.
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long term impact of a chef on School Lunch consumption findings from a 2 year pilot study in boston middle Schools
Journal of the Academy of Nutrition and Dietetics, 2012Co-Authors: Juliana F W Cohen, Bryn S Austin, Christina D Economos, Liesbeth A Smit, Ellen Parker, Lindsay A Frazier, Eric B RimmAbstract:Abstract School cafeterias can play an important role in providing healthy meals. Although Schools participating in the National School Lunch Program are required to meet minimum program standards, advocates recommend that innovations be sought to enhance menu dietary quality. This study evaluated the Chef Initiative, a 2-year pilot study in two Boston middle Schools, designed to increase the availability and consumption of healthier School foods. Between 2007 and 2009, a professional chef trained cafeteria staff to prepare healthier School Lunches (ie, more whole grains, fresh/frozen fruits and vegetables, and less sugar, salt, saturated fats, and trans fats). Meal nutrient compositions were monitored from 2007 to 2009, and a plate waste study conducted in the spring of 2009 compared food selection and consumption patterns among students at Chef Initiative Schools, with students receiving standard School Lunches at two matched control Schools. Paired t tests and descriptive statistics were used to examine differences in menus and mixed-model analysis of variance was used to analyze differences in students' food selection and consumption between Chef Initiative and control Schools. Overall, the Chef Initiative Schools provided healthier Lunches and the percent of foods consumed at Chef Initiative and control Schools were similar (61.6% vs 57.3%; P =0.63). Of the areas targeted, there was greater whole-grain selection and vegetable consumption; 51% more students selected whole grains ( P =0.02) and students consumed 0.36 more vegetable servings/day ( P =0.01) at Chef Initiative Schools. The potential of chefs collaborating with cafeteria staff to improve the availability, selection, and consumption of healthier meals is promising.
Jayna M Dave - One of the best experts on this subject based on the ideXlab platform.
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differential improvements in student fruit and vegetable selection and consumption in response to the new national School Lunch program regulations a pilot study
Journal of the Academy of Nutrition and Dietetics, 2015Co-Authors: Karen W Cullen, Jayna M Dave, Tzuan Chen, Helen H JensenAbstract:Abstract Objective To investigate changes in student food selection and consumption in response to the new National School Lunch Program meal patterns during fall 2011. Design Eight elementary and four intermediate Schools in one Houston area School district were matched on free/reduced-price meal eligibility and randomized into control or intervention conditions. Intervention Both intervention and control School cafeterias served the same menu. The intervention School cafeterias posted the new meal pattern daily; students could select one fruit and two vegetable servings per reimbursable meal. Control School students could only select the previous meal pattern: a total of two fruit and vegetable servings per meal. Main outcome measures Students were observed during Lunch: student sex and foods selected/consumed were recorded. Diet analysis software was used to calculate energy/food groups selected/consumed. Statistical analyses performed Cochran-Mantel-Haenszel χ 2 tests examined differences in the percent of students selecting each meal component by condition, controlling for sex, grade, and School free/reduced-price meal eligibility. Analysis of covariance assessed differences in amount of energy/food groups selected and consumed, and differences in percent of food groups consumed. Results Observations were conducted for 1,149 elementary and 427 intermediate students. Compared with students in the control Schools, significantly more intervention elementary and intermediate School students selected total ( P P P P P P P Conclusions More intervention students selected fruit and vegetables at Lunch and consumed them compared with control condition students. Future studies with larger and more diverse student populations are warranted.
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changes in foods selected and consumed after implementation of the new national School Lunch program meal patterns in southeast texas
Preventive medicine reports, 2015Co-Authors: Karen W Cullen, Tzuan Chen, Jayna M DaveAbstract:Objective We compared elementary students' School Lunches selected and consumed before (Spring, 2011) and after (Spring, 2013) implementation of the new National School Lunch Program meal patterns in the fall of 2012.
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middle School students School Lunch consumption does not meet the new institute of medicine s national School Lunch program recommendations
Public Health Nutrition, 2011Co-Authors: Karen W Cullen, Kathleen B Watson, Jayna M DaveAbstract:OBJECTIVE To compare the School Lunch consumption of Texas middle-School students with the 2009 Institute of Medicine's (IOM) School meal report recommendations. These new Lunch menu patterns increase fruit to one serving and vegetables to two servings, with 50 % wholegrain food. DESIGN Lunch food records were collected from middle-School students from four Schools in south-east Texas in the spring of 2008, and entered into the Nutrition Data System for Research software. Average intake was calculated for those consuming meals according to the National School Lunch Program (NSLP; n 5414) and for those consuming Lunch from other sources (n 239). The percentage of students selecting each food group was calculated. SETTING Middle Schools in south-east Texas. SUBJECTS Middle-School students in south-east Texas. RESULTS Students consuming NSLP meals reported consuming almost 1/2 serving of fruit, 3/4 serving of vegetables, 8 oz of milk and 1/3 serving of whole grains at Lunch. Non-NSLP consumers reported almost no intake of fruit, vegetables or milk, and consumed 1/4 serving of whole grains at Lunch. Among NSLP consumers, about 40% selected and consumed a fruit serving. About two-thirds of students selected a vegetable, consuming about 67 %. Less than 4% selected a dark green or orange vegetable. CONCLUSIONS Students' Lunch intake did not meet the new IOM recommendations. Few students selected dark green or orange vegetables, and only 40 % selected fruit. Whole grains consumption was low. Interventions with all stakeholders will be necessary to improve students' food and beverage selections overall when School meal patterns are revised.
Stephanie S Machado - One of the best experts on this subject based on the ideXlab platform.
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the impact of a multi pronged intervention on students perceptions of School Lunch quality and convenience and self reported fruit and vegetable consumption
International Journal of Environmental Research and Public Health, 2020Co-Authors: Stephanie S Machado, Lorrene D Ritchie, Hannah R Thompson, Kristine A MadsenAbstract:School Lunch programs provide an opportunity to improve students' diets. We sought to determine the impact of a multifaceted intervention (cafeteria redesigns, increased points-of-sale and teacher education) on secondary students' perceptions of School-Lunch quality and convenience and fruit and vegetable intake. Surveys (n = 12,827) from middle and high School students in 12 intervention and 11 control Schools were analyzed. We investigated change in School-Lunch perceptions and Lunchtime and daily fruit and vegetable consumption from 2016 to 2018. Among 8th graders, perceptions that School Lunch tastes good and that School Lunch was enough to make students feel full increased 0.2 points (on a 5-point scale; p < 0.01) in intervention Schools relative to control Schools. Among 10th graders, Lunchtime fruit and vegetable consumption increased 6% in intervention relative to control Schools (p < 0.05 and p < 0.01 respectively). Daily fruit intake increased 0.1 cups/day in intervention relative to control Schools among 9th graders (p < 0.01). This study provides important evidence on the limited effect of design approaches in the absence of meal changes. We observed only modest changes in School Lunch perceptions and fruit and vegetable consumption that were not consistent across grades, suggesting that additional efforts are needed to improve School-Lunch uptake.
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np6 preliminary results from the multi pronged intervention to increase secondary student participation in School Lunch mpi
Journal of Nutrition Education and Behavior, 2019Co-Authors: Kristine A Madsen, Stephanie S Machado, Hannah R Thompson, Ana Ibarra Castro, Marisa Neelon, Wendi Gosliner, Lorrene D RitchieAbstract:Objective The National School Lunch Program is a healthy Lunch option for students, yet participation is suboptimal and fruit and vegetable waste remains high. The study intervention consisted of adding School-Lunch vending machines and mobile carts, School-Lunch outreach to teachers, and cafeteria redesigns. The objectives were to determine the impact on School-Lunch participation, perceptions and fruit and vegetable consumption. Description This three-year quasi-experimental study included 24 middle and high Schools of which half received the intervention and half served as controls. Daily meal participation data were available through electronic point-of-sale records. Student and teacher surveys (20,905 and 1,941, respectively) assessed consumption and perceptions. Mixed effects linear and logistic regression models were used to assess differences between intervention and control groups in outcomes. Evaluation No significant differences in overall Lunchtime fruit and vegetable consumption or student Lunch participation were observed between control and intervention groups. There was a decrease in participation among teachers at intervention compared to control Schools (0.5% difference, P Conclusion and Implications The intervention did not have a positive effect on overall Lunchtime fruit and vegetable consumption or Lunch participation but had a modest effect on student and teacher perceptions of School-Lunch and FRPM student Lunch participation. Additional innovations are needed to improve School-Lunch participation and student dietary intakes. Funding 2015-68001-23236.
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multi pronged intervention to increase secondary student participation in School Lunch design and rationale
Contemporary Clinical Trials, 2019Co-Authors: Stephanie S Machado, Lorrene D Ritchie, Hannah R Thompson, Annie Reed, Ana Ibarra Castro, Marisa Neelon, Kristine A MadsenAbstract:Abstract Background In the United States, the National School Lunch Program (NSLP) is the healthiest Lunch option for students, yet participation is suboptimal and fruit and vegetable waste remains high. Improving School meal convenience, engaging teachers in the School-Lunch program, and enhancing the cafeteria environment are promising strategies to improve participation and dietary intake, yet little evidence is available on their impact. Methods/design The Multi-Pronged Intervention to Increase Secondary Student Participation in School Lunch (MPI) is a 3-year quasi-experimental study in a large urban School district in California. A total of 24 middle and high Schools participated in the study: half received the intervention and half served as controls. The intervention consisted of additional School Lunch points of sale (vending machines and mobile carts), a School meal outreach program for teachers, and cafeteria redesigns. School meal participation, student-reported fruit and vegetable consumption, and School Lunch plate waste were assessed at baseline and in years 1 and 2 of the intervention. Change in meal participation and fruit and vegetable consumption were compared between intervention and control arms to determine the impact of the intervention on School meal participation and dietary intake. Discussion This study is positioned to provide evidence on the feasibility and efficacy of a multi-level intervention to increase School meal participation and consumption of fruits and vegetables.
