The overall objectives of this proposed four-year project are: 1) to develop a multi-component intervention strategy, using schools as the channel and children and their families as the target population for an intervention that uses the """"""""5-a-Day"""""""" message, to increase the consumption of fruits and vegetables among 4th grade students; and 2) to evaluate the effectiveness of this strategy using 24 grade schools in the greater Birmingham area in a randomized, controlled design using schools as the unit of randomization and analysis. Our proposed primary outcome measures will be dietary behavior of 36 randomly-selected children per school (for a total of 864 children in the 24 schools) at baseline and then at one- and two-year follow-up evaluations on measures of: 1) 24- hour dietary recalls; and 2) direct observations of children's food consumption during the school lunch period. Secondary outcome measures for these same children and their parents will include: children's diet- related knowledge, intention and perceived self-efficacy to make dietary changes; dietary behavior of parents based on a food frequency questionnaire; and parents' knowledge, intentions and perceived self- efficacy for dietary change. Demographic data will also be collected, and process data will be collected to monitor treatment implementation. Phase I (months 1-17) will involve: 1) the development of intervention components and measurement techniques, 2) formative evaluation and pilot- testing, 3) training of intervention and school personnel, and 4) baseline data collection. Phase II (months 18-26) will involve the randomization of schools to either the treatment or no-treatment control group and implementation of the intervention at treatment schools. During Phase III (months 27-38), no intervention will occur, but outcome data will be collected. Phase IV (months 39-48) will involve final data collection, final data entry and preparation of the final report along with manuscripts. We will also provide the intervention to the schools and children in the no-treatment control group.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA059776-02
Application #
2100392
Study Section
Special Emphasis Panel (SRC (72))
Project Start
1993-05-01
Project End
1997-02-28
Budget Start
1994-05-01
Budget End
1995-02-28
Support Year
2
Fiscal Year
1994
Total Cost
Indirect Cost
Name
University of Alabama Birmingham
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
004514360
City
Birmingham
State
AL
Country
United States
Zip Code
35294
Harrington, Kathleen Fleege; Kohler, Connie L; McClure, Leslie A et al. (2009) Fourth graders' reports of fruit and vegetable intake at school lunch: does treatment assignment affect accuracy? J Am Diet Assoc 109:36-44
Reynolds, Kim D; Bishop, Donald B; Chou, Chih-Ping et al. (2004) Contrasting mediating variables in two 5-a-day nutrition intervention programs. Prev Med 39:882-93
Shewchuk, Richard M; Franklin, Frank A; Harrington, Kathy F et al. (2004) Using cognitive mapping to develop a community-based family intervention. Am J Health Behav 28:43-53
Reynolds, Kim D; Yaroch, Amy L; Franklin, Frank A et al. (2002) Testing mediating variables in a school-based nutrition intervention program. Health Psychol 21:51-60
Reynolds, K D; Franklin, F A; Binkley, D et al. (2000) Increasing the fruit and vegetable consumption of fourth-graders: results from the high 5 project. Prev Med 30:309-19
Kratt, P; Reynolds, K; Shewchuk, R (2000) The role of availability as a moderator of family fruit and vegetable consumption. Health Educ Behav 27:471-82
Reynolds, K D; Franklin, F A; Leviton, L C et al. (2000) Methods, results, and lessons learned from process evaluation of the high 5 school-based nutrition intervention. Health Educ Behav 27:177-86