Great Taste, Less Waste: A cluster-randomized trial using a communications campaign to improve the quality of foods brought from home to school by elementary school children

Abstract Objective Great Taste , Less Waste ( GTLW ), a communications campaign, capitalized on the synergy between healthy eating and eco-friendly behaviors to motivate children to bring more fruits and vegetables and fewer sugar-sweetened beverages (SSBs) to school. Methods A cluster-randomized tr...

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Bibliographic Details
Published in:Preventive medicine 2015-05, Vol.74, p.103-110
Main Authors: Goldberg, Jeanne P, Folta, Sara C, Eliasziw, Misha, Koch-Weser, Susan, Economos, Christina D, Hubbard, Kristie L, Tanskey, Lindsay A, Wright, Catherine M, Must, Aviva
Format: Article
Language:English
Subjects:
Behavioral intervention
Checklist
Child
Child Nutrition Sciences - education
Conservation of Natural Resources
Elementary school children
Female
Food Quality
Fruit
Fruits and vegetables
Humans
Innovative approaches
Internal Medicine
Lunch
Male
Massachusetts
Nutrition communication
Parents - education
Photography
Schools
Socioeconomic Factors
Staff Development - methods
Taste Perception
Teaching - methods
Vegetables
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Summary:Abstract Objective Great Taste , Less Waste ( GTLW ), a communications campaign, capitalized on the synergy between healthy eating and eco-friendly behaviors to motivate children to bring more fruits and vegetables and fewer sugar-sweetened beverages (SSBs) to school. Methods A cluster-randomized trial in Eastern Massachusetts elementary schools in 2011–2012 tested the hypothesis that GTLW would improve the quality of foods from home more than a nutrition-only campaign— Foods 2 Choose ( F2C )—or control. Lunch and snack items from home were measured at baseline and 7 months later using digital photography. Mixed linear models compared change in mean servings of fruits, vegetables, and SSBs among groups, and change in mean prevalence of packaging type. Change in prevalence of food items of interest was compared among groups using generalized linear models. Results Five hundred and eighty-two third and fourth graders from 82 classrooms in 12 schools participated. At follow-up, no significant differences were observed between groups in change in mean servings or change in prevalence of items of interest. No packaging differences were observed. Conclusion GTLW was well received, but no significant changes were observed in the quality of food brought to school. Whether classrooms are an effective environment for change remains to be explored. ClinicalTrials.gov identifier: NCT0157384.
ISSN:0091-7435
1096-0260
DOI:10.1016/j.ypmed.2015.02.010