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School‐based promotion of fruit and vegetable consumption in multiculturally diverse, urban schools
Author(s) -
BlomHoffman Jessica
Publication year - 2008
Publication title -
psychology in the schools
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 75
eISSN - 1520-6807
pISSN - 0033-3085
DOI - 10.1002/pits.20275
Subject(s) - overweight , underweight , percentile , promotion (chess) , health promotion , gerontology , childhood obesity , obesity , psychology , nutrition education , consumption (sociology) , medicine , demography , public health , environmental health , sociology , political science , nursing , social science , mathematics , statistics , politics , law
Rates of childhood overweight 1 The term childhood overweight as opposed to childhood obesity is used in this article. This term is consistent with the Centers for Disease Control and Prevention's (2007a) nomenclature for describing children's weight status. For children, weight status is determined by a BMI percentile using age‐ and gender‐specific normative data. Underweight is defined as a child being below the 5th percentile based on the age‐ and gender‐specific norms, Normal Weight is defined as being between the 5th and the 84th percentile, At Risk for Overweight is defined as being between the 85th and the 94th percentile, and Overweight is defined as at or above the 95th percentile. For more information, go to www.cdc.gov/nccdphp/dnpa/bmi/childrens_BMI/about_childrens_BMI.htm . have reached epidemic proportions (U.S. Department of Health and Human Services, 2001), and schools have been called on to play a role in the prevention of this medical condition. This article describes a multiyear health promotion effort—the Athletes in Service fruit and vegetable (F&V) promotion program—which is based on social learning theory for urban, elementary school children in kindergarten through third grade. Children participate in the program for a period of 3 years. The goals of the program are to increase opportunities for children to be more physically active during the school day and to help students increase their F&V consumption. This article describes the F&V promotion components of the program that were implemented in year 1, including implementation integrity and treatment acceptability data. Year 1 evaluation data demonstrated that the program is acceptable from the perspective of school staff and was implemented by school staff with high levels of integrity. Hallmarks of the program's successful implementation and high acceptability include (a) having a school‐based program champion; (b) designing the program to include low‐cost, attractive, interactive materials; (c) including many school staff members to facilitate a culture of healthy eating in the school; and (d) spreading out implementation responsibilities among the multiple staff members so that each individual's involvement is time efficient. © 2007 Wiley Periodicals, Inc.