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Cited by 300Nutrition, Health and Food BehaviorObesity, Physical Activity, DietSchool Health and Nursing Education

A Randomized School Trial of Environmental Strategies to Encourage Fruit and Vegetable Consumption among Children

Perry, Cheryl L., Bishop, Donald B., Taylor, Gretchen L., Davis, Marsha, Story, Mary, Gray, Clifton, Bishop, Susan C., Mays, Rita A. Warren +2 more·2004·Health Education & Behavior
DOI 10.1177/1090198103255530
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Abstract

The Cafeteria Power Plus project examined whether a cafeteria-based intervention would increase the fruit and vegetable (FV) consumption of children. Twenty-six schools were randomly assigned to either an intervention or control condition. Baseline lunch observations of a sample ( N = 1668) of first- and third-grade students occurred in the spring of 2000; follow-up was in the spring of 2002. The intervention took place during two consecutive school years beginning in the fall of 2000 and consisted of daily activities (increasing the availability, attractiveness, and encouragement for FV) and special events (kick-offs, samplings, challenge weeks, theater production, and finale meal). Training of food-service staff and cook managers was ongoing throughout the intervention phase. Students in the intervention schools significantly increased their total fruit intake. Process measures indicated that verbal encouragement by food-service staff was associated with outcomes. The outcomes suggest that multicomponent interventions are more powerful than cafeteria programs alone with this age group.

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Crossref · 10.1177/1090198103255530

Cites

31 of 31 references verified0 citation errors · 0 not checkable

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  • Children consumed more vegetables during lunch when cafeteria staff gave them a choice of which vegetable to eat.

    “For example, one study found that children consumed more vegetables during lunch when cafeteria staff gave them a choice of which vegetable to eat (Perry et al., 2004).”

    From Culture and Healthy Eating: The Role of Independence and Interdependence in the United States and Japan (2016) · cites this paper as Perry et al., 2004

  • Perry et al. found a 0.15 serving increase in combined fruit and vegetable consumption (p = 0.02) with multiple fruit and vegetable choices.

    “Perry et al. used visual estimation to examine the impact of offering multiple fruit and vegetable choices and found a 0.15 serving increase in combined fruit and vegetable consumption (p = 0.02).”

    From Strategies to Improve School Meal Consumption: A Systematic Review (2021) · cites this paper as [48]

  • Perry et al. found taste tests combined with more fruit and vegetable choices and choice architecture techniques associated with an increase in fruit and vegetable consumption.

    “Additionally, the previously mentioned multi-component study by Perry and colleagues found that taste tests combined with more fruit and vegetable choices and choice architecture techniques was associated with an increase in fruit and vegetable consumption [48].”

    From Strategies to Improve School Meal Consumption: A Systematic Review (2021) · cites this paper as [48]

  • Perry et al. found rewards (frozen yogurt for the classroom) plus taste tests and more fruit and vegetable choices associated with an increase in fruit and vegetable consumption.

    “Using the same measure of consumption, the previously described study by Perry and colleagues found that rewards (i.e., frozen yogurt for the classroom), as well as taste tests and more fruit and vegetable choices, were associated with an increase in fruit and vegetable consumption [48].”

    From Strategies to Improve School Meal Consumption: A Systematic Review (2021) · cites this paper as [48]

  • Thirteen studies, including four RCTs, were assessed as unclear risk of selection bias as methods of sequence generation and allocation were not reported.

    “Thirteen studies, including four RCTs were assessed as unclear risk of selection bias as methods of sequence generation and allocation were not reported [44, 46, 47, 50, 51, 54–56, 58, 64, 66, 67].”

    From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [55]

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Authors
Perry, C. L., Bishop, D. B., Taylor, G. L., Davis, M., Story, M., Gray, C., Bishop, S. C., Mays, R. A. W., Lytle, L. A., & Harnack, L.
Affiliations
  • University of Minnesota (US)
  • Minnesota Department of Health (US)
  • Vanderbilt University (US)
  • Center for Health Promotion, Minnesota Department of Health, St. Paul
ORCID
Venue
Health Education & Behavior
Publisher
SAGE Publications
Published
2004-02
Volume
31
Issue
1
Pages
65-76
ISSN
  • 1090-1981 (ISSN-L)
  • 1552-6127
DOI
10.1177/1090198103255530
OpenAlex
W2147377838
Cited by
300
References
34
Citations by year
2026: 4 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 12 · 2021: 6 · 2020: 8 · 2019: 17 · 2018: 14 · 2017: 9 · 2016: 22 · 2015: 23 · 2014: 18 · 2013: 17 · 2012: 24
FWCI
13.20
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Health Education & Behavior (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords
fruit and vegetable intake, children, school meals, multicomponent intervention, food service staff training, verbal encouragement, food availability, food attractiveness, nutrition promotion
MeSH terms
Child, Child Behavior, Diet, Food Preferences, Food Services, Fruit, Health Education, Health Promotion, Humans, Inservice Training, Health Knowledge, Attitudes, Practice, Minnesota, Restaurants, Schools, Social Environment, Vegetables, Health Behavior, Child Nutrition Sciences

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