The DOI matches its Crossref record; 31 of the 34 references it cites were found in a registry or an index.
A Randomized School Trial of Environmental Strategies to Encourage Fruit and Vegetable Consumption among Children
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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“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
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“Potential risk of recruitment (to cluster) was assessed as low for seven studies as randomization occurred either postrecruitment or postbaseline data collection [47, 54–56, 58, 60, 64].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [55]
In the citing paper
“For risk of bias due to baseline imbalances, the majority of studies (n = 11) were assessed as low risk as studies accounted for imbalances by making adjustments for baseline differences during analyses, stratifying by school characteristics or through random allocation of schools to experimental groups [37, 38, 41, 46, 47, 55, 56, 58, 60, 64, 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]
In the citing paper
“For example, across the three studies assessing the availability of fruit and vegetables within schools, the median effect size was 1.15 and ranged from 0.64 to 1.23 [42, 55, 58].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [55]
In the citing paper
“With more than half of US children expected to be of Hispanic, Black or Asian decent by 2019 (68) , populations at increased risk for lactose malabsorption and intolerance (69)(70)(71) , offering non-dairy milks may increase acceptability.”
From ‘It's just so much waste.’ A qualitative investigation of food waste in a universal free School Breakfast Program (2015) · cites this paper as [70]
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Metadata
- 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
- Venue
- Health Education & Behavior
- Publisher
- SAGE Publications
- Published
- 2004-02
- Volume
- 31
- Issue
- 1
- Pages
- 65-76
- ISSN
- 1090-1981 (ISSN-L)
- 1552-6127
- 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
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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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