Using predicted marginal effects to assess the impact of rurality and free and reduced lunch eligibility on a school-based nutrition intervention.

Purpose: To estimate the impact of a school-based nutrition education intervention in rural schools and schools with high free and reduced lunch (FRL) eligibility rates.

Methods: As part of the evaluation of the Healthy Schools Healthy Students intervention, 20 schools were randomized to control and intervention conditions. Pre (October 2017) and posttest (April 2018) data were analyzed using multi-level linear regression models to estimate the intervention effect for multiple outcomes controlling for school-level demographic characteristics.

Implementation and outcome evaluation of a team nutrition intervention: increasing knowledge, attitudes, and preferences.

Low-income, rural children are at a greater risk for poor dietary intake. Schools offer a venue to deliver appropriate interventions. Our aim was to evaluate the implementation and effectiveness of Healthy Schools, Healthy Students (HSHS).

Middle School Students' Perceptions of the Lunchroom: Implications for Future Interventions.

The National School Lunch Program provides nutritious and inexpensive lunches, but low participation and food waste are challenges in many schools. Interventions aim to improve participation in the program, but little is known about how students' perceptions affect their participation. This study explored how middle school students in a rural state perceive school food service staff, food served, and lunchroom atmosphere.

What Do Parents Think About School Meals? An Exploratory Study of Rural Middle School Parents' Perceptions.

Interventions targeting school meals have been used to combat obesity in rural youth. Parents play a powerful role in childhood nutrition; however, we know little about parents' perceptions of school meal programs. This study aimed to understand parents' perceptions of school meal programs.

Building Relationships and Capacity in Rural Lunchrooms: Lessons from a Process Evaluation of a Pilot Behavioral Economics-Based Intervention.

We aimed to describe the successes and challenges of implementing a pilot program by working with students and food service staff in four rural high schools to encourage healthy eating among rural adolescents. The pilot program engaged students and school food service directors (FSDs) in identifying and making changes to the school lunchroom environment based on behavioral economics. As part of a multi-method evaluation, we conducted interviews with FSDs and staff, held focus groups with students, and recorded our observations as researchers.

Actively Involving Middle School Students in the Implementation of a Pilot of a Behavioral Economics-Based Lunchroom Intervention in Rural Schools.

School-based interventions can play an important role in improving childhood and adolescent nutrition and preventing obesity. Schools offer a unique opportunity to implement policy, systems, and environmental interventions targeting healthy eating behaviors. An intervention was piloted in six middle schools featuring behavioral economics-based changes to the lunchroom, communication training, and communicate cues for food service staff.

Understanding Perceptions of School Administrators Related to School Breakfast in a Low School Breakfast Participation State.

Background: The National School Breakfast Program (SBP) is a federally funded program that allows states to offer nutritious breakfast to K-12 students. However, rates of SBP participation are low in some rural states, and the reasons are not well understood. The purpose of the study was to explore administrators' perceptions, attitudes, and beliefs related to the SBP, and factors they identify as barriers or facilitators to increased participation.

Exploring the Parents' Attitudes and Perceptions About School Breakfast to Understand Why Participation Is Low in a Rural Midwest State.

Objective: To explore parental attitudes and perceptions about the school breakfast program in a state with low school breakfast participation.

Design: A cross-sectional study design that used an online survey completed by parents supplemented with district data from a state department of education. The survey included quantitative and qualitative components.