A Low-Cost, Grab-and-Go Breakfast Intervention for Rural High School Students: Changes in School Breakfast Program Participation Among At-Risk Students in Minnesota

Nicole Larson, Qi Wang, Katherine Grannon, Susan Wei, Marilyn S. Nanney, Caitlin Caspi

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Objective: Evaluate the impact of a grab-and-go component embedded within a larger intervention designed to promote School Breakfast Program (SBP) participation. Design: Secondary data analysis. Setting: Rural Minnesota high schools. Participants: Eight schools were enrolled in the grab-and-go only intervention component. An at-risk sample of students (n = 364) who reported eating breakfast ≤3 d/wk at baseline was enrolled at these schools. Interventions: Grab-and-go style breakfast carts and policies were introduced to allow all students to eat outside the cafeteria. Main Outcome Measures: Administrative records were used to determine percent SBP participation (proportion of non-absent days on which fully reimbursable meals were received) for each student and school-level averages. Analysis: Linear mixed models. Results: School-level increases in SBP participation from baseline to the school year of intervention implementation were observed for schools enrolled in the grab-and-go only component (13.0% to 22.6%). Student-level increases in SBP participation were observed among the at-risk sample (7.6% to 21.9%) and among subgroups defined by free- or reduced-price meal eligibility and ethnic or racial background. Participation in SBP increased among students eligible for free or reduced-price meals from 13.9% to 30.7% and among ineligible students from 4.3% to 17.2%. Conclusions and Implications: Increasing access to the SBP and social support for eating breakfast are effective promotion strategies.

Original languageEnglish (US)
Pages (from-to)125-132.e1
JournalJournal of Nutrition Education and Behavior
Volume50
Issue number2
DOIs
StatePublished - Feb 2018

Bibliographical note

Funding Information:
This work was supported by grant R01HL113235 from the National Heart, Lung, and Blood Institute . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute or the National Institutes of Health.

Publisher Copyright:
© 2017 Society for Nutrition Education and Behavior

Keywords

  • breakfast
  • meals
  • outcome assessment
  • schools
  • students

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