Document Detail

Intervention effects on kindergarten and first-grade teachers' classroom food practices and food-related beliefs in American Indian reservation schools.
MedLine Citation:
PMID:  23885704     Owner:  NLM     Status:  MEDLINE    
Prevalence of obesity among American Indian children is higher than the general US population. The school environment and teachers play important roles in helping students develop healthy eating habits. The aim of this prospective study was to examine teachers' classroom and school food practices and beliefs and the effect of teacher training on these practices and beliefs. Data were used from the Bright Start study, a group-randomized, school-based trial that took place on the Pine Ridge American Indian reservation (fall 2005 to spring 2008). Kindergarten and first-grade teachers (n=75) from 14 schools completed a survey at the beginning and end of the school year. Thirty-seven survey items were evaluated using mixed-model analysis of variance to examine the intervention effect for each teacher-practice and belief item (adjusting for teacher type and school as random effect). At baseline, some teachers reported classroom and school food practices and beliefs that supported health and some that did not. The intervention was significantly associated with lower classroom use of candy as a treat (P=0.0005) and fast-food rewards (P=0.008); more intervention teachers disagreed that fast food should be offered as school lunch alternatives (P=0.019), that it would be acceptable to sell unhealthy foods as part of school fundraising (P=0.006), and that it would not make sense to limit students' food choices in school (P=0.035). School-based interventions involving teacher training can result in positive changes in teachers' classroom food practices and beliefs about the influence of the school food environment in schools serving American Indian children on reservations.
Chrisa Arcan; Peter J Hannan; John H Himes; Jayne A Fulkerson; Bonnie Holy Rock; Mary Smyth; Mary Story
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of the Academy of Nutrition and Dietetics     Volume:  113     ISSN:  2212-2672     ISO Abbreviation:  J Acad Nutr Diet     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-26     Completed Date:  2013-09-23     Revised Date:  2014-08-04    
Medline Journal Info:
Nlm Unique ID:  101573920     Medline TA:  J Acad Nutr Diet     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1076-83     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2013 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
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MeSH Terms
Candy / statistics & numerical data
Child Nutrition Sciences / education*
Child, Preschool
Faculty* / statistics & numerical data
Food Dispensers, Automatic / statistics & numerical data
Food Preferences
Health Knowledge, Attitudes, Practice*
Health Promotion
Indians, North American / psychology*,  statistics & numerical data*
Obesity / epidemiology,  prevention & control
Prospective Studies
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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