Student feedback to improve the United States Department of Agriculture Fresh Fruit and Vegetable Program
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BACKGROUND/OBJECTIVES: Fruit and vegetable consumption of children in the United States falls below recommendations. The U.S. Department of Agriculture Fresh Fruit and Vegetable Program (FFVP) is a national free-fruit and vegetable school distribution program designed to address this problem. This permanent, legislated program provides funding to qualified elementary schools for provision of additional fruit and vegetables outside of school meals. The objective of this study was to understand children’s perceptions of FFVP after the intervention and formulate recommendations that may improve success of the intervention. SUBJECTS/METHODS: Secondary data were obtained from 5,265 4th-6th graders at 51 randomly-selected FFVP intervention schools in Indiana. Anonymous questionnaires were completed late in the 2011-2012 academic year. Multilevel logistic regressions were used to determine associations between students’ perceptions of program effects (4 close-ended items) and their preference toward the program. Content analysis was applied to a single open-ended item for program comments. RESULTS: Over 47% of students reported greater intake of fruit and vegetables due to FFVP, and over 66% reported liking the program. Student-reported program effects were positively associated with preference for the program (P < 0.01). Themes that emerged during analysis of 3,811 comments, included, students liked: the opportunity to try different kinds of fruit and vegetables, types and flavors of fruits served, and benefits of eating fruit. Fewer students liked the types of vegetables and their benefits. A small group disliked the program citing poor flavor of vegetables and quality of fruits. Important suggestions for the program include serving more dipping sauces for vegetables, cooking vegetables, and providing a greater variety of produce. CONCLUSIONS: The degree that students liked FFVP may predict the program’s effects on fruit and vegetable intake. FFVP may become more acceptable to students by incorporating their suggestions. Program planners should consider these options for achieving program goals.
Abstract
BACKGROUND/OBJECTIVES: Fruit and vegetable consumption of children in the United States falls below recommendations. The U.S. Department of Agriculture Fresh Fruit and Vegetable Program (FFVP) is a national free-fruit and vegetable school distribution program designed to address this problem. This permanent, legislated program provides funding to qualified elementary schools for provision of additional fruit and vegetables outside of school meals. The objective of this study was to understand children’s perceptions of FFVP after the intervention and formulate recommendations that may improve success of the intervention. SUBJECTS/METHODS: Secondary data were obtained from 5,265 4th-6th graders at 51 randomly-selected FFVP intervention schools in Indiana. Anonymous questionnaires were completed late in the 2011-2012 academic year. Multilevel logistic regressions were used to determine associations between students’ perceptions of program effects (4 close-ended items) and their preference toward the program. Content analysis was applied to a single open-ended item for program comments. RESULTS: Over 47% of students reported greater intake of fruit and vegetables due to FFVP, and over 66% reported liking the program. Student-reported program effects were positively associated with preference for the program (P < 0.01). Themes that emerged during analysis of 3,811 comments, included, students liked: the opportunity to try different kinds of fruit and vegetables, types and flavors of fruits served, and benefits of eating fruit. Fewer students liked the types of vegetables and their benefits. A small group disliked the program citing poor flavor of vegetables and quality of fruits. Important suggestions for the program include serving more dipping sauces for vegetables, cooking vegetables, and providing a greater variety of produce. CONCLUSIONS: The degree that students liked FFVP may predict the program’s effects on fruit and vegetable intake. FFVP may become more acceptable to students by incorporating their suggestions. Program planners should consider these options for achieving program goals.
참고문헌 (32)
- Krebs-Smith SM, "Americans do not meet federal dietary recommendations", J Nutr, 140, pp.1832~1838 (2010)
- "Usual dietary intakes: food intakes, US Population, 2007-10" (2014)[URL]
- Lorson BA, "Correlates of fruit and vegetable intakes in US children", J Am Diet Assoc, 109, pp.474~478 (2009)
- Evans CE, "Systematic review and meta-analysis of school-based interventions to improve daily fruit and vegetable intake in children aged 5 to 12 y", Am J Clin Nutr, 96, pp.889~901 (2012)
- French SA, "Environmental interventions to promote vegetable and fruit consumption among youth in school settings", Prev Med, 37, pp.593~610 (2003)
- Delgado-Noguera M, "Primary school interventions to promote fruit and vegetable consumption:a systematic review and meta-analysis", Prev Med, 53, pp.3~9 (2011)
- Evaluation of the Fresh Fruit and Vegetable Program (FFVP): Final Evaluation Report, "Bartlett S", Department of Agriculture, Food and Nutrition Service, ~ (2013)
- Bere E, "Free School Fruit--sustained effect three years later", Int J Behav Nutr Phys Act, 4, pp.5~ (2007)
- "Evaluation of the USDA fruit and vegetable pilot program: report to congress" (2003)[URL]
- Olsho LE, "Increasing child fruit and vegetable intake: findings from the US Department of Agriculture Fresh Fruit and Vegetable Program", J Acad Nutr Diet, 115, pp.1283~1290 (2015)
- Tak NI, "The effects of a fruit and vegetable promotion intervention on unhealthy snacks during mid-morning school breaks: results of the Dutch Schoolgruiten Project", J Hum Nutr Diet, 23, pp.609~615 (2010)
- "Fresh Fruit and Vegetable Program: a handbook for schools" (2010)[URL]
- Hayes D, "School nutrition programs: challenges and opportunities", Am J Lifestyle Med, 7, pp.330~340 (2013)
- Ohri-Vachaspati P, "Fresh Fruit and Vegetable Program participation in elementary schools in the United States and availability of fruits and vegetables in school lunch meals", J Acad Nutr Diet, 112, pp.921~926 (2012)
- Lin YC, "Indiana students in the 2010-11USDA Fresh Fruit and Vegetable Program (FFVP) increased variety of fruits and vegetables consumed and requests to parents to purchase fruits and vegetables through mediating changes in intention and attitude", FASEB J, 27, pp.626~627 (2013)
- Coyle KK, "Distributing free fresh fruit and vegetables at school: results of a pilot outcome evaluation", Public Health Rep, 124, pp.660~669 (2009)
- Jamelske EM, "Impact of the USDA Fresh Fruit and Vegetable Program on children's consumption", J Child Nutr Manag, 36 (2012)
- Bica LA, "USDA Fresh Fruit and Vegetable Program creates positive change in children's consumption and other behaviors related to eating fruit and vegetables", J Child Nutr Manag, 36 (2012)
- Jamelske E, "Preliminary findings from an evaluation of the USDA Fresh Fruit and Vegetable Program in Wisconsin schools", WMJ, 107, pp.225~230 (2008)
- Introducing children to fresh fruits and vegetables in the classroom: Identifying features that may affect outcomes of the USDA Fresh Fruit and Vegetable Program (FFVP), "Shertzer JA.", ProQuest LLC, ~ (2008)
- Huang L, "2010-2011 USDA fresh fruit and vegetable program (FFVP) improved Indiana elementary students' consumption of fruit", FASEB J, 27, pp.1063.5~ (2013)
- Hsieh HF, "Three approaches to qualitative content analysis", Qual Health Res, 15, pp.1277~1288 (2005)
- Swift JA, "Qualitative research in nutrition and dietetics:getting started", J Hum Nutr Diet, 23, pp.559~566 (2010)
- Jenkins KR, "Perceptions of a culture of health: implications for communications and programming", Health Promot Pract, 16, pp.796~804 (2015)
- Erickson PI, "Maximizing qualitative responses about smoking in structured interviews", Qual Health Res, 10, pp.829~840 (2000)
- Mossholder KW, "Measuring emotion in open-ended survey responses: an application of textual data analysis", J Manage, 21, pp.335~355 (1995)
- "COMPASS: school and corporation data"[URL]
- Kondracki NL, "Content analysis: review of methods and their applications in nutrition education", J Nutr Educ Behav, 34, pp.224~230 (2002)
- (2012)[URL]
- "SPSS statistics 22.0" (2013)[URL]
- Potter SC, "What works? Process evaluation of a school-based fruit and vegetable distribution program in Mississippi", J Sch Health, 81, pp.202~211 (2011)
- Bai Y, "Process evaluation of the Fresh Fruit and Vegetable Program implementation in a New Jersey elementary school", J Child Nutr Manag, 35 (2011)