Students Gobble Blood Oranges for Harvest of the Month

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Students Gobble Blood Oranges for Harvest of the
Month

• Andy Fourney, DrPH, Andrew Bellow, BA
• Sharon Sugerman, MS, RD, FADA, Helen Magnuson,
  MPH, RD Kathy Streng, RD

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Network for Healthy California

• is a social marketing campaign
• it targets 7 million low-income parents and
  children to increase
• F/V Consumption
• PA Levels
• Food Security
• Chronic Disease Prevention

The Network is funded by the U.S. Department of
Agriculture's Food Stamp Program
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Origins of HOTM

• Harvest of the Month is a toolkit developed by
  the Network to standardize delivery of one type
  of nutrition education about FVs
• The concepts and original materials were
  developed by school districts in southern CA
• 2007 data indicate it is in 1506 sites reaching
  476862 kids

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A Fruit or Vegetable is Featured Each Month
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Theoretical Underpinnings

• Developed within the Social Ecological Model
  Framework using Social Cognitive Theory and the
  Theory of Planned Behavior to impact
• Knowledge
• Skills
• Attitude
• Preferences
• Self-efficacy
• Availability
• Accessibility

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Going Beyond the Classroom
Cafeteria
Classroom
Community
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24 Months of Elements

• The Tool kit includes
• Educator newsletters
• Family newsletters
• Menu slicks
• Media tools

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Educator Newsletters

• Objectives are to increase student
• access to fruits and vegetables
• preference for selected produce items
• participation in daily physical activity
• knowledge of and familiarity with California
  grown fruits and vegetables and the rich
  agricultural bounty of the State

87 of 144 teachers agreed or strongly agreed
that the educator newsletter provided useful
nutrition info, facts, activities and other
content to help increase students knowledge of
featured produce. Only 1.4 did not use.
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Family Newsletters
86 agreed or strongly agreed that the family
newsletter provided useful nutrition info, facts,
activities and other content to help increase
students knowledge of featured produce. Only 5
did not use.
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Menu Slicks
74 of 144 teachers agreed or strongly agreed
that the menu slicks provide useful nutrition
info, facts, activities and other content to help
increase students knowledge of featured produce.
But 34 did not use.
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Posters
81 agreed or strongly agreed that the materials,
like the poster, were appropriate and/ or
applicable to the classroom activities
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Explore HOTM Tool Kit
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Evaluation Methods 2005-06
2005-06 Contractors n10 Participants n 1,322
Primarily 4th and 5th grades Sample sizes ranged
from 49 to 264
2006-07 Contractors n 15 Participants n
2,789 Primarily 4th and 5th grades Sample sizes
ranged from 52 to 446
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Common Methods for Both Years

• A standardized 17-item survey measured
• consumption as ( times students reported eating
  fruits, vegetables or juice in last 24/hrs)
• knowledge
• preferences familiarity
• self efficacy for eating fruits and vegetables
• Data were entered into standardized data entry
  templates

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Qualitative Results

• Even though theres a rule about not eating
  during class, some teachers are now letting kids
  eat during advising period if its fruits and
  vegetables.
• As a result of Harvest of the Month, my students
  now bring fruit to class on a regular basis.
• We assume the kids wont like the (fruits and
  vegetables), but by doing the taste-testing it
  shows us that they do!

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Quantitative Results 2005-06 Knowledge Participan
ts increased their knowledge of nutrition
information by more than half a question on a 5
point scale (.58 times, plt.001)
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Results 2005-06 Self-efficacy Participants
increased their self-efficacy for eating fruits
and vegetables by 1.13 on a scale of 65 points
(plt.001)
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Results 2005-06 Times/Day Participants increased
the number of times a day they ate fruits, juices
and vegetables by almost an entire time per day
(.85 times, plt.001)
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Refinements to Interventions 05-06

• For each contractorIncrease intensity by working
  in fewer schools rather than more.
• Increase the number of times respondents are
  exposed to nutrition education classes
• Feature fruit and vegetables that are less
  familiar and/or not well liked
• Add role plays to increase self-efficacy

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Results 06-07 Knowledge
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Results 06-07 Self-efficacy
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Results 06-07 Consumption
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We Conducted Teleconferences

• To build capacity
• To discuss the nutrition education activities
  that were evaluated
• We learned that while contractors provided
  materials to teachers in schools, they didnt
  know to what extent they were used.
• And sowe had used a standardized tool to measure
  a non-standardized intervention
• Our challenge is to learn what contractors
  actually mean when they say they carry out this
  intervention

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Implications We Need Process Data

• The good news is that we have a tool and it
  was administered in two schools (intervention and
  comparison) in 2006-07
• Results showed
• The intervention school teachers reported
  teaching about 2 hours and 17 minutes of
  nutrition education during the year, whereas the
  teachers from a comparison school reported
  teaching about 1 hour and 20 minutes.
• Most teachers reported conducting taste tests,
• (range 5-6) but 7 teachers did not

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More Process Results

• Teachers agreed that
• the newsletters help them plan instructional
  activities
• the newsletters are useful for implementing
  instructional activities

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Mock Table that Could be Generated From the
Process Data Collection Form
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Need Impact Evaluation in More Controlled Settings

• Need to clearly define what HOTM is and conduct
  an impact evaluation in a controlled setting.

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• Thank you
• Contact information
• Andy Fourney
• andy.fourney_at_cdph.ca.gov
• www.harvestofthemonth.com
• Questions?