Are Differences in Exposure to a Multicomponent School-Based Intervention Associated With Varying Dietary Outcomes in Adolescents?

Authors

Amanda S. Birnbaum, Montclair State UniversityFollow
Leslie A. Lytle, Department of Health BehaviorFollow
Mary Story, University of MinnesotaFollow
Cheryl L. Perry, University of MinnesotaFollow
David M. Murray, University of MemphisFollow

Document Type

Article

Publication Date

Summer 8-1-2002

Journal / Book Title

Health Education & Behavior

Abstract

Multicomponent interventions are recommended for health behavior change among adolescents. However, it is difficult to disentangle the effects of multiple intervention components. This article reports outcomes associated with varying levels of exposure to a school-based nutrition intervention, Teens Eating for Energy and Nutrition at School (TEENS). Four incremental exposureswere possible: (1) control group, (2) school environment interventions only, (3) classroom plus environment interventions, and (4) peer leaders plus classroom plus environment interventions. Patterns suggesting dose response were observed, with peer leaders reporting the largest increases in fruit, vegetable, and lower fat food consumption. Students exposed to classroom plus environment interventions also improved, whereas students exposed only to school environment interventions showed trends toward choosing lower fat foods and declining fruit intake and no change in vegetable intake. Control students’ choices remained stable. Future studies may investigate mechanisms for peer leaders’ changes, maximizing curriculum effectiveness, and improving environmental interventions.

DOI

10.1177/109019810202900404

MSU Digital Commons Citation

Birnbaum, Amanda S.; Lytle, Leslie A.; Story, Mary; Perry, Cheryl L.; and Murray, David M., "Are Differences in Exposure to a Multicomponent School-Based Intervention Associated With Varying Dietary Outcomes in Adolescents?" (2002). Department of Public Health Scholarship and Creative Works. 78.
https://digitalcommons.montclair.edu/public-health-facpubs/78

Published Citation

Birnbaum, Amanda S., Leslie A. Lytle, Mary Story, Cheryl L. Perry, and David M. Murray. "Are differences in exposure to a multicomponent school-based intervention associated with varying dietary outcomes in adolescents?." Health Education & Behavior 29, no. 4 (2002): 427-443.