Chatterjee Avik, Daftary Genevieve, Campbell Meg, Gatison Lenward, Day Liam, Ramsey Kibret, Goldman Roberta, Gillman Matthew W
Division of Global Health Equity, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115.
Codman Academy Charter Public School, 637 Washington St, Boston, MA 02124.
J Sch Health. 2016 Apr;86(4):273-80. doi: 10.1111/josh.12377.
In September 2013, a Massachusetts high school launched a nutrition program in line with 2013 United States Department of Agriculture requirements. We sought to understand attitudes of stakeholders toward the new program.
We employed community-based participatory research methods in a qualitative evaluation of the food program at the school, where 98% of students are students of color and 86% qualify for free/reduced lunch. We conducted 4 student (N = 32), 2 parent (N = 10), 1 faculty/staff focus group (N = 14), and interviews with school leadership (N = 3).
A total of 10 themes emerged from focus groups and interviews, in 3 categories--impressions of the food (insufficient portion size, dislike of the taste, appreciation of the freshness, increased unhealthy food consumption outside school), impact on learning (learning what's healthy, the program's innovativeness, control versus choice), and concerns about stakeholder engagement (lack of student/family engagement, culturally incompatible foods). A representative comment was: "You need something to hold them from 9 to 5, because if they are hungry, McDonald's is right there."
Stakeholders appreciated the educational value of the program but stakeholder dissatisfaction may jeopardize its success. Action steps could include incorporating culturally appropriate recipes in the school's menus and working with local restaurants to promote healthier offerings.
2013年9月，马萨诸塞州的一所高中根据美国农业部2013年的要求启动了一项营养计划。我们试图了解利益相关者对新计划的态度。
我们采用基于社区的参与性研究方法，对该校的食品计划进行了定性评估，该校98%的学生为有色人种学生，86%的学生符合免费/减价午餐资格。我们组织了4次学生焦点小组讨论（N = 32）、2次家长焦点小组讨论（N = 10）、1次教职员工焦点小组讨论（N = 14），并对学校领导进行了访谈（N = 3）。
焦点小组讨论和访谈共产生了10个主题，分为3类——对食物的印象（份量不足、不喜欢味道、赞赏新鲜度、校外不健康食品消费增加）、对学习的影响（了解健康知识、该计划的创新性、控制与选择）以及对利益相关者参与度的担忧（学生/家庭参与度不足、食物与文化不兼容）。一条具有代表性的评论是：“你需要提供些东西让他们从上午9点撑到下午5点，因为要是他们饿了，麦当劳就在那儿。”
利益相关者认可该计划的教育价值，但利益相关者的不满可能会危及计划的成功。行动步骤可包括在学校菜单中纳入符合文化习俗的食谱，并与当地餐馆合作，推广更健康的食品。
