Mumm Julie, Hearst Mary O, Shanafelt Amy, Wang Qi, Leduc Robert, Nanney Marilyn S
1 St. Catherine University, St. Paul, MN, USA.
2 University of Minnesota-Twin Cities, Minneapolis, MN, USA.
Health Promot Pract. 2017 Nov;18(6):862-868. doi: 10.1177/1524839917711123. Epub 2017 Jun 4.
High school students in the United States are known to be frequent skippers of breakfast. Social support is one key element needed to encourage adolescents to consume school breakfast. This article presents an analysis of the influence of a school policy and environment change intervention on the social support of adolescents to eat breakfast.
The intervention included school policy changes in 16 schools randomized to intervention and delayed-intervention conditions, in order to allow quick and easy access to breakfast as well as to allow breakfast consumption in classrooms and hallways; a School Breakfast Program marketing campaign to address normative and attitudinal beliefs; and increasing social support and role modeling to encourage breakfast eating. The participants in the study completed an online survey at baseline and again postintervention.
The final analysis included only students who completed the relevant survey (n = 904) items on both the baseline and follow-up surveys. The students in the intervention group showed a higher level of social support post intervention than the control group with a significant adjusted p of .02. Most of the overall social support change was explained by a change in the "other kids at my school" and "other school staff" categories.
The BreakFAST study shows the benefits of school staff and kids other than friends supporting a behavior change to include breakfast consumption in adolescents.
众所周知,美国高中生经常不吃早餐。社会支持是鼓励青少年食用学校早餐所需的一个关键因素。本文分析了一项学校政策和环境变化干预措施对青少年食用早餐的社会支持的影响。
干预措施包括在16所学校进行学校政策调整,这些学校被随机分为干预组和延迟干预组,目的是让学生能够快速方便地获取早餐,并允许在教室和走廊食用早餐;开展学校早餐计划营销活动,以解决规范和态度信念问题;增加社会支持并树立榜样以鼓励食用早餐。研究参与者在基线时和干预后再次完成了一项在线调查。
最终分析仅纳入了在基线调查和随访调查中都完成了相关调查项目的学生(n = 904)。干预组学生在干预后的社会支持水平高于对照组,调整后的p值为0.02,具有显著性。总体社会支持变化的大部分是由“我校其他孩子”和“其他学校工作人员”类别中的变化所解释的。
早餐研究表明,除朋友外,学校工作人员和其他孩子对青少年行为改变(包括食用早餐)的支持具有益处。