title: Children's perceived benefits and barriers in relation to eating breakfast in schools with or without Universal School Breakfast.
abstract: OBJECTIVE
  The purpose of this study was to identify and compare perceived benefits and barriers related to breakfast consumption and concerns about weight among children in schools with or without a Universal School Breakfast Program (USBP).
  
  
  METHODS
  Teacher-administered survey at the end of a 3-year pilot program.
  
  
  METHODS
  Fourth-, fifth-, and sixth-grade students in six USBP pilot schools (n = 827) and four control schools (n = 615). Control and pilot sites were matched by geographic location and socioeconomic status of students. Response rates were > 70%.
  
  
  METHODS
  Perceptions of benefits and barriers related to breakfast consumption and weight-related concerns.
  
  
  METHODS
  Chi-square tests were used to assess statistical differences in categorical responses to survey items.
  
  
  RESULTS
  The majority of students perceived that eating breakfast provides benefits of increased energy and ability to pay attention in school. Commonly held perceptions of barriers to eating breakfast were lack of time and not being hungry in the morning. Compared with children in non-USBP schools, those in the USBP schools were less likely to wish they were thinner, to go on a diet, or skip breakfast because it might make them fat and more likely to believe that eating breakfast will give them energy and help them pay attention.
  
  
  CONCLUSIONS
  Based on the results of this study, nutrition educators may find it helpful to develop educational materials and programs based on the reciprocal determinism construct of Social Learning Theory to promote breakfast consumption. The focus should be on practical strategies to address barriers and encourage behavioral changes for both children and their parents.
authors.affiliation: Department of Food Science and Nutrition, University of Minnesota, St. Paul, Minnesota 55108, USA.
authors.forename: Jodi
authors.initials: J
authors.lastname: Reddan
authors.forename: Kyla
authors.initials: K
authors.lastname: Wahlstrom
authors.forename: Marla
authors.initials: M
authors.lastname: Reicks
mesh_terms: D001835:Body Weight / Q000502:physiology; D002648:Child; D002664:Child Nutritional Physiological Phenomena / Q000502:physiology*; D004435:Eating / Q000502:physiology*; D005260:Female; D005522:Food Services; D006801:Humans; D008297:Male; D010465:Perception / Q000502:physiology; D012574:Schools