title: Small school-based effectiveness trials increase vegetable and fruit consumption among youth.
abstract: This article profiles a research initiative of state health agency-initiated 5 A Day school-based interventions. Four of the seven projects reviewed had significant results, with an average effect size of 0.4 servings of vegetables and fruit. Results are comparable with the larger-scale, well-controlled, and more costly 5 A Day For Better Health efficacy trials. These comparable findings underscore the value of assessing effectiveness of interventions in real-world settings to potentially enable wide-scale implementation of tested strategies. These small effectiveness trials show that school-based interventions are feasible to implement using current and effective strategies, and may facilitate translation of health promotion research to practice. The projects fostered valuable research/practice partnerships at the community level. Limitations across studies included heterogeneity in research methods, participant attrition, and variability in reporting data. Further research is needed to develop standardized, cost-effective dietary assessment methodology for viable dissemination research in community settings.
authors.affiliation: Department of Nutrition and Food Sicience, University of Maryland, College Park, USA. gstables@comcast.net <gstables@comcast.net>
authors.forename: Gloria J
authors.initials: GJ
authors.lastname: Stables
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Young
authors.forename: Mollie W
authors.initials: MW
authors.lastname: Howerton
authors.forename: Amy Lazarus
authors.initials: AL
authors.lastname: Yaroch
authors.forename: Sarah
authors.initials: S
authors.lastname: Kuester
authors.forename: Mary Kay
authors.initials: MK
authors.lastname: Solera
authors.forename: Kathleen
authors.initials: K
authors.lastname: Cobb
authors.forename: Linda
authors.initials: L
authors.lastname: Nebeling
mesh_terms: D000293:Adolescent; D002648:Child; D004435:Eating / Q000523:psychology*; D005260:Female; D005638:Fruit; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D016032:Randomized Controlled Trials as Topic; D012574:Schools; D014675:Vegetables