title: A pilot comprehensive school nutrition program improves knowledge and intentions for intake of milk and milk alternatives among youth in a remote first nation.
abstract: OBJECTIVE
  To evaluate the impact of a pilot comprehensive school nutrition program modeled on Social Cognitive Theory on knowledge, intentions, self-efficacy, and intake of milk and milk alternatives (MMA) in First Nations youth.
  
  
  METHODS
  A pilot school nutrition program was implemented at Peetabeck Academy in Fort Albany, Ontario in May, 2010. The Knowledge, Self-Efficacy, and Intentions Questionnaire (KSIQ) and Waterloo Web-based Eating Behavior Questionnaire (WEB-Q) were used to assess change in attitudes and behavior from pre- to postprogram.
  
  
  RESULTS
  The KSIQ preprogram (n = 26), postprogram (n = 19); WEB-Q preprogram (n = 30), postprogram (n = 10). Improved knowledge (6.0 ± 1.5 vs. 6.9 ± 1.5, P = .05) and intention scores (9.6 ± 4.4 vs. 11.3 ± 4.1, P = .01) were observed.
  
  
  CONCLUSIONS
  A comprehensive school nutrition program can improve knowledge and intentions for intake of MMA in First Nations youth. Environmental constraints beyond the school environment need to be addressed.
authors: School of Public Health and Health Systems, University of Waterloo, Ontario, Canada. Electronic address: m2gates@uwaterloo.ca.
authors: Michelle
authors: M
authors: Gates
authors: Rhona M
authors: RM
authors: Hanning
authors: Allison
authors: A
authors: Gates
authors: Andrea
authors: A
authors: Isogai
authors: Leonard J S
authors: LJ
authors: Tsuji
authors: Joan
authors: J
authors: Metatawabin
mesh_terms: D000293:Adolescent; D000818:Animals; D002648:Child; D005247:Feeding Behavior / Q000208:ethnology*; D005260:Female; D005522:Food Services; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007198:Indians, North American; D008297:Male; D008892:Milk; D009752:Nutritional Status; D010865:Pilot Projects; D064167:Recommended Dietary Allowances; D012574:Schools
keywords: First Nations; adolescent; health promotion; indigenous; milk; schools