title: Impact on staff of improving access to the school breakfast program: a qualitative study.
abstract: BACKGROUND
  Project BREAK! was designed to test the efficacy of an intervention to increase student participation in the reimbursable School Breakfast Program (SBP). Two schools developed grab-n-go menus, added convenient serving locations, and allowed eating in the hallway. This follow-up study investigated faculty and staff perspectives of how the SBP changes influenced schools.
  
  
  METHODS
  Project BREAK! high schools were located near Minneapolis, Minnesota, enrolled over 1200 students each and were 70% to 90% white. Interviews with school personnel (N = 11) and focus groups with teachers (N = 16) from the 2 intervention schools were conducted. The Diffusion of Innovation (DOI) framework guided the question development.
  
  
  RESULTS
  Analysis of the interviews identified the following DOI constructs as most prominently mentioned by school personnel and teachers: advantages for students and faculty/staff, minimal staff time required, communication of the changes, support of social relations between students and faculty/staff and trialability of the program.
  
  
  CONCLUSIONS
  There appears to be numerous advantages for both students and school personnel to improving SBP access. The relative advantages of Project BREAK! appear to outweigh the negatives associated with extra time and effort required by staff. Communication about the changes is an area that needs strengthening.
authors.affiliation: Department of Family Medicine and Community Health, University of Minnesota, 717 Delaware Street SE, Minneapolis, MN 55414. ande8221@umn.edu.
authors.forename: Blair
authors.initials: B
authors.lastname: Haesly
authors.forename: Marilyn S
authors.initials: MS
authors.lastname: Nanney
authors.forename: Sara
authors.initials: S
authors.lastname: Coulter
authors.forename: Sherri
authors.initials: S
authors.lastname: Fong
authors.forename: Rebekah J
authors.initials: RJ
authors.lastname: Pratt
mesh_terms: D000328:Adult; D062408:Breakfast; D003142:Communication; D005178:Faculty; D005260:Female; D017144:Focus Groups; D005522:Food Services / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D036301:Qualitative Research; D012574:Schools / Q000458:organization & administration*; D057545:Social Stigma; D013997:Time Factors
keywords: diffusion of innovation; qualitative research; school breakfast