The Michigan Healthy School Action Tools process generates improvements in school nutrition policies and practices, and student dietary intake.
The Michigan Healthy School Action Tools (HSAT) is an online self-assessment and action planning process for schools seeking to improve their health policies and practices. The School Nutrition Advances Kids study, a 2-year quasi-experimental intervention with low-income middle schools, evaluated whether completing the HSAT with a facilitator assistance and small grant funding resulted in (1) improvements in school nutrition practices and policies and (2) improvements in student dietary intake. A total of 65 low-income Michigan middle schools participated in the study. The Block Youth Food Frequency Questionnaire was completed by 1,176 seventh-grade students at baseline and in eighth grade (during intervention). Schools reported nutrition-related policies and practices/education using the School Environment and Policy Survey. Schools completing the HSAT were compared to schools that did not complete the HSAT with regard to number of policy and practice changes and student dietary intake. Schools that completed the HSAT made significantly more nutrition practice/education changes than schools that did not complete the HSAT, and students in those schools made dietary improvements in fruit, fiber, and cholesterol intake. The Michigan HSAT process is an effective strategy to initiate improvements in nutrition policies and practices within schools, and to improve student dietary intake.
Michigan State University, East Lansing, MI, USA alaimo@msu.edu.
Katherine
K
Alaimo
Blue Cross Blue Shield of Michigan, Lansing, MI, USA.
Shannon
S
Oleksyk
Michigan Department of Education, Lansing, MI, USA.
Diane
D
Golzynski
Michigan Department of Education, Lansing, MI, USA.
Nick
N
Drzal
Oakland University, Rochester, MI, USA.
Jennifer
J
Lucarelli
Oakland University, Rochester, MI, USA.
Melissa
M
Reznar
University of Auckland, Auckland, NZ.
Yalu
Y
Wen
Michigan Department of Community Health, Lansing, MI, USA.
Karen
K
Krabill Yoder
D002648:Child; D053198:Child Nutrition Sciences / Q000379:methods; D004032:Diet; D006801:Humans; D008824:Michigan; D018673:Nutrition Policy; D058996:Quality Improvement; D012572:School Health Services
child/adolescent health; nutrition; school health