title: RE-AIM Analysis of a School-Based Nutrition Education Intervention in Kindergarteners.
abstract: Few nutrition interventions in kindergarten classes have been evaluated, and none has been tested for program effectiveness, implementation, and dissemination. Building a Healthy Me (BHM) is a nutrition intervention for kindergarteners that is classroom-based and includes a family component. This study evaluated the public health impact of BHM in California kindergarten classrooms using the RE-AIM (reach, efficacy, adoption, implementation, and maintenance) framework.
  
  
  
  A quasi-experimental design assessed pre-to-post changes in nutrition knowledge, dietary consumption, and parent behaviors of 25 intervention classrooms (414 students, 264 parents); and postintervention differences in nutrition knowledge between the intervention classrooms and 4 control classrooms measured at postintervention only (103 students).
  
  
  
  Intervention students improved in knowledge of food groups and healthy breakfast/snack options, and scored higher than control students in food group knowledge at postintervention (ps < .05). Parents of intervention group children increased their use of food labels, and intervention group children increased intake of several healthy foods and decreased intake of candy and fried potatoes (ps < .05). The BHM program reached 41% of kindergarteners attending public schools in California, and teachers implemented most lesson material.
  
  
  
  The BHM program was effective, implemented with fidelity, and broadly disseminated, highlighting its potential public health impact for kindergarteners.
authors.affiliation: Department of Psychology, University of Southern California, SGM 501, 3620 South McClintock Ave, Los Angeles, CA 90089.
authors.forename: Andrew L
authors.initials: AL
authors.lastname: Larsen
authors.affiliation: Department of Preventive Medicine, University of Southern California, 2001 North Soto Street, Los Angeles, CA 90032.
authors.forename: Yue
authors.initials: Y
authors.lastname: Liao
authors.affiliation: Alberts Research Consulting, Mission Viejo, CA 92691.
authors.forename: Janel
authors.initials: J
authors.lastname: Alberts
authors.affiliation: Department of Preventive Medicine, University of Southern California, Los Angeles, CA 90032.
authors.forename: Jimi
authors.initials: J
authors.lastname: Huh
authors.affiliation: Dairy Council of California, 2151 Michelson Drive, Suite 235, Irvine, CA 92612-1339.
authors.forename: Trina
authors.initials: T
authors.lastname: Robertson
authors.affiliation: Departments of Preventive Medicine and Psychology, University of Southern California, Los Angeles, CA 90032.
authors.forename: Genevieve F
authors.initials: GF
authors.lastname: Dunton
mesh_terms: D002140:California; D053198:Child Nutrition Sciences / Q000193:education* / Q000592:standards; D002675:Child, Preschool; D004032:Diet / Q000592:standards* / Q000706:statistics & numerical data; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D018673:Nutrition Policy; D010290:Parents / Q000193:education*; D015397:Program Evaluation; D011634:Public Health / Q000592:standards*; D012572:School Health Services / Q000592:standards*; D000070777:School Teachers / Q000706:statistics & numerical data; D013334:Students; D014481:United States
keywords: RE-AIM; child and adolescent health; nutrition and diet; public health