Show simple item record

dc.creatorAarestrup, Anne Kristineen_US
dc.creatorJorgensen, Thea Suldrupen_US
dc.creatorJorgensen, Sanne Eellegaarden_US
dc.creatorHoelscher, Deanna M.en_US
dc.creatorDue, Pernilleen_US
dc.creatorKrolner, Rikkeen_US
dc.date.accessioned2016-10-28T19:53:16Z
dc.date.available2016-10-28T19:53:16Z
dc.date.issued2015-02en_US
dc.identifierdoi:10.15781/T2GH9BC40
dc.identifier.citationAarestrup, Anne Kristine, Thea Suldrup Jørgensen, Sanne Ellegaard Jørgensen, Deanna M. Hoelscher, Pernille Due, and Rikke Krølner. "Implementation of strategies to increase adolescents’ access to fruit and vegetables at school: process evaluation findings from the Boost study." BMC public health, Vol. 15, No. 1 (Feb., 2015): 1.en_US
dc.identifier.issn1471-2458en_US
dc.identifier.urihttp://hdl.handle.net/2152/43335
dc.description.abstractAccess to fruit and vegetables (FV) is associated with adolescents' FV consumption. However, little is known about implementation of strategies to increase access to FV at schools. We examined the implementation of two environmental components designed to increase access to FV at Danish schools. Methods: We used data from 20 intervention schools involved in the school-based multicomponent Boost trial targeting 13-year-olds' FV consumption. The environmental components at school included daily provision of free FV and promotion of a pleasant eating environment. Questionnaire data was collected by the end of the nine-month intervention period among 1,121 pupils (95%), from all school principals (n = 20) and half way through the intervention period and by the end of the intervention among 114 teachers (44%). The implementation of the components was examined descriptively using the following process evaluation measures; fidelity, dose delivered, dose received and reach. Schools with stable high implementation levels over time were characterised by context, intervention appreciation and implementation of other components. Results: For all process evaluation measures, the level of implementation varied by schools, classes and over time. Dose received: 45% of pupils (school range: 13-72%, class range: 7-77%) ate the provided FV daily; 68% of pupils (school range: 40-93%, class range: 24-100%) reported that time was allocated to eating FV in class. Reach: The intake of FV provided did not differ by SEP nor gender, but more girls and low SEP pupils enjoyed eating FV together. Dose delivered: The proportion of teachers offering FV at a daily basis decreased over time, while the proportion of teachers cutting up FV increased over time. Schools in which high proportions of teachers offered FV daily throughout the intervention period were characterized by being: small; having a low proportion of low SEP pupils; having a school food policy; high teacher-and pupil intervention appreciation; having fewer teachers who cut up FV; and having high implementation of educational components. Conclusions: The appliance of different approaches and levels of analyses to describe data provided comprehension and knowledge of the implementation process. This knowledge is crucial for the interpretation of intervention effect.en_US
dc.description.sponsorshipTrygFondenen_US
dc.language.isoEnglishen_US
dc.relation.ispartofen_US
dc.rightsAdministrative deposit of works to Texas ScholarWorks: This works author(s) is or was a University faculty member, student or staff member; this article is already available through open access or the publisher allows a PDF version of the article to be freely posted online. The library makes the deposit as a matter of fair use (for scholarly, educational, and research purposes), and to preserve the work and further secure public access to the works of the University.en_US
dc.subjectprocess evaluationen_US
dc.subjectimplementationen_US
dc.subjectschoolen_US
dc.subjectavailabilityen_US
dc.subjectaccessibilityen_US
dc.subjectfruit and vegetablesen_US
dc.subjectadolescentsen_US
dc.subjectabuse preventionen_US
dc.subjectteachers implementationen_US
dc.subjectrandomized-trialen_US
dc.subjectpromoteen_US
dc.subjectfruiten_US
dc.subjectpro childrenen_US
dc.subjectprogramen_US
dc.subjectinterventionsen_US
dc.subjecthealthen_US
dc.subjectconsumptionen_US
dc.subjecteducationen_US
dc.subjectpublic, environmental & occupational healthen_US
dc.titleImplementation of Strategies to Increase Adolescents' Access to Fruit And Vegetables at School: Process Evaluation Findings from the Boost Studyen_US
dc.typeArticleen_US
dc.description.departmentCenter for Health Promotion and Disease Prevention Research in Underserved Populationsen_US
dc.rights.restrictionOpenen_US
dc.identifier.doi10.1186/s12889-015-1399-9en_US
dc.contributor.utaustinauthorHoelscher, Deanna M.en_US
dc.relation.ispartofserialBMC Public Healthen_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record