School Breakfast Policy Initiative Study

NCT01924130 | Completed

• 1 other identifier: 20452
• Study Type: interventional
• Target: 2,000
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to develop and evaluate the effects of a school breakfast policy initiative (SBPI) on the incidence of overweight and obesity as well as breakfast patterns (both inside and outside of school) among 4th-6th grade children. The study integrates research, education and extension to promote healthy breakfast consumption among low-income children in urban schools and will leverage ongoing SNAP-Ed and the School Breakfast Program efforts.

Conditions

Childhood Obesity; Hunger

Outcome Measures

Primary Outcomes (4)

• Body Mass Index

  BMI is calculated using students' height and weight measurements.

  Pilot Study: baseline (September-October 2012), 8-9 month follow up (May 2014). Main Trial: baseline (September-December 2013), 16 month follow up (January-March 2015), 32 month follow up (April-June 2016)

• Breakfast Consumption habits

  Measured using a breakfast intake questionnaire.

  Pilot Study: baseline (September-October 2012), 8-9 month follow up (May 2014). Main Trial: baseline (September-December 2013), 16 month follow up (January-March 2015), 32 month follow up (April-June 2016)

• Hunger

  Measured using a hunger scale questionnaire.

  Pilot Study: baseline (September-October 2012), 8-9 month follow up (May 2014). Main Trial: baseline (September-December 2013), 16 month follow up (January-March 2015), 32 month follow up (April-June 2016)

• School meal participation rates

  Every month for 34 months (September 2013-June 2016)

Study Arms (2)

One Healthy Breakfast Program

EXPERIMENTAL

Classroom feeding, nutrition education lessons, social marketing, and parent outreach.

Other: Classroom feeding; Behavioral: Nutrition education lessons; Behavioral: Social Marketing; Behavioral: Parent outreach

Control

NO INTERVENTION

Only receive assessments.

Interventions

Classroom feeding OTHER

Students are fed breakfast in the classroom at the start of the school, rather than the cafeteria before school.

One Healthy Breakfast Program

Nutrition education lessons BEHAVIORAL

Students receive breakfast specific nutrition education lessons.

One Healthy Breakfast Program

Social Marketing BEHAVIORAL

A social marketing campaign designed to promote consumption of one healthy breakfast a day. The marketing includes a healthy breakfast points-based reward program designed by the students and promotional campaigns.

One Healthy Breakfast Program

Parent outreach BEHAVIORAL

A variety of communication methods that engage families and offer education that meets their needs, including school breakfast menus, parent newsletters, and information tables at parent-teacher meetings.

One Healthy Breakfast Program

Eligibility Criteria

• Age: 7 Years - 16 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• th-8th grade Philadelphia public school students.

Sponsors & Collaborators

• Temple University: lead
• The Food Trust: collaborator
• The School District of Philadelphia: collaborator

Study Sites (1)

Temple University - Center for Obesity Research and Education

Philadelphia, Pennsylvania, 19140, United States

Location

Related Publications (3)

• Polonsky HM, Bauer KW, Fisher JO, Davey A, Sherman S, Abel ML, Hanlon A, Ruth KJ, Dale LC, Foster GD. Effect of a Breakfast in the Classroom Initiative on Obesity in Urban School-aged Children: A Cluster Randomized Clinical Trial. JAMA Pediatr. 2019 Apr 1;173(4):326-333. doi: 10.1001/jamapediatrics.2018.5531.

  PMID: 30801612 DERIVED

• Dykstra H, Davey A, Fisher JO, Polonsky H, Sherman S, Abel ML, Dale LC, Foster GD, Bauer KW. Breakfast-Skipping and Selecting Low-Nutritional-Quality Foods for Breakfast Are Common among Low-Income Urban Children, Regardless of Food Security Status. J Nutr. 2016 Mar;146(3):630-6. doi: 10.3945/jn.115.225516. Epub 2016 Feb 10.

  PMID: 26865650 DERIVED

• Lawman HG, Polonsky HM, Vander Veur SS, Abel ML, Sherman S, Bauer KW, Sanders T, Fisher JO, Bailey-Davis L, Ng J, Van Wye G, Foster GD. Breakfast patterns among low-income, ethnically-diverse 4th-6th grade children in an urban area. BMC Public Health. 2014 Jun 14;14:604. doi: 10.1186/1471-2458-14-604.

  PMID: 24928474 DERIVED

MeSH Terms

Conditions

Pediatric Obesity

Interventions

Social Marketing

Condition Hierarchy (Ancestors)

Obesity; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Marketing; Commerce; Technology, Industry, and Agriculture; Marketing of Health Services; Health Services Accessibility; Delivery of Health Care; Health Care Quality, Access, and Evaluation

Study Officials

• Jennifer O Fisher, PhD

  Temple University - Center for Obesity Research and Education

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 28, 2013
• First Posted: August 16, 2013
• Study Start: July 1, 2012
• Primary Completion: June 1, 2016
• Study Completion: June 1, 2016
• Last Updated: August 30, 2016

Record last verified: 2016-08

Locations

US (1)