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ERIC Number: EJ1157051
Record Type: Journal
Publication Date: 2017-Nov
Pages: 12
Abstractor: As Provided
ISSN: ISSN-0022-4391
A Mixed-Methods Comparison of Classroom Context during Food, Health & Choices, a Childhood Obesity Prevention Intervention
Burgermaster, Marissa; Koroly, Jenna; Contento, Isobel; Koch, Pamela; Gray, Heewon L.
Journal of School Health, v87 n11 p811-822 Nov 2017
Background: Schools are frequent settings for childhood obesity prevention; however, intervention results are mixed. Classroom context may hold important clues to improving these interventions. Methods: We used mixed methods to examine classroom context during a curriculum intervention taught by trained instructors in fifth grade classrooms. We identified classrooms with high and low buy-in using cluster analysis and compared intervention delivery and reception, student energy balance-related behavior, and student perceptions about supports and barriers to energy balance. Results: Delivery and reception did not differ between the groups. Between-group differences in unhealthy behaviors were smaller at posttest, due to improvement in low buy-in classes. Although student perceptions of supports and barriers to energy balance were similar across groups, students in high buy-in classes indicated food preferences as a support while students in low buy-in classes indicated food preferences as a barrier. Neighborhood environment emerged as a universal barrier. Conclusions: Trained instructors may improve intervention delivery and reception regardless of classroom context. Social norms could explain high levels of unhealthy behavior in low buy-in classes at baseline; improvement at posttest suggests that the curriculum may have motivated change. All children need more strategies and supportive policies to overcome a challenging food environment.
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Publication Type: Journal Articles; Reports - Research
Education Level: Grade 5
Audience: N/A
Language: English
Sponsor: National Institutes of Health (DHHS); National Heart, Lung, and Blood Institute (DHHS/NIH)
Authoring Institution: N/A
Grant or Contract Numbers: 20108521520661; HL007343