Scheduled for Research Consortium Health Posters, Thursday, April 3, 2003, 10:30 AM - 11:30 AM, Convention Center: Exhibit Hall A


Steps, Time, Financial Resources and Outcomes: Implementing Team Nutrition

Katherine T. Thomas1, Julia L.M. Thorius2, Clare Miller3 and Laura Sands2, (1)Iowa State University, Ames, IA, (2)Iowa Department of Education, Des Moines, IA, (3)United States Department of Agriculture, Alexandria, VA

Team Nutrition (TN) is the USDA behavioral intervention targeted at students pre-K through grade 8. Based on Bandura's social learning theory the program uses six channels (classroom, school-wide, food service, home, community and media) to present four messages. The messages are based upon the dietary guidelines; eat a variety of foods, eat foods lower in fat more often, eat more fruits, vegetables and grains, be physically active. Full implementation of TN requires 10 separate events from the channels in addition to teaching the entire classroom curriculum (6-8 lessons per grade level). The lessons are designed to be integrated into academic content (e.g., math, language, science) but can also be used as stand alone nutrition lessons. Ten schools and 40 of their teachers participated in this project. Each school agreed to full implementation and was provided funding to cover expenses (up to $7,500 annually). Teachers voluntarily reported classroom lessons, team leaders reported the events and two ages (younger and older) of children completed the CHIC survey (Harrell) pre, midway and post the 2 year intervention. Teachers reported using more than one learning activity for each lesson, integrating TN using math or science when possible, and rarely using art, music or ecology for nutrition education. Middle school family and consumer science teachers and physical education teachers also delivered the curriculum. Planning time for lessons decreased during year 2, while instruction time remained relatively stable. A small portion of funding was spent for food to support classroom lessons while the majority of the funding was spent on the events (community, school-wide and food service). Staff turnover is a challenge to programs as 4 team leaders left their schools and were replaced during the project. Children participating the classroom lessons, when compared to students not getting the curriculum (but involved in the school wide, community, media, food service and some home events) reported improved nutrition in the younger and older grades. Older students also reported significantly more physical activity when compared to those not receiving the lessons. The curriculum appears to be the most important factor in improving children's reported nutrition and physical activity behaviors. The curriculum is also the least expensive channel to implement. Principals reported benefits from the community, home, school wide and media including improved public relations and visibility. Food service reported improved relations with faculty as a result of the program. The most difficult channel for schools was the media.

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