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University of Wisconsin-Eau Claire. The Effects of Health Related Messages and Information, Reminders, Praise, and Incentives on the Food Choice Behavior of Youth Participating in an Afterschool Program.
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University of Wisconsin-Eau Claire The Effects of Health Related Messages and Information, Reminders, Praise, and Incentives on the Food Choice Behavior of Youth Participating in an Afterschool Program Student Researchers:Tiffany Christner, Stephen Fisher, Lainee Hoffman, Kevin Reinhold & Laurelyn WiesemanFaculty Mentor: Eric Jamelske
University of Wisconsin-Eau Claire Preliminary Results What Kids Say They Will Eat… …and What They Actually Eat Student Researchers:Tiffany Christner, Stephen Fisher, Lainee Hoffman, Kevin Reinhold & Laurelyn WiesemanFaculty Mentor: Eric Jamelske
Overview • Motivation • Previous Research • Survey of Behavioral Intent • Survey of Fruit and Vegetable Preferences • Fruit and Vegetable Consumption Tracking • Future Work • Questions and Discussion
Motivation • Inadequate FV consumption (not 5-9 a day) • Lots of less healthy alternatives • Rising rates of childhood and adult obesity • Significant health care concern, annual costs in the BILLIONS of $
FV Research • School-Based Programs to Increase FV Intake • Wechsler et al. (2000) • Wechsler et al. (2004) • Blanchette & Brug, (2005) • Knai et al. (2006) • Preferences and Exposure • Reinharts et al. (2007) • Lorson et al. (2009)
FV Research • Schools can increase FV intake • Programs vary widely • Success comes from teacher and administrative buy-in/support • Multidimensional interventions have most impact • Repeated exposure, availability and accessibility are important
USDA FFVP Research • Buzby et al. (2003) • Coyle et al. (2009) • Davis et al. (2009) • Bai et al. (2011) • Potter et al. (2011) • Jamelske et al. (2009) • Jamelske and Bica (2012, 1) • Bica and Jamelske (2012)
FFVP Research • The FFVP works • Increased FV consumption and preferences in school • Repeated exposure, availability, accessibility • Impact is limited
Research on Incentives and FV • Wardle et al. (2002) • Horne et al. (2004) • Cooke et al. (2011, 1) • Cooke et al. (2011, 2) • Jamelske and Bica (2012, 2) • List & Samak (2012) • Just & Price (2012)
Research on Incentives and FV • Incentives Matter! • Incentives can influence food choice and increase FV consumption • Healthy messages help • Peer and teacher modeling is important • More research is needed
Current Project • Elementary and middle school students attend afterschool program • Program runs from 3-6pm with children arriving between 3-4pm • Children are served a snack upon arrival and dinner is served to all children who are still there at 5:30pm • Not all children attend every day • Studying FV preferences, behavioral intent and intake for snack and dinner as well as how children respond to a variety of incentives
Preferences and Behavioral Intent • Pre-test survey inquiring about a range of behaviors • Eating familiar FV, trying unfamiliar FV and choosing FV over less healthy alternatives • The survey also inquired how often children ask their parents to buy FV for them to eat • Post-test survey will be given later
Fruit & Vegetable Intake • Researchers observe and record fruit and vegetable items eaten from those served for snack and dinner • Children report to researchers as trays are emptied after eating • Researchers record data as ate none, tried, ate half, ate all or ate seconds • Data collected every M W F from September 2012 – May 2013 • No incentives have been used as of yet in our study
Our Sample • We have collected FV intake data for at least one day from 126 children thus far • The average number of students present at any given meal was 28, with a low of 5 and a high of 49 • 63 children have completed the pre-test survey • The remaining 63 children will be given the pre-test survey before the next phase of the study begins
FV Intake Trackingn=126All children do not attend every day…
Future Work • Continue to collect baseline data on FV intake for snack/dinner • More detailed examination of average FV intake • Compare average FV intake to preferences and behavioral intent • Explore average FV intake by meal/over time (repeated exposure) • Investigate gender, school, age, race comparisons • Individual level data for children can be matched to preferences and behavioral intent
Future Work • Begin incentives phase • Target preferences and behavioral intent pre-test data • Serve FV like, don’t like and haven’t tried • Toys, health messages, praise/encouragement, repeated exposure • Offer less healthy choices (cookies/chips) • Observe, record, compare, analyze, report