Healthy School Lunch at Primary Schools in Rotterdam, the Netherlands
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 1,100
- 试验地点
- 1
- 主要终点
- Dietary content of children's lunches - assessed by an observation form
研究概览
简要总结
Obesity in children is increasing over the last decades and the majority of children in Europe fails to have a healthy diet. In the Netherlands, the majority of primary schools do not provide a (healthy) school lunch. However, previous research shows some positive effects. Within the current study the investigators want to implement healthy school lunches in the city of Rotterdam, a city with a very diverse youth population. The main objective of the healthy school lunch project is to evaluate the effectiveness and feasibility of providing healthy school lunches.
This is a prospective, single center, intervention study using a cross-over design with 3 measurement moments to collect data on effects and feasibility. Additional feasibility data will be collected throughout the study via questionnaires for teachers.
The study population is derived from primary schools participating in the "Enjoy Being Fit!" program in the city of Rotterdam. Children (4-12 years old) from these schools are eligible to participate in this study. Children from participating primary schools will take part in observations and complete questionnaires (only grade 5 to 8). Parents and teachers will complete questionnaires.
Together with individual schools and stakeholders a healthy school-lunch concept will be developed and implemented for half a school year. Data will be collected on three time points during the school year.
Questionnaires for children and parents will focus on dietary behaviour/food intake, taste preferences, perceived health, and the satisfaction with the healthy school lunch (also for teachers). Atmosphere in the class during lessons and during lunch will be measured in questionnaires for children and teachers. The questionnaire for parents also focuses on affordability of a healthy school lunch. Observation forms will be used to score on one day what snack and lunch children bring to/get at school.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Schools: Schools will be included if they are a LF! school, have a high deprivation score and ≥ 20% overweight/obesity, and are willing to participate in the project irrespective of starting in the intervention or control period. Schools should be willing to facilitate retrieving consent from parents and should provide students time to complete the questionnaire during school hours. They should also be willing to participate in a co-creation event, in which the lunch concept for their school will be designed together with school staff, parents, and children. Schools should be willing to facilitate the implementation of a healthy school lunch and should not provide any extra activities regarding healthy school lunches during the control period.
- •Children: All children of the participating schools will be eligible to receive a healthy school lunch, also if parents do not provide informed consent for the research project. Data will be gathered for all children for whom informed consent is provided for participating in the data gathering. Informed consent must be signed by the parents of children who are allowed to participate in the research activities (observations and questionnaires) in the school. Additionally, when children are 12 years or older they have to sign an informed consent themselves.
- •Parents: All parents with children in the participating schools will be included into the project to complete questionnaires. Informed consent must be signed by the parent.
- •Teachers: All teachers in participating will be included into the project to complete questionnaires. Informed consent must be signed by the teacher.
排除标准
- •The non-compliance of the inclusion criteria will be considered as exclusion criteria.
结局指标
主要结局
Dietary content of children's lunches - assessed by an observation form
时间窗: Three times during academic year 2023-2024: baseline/approximately 18 weeks/approximately 36 weeks
Observation of type and amount of bread, topping, drinks, fruits, vegetables, and other food products
次要结局
- General dietary behaviour of children - assessed by a questionnaire(Three times during academic year 2023-2024: baseline/approximately 18 weeks/approximately 36 weeks)
- Concentration in class - assessed by a questionnaire(Three times during academic year 2023-2024: baseline/approximately 18 weeks/approximately 36 weeks)
- Atmosphere in class - assessed by a questionnaire(Three times during academic year 2023-2024: baseline/approximately 18 weeks/approximately 36 weeks)
- Taste preferences of children - assessed by a questionnaire(Three times during academic year 2023-2024: baseline/approximately 18 weeks/approximately 36 weeks)
- Financial situation of parents - assessed by a questionnaire(During intervention arm: depending on the group either approximately 18 weeks after baseline or approximately 36 weeks after baseline)
- Perceived health of children - assessed by a questionnaire(Three times during academic year 2023-2024: baseline/approximately 18 weeks/approximately 36 weeks)
- Satisfaction of the healthy school lunch - assessed by a questionnaire(During intervention arm: depending on the group either approximately 18 weeks after baseline or approximately 36 weeks after baseline)
研究者
Wilma Jansen
Principal Investigator
Erasmus Medical Center