School Breakfast Policy Initiative Study

Not Applicable

Completed

• Conditions: Hunger; Childhood Obesity
• Interventions: Other: Classroom feeding; Behavioral: Nutrition education lessons; Behavioral: Social Marketing; Behavioral: Parent outreach

• Registration Number: NCT01924130
• Lead Sponsor: Temple University

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.

Detailed Description

Policy makers have promoted school breakfast participation as a tool to help prevent childhood obesity. No randomized controlled trials have examined the effects of a school breakfast feeding program on obesity. We propose to develop and evaluate a School Breakfast Policy Initiative (SBPI) that combines classroom feeding, in-school nutrition education, social marketing and parent outreach. Specifically, we will promote the benefits of a healthy breakfast at school or home and deter buying "breakfast" at corner stores where purchases are high in energy, solid fats and added sugars. This intervention will be evaluated in the "real world" of urban schools that make frequent use of the SNAP-Ed and the School Breakfast Program. The specific aims are:

1. To develop the SBPI intervention within the context of SNAP Ed and the National School Breakfast Program in the School District of Philadelphia.

2. To conduct a pilot feasibility study among 4 schools (2 intervention and 2 control) to assess feasibility and acceptability.

3. To compare participants in the intervention (n=8) and comparison schools (n=8) on the incidence of overweight and obesity. We predict that intervention schools, compared to the comparison schools, will have a significantly lower incidence rate of overweight and obesity over a 2 y period.

4. To compare participants in the intervention (n=8) and comparison schools (n=8) on eating one breakfast. We predict that intervention schools, compared to the comparison schools, will have significantly greater percentage of children eating one breakfast per day over a 2 y period.

Study Timeline

• Study Start: 2012-07
• Study First Submitted: 2013-06-28
• Study First Submitted QC: 2013-08-14
• Study First Posted: 2013-08-16
• Primary Completion: 2016-06
• Study Completion: 2016-06
• Status Verified: 2016-08
• Last Update Submitted: 2016-08-29
• Last Update Posted: 2016-08-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2000

Inclusion Criteria

• 4th-8th grade Philadelphia public school students.

Exclusion Criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
One Healthy Breakfast Program	Nutrition education lessons	Classroom feeding, nutrition education lessons, social marketing, and parent outreach.
One Healthy Breakfast Program	Social Marketing	Classroom feeding, nutrition education lessons, social marketing, and parent outreach.
One Healthy Breakfast Program	Parent outreach	Classroom feeding, nutrition education lessons, social marketing, and parent outreach.
One Healthy Breakfast Program	Classroom feeding	Classroom feeding, nutrition education lessons, social marketing, and parent outreach.

Primary Outcome Measures

Name	Time	Method
Breakfast Consumption habits	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)	Measured using a breakfast intake questionnaire.
Hunger	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)	Measured using a hunger scale questionnaire.
School meal participation rates	Every month for 34 months (September 2013-June 2016)
Body Mass Index	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)	BMI is calculated using students' height and weight measurements.

Trial Locations

Locations (1)

Temple University - Center for Obesity Research and Education; 🇺🇸 Philadelphia, Pennsylvania, United States