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Modifying the snack food consumption patterns of inner city high school students: the Great Sensations Study
Authors:T J Coates  I Barofsky  K E Saylor  B Simons-Morton  W Huster  E Sereghy  S Straugh  H Jacobs  L Kidd
Institution:1. School of Medicine, University of California, San Francisco, California 94143 USA;2. The Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland 21205 USA;3. Stanford Heart Disease Program, Stanford University, Stanford, California 94305 USA;4. University of Texas Medical Branch at Galveston, Galveston, Texas 77660 USA;5. School of Medicine, University of California, Los Angeles, California 90024 USA;6. The Johns Hopkins School of Medicine, Baltimore, Maryland 21205 USA
Abstract:The Great Sensations Program is a nutrition-education project developed for high school students. It was designed to (a) decrease students' consumption of salty snacks and (b) increase students' consumption of fresh fruit snacks. The overall programs were designed following principles of social learning: informative instruction, participatory classroom activities, personal goal setting, feedback, and reinforcement. The program was delivered in six lessons during regular health-education classes. A parental involvement program consisted of mailers and telephone calls to parents to teach them to encourage changes in student snacking habits. A schoolwide program was designed to provide out-of-class peer support for student modifications in salty snack foods. The program was evaluated in one high school using a 2 X 2 design. A second high school served as a no-treatment control. Program assessments were made at both schools before and after the classes, at the end of the school year, and the following fall the next school year following summer vacation. The schoolwide media program was effective in decreasing consumption of salty snack foods and in increasing consumption of target snack foods. However, only those students receiving classroom instruction maintained those changes until the end of the school year. No changes were maintained across summer vacation. These outcomes suggest that school programs developed using principles of social learning may be effective in facilitating important behavior changes at home and at school.
Keywords:To whom reprint requests should be addressed: Division of General Internal Medicine  A-405  School of Medicine  University of California  San Francisco  Calif  94143  
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