A cluster-randomised controlled trial of a school-based fruit and vegetable intervention
Project Tomato
Bibliographic Data
| ID | 15097671 |
|---|---|
| Authors | Charlotte Evans (0000-0002-4065-4397, University of Leeds), Joan K Ransley (University of Leeds), Meaghan S Christian (0000-0002-0689-0097, University of Leeds), D C Greenwood (0000-0001-7035-3096, University of Leeds), James D Thomas (0000-0002-8893-6350, University of Leeds), Janet Cade (0000-0003-3421-0121, University of Leeds, corresponding author) |
| Year | 2013 |
| Volume | 16 |
| Issue | 6 |
| Pages | 1073-1081 |
| Publication date | 2013-06-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980012005290 |
| PMID | 23237386 |
| OpenAlex | W2145743658 |
| Language | EN |
| Citations received | 9 |
| References cited | 34 |
Objective The present study aimed to determine whether a multi-component school-based intervention can maintain children's fruit and vegetable intake post eligibility for free school fruit and vegetables. Design A random sample of fifty-four English primary schools was randomised to receive the 10-month intervention Project Tomato, a multi-component theory-based intervention, or the control. Each group consisted of twenty-seven schools. Setting Children's intake of fruit and vegetables is below recommendations. The English School Fruit and Vegetable Scheme has a short-term impact on intake while children are eligible for the scheme. Subjects Dietary measurements were collected from 658 Year 2 pupils aged 7–8 years at baseline and at follow-up 20 months later. Results Following an intention to treat analysis, the intervention as delivered compared with the control had no impact on the intake of fruit and vegetables (2 g/d, 95 % CI −23, 26 g/d) or on the number of portions of fruit (0·0 portions, 95 % CI −0·3, 0·3) or vegetables (0·0 portions, 95 % CI −0·2, 0·3) consumed daily by children. Intake of fruit and vegetables at school and home dropped by ∼100 g/d and 50 g/d, respectively, between baseline and follow-up in both the intervention and control groups. Conclusions Implementation of the intervention was low, with associated lack of impact on fruit and vegetable consumption in children. Alternatives to the delivery of an intervention by teachers and parents are needed to improve the dietary intake of primary-school children
Cluster (spacecraft · Cluster randomised controlled trial · Environmental health · Intervention (counseling · Randomized controlled trial · Child Nutrition and Feeding Issues · Health and Lifestyle Studies · Medicine · Nursing · Obesity, Physical Activity, Diet · Surgery
The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement
The World Health Organization’s Health Promoting Schools framework
Evaluation of Social Impact Within Primary School Health Promotion
Research Design, Protocol, and Participant Characteristics of Coleafs
Psychosocial aspects related to fruit and vegetable consumption in adolescents
Identifying barriers and facilitators to increase fibre intakes in UK primary school children and exploring the acceptability of intervention components
Evaluation of the school-based ‘PhunkyFoods’ intervention
Hunger, overconsumption and youth
Characteristics of successful primary school-based experiential nutrition programmes
Getting children to eat more fruit and vegetables
Fruit, vegetables, and cancer prevention
Social cognition models and health behaviour
Reducing Obesity via a School-Based Interdisciplinary Intervention Among Youth
Parental influences on young girls’ fruit and vegetable, micronutrient, and fat intakes
Assessment of diet in young children with an emphasis on fruit and vegetable intake
Effects of a school-based intervention on adherence of 7–9-year-olds to food-based dietary guidelines and intake of nutrients
The impact of a school-based nutrition education intervention on dietary intake and cognitive and attitudinal variables relating to fruits and vegetables
Effect of a fruit and vegetable subscription in Danish schools
Process evaluation of a cluster randomised controlled trial of a school-based fruit and vegetable intervention
Squire's quest
SMART lunch box intervention to improve the food and nutrient content of children's packed lunches
A cross-sectional survey of children's packed lunches in the UK
Does the school fruit and vegetable scheme improve children’s diet? A non-randomised controlled trial
Fruit, vegetables, and antioxidants in childhood and risk of adult cancer
Changing fruit and vegetable consumption among children
| Unique citing works | 9 |
|---|---|
| Citations per year | 0,69 |
| Citation span | 2013 - 2025 (13) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 9 |