Nutrition Supports Deconstructed and Disrupted: An Evaluation of a Multilevel School-Based Intervention during the Time of COVID

The Best Food Forward (BFF) project aims to provide multiple nutrition supports and interventions to improve family food security (FS) and health outcomes associated with FS within two metropolitan school districts. A quasi-experimental time-series design guided a multilevel evaluation for BFF throu...

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Autores principales:	Rachael D. Dombrowski, Bree Bode, Kathryn A. G. Knoff, James Mallare, E. Whitney G. Moore, Noel Kulik
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	food security COVID-19 low income health inequities evaluation intervention Medicine R
Acceso en línea:	https://doaj.org/article/985e5b3207d24b15aba87f5ddcc9ca00
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spelling	oai:doaj.org-article:985e5b3207d24b15aba87f5ddcc9ca002021-11-11T16:10:00ZNutrition Supports Deconstructed and Disrupted: An Evaluation of a Multilevel School-Based Intervention during the Time of COVID10.3390/ijerph1821110061660-46011661-7827https://doaj.org/article/985e5b3207d24b15aba87f5ddcc9ca002021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11006https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The Best Food Forward (BFF) project aims to provide multiple nutrition supports and interventions to improve family food security (FS) and health outcomes associated with FS within two metropolitan school districts. A quasi-experimental time-series design guided a multilevel evaluation for BFF through surveys, biometric screenings, focus groups, and observations among a random sample of caregiver–child dyads. FS, utilization of school meal programs, and nutrition behaviors were observed and analyzed at three time points: preintervention, postintervention pre-COVID-19, and postintervention post-COVID-19. Participants included 122 parents and 162 youth. Families reported (1) an income less than $35,000 annually (48.8%) and (2) a COVID-19-related job loss (36.9%). Parents used Supplemental Nutrition Assistance Programs or Women, Infants, Children benefits prior to (51.1%) and following COVID-19 (50.0%). No significant differences in FS were found. RM-ANOVA indicated an increase in breakfast consumption at home and a decrease in use of the school breakfast program (<i>F</i>(1.78, 74) = 19.64, <i>p</i> < 0.001, partial <i>η</i><sup>2</sup> = 0.21) and school lunch program (<i>F</i>(1.51, 74) = 23.30, <i>p</i> < 0.001, partial <i>η</i><sup>2</sup> = 0.24). Rates of FS and eating behaviors did not change significantly over time. Correlations of program usage and eating behaviors demonstrate the importance of promoting participation in school meal programs. BFF may have prevented significant decreases in FS during COVID-19.Rachael D. DombrowskiBree BodeKathryn A. G. KnoffJames MallareE. Whitney G. MooreNoel KulikMDPI AGarticlefood securityCOVID-19low incomehealth inequitiesevaluationinterventionMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11006, p 11006 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	food security COVID-19 low income health inequities evaluation intervention Medicine R
spellingShingle	food security COVID-19 low income health inequities evaluation intervention Medicine R Rachael D. Dombrowski Bree Bode Kathryn A. G. Knoff James Mallare E. Whitney G. Moore Noel Kulik Nutrition Supports Deconstructed and Disrupted: An Evaluation of a Multilevel School-Based Intervention during the Time of COVID
description	The Best Food Forward (BFF) project aims to provide multiple nutrition supports and interventions to improve family food security (FS) and health outcomes associated with FS within two metropolitan school districts. A quasi-experimental time-series design guided a multilevel evaluation for BFF through surveys, biometric screenings, focus groups, and observations among a random sample of caregiver–child dyads. FS, utilization of school meal programs, and nutrition behaviors were observed and analyzed at three time points: preintervention, postintervention pre-COVID-19, and postintervention post-COVID-19. Participants included 122 parents and 162 youth. Families reported (1) an income less than $35,000 annually (48.8%) and (2) a COVID-19-related job loss (36.9%). Parents used Supplemental Nutrition Assistance Programs or Women, Infants, Children benefits prior to (51.1%) and following COVID-19 (50.0%). No significant differences in FS were found. RM-ANOVA indicated an increase in breakfast consumption at home and a decrease in use of the school breakfast program (<i>F</i>(1.78, 74) = 19.64, <i>p</i> < 0.001, partial <i>η</i><sup>2</sup> = 0.21) and school lunch program (<i>F</i>(1.51, 74) = 23.30, <i>p</i> < 0.001, partial <i>η</i><sup>2</sup> = 0.24). Rates of FS and eating behaviors did not change significantly over time. Correlations of program usage and eating behaviors demonstrate the importance of promoting participation in school meal programs. BFF may have prevented significant decreases in FS during COVID-19.
format	article
author	Rachael D. Dombrowski Bree Bode Kathryn A. G. Knoff James Mallare E. Whitney G. Moore Noel Kulik
author_facet	Rachael D. Dombrowski Bree Bode Kathryn A. G. Knoff James Mallare E. Whitney G. Moore Noel Kulik
author_sort	Rachael D. Dombrowski
title	Nutrition Supports Deconstructed and Disrupted: An Evaluation of a Multilevel School-Based Intervention during the Time of COVID
title_short	Nutrition Supports Deconstructed and Disrupted: An Evaluation of a Multilevel School-Based Intervention during the Time of COVID
title_full	Nutrition Supports Deconstructed and Disrupted: An Evaluation of a Multilevel School-Based Intervention during the Time of COVID
title_fullStr	Nutrition Supports Deconstructed and Disrupted: An Evaluation of a Multilevel School-Based Intervention during the Time of COVID
title_full_unstemmed	Nutrition Supports Deconstructed and Disrupted: An Evaluation of a Multilevel School-Based Intervention during the Time of COVID
title_sort	nutrition supports deconstructed and disrupted: an evaluation of a multilevel school-based intervention during the time of covid
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/985e5b3207d24b15aba87f5ddcc9ca00
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Nutrition Supports Deconstructed and Disrupted: An Evaluation of a Multilevel School-Based Intervention during the Time of COVID

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