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

Author

Listed:
  • Rachael D. Dombrowski

    (Division of Kinesiology, Health and Sports Studies, College of Education, Wayne State University, Detroit, MI 48202, USA)

  • Bree Bode

    (Division of Kinesiology, Health and Sports Studies, College of Education, Wayne State University, Detroit, MI 48202, USA)

  • Kathryn A. G. Knoff

    (Division of Kinesiology, Health and Sports Studies, College of Education, Wayne State University, Detroit, MI 48202, USA)

  • James Mallare

    (Division of Kinesiology, Health and Sports Studies, College of Education, Wayne State University, Detroit, MI 48202, USA)

  • E. Whitney G. Moore

    (Division of Kinesiology, Health and Sports Studies, College of Education, Wayne State University, Detroit, MI 48202, USA)

  • Noel Kulik

    (Division of Kinesiology, Health and Sports Studies, College of Education, Wayne State University, Detroit, MI 48202, USA)

Abstract

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 ( F (1.78, 74) = 19.64, p < 0.001, partial ? 2 = 0.21) and school lunch program ( F (1.51, 74) = 23.30, p < 0.001, partial ? 2 = 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.

Suggested Citation

  • Rachael D. Dombrowski & Bree Bode & Kathryn A. G. Knoff & James Mallare & E. Whitney G. Moore & Noel Kulik, 2021. "Nutrition Supports Deconstructed and Disrupted: An Evaluation of a Multilevel School-Based Intervention during the Time of COVID," IJERPH, MDPI, vol. 18(21), pages 1-16, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11006-:d:660341
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    References listed on IDEAS

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    1. repec:wly:soecon:v:82:4:y:2016:p:1147-1166 is not listed on IDEAS
    2. Gregory, Christian A. & Coleman-Jensen, Alisha, 2017. "Food Insecurity, Chronic Disease, and Health Among Working-Age Adults," Economic Research Report 261813, United States Department of Agriculture, Economic Research Service.
    3. James P. Ziliak & Craig Gundersen, 2016. "Multigenerational Families and Food Insecurity," Southern Economic Journal, John Wiley & Sons, vol. 82(4), pages 1147-1166, April.
    4. James P. Ziliak & Craig Gundersen, 2016. "Multigenerational Families and Food Insecurity," Southern Economic Journal, Southern Economic Association, vol. 82(4), pages 1147-1166, April.
    5. Lucy Prior, 2021. "Allostatic Load and Exposure Histories of Disadvantage," IJERPH, MDPI, vol. 18(14), pages 1-17, July.
    6. Wehler, C. & Weinreb, L.F. & Huntington, N. & Scott, R. & Hosmer, D. & Fletcher, K. & Goldberg, R. & Gundersen, C., 2004. "Risk and Protective Factors for Adult and Child Hunger among Low-Income Housed and Homeless Female-Headed Families," American Journal of Public Health, American Public Health Association, vol. 94(1), pages 109-115.
    7. Braveman, P.A. & Cubbin, C. & Egerter, S. & Williams, D.R. & Pamuk, E., 2010. "Socioeconomic disparities in health in the united States: What the patterns tell us," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 186-196.
    8. Raquel M. Guevara & José E. Moral-García & José D. Urchaga & Sergio López-García, 2021. "Relevant Factors in Adolescent Well-Being: Family and Parental Relationships," IJERPH, MDPI, vol. 18(14), pages 1-10, July.
    9. Zachary Parolin & Christoper Wimer, 2020. "Forecasting Estimates of Poverty During the COVID-19 Crisis," Poverty and Social Policy Brief 2046, Center on Poverty and Social Policy, Columbia University.
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