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A Mixed Methods, Quasi-Experimental Evaluation Exploring the Impact of a Secondary School Universal Free School Meals Intervention Pilot

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  • Victoria R. Carlisle

    (Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK
    NIHR PHIRST Insight, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK)

  • Patricia E. Jessiman

    (Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK
    NIHR PHIRST Insight, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK)

  • Katie Breheny

    (Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK
    NIHR PHIRST Insight, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK)

  • Rona Campbell

    (Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK
    NIHR PHIRST Insight, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK)

  • Russell Jago

    (Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK
    NIHR PHIRST Insight, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK
    Centre for Exercise, Nutrition & Health Sciences, School for Policy Studies, University of Bristol, Bristol BS8 1QU, UK
    The National Institute for Health Research, Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol and Weston NHS Foundation Trust, Bristol BS1 2NT, UK)

  • Naomi Leonard

    (Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK)

  • Marcus Robinson

    (London Borough of Hammersmith and Fulham, London W6 9JU, UK)

  • Steve Strong

    (NIHR PHIRST Insight, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK)

  • Judi Kidger

    (Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK
    NIHR PHIRST Insight, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK)

Abstract

Food insecurity amongst households with children is a growing concern globally. The impacts in children include poor mental health and reduced educational attainment. Providing universal free school meals is one potential way of addressing these impacts. This paper reports findings on the impact of a universal free school meals pilot in two English secondary schools. We adopted a mixed-methods, quasi-experimental design. The intervention schools were one mainstream school ( n = 414) and one school for students with special educational needs ( n = 105). Two other schools were used as comparators ( n = 619; n = 117). The data collection comprised a cross sectional student survey during the pilot ( n = 404); qualitative interviews with students ( n = 28), parents ( n = 20) and school staff ( n = 12); and student observations of lunchtimes ( n = 57). Qualitative data were analysed using thematic analysis, and descriptive analyses and logistic regressions were conducted on the quantitative data. Self-reports of food insecurity were high at both intervention (26.6%) and comparator schools (25.8%). No effects of the intervention were seen in the quantitative findings on either hunger or food insecurity. Qualitative findings indicated that students, families and staff perceived positive impact on a range of outcomes including food insecurity, hunger, school performance, family stress and a reduction in stigma associated with means-tested free school meals. Our research provides promising evidence in support of universal free school meals in secondary schools as a strategy for addressing growing food insecurity. Future research should robustly test the impact of universal free school meals in a larger sample of secondary schools, using before and after measures as well as a comparator group.

Suggested Citation

  • Victoria R. Carlisle & Patricia E. Jessiman & Katie Breheny & Rona Campbell & Russell Jago & Naomi Leonard & Marcus Robinson & Steve Strong & Judi Kidger, 2023. "A Mixed Methods, Quasi-Experimental Evaluation Exploring the Impact of a Secondary School Universal Free School Meals Intervention Pilot," IJERPH, MDPI, vol. 20(6), pages 1-15, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:5216-:d:1103836
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    References listed on IDEAS

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    3. Alaimo, K. & Olson, C.M. & Frongillo E.A., Jr. & Briefel, R.R., 2001. "Food insufficiency, family income, and health in US preschool and school-aged children," American Journal of Public Health, American Public Health Association, vol. 91(5), pages 781-786.
    4. Coleman-Jensen, Alisha & Rabbitt, Matthew P. & Gregory, Christian & Singh, Anita, 2015. "Household Food Security in the United States in 2014," Economic Research Report 262204, United States Department of Agriculture, Economic Research Service.
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