Objectives This study aimed to compare students’ knowledge and practices related to managing school meals before and after a participatory learning program. Methods The study used a one group pretest–posttest quasi-experimental design with assessment conducted before and after a participatory learning program. The study included 34 student leaders who participated in the program during February to March 2020. The data were analyzed using descriptive statistics, t-test, and the Wilcoxon Matched Pairs Signed-Ranks test. Results The 34 student leaders (64.7% female and 35.3% male, average age 16.91 years) scored 15.26 before the knowledge segment of the program and 19.35 after that program. They received an average score of 9.0 before the practices segment of the program which improved to 20.00 after the program. The increase in both knowledge and practice scores were statistically significant (p < 0.001, p < 0.001). Conclusion Food management in schools is essential to the nutritional status of students. A participatory learning program can significantly improve student leaders’ knowledge and practices related to school food management. Student leaders can conduct these programs and exchange ideas with other students. School food management policies can then be adjusted accordingly. Chiang Mai Medical Journal 2021;60(1):113-24. doi 10.12982/CMUMEDJ.2021.10
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