Post–Healthy, Hunger-Free Kids Act Adherence to Select School Nutrition Standards by Region and Poverty Level: The Healthy Communities Study

Au, Lauren E.; Ritchie, Lorrene D.; Gurzó, Klára; Nhan, Lilly A; Woodward-Lopez, Gail; Kao, Janice; Guenther, Patricia M.; Tsai, Marisa; Gosliner, Wendi

doi:10.1016/j.jneb.2019.10.016

Cited by 14 publications

(14 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The US Department of Agriculture (USDA) began phasing in the HHFKA policy changes in the 2012–13 school year, and research suggests that these changes have been a public health success. Adherence to the new meal and snack standards has been high, 9 , 14 and students consume more fruit, vegetables, and whole grains and fewer starchy vegetables than before the revision. 9 , 15 At the same time, studies have found no increases in food waste 15 – 17 or reductions in students’ participation in the National School Lunch Program.…”

mentioning

confidence: 99%

Impact Of The Healthy, Hunger-Free Kids Act On Obesity Trends

Kenney

Barrett²,

Bleich³

et al. 2020

Health Affairs

View full text Add to dashboard Cite

The Healthy, Hunger-Free Kids Act of 2010 strengthened nutrition standards for meals and beverages provided through the National School Lunch, Breakfast, and Smart Snacks Programs, affecting fifty million children daily at 99,000 schools. The legislation’s impact on childhood obesity is unknown. We tested whether the legislation was associated with reductions in child obesity risk over time using an interrupted time series design for 2003–18 among 173,013 youth in the National Survey of Children’s Health. We found no significant association between the legislation and childhood obesity trends overall. For children in poverty, however, the risk of obesity declined substantially each year after the act’s implementation, such that obesity prevalence would have been 47 percent higher in 2018 if there had been no legislation. These results suggest that the Healthy, Hunger-Free Kids Act’s science-based nutritional standards should be maintained to support healthy growth, especially among children living in poverty.

show abstract

mentioning

confidence: 99%

Impact Of The Healthy, Hunger-Free Kids Act On Obesity Trends

Kenney

Barrett²,

Bleich³

et al. 2020

Health Affairs

View full text Add to dashboard Cite

show abstract

“…Several tools only measured fidelity and/or adoption as the implementation outcomes, which draws concern for addressing constructs such as feasibility and sustainability, among others. Only 8 measures addressed feasibility, with 7 of those within unique tools; this is somewhat contradictory to the extant literature on school-based programming, as many studies have reported low feasibility for implementing policies and health promoting interventions [ 38 , 63 – 65 ]. Further, through qualitative and mixed-methods research it has transpired that, despite providing financial and logistical support to schools, districts, and states/provinces, most policies are difficult to sustain in absence of such support [ 65 – 67 ].…”

Section: Discussionmentioning

confidence: 98%

A systematic review of school health policy measurement tools: implementation determinants and outcomes

McLoughlin

Allen

Walsh‐Bailey

et al. 2021

Implement Sci Commun

View full text Add to dashboard Cite

Background Governments in some countries or states/provinces mandate school-based policies intended to improve the health and well-being of primary and secondary students and in some cases the health of school staff. Examples include mandating a minimum time spent per week in programmed physical activity, mandating provision of healthy foods and limiting fat content of school meals, and banning tobacco products or use on school campuses. Although school health researchers have studied whether schools, districts, or states/provinces are meeting requirements, it is unclear to what extent implementation processes and determinants are assessed. The purposes of the present systematic review of quantitative measures of school policy implementation were to (1) identify quantitative school health policy measurement tools developed to measure implementation at the school, district, or state/provincial levels; (2) describe the policy implementation outcomes and determinants assessed and identify the trends in measurement; and (3) assess pragmatic and psychometric properties of identified implementation measures to understand their quality and suitability for broader application. Methods Peer-reviewed journal articles published 1995–2020 were included if they (1) had multiple-item quantitative measures of school policy implementation and (2) addressed overall wellness, tobacco, physical activity, nutrition, obesity prevention, or mental health/bullying/social-emotional learning. The final sample comprised 86 measurement tools from 67 peer-review articles. We extracted study characteristics, such as psychometric and pragmatic measure properties, from included articles based on three frameworks: (1) Implementation Outcomes Framework, (2) Consolidated Framework for Implementation Research, and (3) Policy Implementation Determinants Framework. Results Most implementation tools were developed to measure overall wellness policies which combined multiple policy topics (n = 35, 40%) and were in survey form (n = 75, 87%). Fidelity was the most frequently prevalent implementation outcome (n = 70, 81%), followed by adoption (n = 32, 81%). The implementation determinants most assessed were readiness for implementation, including resources (n = 43, 50%), leadership (n = 42, 49%), and policy communication (n = 41, 48%). Overall, measures were low-cost and had easy readability. However, lengthy tools and lack of reported validity/reliability data indicate low transferability. Conclusions Implementation science can contribute to more complete and rigorous assessment of school health policy implementation processes, which can improve implementation strategies and ultimately the intended health benefits. Several high-quality measures of implementation determinants and implementation outcomes can be applied to school health policy implementation assessment. Dissemination and implementation science researchers can also benefit from measurement experiences of school health researchers.

show abstract

“…Several tools only measured delity and/or adoption as the implementation outcomes, which draws concern for addressing constructs such as feasibility and sustainability, among others. Only 8 measures addressed feasibility, with 7 of those within unique tools; this is somewhat contradictory to the extant literature on school-based programming, as many studies have reported low feasibility for implementing policies and health promoting interventions (26,(59)(60)(61). Further, through qualitative and mixed-methods research it has transpired that, despite providing nancial and logistical support to schools, districts, and states/provinces, most policies are di cult to sustain in absence of such support (61)(62)(63).…”

Section: Discussionmentioning

confidence: 97%

A Systematic Review of School Health Policy Measurement Tools: Implementation Determinants and Outcomes

McLoughlin

Allen

Walsh‐Bailey

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Governments in some countries or states/provinces mandate school-based policies intended to improve the health and well-being of primary and secondary students, and in some cases the health of school staff. Examples include mandating a minimum time spent per week in programmed physical activity, mandating provision of healthy foods and limiting fat content of school meals, and banning tobacco products or use on school campuses. Although school health researchers have studied whether schools, districts, or states/provinces are meeting requirements, it is unclear to what extent implementation processes and determinants are assessed. The purposes of the present systematic review of quantitative measures of school policy implementation are to identify quantitative measures of implementation determinants and Proctor model implementation outcomes and assess pragmatic and psychometric properties of such measures.Methods: Peer-reviewed journal articles published 1995-2020 were included if they: 1) had multiple-item quantitative measures of school policy implementation; and 2) addressed overall wellness, tobacco, physical activity, nutrition, obesity prevention, and mental health/bullying/social-emotional learning. The final sample comprised 86 measurement tools from 67 peer-review articles. We extracted study characteristics, such as psychometric and pragmatic measure properties, from included articles based on three frameworks: Implementation Outcomes Framework, 2) Consolidated Framework for Implementation Research, and 3) Policy Implementation Determinants Framework.Results: Most implementation tools were developed to measure overall wellness policies which combined multiple policy topics (n=35, 40%) and were in survey form (n=75, 87%). Fidelity was the most frequently prevalent implementation outcome (n=70, 81%), followed by adoption (n=32, 81%). The implementation determinants most assessed were readiness for implementation, including resources (n=43, 50%), leadership (n=42, 49%), and policy communication (n=41, 48%). Overall, measures were low-cost and had easy readability. However, lengthy tools and lack of reported validity/reliability data indicate low transferability.Conclusions: Implementation science can contribute to more complete and rigorous assessment of school health policy implementation processes, which can improve implementation strategies and ultimately the intended health benefits. Several high-quality measures of implementation determinants and implementation outcomes can be applied to school health policy implementation assessment. D&I researchers can also benefit from measurement experiences of school health researchers.

show abstract

Post–Healthy, Hunger-Free Kids Act Adherence to Select School Nutrition Standards by Region and Poverty Level: The Healthy Communities Study

Cited by 14 publications

References 24 publications

Impact Of The Healthy, Hunger-Free Kids Act On Obesity Trends

Impact Of The Healthy, Hunger-Free Kids Act On Obesity Trends

A systematic review of school health policy measurement tools: implementation determinants and outcomes

A Systematic Review of School Health Policy Measurement Tools: Implementation Determinants and Outcomes

Contact Info

Product

Resources

About