Dietary Effects of School-Based SNAP-Ed Education with and without Policy, Systems, and Environmental Change Strategies.
There is potential value in combining education with policy, systems, and environmental (PSE) change strategies in school-based dietary and physical activity (PA) interventions. We investigated the impact of different combinations of Supplemental Nutrition Assistance Program-Education (SNAP-Ed) inte...
| Publicado en: | Journal of Community Health Vol. 51; no. 1; pp. 24 - 37 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Feb2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=191978227&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 191978227 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Feb2026 vid: 51 iid: 1 pid: 237 pub: Springer Nature artinfo: ui: 191978227 10.1007/s10900-025-01507-0 ppf: 24 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1MB tig: atl: Dietary Effects of School-Based SNAP-Ed Education with and without Policy, Systems, and Environmental Change Strategies. aug: au: Linares, Amanda Baig, Ramsha Hewawitharana, Sridharshi C. Woodward-Lopez, Gail Brown, Miranda Westfall affil: https://ror.org/03t0t6y08 Nutrition Policy Institute, University of California Agriculture and Natural Resources, 1111 Franklin Street, 94607, Oakland, CA, USA su: California Self-evaluation Ecology Food consumption Climate change Evaluation of human services programs Schools Clinical trials School administration Analysis of variance Health education Student attitudes School health services Research funding Fruit juices Educational outcomes Statistical sampling Questionnaires Fisher exact test Chi-squared test Structural equation modeling Descriptive statistics Pre-tests & post-tests Food relief Research methodology Comparative studies Confidence intervals Data analysis software Diet Nutrition education Physical activity Beverages sug: subj: Self-evaluation Ecology Food consumption Climate change Evaluation of human services programs Schools Clinical trials School administration Analysis of variance Health education Student attitudes School health services California Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology) Community Food Services International assistance Fruit and Vegetable Canning Other specialty-line food merchant wholesalers Marketing Research and Public Opinion Polling Administration of Education Programs Elementary and Secondary Schools All Other Miscellaneous Schools and Instruction Research funding Fruit juices Educational outcomes Statistical sampling Questionnaires Fisher exact test Chi-squared test Structural equation modeling Descriptive statistics Pre-tests & post-tests Food relief Research methodology Comparative studies Confidence intervals Data analysis software Diet Nutrition education Physical activity Beverages keyword: Medical and Health Sciences Public Health and Health Services Nutrition School-based interventions SNAP-Ed Medical and Health Sciences Public Health and Health Services Nutrition School-based interventions SNAP-Ed ab: There is potential value in combining education with policy, systems, and environmental (PSE) change strategies in school-based dietary and physical activity (PA) interventions. We investigated the impact of different combinations of Supplemental Nutrition Assistance Program-Education (SNAP-Ed) interventions on diet and PA and determined if student and school characteristics modified these impacts. A quasi-experimental, two-group (intervention (I) and comparison (C)), pre-post design examined the impact of interventions on diet and PA of 4th /5th grade students (n=2,115;n=1,102) in SNAP-Ed-eligible California public schools (n=51;n=18). Compared to students receiving no intervention, students receiving education + PSE decreased soda intake by 0.08 times/day [95% CI: −0.15, −0.02], increased whole fruit intake by 0.17 times/day [95% CI: 0.03–0.32], and increased total vegetable intake by 0.46 times/day [95% CI: 0.18–0.75]. Among students who received education only, sport and energy drink intake increased by 0.11 times/day [95% CI: 0.03–0.19] and 0.05 times/day [95% CI: 0.01–1.10] respectively, compared to students receiving no intervention, and fruit juice intake increased by 0.11 times/day [95% CI: 0.03, 0.20]. School urbanicity and Free and Reduced-Price Meal (FRPM) eligibility level modified intervention impacts. Compared to students from no intervention schools, students in urban schools receiving education only increased intake frequency of sweetened fruit drinks (β[95% CI] = 0.12[0.01–0.23], and students from schools with FRPM above the state average receiving education + PSE significantly increased intake frequency of beans (β[95% CI] = 0.14[0.04–0.24]. Findings highlight the benefit of coupling nutrition education with PSE changes and identify key areas for refining dietary and PA interventions in schools. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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