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Food for Thought: Utilizing after school programs to improve nutrition through mindfulness, advertising awareness, and nutritional literacy
Last registered on February 12, 2015

Pre-Trial

Trial Information
General Information
Title
Food for Thought: Utilizing after school programs to improve nutrition through mindfulness, advertising awareness, and nutritional literacy
RCT ID
AEARCTR-0000623
Initial registration date
February 12, 2015
Last updated
February 12, 2015 9:38 AM EST
Location(s)
Primary Investigator
Affiliation
Other Primary Investigator(s)
PI Affiliation
Princeton University
Additional Trial Information
Status
On going
Start date
2014-10-22
End date
2015-06-01
Secondary IDs
Abstract
This study aimed to deliver a 5-session intervention which consisted of discussion and activity-based classes on nutrition, food choice, mindfulness, and advertising influence. The goal of the intervention was to improve nutritional knowledge and skills to empower students to make healthier and more informed decisions about food. The class was taught in partnership with the Boys & Girls Club of Trenton after school program - Centre Street location. Physical and survey data were collected to evaluate the effects of the intervention.
External Link(s)
Registration Citation
Citation
Haushofer, Johannes and Fred Shaykis. 2015. "Food for Thought: Utilizing after school programs to improve nutrition through mindfulness, advertising awareness, and nutritional literacy." AEA RCT Registry. February 12. https://doi.org/10.1257/rct.623-1.0.
Former Citation
Haushofer, Johannes and Fred Shaykis. 2015. "Food for Thought: Utilizing after school programs to improve nutrition through mindfulness, advertising awareness, and nutritional literacy." AEA RCT Registry. February 12. https://www.socialscienceregistry.org/trials/623/history/3588.
Experimental Details
Interventions
Intervention(s)
The intervention class is based on a previously designed and classroom-tested course called “Community Voices for Health: Kids Take Action,” which has a focus on teaching media literacy and nutrition knowledge. The mindfulness component was taken from the book “Mindful Eating,” by Jan Chozen Bays, and from online exercises and personal experience. The class is mostly discussion-based, with some videos and hands-on activities, and is designed to fit the allotted time period (45 minutes per session at one site and 75 minutes per session at the other).
Intervention Start Date
2014-10-31
Intervention End Date
2014-12-19
Primary Outcomes
Primary Outcomes (end points)
Primary Outcomes:
We hypothesize that participants in the experimental group will:
1) Report eating more fruits and vegetables
2) Report eating fewer highly processed foods, fast foods, and non-diet sodas (Food consumption survey
3) Have greater nutritional knowledge (Nutritional Knowledge Questionnaire score)
4) Report using more internal (vs. external) hunger cues (Mindul Eating Survey, Factor 3)
5) Show reduced mindless eating on the behavioral measure of mindless eating (stale popcorn test)

Additional Outcomes:
These outcome measures are denoted as “secondary outcomes” because I either have no strong a priori hypothesis about the outcome, they are unlikely to be affected by the intervention, or they are less important outcomes.
1) Mindful Eating Survey, Factor 1 (awareness of food sensations)
2) Mindful Eating Survey, Factor 2 (distraction while eating)
3) Mindful Eating Survey, Factor 4 (awareness of advertising and media influences)
4) Changes in BMI
5) Food addiction composite score (YFAS-C)
6) Physical activity and sedentary behavior (YRBS: Questions 1-3)
7) Subjective Stress (YRBS: Questions 9-10)
8) Home vs. Restaurant-prepared meals (Food consumption survey: Questions B5, B6, C1 – C5)
9) Sugary vs. healthier drink consumption (Food consumption survey: Questions E1-E4)
10) Increased nutrition facts label-reading ability (Nutrition Knowledge: Questions13-15)
Primary Outcomes (explanation)
Outcome/Variable Specifications:

Age: Months old at beginning of intervention (October 24, 2014)
Grades: 0 for “mostly F’s” - 4 for “mostly A’s”
Activity Level: (higher means more active)
Days active (YRBS Q1) + Days PE (Q4) – daily hours TV (Q2) – daily hours computer/games (Q3)
Stress Level: Home stress (0 – 4) + non-home stress (0 – 4) (higher means more stress)
Fruits and Vegetables: (higher means more fruits and vegetables)
for pre, A6 (0 – 4) + A10 (0 – 4) + B2 (0 – 5) + B3 (0 – 5) + B5 (0 – 5)
for post, A6 + A7 + B2 + B3 + B4 (same scaling)
note: post includes all school vegetables in A7 while pre has a separate question (A8, not included) for salad greens
Processed Food: (higher means more processed food)
B1 + C1 + C2 + C3 + D1 + D3 + D4 + E1
Home and Restaurant Meals: (higher means eating out more)
For pre, C1 + C2 + C3 + C4 + C5 – B7
For post, C1 + C2 + C3 + C4 + C5 – B6
Soda Drinking: E1
Non-sugary Drinks: E2 + E3 + E4
Nutritional Knowledge: # of questions correct (excluding #6, so out of 14 total)
Mindful Eating Survey:
For each factor, the average score (0 – 4) for all questions in the factor
Secondary Outcomes
Secondary Outcomes (end points)
Secondary Outcomes (explanation)
Experimental Design
Experimental Design
In October – December 2014, I taught 5 sessions of a nutrition education and mindfulness class to pre-selected groups of 5th to 8th grade students attending one of two Boys & Girls Club after school program sites in Trenton, NJ. Students enrolled in either the soccer program or the cooking program received the intervention class. These classes were chosen to receive the class by the program director due to the applicability of nutrition to their other class (soccer or cooking). Among students in the soccer class, half of them were chosen by the program director to take the class; the remaining students had free play time instead and were part of the control group. All students in the cooking class also took the nutrition class. The control group is made up of students who attend the same after school programs.
Experimental Design Details
Study Site Location: The initial experimental plan was to conduct the intervention at two after school program sites –Village Charter School and Centre Street. However, one of the program sites, Village Charter School, ended up having unanticipated scheduling conflicts which prevented both the complete delivery of the intervention and complete post-intervention data analysis. Participants in the intervention group at this site received, on average, fewer than 2 sessions of the 5-session class. This high level of non-compliance with the treatment at Village Charter School was not caused by the participants or by any feature inherent to the intervention; rather, it was a lack of organization and communication at the program site itself that led other scheduled activities to interfere with the administration of the intervention classes. Therefore, only data from the Centre Street site will be included in program evaluation. While this failure to deliver the intervention at one site offers lessons for the expansion of such a program, including the failed program site in analysis would lead to inaccurate estimates of the effects of the intervention.
Randomization Method
Pseudo-randomization. Those students who had already registered for the soccer and cooking classes on Friday (the day the classes were delivered) were chosen to receive the intervention and those taking other classes did not.
Randomization Unit
Classroom.
Was the treatment clustered?
Yes
Experiment Characteristics
Sample size: planned number of clusters
4 clusters - soccer, cooking, open gym, and other
Sample size: planned number of observations
45 students
Sample size (or number of clusters) by treatment arms
22 students treatment, 23 students control
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
Supporting Documents and Materials

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IRB
INSTITUTIONAL REVIEW BOARDS (IRBs)
IRB Name
Princeton IRB
IRB Approval Date
2014-10-21
IRB Approval Number
0000006798
Post-Trial
Post Trial Information
Study Withdrawal
Intervention
Is the intervention completed?
No
Is data collection complete?
Data Publication
Data Publication
Is public data available?
No
Program Files
Program Files
Reports and Papers
Preliminary Reports
Relevant Papers