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Health Education Research Advance Access originally published online on December 20, 2007
Health Education Research 2008 23(6):997-1007; doi:10.1093/her/cym078
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© The Author 2007. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Appreciation and implementation of a school-based intervention are associated with changes in fruit and vegetable intake in 10- to 13-year old schoolchildren—the Pro Children study

M. Wind1,2,*, M. Bjelland1, C. Pérez-Rodrigo3, S. J. te Velde4, C. Hildonen1, E. Bere5, K.-I. Klepp1 and J. Brug4

1 Department of Nutrition, Faculty of Medicine, University of Oslo, PO Box 1046, Blindern, 0316 Oslo, Norway
2 Department of Public Health, Erasmus Medical Center, PO Box 2040, 3000 CA Rotterdam, the Netherlands
3 Community Nutrition Unit, Department of Public Health, 48013 Bilbao, Spain
4 EMGO Institute, VU University Medical Center, 1081 BT Amsterdam, the Netherlands
5 Faculty of Health and Sport, University of Agder, 4604 Kristiansand S, Norway

* Correspondence to: M. Wind. E-mail: marianne.wind{at}medisin.uio.no

The purpose was to investigate the degree of implementation and appreciation of a comprehensive school-randomized fruit and vegetable intervention program and to what extent these factors were associated with changes in reported fruit and vegetable intake. The study was conducted among 10- to 13-year old children exposed to the intervention during the school year 2003–04 in Norway, Spain and the Netherlands. Children, parents and teachers completed questionnaires regarding (i) the implementation of the school curriculum, (ii) parental involvement, (iii) distribution of fruit and vegetables at school, (iv) children's appreciation of the project and (v) children's intake levels. Univariate analyses of covariance and multilevel multivariate regression analyses indicated that teacher-reported level of implementation of the school curriculum and schoolchildren's appreciation of the project were important determinants of changes in intake. The results point to the importance of optimal implementation of an attractive school curriculum.

Received on May 30, 2007; accepted on October 30, 2007


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