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1 Welcome! Check your audio connection to be sure your speakers are on and the volume is up. Archive recording, presentation slides, resources, and CEU form are available at:

2 Serving Up the Best Data: Understanding Current Research and Evaluating Your Own Program

3 Key Area 3: Administration/ Program Management (3220) Starting a Summer/AS/Breakfast/ Supper Program (3230) Evaluate and utilize resources to promote a healthy environment

4 Today s Moderators Sarah Murphy Public Affairs Associate School Nutrition Association Liz Campbell Food Security and Nutrition Consultant Campbell Consulting

5 Questions & Answers Type your questions into the Question box at any time during the webinar Questions will be addressed during the webinar and at the end as time allows

6 Today s Agenda BIC Webinar Series Overview Introduction of Panelists Partners for Breakfast in the Classroom Importance of Research and Evaluation Current Research Questions and Wrap Up

7 Today s Panelists Kathy J. Krey, Ph.D. Director of Research Assistant Research Professor Texas Hunger Initiative Baylor University Lorrene Ritchie, Ph.D., RD Director and CE Specialist University of California ANR Nutrition Policy Institute

8 Who Are The Partners for Breakfast in the Classroom?

9 Engage stakeholders Why Evaluation? Influence stakeholders Improve program Report impact of program

10 What is Evaluation? Outcome Evaluation: Assess the effectiveness of the program to create change Process Evaluation: How were the program goals achieved. (What happened to whom, how much, etc..) To what degree were things implemented as intended.

11 What Should We Focus on Today? Hear about current research to prepare for meetings with stakeholders Ask questions about the best kind of outcome data that you can collect to report on your progress Think about the importance of process evaluation for all of your programs to make improvements to program delivery

12 School Breakfast: Student Nutrition & Academics Lorrene Ritchie, PhD, RD Director and CE Specialist Nutrition Policy Institute

13 Why Breakfast? Academics Nutrition School breakfast

14 Breakfast is good for academic achievement Fewer mistakes Faster work Improved memory Higher cognitive function Better test scores

15 Breakfast is good for student behavior Better attentiveness Improved behavior Fewer disciplinary referrals Less tardiness Fewer absences

16 Higher intake of: Vitamins Minerals Dietary fiber Protein Breakfast is good for nutrition May reduce obesity risk School typically healthier than other breakfast sources

17 What is the Problem? Not enough kids eat breakfast Too many kids are overweight or obese Concern about double breakfast eating with breakfast in the classroom

18 Different Breakfast Policy Cafeteria Breakfast No interference with class time Must arrive early to school Second Chance Two chances to eat Miss recess Classroom Breakfast Universal access Double eating and extra calories

19 Classroom breakfast: Less breakfast skipping

20 Classroom Breakfast: More double breakfasts

21 Classroom Breakfast: No difference in Calories 2000 Breakfast calories Daily calories Cafeteria Second Chance Classroom

22 Classroom Breakfast: Higher Diet Quality

23 Breakfast Continuum Any breakfast School breakfast Breakfast in the classroom

24 What does the study mean? Breakfast in the classroom means more students: Eating a healthy breakfast Ready to learn Without eating extra calories

25 Thanks for your attention! or NPI.ucanr.edu Ritchie et al. J Acad Nutr Diet (in press)

26 A Study of the Effectiveness of Breakfast in the Classroom Kathy J. Krey, PhD Texas Hunger Initiative

27 Breakfast Participation Rates Academic, Attendance, and Behavioral Outcomes Nutrition and Milk Intake

28 Dallas ISD 1 Little Rock SD 2 5 Elementary Schools Grades 3 5 Nutrient Intake 22 Elementary Schools Grades 1 5 BMI 1 Funded by DairyMAX 2 Funded by Share Our Strength

29 Participation Supplied by school districts Academic, Attendance, and Behavioral Supplied by school districts Nutrient Intake & BMI DISD: DFIA & 24 hr dietary recalls LRSD: BMI supplied by school district

30 BIC (treatment) Participation Academic Number of Breakfasts Standardized Test Scores Attendance Number of Absences and Tardies NON BIC (control) Behavior Number of Disciplinary Referrals Health DISD: DFIA & 24 hour recall LRSD: BMI

31 DISD LRSD STUDENTS 1,929 16,005 NUTRIENT INTAKE SUBSAMPLE 459 N/A DISD BIC nonbic HISPANIC 69% 80% MALES 53% 52% LOW INCOME 94% 94% LRSD BIC nonbic BLACK 83% 71% MALES 52% 53% LOW INCOME 96% 80%

32 Part 1 DISD FINDINGS

33 BIC nonbic SY SY DISD

34 PRE BIC POST BIC SY SY SY DISD

35 1588 BIC nonbic STAAR Reading STAAR Math STAAR Reading STAAR Math DISD

36 Mean Number of Tardies DISD nonbic BIC

37 Over 24 hours, BIC students consumed significantly more: Vitamins A, B 6, D, K Alpha & Beta Carotene Vegetables More BIC students met the Estimated Average Requirement (EAR) for essential vitamins and minerals. DISD

38 28% 33% Plain & Flavored 40% 47% Flavored DISD 21% 10% nonbic 18% 2% BIC Plain None N=Students Includes students interviewed in school years and Data includes students who skipped breakfast and ate at a restaurant. p<0.01

39 Vit A (μg RAEb) Vit B 12 (mg) None Plain Flavored Plain & Flavored 0.5 None Plain Flavored Plain & Flavored Vit D (mcg) Calcium None Plain Flavored Plain & Flavored 86.6 None Plain Flavored Plain & Flavored DISD N=Students Includes students interviewed in school years and Student considered a milk drinker if milk was consumed at least once over 1 3 days student was interviewed. Data include students who skipped breakfast or ate breakfast at a restaurant. RAE = retinol activity equivalents. p<0.01

40 Part 2 LRSD FINDINGS

41 83.8 BIC nonbic LRSD SY SY

42 POST BIC PRE BIC LRSD SY SY SY SY SY

43 nonbic BIC LRSD ITBS Language Percentile ITBS Math Percentile ITBS Language Percentile SY SY ITBS Math Percentile

44 nonbic 76% 74% 65% BIC 62% 8% 13% 17% 22% 8% 14% 18% 24% Below Basic Proficient Below Basic Proficient LRSD SY SY

45 nonbic 67% 67% 56% BIC 54% 15% 20% 19% 25% 14% 21% 19% 25% LRSD Below Basic Proficient Below Basic Proficient SY SY

46 POST BIC PRE BIC 40.2 SY SY SY SY SY LRSD

47 More absences More tardies More disciplinary referrals Higher mean BMI LRSD

48 Among Matched Schools: BIC had less absenteeism and fewer disciplinary referrals. % Chronic Absenteeism Mean Referrals nonbic BIC nonbic BIC

49 Implications of Findings CONCLUSIONS

50 Summary of Findings Participation DISD BIC Higher Participation LRSD BIC Higher Participation Academic BIC Higher Test Scores BIC Lower Test Scores (BIC Increased overtime) Attendance No Difference in Absences BIC Fewer Tardies BIC More Absences and Tardies (Matched BIC Fewer Absences) Behavior BIC More Referrals BIC More Referrals (Matched BIC Fewer Referrals) Health BIC Consumed More Nutrients, Vegetables, Milk BIC Higher BMI

51 Findings illustrate positive role of breakfast. Supports mixed literature on breakfast. Need further research. What else to consider: Research Design? Confounding Variables? One point in time academic data? Breakfast promoted during testing?

52 Questions? Kathy J. Krey, PhD PHOTOCREDIT: Jefferson Co, KY School District