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: www.schoolnutrition.org/webinars facebook.com/schoolnutritionassociation @SchoolLunch
Serving Up the Best Data: Understanding Current Research and Evaluating Your Own Program
Key Area 3: Administration/ Program Management (3220) Starting a Summer/AS/Breakfast/ Supper Program (3230) Evaluate and utilize resources to promote a healthy environment
Today s Moderators Sarah Murphy Public Affairs Associate School Nutrition Association Liz Campbell Food Security and Nutrition Consultant Campbell Consulting
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
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
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
Who Are The Partners for Breakfast in the Classroom?
Engage stakeholders Why Evaluation? Influence stakeholders Improve program Report impact of program
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.
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
School Breakfast: Student Nutrition & Academics Lorrene Ritchie, PhD, RD Director and CE Specialist Nutrition Policy Institute
Why Breakfast? Academics Nutrition School breakfast
Breakfast is good for academic achievement Fewer mistakes Faster work Improved memory Higher cognitive function Better test scores
Breakfast is good for student behavior Better attentiveness Improved behavior Fewer disciplinary referrals Less tardiness Fewer absences
Higher intake of: Vitamins Minerals Dietary fiber Protein Breakfast is good for nutrition May reduce obesity risk School typically healthier than other breakfast sources
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
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
Classroom breakfast: Less breakfast skipping
Classroom Breakfast: More double breakfasts
Classroom Breakfast: No difference in Calories 2000 Breakfast calories Daily calories 1750 1500 1250 1000 750 500 250 0 Cafeteria Second Chance Classroom
Classroom Breakfast: Higher Diet Quality
Breakfast Continuum Any breakfast School breakfast Breakfast in the classroom
What does the study mean? Breakfast in the classroom means more students: Eating a healthy breakfast Ready to learn Without eating extra calories
Thanks for your attention! LRitchie@ucanr.edu or NPI.ucanr.edu Ritchie et al. J Acad Nutr Diet. 2015 (in press)
A Study of the Effectiveness of Breakfast in the Classroom Kathy J. Krey, PhD Texas Hunger Initiative
Breakfast Participation Rates Academic, Attendance, and Behavioral Outcomes Nutrition and Milk Intake
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
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
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
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%
Part 1 DISD FINDINGS
BIC 73.7 73.0 30.6 30.2 nonbic SY 2011 12 SY 2012 13 DISD
77.2 66.2 39.5 PRE BIC POST BIC SY 2010 11 SY 2011 12 SY 2012 13 DISD
1588 BIC 1552 1507 1526 1511 1565 1475 1455 nonbic STAAR Reading STAAR Math STAAR Reading STAAR Math DISD 2011 12 2012 13
Mean Number of Tardies 3.1 1.9 DISD nonbic BIC
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
28% 33% Plain & Flavored 40% 47% Flavored DISD 21% 10% nonbic 18% 2% BIC Plain None N=Students Includes students interviewed in school years 2011 2012 and 2012 2013. Data includes students who skipped breakfast and ate at a restaurant. p<0.01
Vit A (μg RAEb) Vit B 12 (mg) 209.2 201.8 202.5 1.3 1.4 1.4 49.9 None Plain Flavored Plain & Flavored 0.5 None Plain Flavored Plain & Flavored Vit D (mcg) Calcium 1.6 2.1 1.9 283.3 325.5 306.2 0.2 None Plain Flavored Plain & Flavored 86.6 None Plain Flavored Plain & Flavored DISD N=Students Includes students interviewed in school years 2011 2012 and 2012 2013. 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
Part 2 LRSD FINDINGS
83.8 BIC 70.9 37.9 25.6 nonbic LRSD SY 2011 12 SY 2012 13
83.8 70.1 POST BIC PRE BIC 43.8 42.4 46 LRSD SY 2008 09 SY 2009 10 SY 2010 11 SY 2011 12 SY 2012 13
nonbic 61.0 65.0 BIC 39.2 35.9 35.4 34.5 40.5 36.0 LRSD ITBS Language Percentile ITBS Math Percentile ITBS Language Percentile SY 2011 12 SY 2012 13 ITBS Math Percentile
nonbic 76% 74% 65% BIC 62% 8% 13% 17% 22% 8% 14% 18% 24% Below Basic Proficient Below Basic Proficient LRSD SY 2011 12 SY 2012 13
nonbic 67% 67% 56% BIC 54% 15% 20% 19% 25% 14% 21% 19% 25% LRSD Below Basic Proficient Below Basic Proficient SY 2011 12 SY 2012 13
POST BIC 65.1 62.4 55.2 50 PRE BIC 40.2 SY 2008 09 SY 2009 10 SY 2010 11 SY 2011 12 SY 2012 13 LRSD
More absences More tardies More disciplinary referrals Higher mean BMI LRSD
Among Matched Schools: BIC had less absenteeism and fewer disciplinary referrals. % Chronic Absenteeism Mean Referrals 14.0 0.17 8.7 0.09 nonbic BIC nonbic BIC
Implications of Findings CONCLUSIONS
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
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?
Questions? Kathy J. Krey, PhD kathy_krey@baylor.edu PHOTOCREDIT: Jefferson Co, KY School District