Skip to main content
Log in

Introducing systems change in the schools: the case of school luncheons and vending machines

  • Original Paper
  • Published:
American Journal of Community Psychology

Abstract

A major public health crisis facing America’s society is the increase in child and youth obesity, which has seen a fourfold increase in the last four decades. Major concerns include what children eat for school lunch and what other foods are available in schools. This paper illustrates efforts towards systems change in the luncheon program and food vending machines in the Chicago Public Schools. We discuss the different factors that lead to such changes using the framework of the social ecological model and the soft systems methodology, and we analyze how the resulting innovation was implemented and evaluated. First, we present a theoretical perspective to explain factors that influence children’s eating patterns from a systems approach. Second, we discuss the antecedent factors that lead to systems change. Finally, we examine challenges to systems change, such as resistance to change, different stakeholder priorities, lack of resources, institutional bureaucracy, and unrealistic funder expectations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Berkowitz, B. (2001). Studying the outcomes of community-based coalitions. American Journal of Community Psychology, 29, 213–227.

    Article  PubMed  Google Scholar 

  • Block, D. (2004). The market basket study. Pragmatics, 7, 8–9.

    Google Scholar 

  • Butterfoss, F. D., Goodman, R. M., & Wandersman, A. (1993). Community coalitions for prevention and health promotion. Health Education Research, 8(3), 315–330.

    Article  PubMed  Google Scholar 

  • Center for Science in the Public Interest. (2005). Schools and school districts that have improved school foods and beverages and not lost revenue. Retrieved June 10, 2005, from http://cspinet.org/new/pdf/school_vending_machine_case_studies.pdf.

  • Chavis, D. M. (2001). The paradoxes and promises of community coalitions. American Journal of Community Psychology, 29, 309–320.

    Article  PubMed  Google Scholar 

  • Checkland, P. (1985). Achieving desirable and feasible change: An application of soft systems methodology. Journal of Operational Research Society, 36(9), 821–831.

    Article  Google Scholar 

  • Chicago Public Schools Policy Manual. (2004). Operation of snack vending machines (Report No. 04-0623-P01). Chicago, IL: Chicago Public Schools.

  • CLOCC: Consortium to Lower Obesity in Chicago Children. (2003). Childhood overweight in Chicago. Retrieved May 10, 2005, from http://www.clocc.net/coc/index.html.

  • CLOCC: Consortium to Lower Obesity in Chicago Children. (n.d.). Retrieved March 10, 2006, from www.clocc.net/coc/prevalence.html.

  • Courpie, D., Goodbrand, A., Li, B., & Zhu, D. (2005). Soft systems methodology. Retrieved May 20, 2005, from http://sern.ucalgary.ca/courses/seng/613/F97/grp4/ssmfinal.html.

  • Davis, S. M., Clay, T., Smyth, M., Gittelsohn, J., Arviso, V., Flint-Wagner, H., et al. (2003). Pathways curriculum and family interventions to promote healthful eating and physical activity in American Indian school children. Preventive Medicine, 37, S24–S34.

    Article  PubMed  Google Scholar 

  • Dietz, W. H. (1998). Health consequences of obesity in youth: Childhood predictors of adult disease. Pediatrics, 101(3), 518–525.

    PubMed  Google Scholar 

  • Economos, C. D., Brownson, R. C., DeAngelis, M. A., Novelli, P., Foerster, S. B., Foreman, C. T., et al. (2001). What lessons have been learned from other attempts to guide social change? Nutrition Reviews, 59(3), S40–S56.

    Article  PubMed  Google Scholar 

  • Ellsworth, J. B. (2000). Surviving change: A survey of educational change models. Syracuse, NY: ERIC Clearinghouse on Information and Technology (ERIC Document Reproduction Service No. ED443417).

    Google Scholar 

  • Ely, D. (1990). Conditions that facilitate the implementation of educational technology innovations. Journal of Research on Computing in Education, 23(2), 298–305.

    Google Scholar 

  • Ernst, N. D., & Obarzanek, E. (1994). Child health and nutrition: Obesity and high blood cholesterol. Preventive Medicine, 23, 427–463.

    Article  PubMed  Google Scholar 

  • Fawcett, S. B., Paine-Andrews, A., Francisco, V. T., Schultz, J. A., Richter, K. P., Lewis, R. K., et al. (1995). Using empowerment theory in collaborative partnerships for community health and development. American Journal of Community Psychology, 29, 241–261.

    Google Scholar 

  • Foster-Fishman, P., Berkowitz, S. L., Lounsbury, D. W., Jacobson, S., & Allen, A. N. (2001). Building collaborative capacity in community coalitions: A review and integrative framework. American Journal of Community Psychology, 29, 241–261.

    Article  PubMed  Google Scholar 

  • Freedman, D. S. (1999). The relation of overweight to cardiovascular risk factors among children and adolescents: The Bogalusa Heart Study. Pediatrics, 103, 1175–1182.

    Article  PubMed  Google Scholar 

  • French, S., & Stables, G. (2003). Environmental interventions to promote vegetable and fruit consumption among youth in schools settings. Preventive Medicine, 37, 593–610.

    Article  PubMed  Google Scholar 

  • Fullan, M. (1993). Change forces: Probing the depth of educational reform. London: Falmer Press.

    Google Scholar 

  • Fullan, M., & Stiegelbauer, S. (1991). The new meaning of educational change (2nd ed.). New York: Teachers College Press.

    Google Scholar 

  • Fuller, J. R. (2006, March 21). Healthier options? It’s elementary. Chicago Sun-Times, pp. 1, 6.

  • Gou, S. S., Roche, A. F., Chumlea, W. C., Gardner, J. D., & Siervogel, R. M. (1994). The predictive value of childhood body mass index values for overweight at age 35y. American Journal of Clinical Nutrition, 59, 810–819.

    Google Scholar 

  • Haas, J. S., Lee, L. B., Kaplan, C. P., Sonneborn, D., Phillips, K. A., & Liang, S. Y. (2003). The association of race, socioeconomic status, and health insurance status with the prevalence of overweight among children and adolescents. American Journal of Public Health, 93(12), 2105–2110.

    Article  PubMed  Google Scholar 

  • Hoyle, J. (2004, April 21). Chicago public schools to restrict soda in vending machines. American Dental Association News. Retrieved May 16, 2005, from http://adafoundation.org/prof/resources/pubs/adanews/adanewsarticle.asp?articleid.

  • Kouba, J. (2004). Working to change the nutritional environment and eating patterns of Chicago’s Austin residents. Pragmatics, 7, 10–13.

    Google Scholar 

  • Lewin, K. (1951). Field theory in social science: Selected theoretical papers (1st ed.). New York: Harper & Row.

    Google Scholar 

  • Mason, M., Meleedy-Rey, P., Christoffel, K. K., Longjohn, M., Garcia, M. P., & Ashlaw, C. (2006). Prevalence of overweight and risk of overweight among 3 to 5 year-old Chicago children, 2002–2003. Journal of School Health, 76(3), 104–110.

    Article  PubMed  Google Scholar 

  • McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15, 351–377.

    PubMed  Google Scholar 

  • Nestle, M. (2006). School food, public policy, and strategies for change. Retrieved April 26, 2006, from http://www.ecoliteracy.org/publications/rsl/marion-nestle.html.

  • Nicklas, T. A., Yang, S. J., Baranowski, T., Zakeri, I., & Berenson, G. (2003). Eating patterns and obesity in children: The Bogalusa Heart Study. American Journal of Preventive Medicine, 25(1), 9–16.

    Article  PubMed  Google Scholar 

  • Norris, Y. (2001). America’s communities movement: Investing in the civic landscape. American Journal of Community Psychology, 29, 301–307.

    Article  PubMed  Google Scholar 

  • Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. Journal of the American Medical Association, 295(13), 1549–1555.

    Article  PubMed  Google Scholar 

  • Oregon State Department of Education. (1998). The effect of nutrition education on third graders’ school lunch consumption in a school offering food pyramid choice menus. Salem, OR: Oregon State Department of Education (ERIC Document Reproduction Service No. ED425852).

  • Parcel, G. S., Green, L. W., & Betts, B. A. (1998). School based programs to prevent or reduce obesity. In N. A. Krasnegor, G. D. Grave, & N. Kretchmer (Eds.), Childhood obesity: A biobehavioral perspective (pp. 143–157). Caldwell, NJ: Jedford.

    Google Scholar 

  • Perry, C. L., Stone, E. J., Parcel, G. S., Ellison, R. C., Nader, P., Webber, L. S., et al. (1990). School-based cardiovascular health promotion: The Child and Adolescent Trial for Cardiovascular Health (CATCH). Journal of School Health, 60(8), 406–413.

    Article  PubMed  Google Scholar 

  • Redmond, L., & Williams, O. (2004). The Austin farmers market: Creating community access to fresh fruits and vegetables. Pragmatics, 7, 14–15.

    Google Scholar 

  • Rogers, E. M. (1995). Diffusion of innovations (4th ed.). New York: The Free Press.

    Google Scholar 

  • Roussos, S. T., & Fawcett, S. B. (2000). A review of collaborative partnerships as a strategy for improving community health. Annual Review of Public Health, 21, 369–402.

    Article  PubMed  Google Scholar 

  • Samuel, L. (2003). The trouble with Chicago school lunches. Conscious choice. Retrieved April 5, 2005, from http://www.consciouschoice.com/2003/cc1601/schoollunch1601.html.

  • Sherry, L., & Gibson, D. (2002). The path to teacher leadership and educational technology. Contemporary Issues in Educational Technology, 2(2), 178–203.

    Google Scholar 

  • Sigman-Grant, M. (2002). Strategies for counseling adolescents. Journal of the American Dietetic Association, 102(3), S32–S39.

    Article  PubMed  Google Scholar 

  • Stokols, D. (1992). Establishing and maintaining healthy environments. American Psychologist, 47(1), 6–22.

    Article  PubMed  Google Scholar 

  • Suarez-Balcazar, Y., Davis, M., Ferrari, J., Nyden, P., Olson, B., Alvarez, J., et al. (2004). University community partnerships: A framework and an exemplar. In L. Jason, C. Keys, Y. Suarez-Balcazar, R. R. Taylor, M. Davis, J. Durlak, & D. Isenberg (Eds.), Participatory community research: Theory and methods in action. Washington, DC: American Psychological Association.

    Google Scholar 

  • Suarez-Balcazar, Y., Harper, G., & Lewis, R. (2005). A conceptual and interactive model of community-university partnerships. Health Education and Behavior, 32, 84–101.

    Article  PubMed  Google Scholar 

  • Suarez-Balcazar, Y., Hellwig, M., Kouba, J., Redmond, L., Martinez, L., Block, D., et al. (2006). The making of an interdisciplinary partnership: The case of the Chicago Food System collaborative. American Journal of Community Psychology, 38, 113–123.

    Article  PubMed  Google Scholar 

  • Suarez-Balcazar, Y., Kouba, J., Martinez, L., Hellwig, M., & Redmond, L. (2006). Evaluation of a salad bar and nutrition education initiative: A pilot study. The University of Illinois at Chicago, Chicago Food System Collaborative.

  • Suarez-Balcazar, Y., Martinez, L., Cox, G., & Jayraj, A. (2006). African Americans’ views on access to healthy foods: What a farmers market provides. Journal of Extension, 44(2), Article 2FEA2. Retrieved April 29, 2006 from http://www.joe.org/joe/2006april/a2.shtml.

  • USDA: United States Department of Agriculture. (n.d.). Retrieved January 15, 2006 from www.fns.usda.gov/tnHealthy/execsummary_makingithappen.html.

  • Veugelers, P. J., & Fitzgerald, A. L. (2005). Effectiveness of school programs in preventing childhood obesity: A multilevel comparison. American Journal of Public Health, 95(3), 432–435.

    Article  PubMed  Google Scholar 

  • Whitman, S., Williams, C., & Shah, A. (2004). Sinai health system’s community health survey: Report 1. Chicago, IL: Sinai Health System.

    Google Scholar 

  • Wolff, T. (2001). Community coalition building-contemporary practice and research. American Journal of Community Psychology, 29, 165–172.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This research was supported, in part, by a grant from W. K. Kellogg to the Policy Research Action Group at Loyola University Chicago and a grant from CLOCC (Consortium to Lower Obesity of Chicago Children) to the University of Illinois at Chicago.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yolanda Suarez-Balcazar.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Suarez-Balcazar, Y., Redmond, L., Kouba, J. et al. Introducing systems change in the schools: the case of school luncheons and vending machines. Am J Community Psychol 39, 335–345 (2007). https://doi.org/10.1007/s10464-007-9102-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10464-007-9102-7

Keywords

Navigation