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The Journal of Primary Prevention

, Volume 36, Issue 6, pp 433–438 | Cite as

Process and Outcomes From a Youth-Led Campaign to Address Healthy Eating in an Urban High School

  • Leah FrerichsEmail author
  • Sarah Sjolie
  • Matthew Curtis
  • Melissa Peterson
  • Terry T.-K. Huang
Brief Report

Abstract

This article describes a pilot youth advocacy initiative for obesity prevention informed by social cognitive theory, social network theory, and theories of community mobilization. With assistance from school and health leaders, adolescent-aged youth led a cafeteria food labeling and social marketing campaign. We implemented an anonymous survey 2 weeks prior to and again at the conclusion of the campaign, and used cafeteria records to track servings of fruits and vegetables. The campaign resulted in a significant increase in youths’ confidence to identify healthy foods (OR 1.97, 95 % CI 1.01, 3.84, p = .048), and a significant increase in per person per day servings of fruits (0.02, p = .03) and vegetables (0.01, p = .02). The results of our pilot were promising, and the integration of concepts from multiple theories benefited the implementation process. Obesity prevention initiatives should include strategies that encourage youth to create health promotion community networks and lead changes to their social and physical environments.

Keywords

Childhood obesity Nutrition and diet Community health 

Notes

Acknowledgments

The authors would like to thank the Omaha Public School Nutrition Services for their support and assistance with this project. Frerichs and Huang are supported in part by Robert Wood Johnson Foundation, Active Living Research (Grant # 68502) and the Nebraska Research Initiative.

Compliance With Ethical Standards

Conflict of interest

The authors have no conflict of interest.

References

  1. Altman, D. G., & Feighery, E. C. (2004). Future directions for youth empowerment: Commentary on application of youth empowerment theory to tobacco control. Health Education & Behavior, 31(5), 641–647.CrossRefGoogle Scholar
  2. Bandura, A. (1989). Social cognitive theory. Annals of Child Development, 6(1), 1–60.Google Scholar
  3. Coordinated Approach to Child Health. (2013). Coordinated approach to child health, Go-Slow-Whoa. http://catchusa.org/documents/misc/GSW_with%20Intro_reduced%20format_English.pdf.
  4. Cullen, K., & Watson, K. (2009). The impact of the texas public school nutrition policy on student food selection and sales in Texas. American Journal of Public Health, 99(4), 706–712.PubMedCentralCrossRefPubMedGoogle Scholar
  5. Fawcett, S., Schultz, J., Watson-Thompson, J., Fox, M., & Bremby, R. (2010). Peer reviewed: Building multisectoral partnerships for population health and health equity. Preventing Chronic Disease, 7(6), A118.PubMedCentralPubMedGoogle Scholar
  6. Fiori, K., Wolff, C., Goto, K., Frigaard, M., Chan, K., & Bianco-Simeral, S. (2011). Discrepancies among student school lunch preferences, menu options, and consumption patterns in a low-income northern California high school. Californian Journal of Health Promotion, 9(2), 29–39.Google Scholar
  7. Frerichs, L., Brittin, J., Stewart, C., Robbins, R., Riggs, C., Mayberger, S., et al. (2012). SaludableOmaha: Development of a youth advocacy initiative to increase community readiness for obesity prevention, 2011–2012. Preventing Chronic Disease, 9, E173.PubMedCentralCrossRefPubMedGoogle Scholar
  8. Hingle, M., Nichter, M., Medeiros, M., & Grace, S. (2012). Texting for health: The use of participatory methods to develop healthy lifestyle messages for teens. Journal of Nutrition Education and Behavior, 45(1), 12–19.CrossRefPubMedGoogle Scholar
  9. Institute of Medicine. (2012). Accelerating progress in obesity prevention: Solving the weight of the nation. Washington, DC: The National Academies Press.Google Scholar
  10. Kadushin, C. (2004). Introduction to social network theory. Oxford: Oxford University Press.Google Scholar
  11. Kirby, D. (2002). Effective approaches to reducing adolescent unprotected sex, pregnancy, and childbearing. Journal of Sex Research, 39(1), 51–57.CrossRefPubMedGoogle Scholar
  12. Larson, N., Neumark-Sztainer, D., Story, M., van den Berg, P., & Hannan, P. J. (2011). Identifying correlates of young adults’ weight behavior: Survey development. American Journal of Health Behavior, 35(6), 712–725.PubMedCentralPubMedGoogle Scholar
  13. Militello, L. K., Kelly, S. A., & Melnyk, B. M. (2012). Systematic review of text-messaging interventions to promote healthy behaviors in pediatric and adolescent populations: Implications for clinical practice and research. Worldviews of Evidence Based Nursing, 9(2), 66–77.CrossRefGoogle Scholar
  14. Millstein, R. A., & Sallis, J. F. (2011). Youth advocacy for obesity prevention: The next wave of social change for health. Translational Behavioral Medicine, 1(3), 497–505.PubMedCentralCrossRefPubMedGoogle Scholar
  15. Robert Wood Johnson Foundation. (2012). Breaking new ground, building a tobacco-free future. Retrieved August 13, 2014 from http://www.tobaccofreekids.org/content/who_we_are/annual_report/AnnualReport2012.pdf.
  16. Salvy, S. J., de la Haye, K., Bowker, J. C., & Hermans, R. C. (2012). Influence of peers and friends on children’s and adolescents’ eating and activity behaviors. Physiology & Behavior, 106(3), 369–378.CrossRefGoogle Scholar
  17. Sánchez, V., Hale, R., Andrews, M., Cruz, Y., Bettencourt, V., Wexler, P., et al. (2014). School wellness policy implementation insights and recommendations from two rural school districts. Health Promotion Practice, 15(3), 340–348. doi: 10.1177/1524839912450878.CrossRefPubMedGoogle Scholar
  18. Schetzina, K., Dalton, W., Pfortmiller, D., Robinson, H., Lowe, E., & Stern, H. (2011). The winning with wellness pilot project: Rural appalachian elementary student physical activity and eating behaviors and program implementation 4 years later. Family & Community Health, 34(2), 154–162.CrossRefGoogle Scholar
  19. Tracy, T. (2014). Congress takes a bite out of school-lunch rules. Wall Street Journal, Washington Wire. http://blogs.wsj.com/washwire/2014/12/10/cromnibus-takes-bite-out-of-school-lunch-rules/. Accessed 29 Dec 2014.

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Leah Frerichs
    • 1
    • 4
    Email author
  • Sarah Sjolie
    • 2
  • Matthew Curtis
    • 3
  • Melissa Peterson
    • 3
  • Terry T.-K. Huang
    • 1
    • 5
  1. 1.Department of Health Promotion, Social and Behavioral Health, College of Public HealthUniversity of Nebraska Medical CenterOmahaUSA
  2. 2.Alegent Creighton HealthOmahaUSA
  3. 3.Omaha South High Magnet SchoolOmahaUSA
  4. 4.Center for Health Equity ResearchUniversity of North Carolina at Chapel HillChapel HillUSA
  5. 5.City University of New YorkNew YorkUSA

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