Grant Number:	5R01CA059805-08 Interpret this number
Primary Investigator:	Bishop, Donald
Organization:	Minnesota State Dept Of Health
Project Title:	5 a Day Cafeteria Power Plus Program
Fiscal Year:	2001

The CAFETERIA POWER PLUS Program will assess the effects of a school cafeteria-focused intervention for promoting increased consumption of vegetables and fruit (V and F) among elementary school children to reduce their risk of cancer. This will be accomplished through a school-based environmental intervention which includes four components: a) school food service environmental changes, b) links to classroom, c) family involvement, and d) food industry support. Special attention is given to increased consumption of vegetables, especially among boys. The hypothesis is that a multi-component school-based program, that uses environmental changes in the school cafeteria and food services program as the key element for intervention, will significantly increase vegetable and fruit consumption both at lunch and throughout the day. This will be assessed through a trial in which 26 elementary schools from within one suburban/rural school district in Minnesota are randomly assigned to intervention and control conditions. The primary endpoints will be the number of servings of total vegetables and fruit consumed at lunch per day, and the total number of servings of vegetables and fruits consumed throughout the day, measured in two cohorts of students initially in the first and third grades and followed through the third and fifth grades. Specifically the study will evaluate the hypothesis that children in the intervention schools, in comparison to those in the controls, will demonstrate at follow-up an average number of vegetables and fruits consumed, when controlled for baseline values, that is at least .6 servings greater at lunch and .85 greater over the entire day than in control schools, with half of the change coming from vegetables. Secondary outcome measures will be the total number of servings of vegetables and fruits made available to the students, either as an ingredient or as an individual item. Outcome data will include sales data for all hot meal and snack items, recipe analysis of school lunch menus and all menu items, and changes in V and F content of vendor products and snack items. The major goal of the study is to achieve a total effect, similar to previous multi-component school based programs, but with a program that is more easily incorporated into the school. As such, cost data will be carefully recorded, cost analysis will be conducted.




Low awareness of overweight status among parents of preschool-aged children, Minnesota, 2004-2005.
Authors: Harnack L. , Lytle L. , Himes J.H. , Story M. , Taylor G. , Bishop D. .
Source: Preventing Chronic Disease, 2009 Apr; 6(2), p. A47.
PMID: 19288990
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Fruits and vegetables taken can serve as a proxy measure for amounts eaten in a school lunch.
Authors: Gray C. , Lytle L.A. , Perry C. , Story M. , Taylor G. , Bishop D. .
Source: Journal Of The American Dietetic Association, 2007 Jun; 107(6), p. 1019-23.
PMID: 17524724
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Contrasting mediating variables in two 5-a-day nutrition intervention programs.
Authors: Reynolds K.D. , Bishop D.B. , Chou C.P. , Xie B. , Nebeling L. , Perry C.L. .
Source: Preventive Medicine, 2004 Nov; 39(5), p. 882-93.
PMID: 15475020
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Evaluation of a theater production about eating behavior of children.
Authors: Perry C.L. , Zauner M. , Oakes J.M. , Taylor G. , Bishop D.B. .
Source: The Journal Of School Health, 2002 Aug; 72(6), p. 256-61.
PMID: 12212411
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Foods on students' trays when they leave the cafeteria line as a proxy for foods eaten at lunch in a school-based study.
Authors: Gray C. , Lytle L.A. , Mays R. , Taylor G. , Perry C. , Story M. .
Source: Journal Of The American Dietetic Association, 2002 Mar; 102(3), p. 407-9.
PMID: 11902375
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Testing mediating variables in a school-based nutrition intervention program.
Authors: Reynolds K.D. , Yaroch A.L. , Franklin F.A. , Maloy J. .
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2002 Jan; 21(1), p. 51-60.
PMID: 11846345
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The role of availability as a moderator of family fruit and vegetable consumption.
Authors: Kratt P. , Reynolds K. , Shewchuk R. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2000 Aug; 27(4), p. 471-82.
PMID: 10929754
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Methods, results, and lessons learned from process evaluation of the high 5 school-based nutrition intervention.
Authors: Reynolds K.D. , Franklin F.A. , Leviton L.C. , Maloy J. , Harrington K.F. , Yaroch A.L. , Person S. , Jester P. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2000 Apr; 27(2), p. 177-86.
PMID: 10768799
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5-a-day Power Plus: process evaluation of a multicomponent elementary school program to increase fruit and vegetable consumption.
Authors: Story M. , Mays R.W. , Bishop D.B. , Perry C.L. , Taylor G. , Smyth M. , Gray C. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2000 Apr; 27(2), p. 187-200.
PMID: 10768800
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Baseline Fruit And Vegetable Intake Among Adults In Seven 5 A Day Study Centers Located In Diverse Geographic Areas
Authors: Thompson B. , Demark-Wahnefried W. , Taylor G. , McClelland J.W. , Stables G. , Havas S. , Feng Z. , Topor M. , Heimendinger J. , Reynolds K.D. , et al. .
Source: Journal Of The American Dietetic Association, 1999 Oct; 99(10), p. 1241-8.
PMID: 10524389
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Stages Of Change For Increasing Fruit And Vegetable Consumption Among Adults And Young Adults Participating In The National 5-a-day For Better Health Community Studies
Authors: Campbell M.K. , Reynolds K.D. , Havas S. , Curry S. , Bishop D. , Nicklas T. , Palombo R. , Buller D. , Feldman R. , Topor M. , et al. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 1999 Aug; 26(4), p. 513-34.
PMID: 10435235
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Patterns In Child And Adolescent Consumption Of Fruit And Vegetables: Effects Of Gender And Ethnicity Across Four Sites
Authors: Reynolds K.D. , Baranowski T. , Bishop D.B. , Farris R.P. , Binkley D. , Nicklas T.A. , Elmer P.J. .
Source: Journal Of The American College Of Nutrition, 1999 Jun; 18(3), p. 248-54.
PMID: 10376781
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Design Of "high 5": A School-based Study To Promote Fruit And Vegetable Consumption For Reduction Of Cancer Risk
Authors: Reynolds K.D. , Raczynski J.M. , Binkley D. , Franklin F.A. , Duvall R.C. , Devane-Hart K. , Harrington K.F. , Caldwell E. , Jester P. , Bragg C. , et al. .
Source: Journal Of Cancer Education : The Official Journal Of The American Association For Cancer Education, 1998 Fall; 13(3), p. 169-77.
PMID: 10898562
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Comparison of 3 methods for counting fruits and vegetables for fourth-grade students in the Minnesota 5 A Day Power Plus Program.
Authors: Eldridge A.L. , Smith-Warner S.A. , Lytle L.A. , Murray D.M. .
Source: Journal Of The American Dietetic Association, 1998 Jul; 98(7), p. 777-82; quiz 783-4.
PMID: 9664919
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Changing fruit and vegetable consumption among children: the 5-a-Day Power Plus program in St. Paul, Minnesota.
Authors: Perry C.L. , Bishop D.B. , Taylor G. , Murray D.M. , Mays R.W. , Dudovitz B.S. , Smyth M. , Story M. .
Source: American Journal Of Public Health, 1998 Apr; 88(4), p. 603-9.
PMID: 9551002
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Recruitment Issues In School-based Research: Lessons Learned From The High 5 Alabama Project
Authors: Harrington K.F. , Binkley D. , Reynolds K.D. , Duvall R.C. , Copeland J.R. , Franklin F. , Raczynski J. .
Source: The Journal Of School Health, 1997 Dec; 67(10), p. 415-21.
PMID: 9503347
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5 A Day For Better Health: A New Research Initiative
Authors: Havas S. , Heimendinger J. , Reynolds K. , Baranowski T. , Nicklas T.A. , Bishop D. , Buller D. , Sorensen G. , Beresford S.A. , Cowan A. .
Source: Journal Of The American Dietetic Association, 1994 Jan; 94(1), p. 32-6.
PMID: 8270753
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