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Grant Details

Grant Number: 5R01CA059805-13 Interpret this number
Primary Investigator: Bishop, Donald
Organization: Minnesota State Dept Of Health
Project Title: 5 a Day Preschool Power Plus Program
Fiscal Year: 2006


DESCRIPTION (provided by applicant): The 5 A Day POWER PLUS PRESCHOOL Program will assess the effects of a childcare center focused intervention for promoting increased consumption of fruits and vegetables among preschool aged children to reduce their future risk of cancer. This will be accomplished through a program in childcare centers that provides increased opportunities to taste and eat a wide variety of fruit and vegetables, provides role models for eating fruit and vegetables, changes the social norms so that eating fruits and vegetables is expected and acceptable, and creates childcare center and home environments that foster increased fruit and vegetable consumption. The childcare center-based intervention will include three components: food service environmental change, taste-testing and food-related classroom type activities as part of the childcare center program, and provider and parent training, education and support. The hypothesis is that an intensive, multi-component childcare center-based program will significantly increase fruit and vegetable consumption in preschool children at lunch and snack. This will be assessed through a trial in which 20 urban daycare centers from within one large midwestern metropolitan area are randomly assigned to intervention and control conditions. The primary endpoint will be the number of servings of fruits and vegetables consumed during lunch and afternoon snack measured in a cohort of children who are 15 to 30 months old at baseline and 39 to 54 months old at follow-up. Specifically, the study will evaluate the hypothesis that preschoolers at the intervention sites, following two years of intervention, will consume .5 more servings of fruits and vegetables a day than preschoolers at the control sites. The data will be adjusted for baseline values and recorded based on observed combined intake for lunch and afternoon snack. A secondary outcome will be self-reported child preferences for fruits and vegetables, measured at follow-up with the food preferences card sorting task (CST) developed previously in POWER PLUS. Several moderating variables that may effect consumption in toddlers and preschoolers will also be assessed. Childcare provider practices will be observed and parental practices assessed through a parent survey. The major goal of the study is to achieve a total effect, similar to previous multi-component school based programs, but with a preschool population in a period of development where food preferences, meal patterns, and eating behaviors are being newly established.


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.
EPub date: 2009-03-16.
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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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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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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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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