Food dudes school intervention programme

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  • Health intervention Programme: Food dudes
    • 3 key principles
      • Rewards
        • Children's consumption was rewarded with branded food dudes prized
      • Role modelling
        • Children watch clips of food dudes enjoying fruit and veg, which give them special life-force energy.
          • Imitation & Observational learning most effective when...
            • Role models are attractive/well-liked
            • Role models are rewarded
            • Multiple models
            • Role models are slightly older
      • Repeated tasting
        • More exposure to food increases liking
    • 'Blue foods study' (Greenhalgh et al., 2009)
      • 2% consumption of fruit and veg when exposed to negative peers rejecting food
        • Was overridden by exposure to positive consumption later on (56%).
          • Not effective for 3-4 year olds.
      • 70% consumption when exposed to positive peers avidly consuming foods.
        • Secondary measurements
          • online data capture
          • Catering orders
          • Parent and teacher questionnaires
    • Primary school programme
      • Intensive phase 1 (16 days)
        • Diary
        • e-mails
        • Fruit and veg deliveries
        • Rewards
        • DVD episodes
      • Phase 2 (school year)
        • Decrease in rewards, become intermittent and are transferred online
        • Untitled
        • Parental involvement
        • Level cards
        • Changing dining room layout
        • Snack containers
      • Evaluation
        • Inter-observer reliability checks
        • London Schools (Horne et al., 2004)
          • 700 children in deprived schools
            • Consumption increased from  4% to 48% after 4 months in Food dudes school
              • Massive difference to control school, results stayed the same.
        • Ireland schools found significant increase of provision and consumption of fruit and vegetables in packed lunches after 12 months in schools with food dudes programme compared to control schools.
        • Children begin to conceptualize themselves as healthy eaters.
        • Provides children with intrinsically rewarding properties, increasing liking.
        • Changes culture of school to support healthy eating.
        • Awards
          • WHO for counteracting obesity
          • Public Health Excellence Awards, West MidlandsPartnerships
          • Chief medical officer's gold medal award for combating obesity
          • Local authorities research and intelligence award for best use of health research
          • Local Authority Catering Award - most innovative concept.
      • Primary measurements of consumption
        • Trained observers
        • Photos
    • Special Schools
      • Why?
        • Resistant to change
        • Neophobia
        • Low priority
        • Additional eating problems
        • More likely to be obese
        • More likely to have illness and social exclusion
        • Biggest health inequalities
      • Results
        • 45% increase immediately fruit
        • 100% overall increase fruit
        • No change in control school
        • 38% decrease in high fat, salt and sugar foods, no change in control school.
    • Nurseries
      • Direct measure taking pics of f&v left on plate
      • Phase 1 (32 days)
        • FD passports
        • Prizes
        • DVD episodes & song
        • Fruit & veg
        • Energy tubes and tokens
      • 1 pair presented daily e.g. broccoli and watermelon, 2 pieces of each
      • Phase 2 (indefinite)
        • Stickers given less
        • Untitled
        • Group contingency prizes

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