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Health Education & Behavior
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How the Catch Eat Smart Program Helps Implement the USDA Regulations in School Cafeterias

Deanna M. Hoelscher, PhD, RD

Center for Health Promotion and Prevention Research, University of Texas at Houston, School of Public Health, Houston., Deanna.M.Hoelscher{at}uth.tmc.edu

Paul Mitchell, MS

New England Research Institute, Watertown, Massachusetts.

Johanna Dwyer, ScD, RD

Frances Stern Nutrition Center, New England Medical Center Hospital, Boston.

John Elder, PhD, MPH

Graduate School of Public Health, San Diego State University, San Diego, California.

Ann Clesi, MEd

School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana.

Patricia Snyder, MS, RD

Division of Epidemiology, University of Minnesota, Minneapolis.

This article describes the implementation of the U.S. Department of Agriculture's National School Lunch Program (NSLP) standards in school lunch menus in 56 intervention and 20 control schools from the Child and Adolescent Trial for Cardiovascular Health (CATCH) 5 years after the main trial, compared with 12 schools previously unexposed to CATCH. School food service personnel completed questionnaires to assess CATCH guideline implementation, demographic data, behavioral constructs, training, program material use, and par ticipation in competing programs. Five days of menus and recipes were collected from school cafeteria staff, averaged, and compared to USDA School Meal Initiative (SMI) standards. Significant differences between intervention and unexposed schools were found for training and knowledge of CATCH and in mean percentage energy from fat and carbohydrates. Intervention schools most closely met USDA SMI recommendations for fat. Thus, the CATCH Eat Smart Program assisted school cafeterias in meeting USDA guidelines 5 years postimplementation.

Key Words: institutionalization • cardiovascular health promotion programs • school food service • child nutrition services • nutrition

Health Education & Behavior, Vol. 30, No. 4, 434-446 (2003)
DOI: 10.1177/1090198103253517
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