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Health Education & Behavior, Vol. 31, No. 2,
270-287 (2004)
DOI: 10.1177/1090198103260635
© 2004 Society for Public Health Education
School-Based Approaches to Affect Adolescents Diets: Results From the TEENS Study
Leslie A. Lytle, PhD
Division of Epidemiology, University of Minnesota, Minneapolis
David M. Murray, PhD
Department of Psychology, University of Memphis, Memphis, Tennessee
Cheryl L. Perry, PhD
Division of Epidemiology, University of Minnesota, Minneapolis
Mary Story, PhD
Division of Epidemiology, University of Minnesota, Minneapolis
Amanda S. Birnbaum, PhD
Department of Public Health, Weill Cornell Medical Center, New York
Martha Y. Kubik, PhD, RN
School of Nursing, University of Minnesota, Minneapolis
Sherri Varnell, PhD
Division of HIV/AIDS Prevention, Epidemiology Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
This article reports on the outcomes of the Teens Eating for Energy and Nutrition at School (TEENS) study, a 2-year intervention study conducted in 16 middle schools with a goal of increasing students intakes of fruits, vegetables, and lower fat foods. Despite positive interim results for students randomized to intervention schools, the positive effects of the intervention were not seen for the primary outcomes at the end of the 2nd year. Positive effects were seen only for a food choice score (suggesting that the students usually choose lower versus higher fat foods) and not for measures of food intake. Future studies may need to take a step back toward more controlled efficacy studies in working with this age-group. In addition, future work may consider the use of peer leaders, more intensive teacher training, ongoing formative assessment, and the testing of more powerful environmental change intervention strategies.
Key Words: adolescent nutrition dietary behaviors middle schools

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