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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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