Small school-based effectiveness trials increase vegetable and fruit consumption among youth

Gloria J. Stables, Elizabeth M. Young, Mollie W. Howerton, Amy Lazarus Yaroch, Sarah Kuester, Mary Kay Solera, Kathleen Cobb, Linda Nebeling

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


This article profiles a research initiative of state health agency-initiated 5 A Day school-based interventions. Four of the seven projects reviewed had significant results, with an average effect size of 0.4 servings of vegetables and fruit. Results are comparable with the larger-scale, well-controlled, and more costly 5 A Day For Better Health efficacy trials. These comparable findings underscore the value of assessing effectiveness of interventions in real-world settings to potentially enable wide-scale implementation of tested strategies. These small effectiveness trials show that school-based interventions are feasible to implement using current and effective strategies, and may facilitate translation of health promotion research to practice. The projects fostered valuable research/practice partnerships at the community level. Limitations across studies included heterogeneity in research methods, participant attrition, and variability in reporting data. Further research is needed to develop standardized, cost-effective dietary assessment methodology for viable dissemination research in community settings.

Original languageEnglish (US)
Pages (from-to)252-256
Number of pages5
JournalJournal of the American Dietetic Association
Issue number2
StatePublished - Feb 2005

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics


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