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Fruit and Vegetable IntakeNCT05278377

Effectiveness of the Apprenti en Action School-based Culinary Program on 9-10-year-old Children's Food Literacy

An observational study of Fruit and Vegetable Intake and Eating Behavior, run by Universite de Moncton at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

In New Brunswick, Canada, only 53% of Kindergarten to Grade 5 students reported eating five or more vegetables and fruits per day in 2016-2017. Low intakes of vegetables and fruits are a marker for poor nutrition, which may impair the growth and cognitive development of children and adolescents and may put them at… Read more about this study

Who is it for?
Ages 8 to 11 yearsHealthy volunteers can take part
Conditions the study is for
Fruit and Vegetable Intake, Eating Behavior
What is being tested?
"Apprenti en Action" program
How many people
150 participants
Where
1 siteCanada
Study dates
15 Mar 2022to 30 Jun 2022
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 8 to 11 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Study population: Participants are Grade 5 students enrolled in one of the 10 recruited francophone elementary schools in the province of New Brunswick, Canada.

Who may be able to join

  • Be enrolled in a Grade 5 or mixed Grade 4 and 5 class

Who cannot join

  • None

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Universite de Moncton

    Moncton, New Brunswick, E1A 3E9

Other trials in Canada

About this study

Official title: Effectiveness of the Apprenti en Action School-based Culinary Program on 9-10-year-old Children's Food Literacy and Vegetable and Fruit Consumption

In New Brunswick, Canada, only 53% of Kindergarten to Grade 5 students reported eating five or more vegetables and fruits per day in 2016-2017. Low intakes of vegetables and fruits are a marker for poor nutrition, which may impair the growth and cognitive development of children and adolescents and may put them at risk of developing certain non-communicable diseases earlier in life. It has been suggested that increasing children's food literacy may be an effective way of promoting healthier diets, including increasing vegetable and fruit intake among students. Since children spend most of their waking hours at school, this may be a key setting for promoting food literacy and healthy eating behaviors. Previous studies have found that culinary interventions that include taste testing and nutrition education may improve students' food literacy and vegetable and fruit consumption. Therefore, this quasi-experimental study aimed to assess the effectiveness of a school-based culinary program titled "Apprenti en Action" on primary school children's food literacy, breakfast, and vegetable and fruit consumption. Specifically, data were collected among Grade 5 students from ten francophone elementary schools, five of which received the "Apprenti en Action" program and five who did not. The "Apprenti en Action" program consisted of six, one-hour culinary workshops given once a week, at school, during school hours. Data on students' food literacy, breakfast, vegetable, and fruit consumption were collected via online questionnaires before and after the program. In addition to collecting quantitative data, qualitative data were collected from program participants and their parents to assess their perceptions of "Apprenti en Action".

Read the detailed description

This study used a quasi-experimental design. Quantitative data from Grade 5 students from five francophone elementary schools in the province of New Brunswick, Canada, who participated in the "Apprenti en Action" culinary program were compared to those of Grade 5 students from five other elementary schools who did not receive the program. "Apprenti en Action" consists of six, one-hour culinary workshops offered once a week during school hours. The program aims to teach students how to read and follow recipes, prepare and cook various foods using various culinary techniques, and apply food safety practices. Students are also taught the basics of healthy food, nutrition, and cooking.

A questionnaire was developed based on previously-validated questionnaires and it measured vegetable and fruit consumption, breakfast consumption, concepts of food literacy including food and cooking skills as well as nutrition knowledge. All students will complete this self-administered online questionnaire before and after the program. Multilevel regressions will be used to assess the effectiveness of the culinary class on students' food literacy, breakfast, vegetable, and fruit consumption. Additionally, focus groups with children who participated in the "Apprenti en Action" program and their parents will be invited to share their perceptions of the program and how/if it has impacted the children's food literacy and eating behaviors.

Being tested
"Apprenti en Action" program
Keywords
School, Food skills, Cooking skills, Food literacy, Culinary program, Cooking program, Nutrition knowledge
Medical subject headings
Feeding Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • "Apprenti en Action" programBehavioural

    The "Apprenti en Action" program aims to teach students how to read and follow recipes, prepare and cook various foods using various culinary techniques, and apply food safety practices. Students are also taught the basics of healthy food, nutrition, and cooking.

Study groups in NCT05278377
Study groupRoleWhat they receive
Apprenti en Action (intervention group)"Apprenti en Action" consists of six, one-hour culinary workshops offered once a week during school hours.
Receives: Behavioral: "Apprenti en Action" program
Control groupStudents in the control group do not receive the "Apprenti en Action" program.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline in vegetable and fruit consumption at the end of the program

    Students' consumption of vegetables and fruits was measured using two questions from the provincial New Brunswick Student Wellness Survey (New Brunswick Student Wellness Survey, 2016). These questions asked how many vegetables and fruits they had eaten the day before the survey. This was measured using a scale from 0 (None), to 7 (7 or more).

    Measured: Baseline and Endpoint (Week 6)

  2. Change from baseline in breakfast consumption at the end of the program

    Students' breakfast consumption was assessed based on one question from the provincial New Brunswick Student Wellness Survey (New Brunswick Student Wellness Survey, 2016). Students were asked to report how often they ate breakfast during the last school week. This question was scored from 0 (none) to 7 (7 days of the week).

    Measured: Baseline and Endpoint (Week 6)

  3. Change from baseline in cooking skills at the end of the program

    Cooking skills include all skills needed to prepare and cook foods, including cooking methods and food preparation techniques, and were measured using 18 questions. Among the questions, one was assessed with a five-point, downwards Likert-type scale (e.g. "Rate your ability to make the different breakfast foods"), and 17 questions were multiple-choice questions (e.g. "How long does it take to cook hard- and soft-boiled eggs?"). All cooking skills included in the questionnaire were skills that children were expected to have practiced during the program. The questionnaire was based on three previously-validated tools (Skeaff et al. 2020, Dean et al. 2021, Lavelle et al. 2017). Specifically, these questions measured children's ability to prepare breakfast, to use various cooking methods, to use kitchen equipment, to apply food safety practices, and to use various food preparation techniques. In total, a score ranging from 0 to 83 points was possible for this outcome variable.

    Measured: Baseline and Endpoint (Week 6)

  4. Change from baseline in nutrition knowledge at the end of the program

    Nine multiple-choice questions were used to assess children's nutrition knowledge, including their understanding of a balanced plate and food safety. These questions were inspired by those used in Skeaff et al.'s (2020) validated questionnaire. In total, a score of 0 to 9 points was possible for this outcome variable.

    Measured: Baseline and Endpoint (Week 6)

  5. Change from baseline in food skills at the end of the program

    Food skills represent the knowledge and skills required to choose and prepare food according to available resources and to cook balanced meals. They include meal planning, following a recipe, using leftovers, making and following a grocery list, reading nutrition labels, etc. Of the three questions used to measure food skills, two questions were multiple-choice questions (e.g. "The above picture is of French toast. What are three ingredients you need for French toast?") and one was a five-point downwards Likert-type scale ("From this list, indicate how good you are at performing these actions."). These questions were based on previously-validated questionnaires (Skeaff et al. 2020, Lavelle et al. 2017). In total, a score of 0 to 53 points was possible for this outcome variable.

    Measured: Baseline and Endpoint (Week 6)

Secondary outcomes (2)
  1. Student perception of the program

    Students' perception of the program will be measured via virtual semi-structured focus groups. Two 40-45 minute sessions with 8-10 students per group are anticipated. Students will be asked to share their perception of the program's impact on their knowledge, skills, appreciation for healthy foods, and self-efficacy, as well as the strengths, weaknesses, and perceived relevancy of the program.

    Measured: One week after the end of the program (Week 7)

  2. Parent perception of the program

    Students' parents' perception of the program will be measured via virtual semi-structured focus groups. Two 40-45 minute sessions with 8-10 parents per group are anticipated. Parents will be asked to share their perception of the program's impact on their children's knowledge, skills, appreciation for healthy foods, and self-efficacy, as well as the strengths, weaknesses, and perceived relevancy of the program.

    Measured: One week after the end of the program (Week 7)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Mar 2022
  2. Study start15 Mar 2022
  3. Primary completion30 Jun 2022
  4. Study completion30 Jun 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
150 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05278377
Sponsor's protocol ID
2122-006
Status last verified
Oct 2022
First submitted
3 Mar 2022
Last updated
17 Oct 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: Data will be made available to researchers upon reasonable request made to the principal investigator.

Publications

  • Lavelle F, McGowan L, Hollywood L, Surgenor D, McCloat A, Mooney E, Caraher M, Raats M, Dean M. The development and validation of measures to assess cooking skills and food skills. Int J Behav Nutr Phys Act. 2017 Sep 2;14(1):118. doi: 10.1186/s12966-017-0575-y.

    PubMed 28865452
  • Dean M, Issartel J, Benson T, McCloat A, Mooney E, McKernan C, Dunne L, Brennan SF, Moore SE, McCarthy D, Woodside JV, Lavelle F. CooC11 and CooC7: the development and validation of age appropriate children's perceived cooking competence measures. Int J Behav Nutr Phys Act. 2021 Jan 30;18(1):20. doi: 10.1186/s12966-021-01089-9.

    PubMed 33516243
  • Miller LM, Cassady DL. The effects of nutrition knowledge on food label use. A review of the literature. Appetite. 2015 Sep;92:207-16. doi: 10.1016/j.appet.2015.05.029. Epub 2015 May 27.

    PubMed 26025086
  • Brown, J. (2019). Nutrition through the life cycle (7e ed.). Cengage Learning.

  • Conseil de la santé du Nouveau-Brunswick. (2017). Sondage sur le mieux-être des élèves du Nouveau-Brunswick au niveau primaire de la maternelle à la 5e année (2016-2017) (p. 19). https://csnb.ca/sites/default/files/publications-attachments/sondage-mieux-etre-des-eleves-au-primaire-2016-2017-fr.pdf

  • Dudley DA, Cotton WG, Peralta LR. Teaching approaches and strategies that promote healthy eating in primary school children: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2015 Feb 25;12:28. doi: 10.1186/s12966-015-0182-8.

    PubMed 25889098
  • Evans CE, Christian MS, Cleghorn CL, Greenwood DC, Cade JE. Systematic review and meta-analysis of school-based interventions to improve daily fruit and vegetable intake in children aged 5 to 12 y. Am J Clin Nutr. 2012 Oct;96(4):889-901. doi: 10.3945/ajcn.111.030270. Epub 2012 Sep 5.

    PubMed 22952187
  • Skeaff, S., Govan, A., & Skeaff, M. (2020). A Practical Kitchen-Based Validation of the Food Skills Section of a Food Literacy Questionnaire for 9-10 Year Old Children.

  • Maynard M, Gunnell D, Ness AR, Abraham L, Bates CJ, Blane D. What influences diet in early old age? Prospective and cross-sectional analyses of the Boyd Orr cohort. Eur J Public Health. 2006 Jun;16(3):316-24. doi: 10.1093/eurpub/cki167. Epub 2005 Sep 1.

    PubMed 16141299
  • Nathan N, Wolfenden L, Butler M, Bell AC, Wyse R, Campbell E, Milat AJ, Wiggers J. Vegetable and fruit breaks in Australian primary schools: prevalence, attitudes, barriers and implementation strategies. Health Educ Res. 2011 Aug;26(4):722-31. doi: 10.1093/her/cyr033. Epub 2011 May 13.

    PubMed 21571836
  • Neumark-Sztainer D, Wall M, Larson NI, Eisenberg ME, Loth K. Dieting and disordered eating behaviors from adolescence to young adulthood: findings from a 10-year longitudinal study. J Am Diet Assoc. 2011 Jul;111(7):1004-11. doi: 10.1016/j.jada.2011.04.012.

    PubMed 21703378
  • Wang Y, Bentley ME, Zhai F, Popkin BM. Tracking of dietary intake patterns of Chinese from childhood to adolescence over a six-year follow-up period. J Nutr. 2002 Mar;132(3):430-8. doi: 10.1093/jn/132.3.430.

    PubMed 11880567
  • Krebs-Smith SM, Heimendinger J, Patterson BH, Subar AF, Kessler R, Pivonka E. Psychosocial factors associated with fruit and vegetable consumption. Am J Health Promot. 1995 Nov-Dec;10(2):98-104. doi: 10.4278/0890-1171-10.2.98.

    PubMed 10160052
  • Karpouzis F, Lindberg R, Walsh A, Shah S, Abbott G, Lai J, Berner A, Ball K. Evaluating OzHarvest's primary-school Food Education and Sustainability Training (FEAST) program in 10-12-year-old children in Australia: protocol for a pragmatic cluster non-randomized controlled trial. BMC Public Health. 2021 May 22;21(1):967. doi: 10.1186/s12889-021-10302-0.

    PubMed 34022839
  • Harris G, Mason S. Are There Sensitive Periods for Food Acceptance in Infancy? Curr Nutr Rep. 2017;6(2):190-196. doi: 10.1007/s13668-017-0203-0. Epub 2017 Apr 29.

    PubMed 28596932

Questions about this trial

What is this clinical trial studying?

An observational study of Fruit and Vegetable Intake and Eating Behavior, run by Universite de Moncton at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in vegetable and fruit consumption at the end of the program (time frame: Baseline and Endpoint (Week 6)). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05278377, which also lists 16 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Oct 2022.

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