Nutrition, HealthyNCT06419218
Increasing School Meal Participation
A study testing School meal messages in people with Nutrition, Healthy, run by Stanford University at 1 site in United States.
Trial summary
This study aims to determine whether an online marketing campaign increases children's school meal participation. Parents whose children do not currently eat school meals frequently will be exposed to messages designed to encourage their children's increased participation in school meals. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Nutrition, Healthy
- What is being tested?
- School meal messages
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 832 participants
- Where
- 1 siteUnited States
- Study dates
- 19 Sep 2024to 20 Dec 2024
- Phase
- Interventional
- 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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- 18 years or older
- Parent of a child attending a public school in grades 1-5
- Resides in one of the following states: California, Colorado, Maine, Minnesota, Michigan, Massachusetts, New Mexico, Vermont
- Has internet access
- Has a Facebook account
- Child consumes 3 or fewer school lunches per week or 3 or fewer school breakfasts per week
Who cannot join
- Younger than 18 years old
- Does not have a child attending a public school in grades 1-5
- Resides out of one of the following states: California, Colorado, Maine, Minnesota, Michigan, Massachusetts, New Mexico, Vermont
- Does not have internet access
- Does not have a Facebook account
- Child consumes more than 3 school lunches per week and more than 3 school breakfasts per week
Trial locations and contacts
1 site in 1 country.
United States1 site
Stanford School of Medicine
Palo Alto, California, 94304
About this study
Official title: Evaluating a Marketing Campaign to Increase Participation in School Meals
This study aims to determine whether an online marketing campaign increases children's school meal participation. Parents whose children do not currently eat school meals frequently will be exposed to messages designed to encourage their children's increased participation in school meals.
Read the detailed description
In this 6-week-long online randomized controlled trial, participants will be randomized to one of two arms: 1) Control (neutral) messages or 2) Messages designed to increase school meal participation. In each arm, participants will join private Facebook groups corresponding to their study arm. The study team will post campaign messages to these groups. Participants will answer online survey questions before and after the study on their attitudes about school meals and their child's participation in school meals.
- Conditions
- Nutrition, Healthy
- Being tested
- School meal messages, Control (neutral) messages
- Keywords
- health, nutrition, children, parent perceptions, school lunch, school breakfast, food access
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
School meal messagesBehavioural
Messages focused on the benefits of children consuming school lunch and breakfast, using text and images developed based on parent interviews. Participants will view a total of 10 messages.
Control (neutral) messagesBehavioural
Control messages approximately matched to the intervention messages on length and design, but discussing a neutral topic unrelated to school meals (reading). Participants will view a total of 10 messages.
| Study group | Role | What they receive |
|---|---|---|
| School meal messages | Experimental | Participants will view messages focused on the benefits of children eating school meals, using text and images developed based on parent interviews. Participants will view a total of 10 messages. Receives: Behavioral: School meal messages |
| Control (neutral) messages | Active comparator | Participants will view messages focused on the benefits of children reading. Messages will be matched in length to the experimental messages. Participants will view a total of 10 messages. Receives: Behavioral: Control (neutral) messages |
What is being measured
The primary outcome is the main question the study is designed to answer.
Children's consumption of school lunches
Parental report of the usual number of days per week their child ate school lunch during the past month. Assessed with 1 item: "Thinking about the last month, how many days a week did your child usually eat school lunch?" This item will be scored on a 6-point scale from "0 days per week" (0) to "5 days per week" (5).
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Children's consumption of school breakfasts
Parental report of the usual number of days per week their child ate school breakfast during the past month. Assessed with 1 item: Thinking about the last month, how many days a week did your child usually eat school breakfast?" This item will be scored on a 6-point scale from "0 days per week" (0) to "5 days per week" (5).
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Secondary outcomes (17)
Noticing the school meal campaign
Parental report of whether they noticed the school meal campaign. Assessed with 1 item: "In the last 6 weeks, have you seen any messages or advertising on Facebook encouraging children to eat school lunch or school breakfast?" Response options are "yes" (1) and "no" (0).
Measured: Collected in a ~10 minute survey at 6 weeks.
Number of school meals campaign topics recognized
Parental report of the number of topics they recognize having seen in messages about school meals. Assessed with 1 item: "Which of these topics did the messages discuss, if any? Check all that apply." Response options list 8 topics plus options for "none of these" and "not sure." Number of topics recognized will be calculated as the sum of all topics that parents indicate they have seen. Those who answer, "none of these" and "not sure" will be coded as recognizing 0 topics. Those who report not noticing the school meal marketing campaign will be coded as recognizing 0 topics.
Measured: Collected in a ~10 minute survey at 6 weeks.
Frequency of reading campaign messages
Parental report of the frequency with which they read their assigned campaign messages. Assessed with 1 item: "In the past month, how often did you read these messages?" This item will be scored on a 5 point scale ranging from "Never or less than 1 time per week" (1) to "Every day or more often" (5).
Measured: Collected in a ~10 minute survey at 6 weeks.
Social interactions about campaign
Parental report of the frequency with which they talked to others about their assigned campaign messages. Assessed with 1 item: "In the last month, how often did you talk to others about these messages?" This item will be scored on a 5 point scale ranging from "Never or less than 1 time per week" (1) to "Every day or more often" (5).
Measured: Collected in a ~10 minute survey at 6 weeks.
Social interactions about school meals
Parental report of the frequency with which they talked to others about school meals. Assessed with 3 items (e.g., "In the last month, how often did you talk to others about school meals?"). Response options are on a 5-point scale ranging from "Never or less than 1 time per week" (1) to "Every day or more often" (5). Responses to the 3 items will be averaged to create a mean score.
Measured: Collected in a ~10 minute survey at 6 weeks.
Perceived benefits of school lunch
Parental report of the benefits of their child consuming school lunch. Assessed with 8 items (e.g., "My child eating school lunch helps my child do well in school"). Response options are on a 5-point scale ranging from "Strongly disagree" (1) to "Strongly agree" (5). Responses to the 8 items will be averaged to create a mean score.
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Perceived benefits of school breakfast
Parental report of the benefits of their child consuming school breakfast. Assessed with 8 items (e.g., "My child eating school breakfast helps my child do well in school"). Response options are on a 5-point scale ranging from "Strongly disagree" (1) to "Strongly agree" (5). Responses to the 8 items will be averaged to create a mean score.
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Knowledge that school lunch is free
Parental knowledge that lunches served at their child's school are free to all students. Assessed with 1 item: "Are school lunches free for all students at your child's school?" Response options "yes" (coded as 1) and "no" or "not sure" (both coded as 0).
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Knowledge that school breakfast is free
Parental knowledge that breakfasts served at their child's school are free to all students. Assessed with 1 item: "Are school breakfasts free for all students at your child's school?" Response options "yes" (coded as 1) and "no" or "not sure" (both coded as 0).
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Perceived healthfulness of school lunch
Parental perception of the healthfulness of the lunches served at their child's school. Assessed with 1 item: "How healthy or unhealthy are the school lunches at your child's school?" Response options are on a 5-point scale ranging from "Very unhealthy" (1) to "Very healthy" (5).
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Perceived healthfulness of school breakfast
Parental perception of the healthfulness of the breakfasts served at their child's school. Assessed with 1 item: "How healthy or unhealthy are the school breakfasts at your child's school?" Response options are on a 5-point scale ranging from "Very unhealthy" (1) to "Very healthy" (5).
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Intentions to encourage their children's consumption of school lunch
Parental report of the likelihood of encouraging their child to eat school lunch in the next month. Assessed with 1 item: "In the next month, how likely are you to encourage your child to eat school lunch?" Response options are on a 5-point scale ranging from "Not at all likely" (1) to "Extremely likely" (5).
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Intentions to encourage their children's consumption of school breakfast
Parental report of the likelihood of encouraging their child to eat school breakfast in the next month. Assessed with 1 item: "In the next month, how likely are you to encourage your child to eat school breakfast?" Response options are on a 5-point scale ranging from "Not at all likely" (1) to "Extremely likely" (5).
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Barriers to children's school lunch consumption
Parental report of the barriers preventing their child from eating school lunch. Assessed with 1 item: "What are some reasons that your child doesn't eat school lunch more often? Check all of the reasons that apply." Response options list 15 reasons plus "NA - my child eats school lunch every day or almost every day" and a free response option for "other." Total number of barriers selected will be summed. Those who report "NA - my child eats school lunch every day or almost every day" will be coded as having 0 barriers.
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Barriers to children's school breakfast consumption
Parental report of the barriers preventing their child from eating school breakfast. Assessed with 1 item: "What are some reasons that your child doesn't eat school breakfast more often? Check all of the reasons that apply." Response options list 16 reasons plus "NA - my child eats school breakfast every day or almost every day" and a free response option for "other." Total number of barriers selected will be summed. Those who report "NA - my child eats school breakfast every day or almost every day" will be coded as having 0 barriers.
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Household food insecurity
Parental report of household food insecurity. Assessed with 6 items (e.g., "In the last month, were you ever hungry but didn't eat because there wasn't enough money for food?") Response options include "no" or "yes"; "never true", "sometimes true", or "often true"; "only 1 or 2 days," "some days but not every day," or "almost every day." Responses of "often" or "sometimes" and "yes" are coded as affirmative (yes). Likewise, responses of "almost every day" and "some days but not every day" are coded as affirmative (yes). The sum of affirmative responses to the six questions in the module is the household's raw score on the scale.
Household food security status is assigned as follows:
Raw score 0-1-High or marginal food security Raw score 2-4-Low food security Raw score 5-6-Very low food security Analyses will dichotomize households into those with high or marginal food security and those with low or very low food security.
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Child food insecurity
Parental report of child food insecurity. Assessed with 8 items (e.g., "In the last month, did you ever cut the size of your child's meals because there wasn't enough money for food?") Response options include "no" or "yes"; "never true", "sometimes true", or "often true"; "only 1 or 2 days," "some days but not every day," or "almost every day." Responses of "often" or "sometimes" and "yes" are coded as affirmative (yes). Responses of "almost every day" and "some days but not every day" are coded as affirmative (yes). The sum of affirmative responses to the 8 questions in the module is the child's raw score on the scale.
Child food security status is assigned as follows:
Raw score 0-1-High or marginal food security among children; Raw score 2-4-Low food security among children; Raw score 5-8-Very low food security among children Analyses will dichotomize households into those with children with high or marginal food security or children with low or very low food security.
Measured: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 May 2024
- Study start19 Sep 2024
- Primary completion20 Dec 2024
- Study completion20 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Nutrition, HealthyStudies of the same condition, open and under way.
- More trials run by Stanford UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 832 participants (actual)
Sponsor and investigators
- Lead sponsor
- Stanford University
- Sponsor type
- University, hospital or other
- Collaborators
- Robert Wood Johnson Foundation
- Responsible party
- Principal investigator, Anna Grummon, Stanford University
- Investigators
- Anna Grummon, PhD, Principal investigator, Assistant Professor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06419218
- Sponsor's protocol ID
- 75335
- Status last verified
- Jan 2025
- First submitted
- 13 May 2024
- Last updated
- 31 Jan 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: We plan to post de-identified raw data from the surveys to a public repository.
Study at a glance
From the registry record, last updated by the sponsor on 31 Jan 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluating a Marketing Campaign to Increase Participation in School Meals
- ClinicalTrials.gov ID
- NCT06419218
- Acronym / sponsor ID
- 75335
- Conditions
- Nutrition, Healthy
- Keywords
- health, nutrition, children, parent perceptions, school lunch, school breakfast, food access
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 832 participants (actual)
- Lead sponsor
- Stanford UniversityUniversity, hospital or other
- Collaborators
- Robert Wood Johnson Foundation
- Study start
- 19 Sep 2024 (actual)
- Primary completion
- 20 Dec 2024 (actual)
- Study completion
- 20 Dec 2024 (actual)
- First posted
- 17 May 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to determine whether an online marketing campaign increases children's school meal participation. Parents whose children do not currently eat school meals frequently will be exposed to messages designed to encourage their children's increased participation in school meals.
Detailed description
In this 6-week-long online randomized controlled trial, participants will be randomized to one of two arms: 1) Control (neutral) messages or 2) Messages designed to increase school meal participation. In each arm, participants will join private Facebook groups corresponding to their study arm. The study team will post campaign messages to these groups. Participants will answer online survey questions before and after the study on their attitudes about school meals and their child's participation in school meals.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| School meal messages | Experimental | Behavioral: School meal messagesParticipants will view messages focused on the benefits of children eating school meals, using text and images developed based on parent interviews. Participants will view a total of 10 messages. |
| Control (neutral) messages | Active comparator | Behavioral: Control (neutral) messagesParticipants will view messages focused on the benefits of children reading. Messages will be matched in length to the experimental messages. Participants will view a total of 10 messages. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- 18 years or older
- Parent of a child attending a public school in grades 1-5
- Resides in one of the following states: California, Colorado, Maine, Minnesota, Michigan, Massachusetts, New Mexico, Vermont
- Has internet access
- Has a Facebook account
Key exclusion criteria (6 listed)
- Younger than 18 years old
- Does not have a child attending a public school in grades 1-5
- Resides out of one of the following states: California, Colorado, Maine, Minnesota, Michigan, Massachusetts, New Mexico, Vermont
- Does not have internet access
- Does not have a Facebook account
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| School meal messagesMessages focused on the benefits of children consuming school lunch and breakfast, using text and images developed based on parent interviews. Participants will view a total of 10 messages. | Behavioural | School meal messages |
| Control (neutral) messagesControl messages approximately matched to the intervention messages on length and design, but discussing a neutral topic unrelated to school meals (reading). Participants will view a total of 10 messages. | Behavioural | Control (neutral) messages |
Primary outcome
Children's consumption of school lunches
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Parental report of the usual number of days per week their child ate school lunch during the past month. Assessed with 1 item: "Thinking about the last month, how many days a week did your child usually eat school lunch?" This item will be scored on a 6-point scale from "0 days per week" (0) to "5 days per week" (5).
Children's consumption of school breakfasts
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Parental report of the usual number of days per week their child ate school breakfast during the past month. Assessed with 1 item: Thinking about the last month, how many days a week did your child usually eat school breakfast?" This item will be scored on a 6-point scale from "0 days per week" (0) to "5 days per week" (5).
17 secondary outcomes
Noticing the school meal campaign
Time frame: Collected in a ~10 minute survey at 6 weeks.
Number of school meals campaign topics recognized
Time frame: Collected in a ~10 minute survey at 6 weeks.
Frequency of reading campaign messages
Time frame: Collected in a ~10 minute survey at 6 weeks.
Social interactions about campaign
Time frame: Collected in a ~10 minute survey at 6 weeks.
Social interactions about school meals
Time frame: Collected in a ~10 minute survey at 6 weeks.
Perceived benefits of school lunch
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Perceived benefits of school breakfast
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Knowledge that school lunch is free
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Knowledge that school breakfast is free
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Perceived healthfulness of school lunch
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Perceived healthfulness of school breakfast
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Intentions to encourage their children's consumption of school lunch
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Intentions to encourage their children's consumption of school breakfast
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Barriers to children's school lunch consumption
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Barriers to children's school breakfast consumption
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Household food insecurity
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Child food insecurity
Time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jan 2025.
- Individual participant dataSharing planned: Yes. We plan to post de-identified raw data from the surveys to a public repository.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Anna Grummon, PhD principal investigator
Assistant Professor
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing School meal messages in people with Nutrition, Healthy, run by Stanford University at 1 site in United States.
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 6 inclusion and 6 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 31 Jan 2025. 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 United States. 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?
Children's consumption of school lunches (time frame: Collected in a ~10 minute survey at baseline and again at 6 weeks.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 31 Jan 2025.