dc.contributor.author |
Ni Mhurchu, Cliona |
en |
dc.contributor.author |
Gorton, D |
en |
dc.contributor.author |
Turley, M |
en |
dc.contributor.author |
Jiang, Yannan |
en |
dc.contributor.author |
Michie, J |
en |
dc.contributor.author |
Maddison, R |
en |
dc.contributor.author |
Hattie, J |
en |
dc.date.accessioned |
2018-11-01T21:05:38Z |
en |
dc.date.issued |
2013 |
en |
dc.identifier.issn |
0143-005X |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/43746 |
en |
dc.description.abstract |
Background Free school breakfast programmes (SBPs) exist in a number of high-income countries, but their effects on educational outcomes have rarely been evaluated in randomised controlled trials. Methods A 1-year stepped-wedge, cluster randomised controlled trial was undertaken in 14 New Zealand schools in low socioeconomic resource areas. Participants were 424 children, mean age 9±2 years, 53% female. The intervention was a free daily SBP. The primary outcome was children's school attendance. Secondary outcomes were academic achievement, self-reported grades, sense of belonging at school, behaviour, short-term hunger, breakfast habits and food security. Results There was no statistically significant effect of the breakfast programme on children's school attendance. The odds of children achieving an attendance rate <95% was 0.76 (95% CI 0.56 to 1.02) during the intervention phase and 0.93 (95% CI 0.67 to 1.31) during the control phase, giving an OR of 0.81 (95% CI 0.59 to 1.11), p=0.19. There was a significant decrease in children's self-reported short-term hunger during the intervention phase compared with the control phase, demonstrated by an increase of 8.6 units on the Freddy satiety scale (95% CI 3.4 to 13.7, p=0.001). There were no effects of the intervention on any other outcome. Conclusions A free SBP did not have a significant effect on children's school attendance or academic achievement but had significant positive effects on children's short-term satiety ratings. More frequent programme attendance may be required to influence school attendance and academic achievement. |
en |
dc.relation.ispartofseries |
Journal of Epidemiology and Community Health |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.title |
Effects of a free school breakfast programme on children's attendance, academic achievement, and short-term hunger: results from a stepped-wedge, cluster randomized controlled trial |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1136/jech-2012-201540 |
en |
pubs.issue |
3 |
en |
pubs.begin-page |
257 |
en |
pubs.volume |
67 |
en |
dc.rights.holder |
Copyright: The author |
en |
pubs.end-page |
264 |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
363551 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Population Health |
en |
pubs.org-id |
Pacific Health |
en |
pubs.org-id |
Science |
en |
pubs.org-id |
Statistics |
en |
dc.identifier.eissn |
1470-2738 |
en |
pubs.record-created-at-source-date |
2012-11-18 |
en |