A Low-Cost, Grab-and-Go Breakfast Intervention for Rural High School Students: Changes inSchool Breakfast ProgramParticipation Among At-Risk Students in Minnesota

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Abstract

Objective

Evaluate the impact of a grab-and-go component embedded within a larger intervention designed to promote School Breakfast Program (SBP) participation.

Design

Secondary data analysis.

Setting

Rural Minnesota high schools.

Participants

Eight schools were enrolled in the grab-and-go only intervention component. An at-risk sample of students (n = 364) who reported eating breakfast ≤3 d/wk at baseline was enrolled at these schools.

Interventions

Grab-and-go style breakfast carts and policies were introduced to allow all students to eat outside the cafeteria.

Main Outcome Measures

Administrative records were used to determine percent SBP participation (proportion of non-absent days on which fully reimbursable meals were received) for each student and school-level averages.

Analysis

Linear mixed models.

Results

School-level increases in SBP participation from baseline to the school year of intervention implementation were observed for schools enrolled in the grab-and-go only component (13.0% to 22.6%). Student-level increases in SBP participation were observed among the at-risk sample (7.6% to 21.9%) and among subgroups defined by free- or reduced-price meal eligibility and ethnic or racial background. Participation in SBP increased among students eligible for free or reduced-price meals from 13.9% to 30.7% and among ineligible students from 4.3% to 17.2%.

Conclusions and Implications

Increasing access to the SBP and social support for eating breakfast are effective promotion strategies.

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