Jane Suzanne Watson, Rachel Elizabeth Jordan, Peymane Adab, Ivo Vlaev, Alexandra Enocson, Sheila Greenfield
Investigating primary healthcare practitioners' barriers and enablers to referral of patients with COPD to pulmonary rehabilitation: a mixed-methods study using the Theoretical Domains Framework
BMJ open
describe results technologyintegrated intervention sugarsweetened beverage ssb energydense snack intake third graders experiencing low income 2 2 quasirandomized clusterblock parallelgroup experimental research design lowincome schools rhode island twohundred seventeen intervention 242 control thirdgrade students lowincome 896 882 freereduced meals respectively ethnically racially diverse 63 hispanic20 black 62 hispanic18 black respectively schools 13week inschool program held per week 1 hour handson technologyintegrated program used modified version body quest food warrior curriculum intake ssb energydense snacks salty sweet snacks using baseline week 1 postassessment week 13 previous day selfrecall generalized mixed modeling nesting intervention students significantly reduced ssb intake 38 05 timesd f1 540 426 p 004 salty snack intake 58 08 timesd f1 534 658 p 001 baseline postassessment compared control students findings suggest technologyintegrated curriculum effective decreasing ssb salty snacks elementaryaged students lowincome minoritized populations improved dietary habits potentially influence facets students lives