Marie Mikuteit, Ingo Just, Sandra Steffens
Evaluation of the National Competence Based Catalogue of Learning Objectives (NKLM 2.0) for undergraduate medical education at the Medical School Hannover
GMS journal for medical education
2018 united states department agriculture usda issued flexibilities national school lunch breakfast programs relaxing nutrition standards milk whole grains sodium study examines implementation decisionmaking among missouri school food services impact implementing flexibilities meals served developed survey using consolidated framework implementation determine schools implementation flexibilities factors related implementation determine implementation flexibilities affected participation merged survey results schoollevel meal county data missouri department elementary secondary education used ordinary least squares regression examine flexibility adoption related number meals served schools implemented wheat milk sodium flexibilities common reasons implementation increasing participation meeting students preferences expanding menu variety saving money implementation flexibilities associated lunches breakfasts served per month particularly among free reducedprice meals continued research needed determine increased uptake school meals fully meet dietary guidelines lowincome students results inequities health outcomes findings inform design implementation future policies especially new rules related flexibility design determined