Hussein Haruna, Xiao Hu, Samuel Kai Wah Chu, Robin R Mellecker
Initial Validation of the MAKE Framework: A Comprehensive Instrument for Evaluating the Efficacy of Game-Based Learning and Gamification in Adolescent Sexual Health Literacy
Annals of global health
study examined availability free drinking water lunchtime us public schools required federal legislation beginning 20112012 school year data collected mailback surveys nationally representative samples us public elementary middle high schools 20092010 20112012 overall 864 874 894 students attended elementary middle high schools respectively met drinking water requirement students attended schools existing cafeteria drinking fountains one fourth attended schools water dispensers middle high schools respondents asked indicate whether drinking fountains clean whether aware waterquality problems school vast majority middle high school students 926 904 respectively attended schools respondent perceived drinking fountains clean clean approximately one four middle high school students attended school survey respondent indicated waterquality issues affecting drinking fountains although schools implemented requirement provide free drinking water lunchtime additional work needed promote implementation schools school nutrition staff district school levels play important role ensuring schools implement drinking water requirement well promote education behaviorchange strategies increase student consumption water school