Deborah H John, Katherine Gunter, Jennifer A Jackson, Melinda Manore
Developing the School Physical Activity and Nutrition Environment Tool to Measure Qualities of the Obesogenic Context
The Journal of school health
test feasibility kids sip smarter schoolbased intervention reduce consumption sugarsweetened beverages ssbs matchedcontact randomized crossover study mixedmethods analysis one middle school rural appalachian virginia seventyfour sixth seventh graders 5 classrooms received kids sip smarter random order 2 intervention periods feasibility outcomes assessed among 2 teachers kids sip smarter consisted 6 lessons grounded theory planned behavior media literacy public health literacy aimed improve individual ssb behaviors understanding media literacy prevalent regional disparities matchedcontact intervention promoted physical activity beverage intake questionnaire15 ssb consumption validated theory questionnaires feasibility questionnaires student teacher student focus groups teacher interviews process data eg attendance repeated measures analysis variances across 3 time points descriptive statistics deductive analysis qualitative data first intervention period students receiving kids sip smarter n 43 significantly reduced ssbs 11 ouncesday p 01 improved media p 001 public health literacy p 01 understanding however media literacy showed betweengroup differences p 01 students teachers found kids sip smarter acceptable indemand practical implementable within existing resources kids sip smarter feasible underresourced rural school setting results inform development largescale testing kids sip smarter reduce ssbs among rural adolescents