Journal List > J Nutr Health > v.50(1) > 1081485

Lee, Kim, Lee, and Kwon: Evaluation of educational school meal programs in Gyeonggi province, South Korea∗

Abstract

Purpose

School meal programs should be part of the educational process to promote good eating habits for students. The purpose of this study was to develop an evaluation scale for educational school meal programs and evaluate the achievement level of educational school meal programs using the developed scale. Methods: The evaluation scale for educational school meal programs consisted of 23 items in eight categories and was developed using content validity ratio (CVR) analysis and analytic hierarchy process (AHP) by 15 related experts. The results of a survey on nutrition teachers or dietitians at 91 elementary, middle, and high schools in Gyeonggi province, South Korea were analyzed to evaluate the achievement levels of educational school meal programs. Results: Overall, total average score was 45.7 out of 100, with significant differences among schools (p = 0.005). Elementary schools (51.9) showed a higher average score than middle (41.5) and high schools (37.1). The score for the category of regular nutrition and dietary education was the lowest (5.7 out of 33.7). In addition, school meal environment (5 out of 10), educational activities through school meal time (9.2 out of 19), and extra-curricular experiential activities (3.5 out of 10) also showed inadequate levels. Conclusion: The results show that the overall level of educational school meal programs is not adequate and needs to be improved, especially at middle and high schools. Government support polices need to be implemented to encourage educational activities related to school meal programs.

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Table 1.
Results of CVR analysis of evaluation items
Evaluation category No Evaluation item CVR
  1 Compliance with ingredient standards 0.73
Compliance with the school meals act 2 Compliance with nutritional standards 0.87
3 Compliance with quality and safety standards 0.73
  4 Limitation of using chemical seasoning and frying foods 0.73
  5 Labeling of ingredients' origin and nutritional value of menus 0.73
  6 Advising healthy eating behavior 0.73
  7 Nutrition counseling for students 0.60
Compliance with guidance for school meal operations by the Ministry of Education 8 Educational activities to decrease food waste 0.60
9 Provision of dietary information to students, teachers, and parents 0.60
  10 Operation of council for school meal program –0.20
  11 Parents' participation in inspection of ingredients and monitoring 0.20
  12 Collection of opinions to improve satisfaction for school meal service 0.47
  13 Conduction of survey on school meal service and disclosure of survey results 0.47
Hygiene and safety management 14 Hygiene and safety management 0.73
School meal environment 15 Placement of nutrition teacher 0.60
16 Place and method of food distribution 0.07
  17 Incorporation into curriculum 0.60
  18 Discretional class 0.60
Regular nutrition and dietary 19 After-school class 0.07
education 20 Club activities 0.87
  21 Nutrition counseling class for parents 0.20
  22 Dietary education center –0.07
  23 Information provision about ingredients 0.73
  24 Information provision about cooking methods 0.33
Educational activities during school meal time 25 Information provision about food culture 0.60
26 Information provision about hygiene and safety 0.60
27 Education about table manners 0.73
  28 Provision of traditional festival foods 0.33
  29 Provision of special menus 0.07
  30 Farm visit –0.07
  31 Cooking class 0.87
Extra-curricular experiential 32 School gardening –0.07
activities 33 Other field trips 0.47
  34 Operation of jangdokdae 0.07
  35 Other experiential activities –0.20
  36 Cooperation and support of principals 0.87
  37 Cooperation and support of teachers 0.73
Support condition 38 Interest and support of parents 0.60
  39 Participation of students 0.73
  40 Job satisfaction of school dietitian or nutrition teacher 0.33
Table 2.
Results of AHP analysis of evaluation scale
Evaluation category Ranking Weighting value
Compliance with the school meals act 8 3.5
Compliance with guidance for school meal operations by the Ministry of Education 7 4.0
Hygiene and safety management 6 4.6
School meal environment 4 10.0
Regular nutrition and dietary education 1 33.7
Educational activities during school meal time 2 19.0
Extra-curricular experiential activities 4 10.0
Support condition 3 15.2
Table 3.
General characteristics of respondents
Characteristics Elementary schools (n = 43) Middle schools (n = 33) High schools (n = 15) Total (n = 91) p-value1)
Gender          
 Female 43 (100) 33 (100) 15 (100) 91 (100)  
Age          
 20 ∼ 29 3 (7.0) 9 (27.3) 3 (20.0) 15 (16.5)  
 30 ∼ 39 15 (34.9) 10 (30.3) 3 (20.0) 28 (30.8) 0.250
 40 ∼ 49 22 (51.2) 13 (39.4) 7 (46.7) 42 (46.2)
 ≥ 50 3 (7.0) 1 (3.0) 2 (13.3) 6 (6.6)  
 Average 39.7 ± 6.8 36.4 ± 7.5 40.1 ± 7.6 38.6 ± 7.3 0.099
Current position          
 Nutrition teacher 24 (55.8) 16 (48.5) 6 (40.0) 46 (50.5) 0.549
 Dietitian 19 (44.2) 17 (51.5) 9 (60.0) 45 (49.5)
Working career          
 < 5 5 (11.6) 10 (30.3) 4 (26.7) 19 (20.9)  
 5 ∼ 10 18 (41.9) 10 (30.3) 4 (26.7) 32 (35.2)  
 11 ∼ 15 5 (11.6) 6 (18.2) 3 (20.0) 14 (15.4) 0.530
 16 ∼ 20 11 (25.6) 4 (12.1) 3 (20.0) 18 (19.8)
 ≥ 21 4 (9.3) 3 (9.1) 1 (6.7) 8 (8.8)  
 Average 11.7 ± 6.7 9.4 ± 6.6 10.5 ± 6.7 10.7 ± 6.7 0.337
Educational level          
 College graduate 5 (11.6) 3 (9.1) 0 (0.0) 8 (8.8)  
 University graduate 19 (44.2) 12 (36.4) 5 (33.3) 36 (39.6) 0.501
 Master's degree 19 (44.2) 18 (54.5) 10 (66.7) 47 (51.6)  

1) p value by χ2-test or ANOVA n (%) or Mean ± SD

Table 4.
General characteristics of subject schools
Characteristics Elementary schools (n = 43) Middle schools (n = 33) High schools (n = 15) Total (n = 91) p-value1)
Feeding number (lunch)          
 < 500 10 (23.3) 5 (15.2) 0 (0.0) 15 (16.5)  
 500∼999 22 (51.2) 21 (63.6) 7 (46.7) 50 (54.9) 0.077
 ≥ 1,000 11 (25.6) 7 (21.2) 8 (53.3) 26 (28.6)  
 Average 739.3 ± 342.9a 782.4 ± 297.4a 1,011.5 ± 364.2b 799.8 ± 341.0 0.025
Food distribution method          
 Self-control 2 (4.7) 1 (3.0) 1 (6.7) 4 (4.4)  
 Fixed amounts 33 (76.7) 17 (51.5) 2 (13.3) 52 (57.1) < 0.001
 Partial Self-control 8 (18.6) 14 (42.4) 12 (80.0) 34 (37.4)  

1) p value by χ2-test or ANOVA a, b: significantly different at p < 0.05 using ANOVA and Duncan's multiple range test n (%) or Mean ± SD

Table 5.
Results of evaluation of educational school meal programs
Evaluation category Elementary Middle High Total (n = 91) p-value1)
 schools schools schools
(n = 43) (n = 33) (n = 15)
Compliance with the school meals act (3.5 points) 3.36 ± 0.38 3.29 ± 0.54 3.34 ± 0.41 3.33 ± 0.45 0.76
Compliance with guidance for school meal operations by the ministry of education (4 points) 3.44 ± 0.50 3.38 ± 0.47 3.41 ± 0.53 3.41 ± 0.49 0.87
Hygiene and safety management (4.6 points) 4.42 ± 0.10 4.43 ± 0.10 4.35 ± 0.24 4.41 ± 0.13 0.16
School meal environment (10 points) 5.53 ± 4.97 4.80 ± 5.02 3.96 ± 5.02 5.00 ± 4.98 0.56
Regular nutrition and dietary education (33.7 points) 8.88 ± 9.35b 2.38 ± 5.44a 3.74 ± 9.17a 5.68 ± 8.60 < 0.001
Educational activities during school meal time (19 points) 9.54 ± 2.11b 9.36 ± 2.73ab 8.04 ± 2.87a 9.23 ± 2.51 0.13
Extra-curricular experiential activities (10 points) 4.65 ± 5.05 2.73 ± 4.52 2.00 ± 4.14 3.52 ± 4.80 0.09
Support condition (15.2 points) 12.04 ± 2.17b 11.17 ± 2.67b 8.26 ± 2.90a 11.10 ± 2.80 < 0.001
Total (100 points) 51.86 ± 18.12b 41.53 ± 15.45a 37.11 ± 18.17a 45.68 ± 18.06 0.005
Score range 26.45 ∼ 88.15 22.71 ∼ 74.17 25.11 ∼ 86.90 21.11 ∼ 88.15  

1) p value by ANOVA a, b: significantly different at p < 0.05 using ANOVA and Duncan's multiple range test Mean ± SD

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