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.
References
1. Ministry of Education (KR). Korean school meals act [Internet]. Seoul: Ministry of Government Legislation;2013. Nov 23 [cited 2016 Jul 25]. Available from:. http://www.law.go.kr.
2. Kim SA. Effect of nutrition education of school lunch programs: on dietary pattern of elementary school children in Pusan area. J Korean Soc Food Nutr. 1990; 19(4):356–374.
3. Han HY, Kim EK, Park KW. Effects of nutrition education on nutrition knowledge, food attitude, food habits, food preference and plate waste of elementary school children served by the national school lunch program. Korean J Nutr. 1997; 30(10):1219–1228.
4. Oh YM, Kim MH, Sung CJ. Effects of school lunch program on nutritional knowledge and attitude, and dietary behavior of Korean middle school students. Korean J Community Nutr. 2005; 10(2):163–173.
5. Jeong Y, Woo T, Lee KH. Effect evaluation of nutrition education for improving preferences to Korean traditional foods in upper grades schoolchildren. Korean J Food Nutr. 2014; 27(6):1119–1131.
6. Ko KM, Kim SB. Effects of nutrition education providing school lunch by personalized daily needed food exchange units for adolescent athletes in Jeonbuk province. Korean J Community Nutr. 2016; 21(1):25–36.
7. Ministry of Education (KR). Status of 2014 school meal program [Internet]. Sejong: Ministry of Education;2015. Jun 1 [cited 2016 Jul 25]. Available from:. http://www.moe.go.kr.
8. Morgan K, Sonnino R. Empowering consumers: the creative procurement of school meals in Italy and the UK. Int J Consum Stud. 2007; 31(1):19–25.
9. Dimbleby H, Vincent J. The school food plan [Internet]. Manchester: Department for Education;2013. [cited 2016 Jul 25]. Available from:. https://www.gov.uk/government/publications/the-school-food-plan.
10. Schabas L. The school food plan: putting food at the heart of the school day. Nutr Bull. 2014; 39(1):99–104.
11. Tanaka N, Miyoshi M. School lunch program for health promotion among children in Japan. Asia Pac J Clin Nutr. 2012; 21(1):155–158.
12. Hong YS, Lee JH. Current status and strategic plan of nutrition education comparing nutrition teachers with dietitians in schools, Gyeonggi area. Korean J Community Nutr. 2013; 18(3):233–242.
13. Jung KA. The review of the researches on the nutritional education state in the elementary school. J Korean Pract Arts Educ. 2013; 19(1):117–145.
14. Lee MY, Choi KS. Current status and activation needs for student nutrition counseling among elementary and middle·high school dietitians. Korean J Community Living Sci. 2013; 24(4):497–515.
15. Oh NG, Gwon SJ, Kim KW, Sohn CM, Park HR, Seo JS. Status and need assessment on nutrition & dietary life education among nutrition teachers in elementary, middle and high schools. Korean J Community Nutr. 2016; 21(2):152–164.
16. Lim SS, Yang JS. A study on the satisfaction of school meals about elementary, middle and high school's students in Jeonbuk area: an ordered probit analysis. Korean J Org Agric. 2013; 21(4):539–554.
17. Ko SK, Kim DW, Kang HS, Ahn KA. Analysis of influence factors for improving satisfaction with school meal in Gyeonggi area. Suwon: Gyeonggi Institute of Education;2014.
18. Yoon J, Kwon S, Shim JE. Present status and issues of school nutrition programs in Korea. Asia Pac J Clin Nutr. 2012; 21(1):128–133.
19. Kwak DK. Roles of school nutrition teachers. Nutr Diet. 2003; 250:15–17.
20. Yim KS. How should the school nutrition education change? Proceedings of 2007 Spring Conference of the Korean Society of Community Nutrition;. 2007 May 11.
21. Lee MA. Development and standardization of the evaluation tool for the school food service program in Korea [dissertation]. Seoul: Yonsei University;2005.
22. Choi MK. Development of a school foodservice menu evaluation tool & manual. Seoul: Ministry of Education and Science Technology;2012.
24. Saaty TL. Decision making with the analytic hierarchy process. Int J Serv Sci. 2008; 1(1):83–98.
25. Vaidya OS, Kumar S. Analytic hierarchy process: an overview of applications. Eur J Oper Res. 2006; 169(1):1–29.
26. Saaty TL. How to make a decision: the analytic hierarchy process. Eur J Oper Res. 1990; 48(1):9–26.
27. Pérez-Rodrigo C, Klepp KI, Yngve A, Sjöström M, Stockley L, Aranceta J. The school setting: an opportunity for the implementation of dietary guidelines. Public Health Nutr. 2001; 4(2B):717–724.
28. Pilant VB. American Dietetic Association. Position of the American Dietetic Association: local support for nutrition integrity in schools. J Am Diet Assoc. 2006; 106(1):122–133.
29. Weaver-Hightower MB. Why education researchers should take school food seriously. Educ Res. 2011; 40(1):15–21.
30. Rasmussen VB, Rivett D. The European network of health promoting schools: an alliance of health, education and democracy. Health Educ. 2000; 100(2):61–67.
31. Pérez-Rodrigo C, Aranceta J. School-based nutrition education: lessons learned and new perspectives. Public Health Nutr. 2001; 4(1A):131–139.
32. Bae IS, Shin KH, Lee YK, Lee SK. Perception of the elementary school dietitians and students on nutrition education to set up the roles of nutrition teacher: centered on Daegu City and Gyeongbuk Province. J Korean Diet Assoc. 2005; 11(4):393–404.
33. Nicklas TA, Johnson CC, Farris R, Rice R, Lyon L, Shi R. Development of a school-based nutrition intervention for high school students: Gimme 5. Am J Health Promot. 1997; 11(5):315–322.
34. Perez-Rodrigo C, Aranceta J. Nutrition education for schoolchildren living in a low-income urban area in Spain. J Nutr Educ. 1997; 29(5):267–273.
35. Cunningham-Sabo L, Lohse B. Impact of a school-based cooking curriculum for fourth-grade students on attitudes and behaviors is influenced by gender and prior cooking experience. J Nutr Educ Behav. 2014; 46(2):110–120.
36. Edens NK, Sharma S, Folkens S, Wojtowicz A, Ranjit N, Evans A. Experiential cooking and nutrition education program improves fruit and vegetable liking, vegetable consumption, and cooking at home in elementary and middle school children. FASEB J. 2016; 30(S1):): 676.13.
37. Hersch D, Perdue L, Ambroz T, Boucher JL. The impact of cooking classes on food-related preferences, attitudes, and behaviors of school-aged children: a systematic review of the evidence, 2003–2014. Prev Chronic Dis. 2014; 11:E193.
38. Parmer SM, Salisbury-Glennon J, Shannon D, Struempler B. School gardens: an experiential learning approach for a nutrition education program to increase fruit and vegetable knowledge, preference, and consumption among second-grade students. J Nutr Educ Behav. 2009; 41(3):212–217.
39. Graham H, Feenstra G, Evans AM, Zidenberg-Cherr S. Davis school program supports life-long healthy eating habits in children. Calif Agric (Berkeley). 2004; 58(4):200–205.
40. McAleese JD, Rankin LL. Garden-based nutrition education affects fruit and vegetable consumption in sixth-grade adolescents. J Am Diet Assoc. 2007; 107(4):662–665.
41. Kim GM, Lee YH. A study on nutrition management of dietitian for school lunch program in Seoul and Incheon provinces. J Korean Diet Assoc. 2003; 9(1):57–70.
Table 1.
Table 2.
Table 3.
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) |
Table 4.
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) |