1. Effects of a free school breakfast programme on children's attendance, academic achievement and short-term hunger: results from a stepped-wedge, cluster randomised controlled trial.
- Author
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Mhurchu CN, Gorton D, Turley M, Jiang Y, Michie J, Maddison R, and Hattie J
- Subjects
- Adolescent, Adolescent Nutritional Physiological Phenomena, Child, Cluster Analysis, Female, Government Programs, Humans, Interpersonal Relations, Male, New Zealand, Program Evaluation, Public Assistance, Self Report, Socioeconomic Factors, Students psychology, Absenteeism, Achievement, Food Services economics, Food Supply, Hunger ethnology, Schools statistics & numerical data, Students statistics & numerical data
- Abstract
Background: Free school breakfast programmes (SBPs) exist in a number of high-income countries, but their effects on educational outcomes have rarely been evaluated in randomised controlled trials., Methods: A 1-year stepped-wedge, cluster randomised controlled trial was undertaken in 14 New Zealand schools in low socioeconomic resource areas. Participants were 424 children, mean age 9±2 years, 53% female. The intervention was a free daily SBP. The primary outcome was children's school attendance. Secondary outcomes were academic achievement, self-reported grades, sense of belonging at school, behaviour, short-term hunger, breakfast habits and food security., Results: There was no statistically significant effect of the breakfast programme on children's school attendance. The odds of children achieving an attendance rate <95% was 0.76 (95% CI 0.56 to 1.02) during the intervention phase and 0.93 (95% CI 0.67 to 1.31) during the control phase, giving an OR of 0.81 (95% CI 0.59 to 1.11), p=0.19. There was a significant decrease in children's self-reported short-term hunger during the intervention phase compared with the control phase, demonstrated by an increase of 8.6 units on the Freddy satiety scale (95% CI 3.4 to 13.7, p=0.001). There were no effects of the intervention on any other outcome., Conclusions: A free SBP did not have a significant effect on children's school attendance or academic achievement but had significant positive effects on children's short-term satiety ratings. More frequent programme attendance may be required to influence school attendance and academic achievement., Trial Registration: Australian New Zealand Clinical Trials Registry (ANZCTR)-ACTRN12609000854235.
- Published
- 2013
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