Trial reportBMC public health2015
Implementation of strategies to increase adolescents' access to fruit and vegetables at school: process evaluation findings from the Boost study.
Trial report in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A Systematic Review of Healthy Nutrition Intervention Programs in Kindergarten and Primary Education.Nutrients · 2023Pooled it
- Measuring implementation fidelity of school-based obesity prevention programmes: a systematic review.The international journal of behavioral nutrition and physical activity · 2018Pooled it
- Strategies for enhancing the implementation of school-based policies or practices targeting risk factors for chronic disease.The Cochrane database of systematic reviews · 2017Pooled it
- Acceptance and Commitment Therapy is feasible for people with acquired brain injury: A process evaluation of the BrainACT treatment.Clinical rehabilitation · 2024Trial
- Context, mechanisms, and outcomes of smoke-free school hours in social and health care vocational schools: a realist informed qualitative analysis.BMC public health · 2026Article
- Article
- Perceived influences of fruit and vegetable consumption among Indian adolescents - A qualitative inquiry.BMC public health · 2025Article
- School Coordinators' Perceptions of Organizational Readiness Is Associated with Implementation Fidelity in a Smoking Prevention Program: Findings from the X:IT II Study.Prevention science : the official journal of the Society for Prevention Research · 2021Article
- Process evaluation of fruit and vegetables distribution interventions in school-based settings: A systematic review.Preventive medicine reports · 2021Review
- Implementation of initiatives to prevent student stress: process evaluation findings from the Healthy High School study.Health education research · 2020Article
- The Association between Perceived Adequacy and Capacity for School Food Policy Implementation with Food Availability and Policy Adherence in Nova Scotia, Canada.International journal of environmental research and public health · 2019Article
- Understanding System-Level Intervention Points to Support School Food and Nutrition Policy Implementation in Nova Scotia, Canada.International journal of environmental research and public health · 2019Article
- Implementation fidelity trajectories of a health promotion program in multidisciplinary settings: managing tensions in rehabilitation care.Implementation science : IS · 2017Article
- Curricular activities and change in determinants of fruit and vegetable intake among adolescents: Results from the Boost intervention.Preventive medicine reports · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccess to fruit and vegetables (FV) is associated with adolescents' FV consumption. However, little is known about implementation of strategies to increase access to FV at schools. We examined the implementation of two environmental components designed to increase access to FV at Danish schools.
methodsWe used data from 20 intervention schools involved in the school-based multicomponent Boost trial targeting 13-year-olds' FV consumption. The environmental components at school included daily provision of free FV and promotion of a pleasant eating environment. Questionnaire data was collected by the end of the nine-month intervention period among 1,121 pupils (95%), from all school principals (n = 20) and half way through the intervention period and by the end of the intervention among 114 teachers (44%). The implementation of the components was examined descriptively using the following process evaluation measures; fidelity, dose delivered, dose received and reach. Schools with stable high implementation levels over time were characterised by context, intervention appreciation and implementation of other components.
resultsFor all process evaluation measures, the level of implementation varied by schools, classes and over time. Dose received: 45% of pupils (school range: 13-72%, class range: 7-77%) ate the provided FV daily; 68% of pupils (school range: 40-93%, class range: 24-100%) reported that time was allocated to eating FV in class. Reach: The intake of FV provided did not differ by SEP nor gender, but more girls and low SEP pupils enjoyed eating FV together. Dose delivered: The proportion of teachers offering FV at a daily basis decreased over time, while the proportion of teachers cutting up FV increased over time. Schools in which high proportions of teachers offered FV daily throughout the intervention period were characterized by being: small; having a low proportion of low SEP pupils; having a school food policy; high teacher- and pupil intervention appreciation; having fewer teachers who cut up FV; and having high implementation of educational components.
conclusionsThe appliance of different approaches and levels of analyses to describe data provided comprehension and knowledge of the implementation process. This knowledge is crucial for the interpretation of intervention effect.
trial registrationCurrent Controlled Trials ISRCTN11666034.
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