ArticlePublic health nutrition2025
Health Belief Model constructs and teachers' use of food rewards.
Article in Public health nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
objectiveClassroom celebrations and food rewards are substantial sources of unhealthy foods within the school environment in the USA. This study was designed to describe classroom food reward practices and examine the association between food rewards and constructs of the Health Belief Model (HBM).
designAn online survey using summated scales of food reward frequency and HBM constructs.
settingThe online survey was distributed to elementary schools throughout seven Midwestern states from November through December 2023. SUBJECTS: Elementary school teachers (
resultsCandy was the most frequently used food reward with the majority of teachers (55·9 %) reporting they utilised candy at least 'sometimes'. Bi-variant analysis revealed food reward frequency was positively correlated with perceived barriers to refraining from the use of food rewards (
conclusionClassroom food rewards are common, and perceived barriers (but not perceived threat or policy cues) were associated with food rewards among this sample of teachers. Reducing barriers to refraining from the use of food rewards may begin to reduce the practice of using classroom food rewards.
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