Project breakFAST
Fueling Academics and Strengthening Teens
The goals of this intervention study are to implement best practice strategies to expand and promote the SBP and test the impact upon 1) student participation rates, based on reimbursable meals served, 2) overall student caloric intake and diet quality and 3) body mass index and percent body fat in a random sample of 800 high school students in 16 rural Minnesota school districts. Best practice strategies drawn from federal and industry sources to expand SBP participation include improving access through school-wide policy and practice implementation (i.e., grab-n-go menu, service in the atrium) and promote participation by addressing normative and attitudinal beliefs through a school-wide SBP marketing campaign (i.e., foods taste good, school breakfast is for all students) and providing positive interactions that encourage eating school breakfast with social support from peers and school personnel (i.e., eating in the hallway, classroom).
Funding
Publications
- Shanafelt A et al. A Cost-Benefit Analysis of Updating and Expanding School Breakfast Program Offerings in High School. In Press J Sch Health
- Hearst M et al. Altering the school breakfast environment reduces reported barriers to breakfast consumption at school. In Press J Sch Health
- Caspi C, Wang Q, Shanafelt A, Larson N, Wei S, Hearst MO, Nanney MS. School Breakfast Program Participation and Rural Adolescents' Purchasing Behaviors in Food Stores and Restaurants. J Sch Health. 2017 Oct;87(10):723-731. PMC5679072
- Larson N, Wang Q, Grannon K, Wei S, Nanney MS, Caspi C. A low-cost, grab-and-go breakfast intervention for rural high school students: changes in School Breakfast Program participation among at-risk students in Minnesota. J Nutr Educ Behav 2018 Feb:50(2):125-132. PMCID: In process, NIHMSID: 898546
- Mumm J, Hearst MO, Shanafelt A, Wang Q, Leduc R, Nanney MS. Increasing Social Support for Breakfast: Project BreakFAST. Health Promot Pract. 2017 Jun 1:1524839917711123. PMCID IN PROCESS NIHMSID: 939952
- Hearst MO, Harnack LJ, Wang Q, Nanney MS. Dietary Quality of Diverse Rural Adolescents Using the Healthy Eating Index -2010. Health Behav Policy Rev. 2016 Nov; 3(6): 519-527. PMCID PMC5812727
- Hearst MO, Shanafelt A, Wang Q, Leduc R, Nanney MS. Barriers, Benefits, and Behaviors Related to Breakfast Consumption Among Rural Adolescents. J Sch Health. 2016 Mar;86(3):187-94. PMC4825869
- Shanafelt A, Hearst MO, Wang Q, Nanney MS. Food Insecurity and Rural Adolescent Personal Health, Home, and Academic Environments. J Sch Health. 2016 Jun;86(6):472-80. PMC4852387
- Larson N, Wang Q, Berge JM, Shanafelt A, Nanney MS. Eating breakfast together as a family: mealtime experiences and associations with dietary intake among adolescents in rural Minnesota, USA. Public Health Nutr. 2016 Jun;19(9):1565-74. PMC5714511
- Nanney MS, Shanafelt A, Wang Q, Leduc R, Dodds E, Hearst M, Kubik MY, Grannon K, Harnack L. Project BreakFAST: Rationale, design, and recruitment and enrollment methods of a randomized controlled trial to evaluate an intervention to improve School Breakfast Program participation in rural high schools. Contemp Clin Trials Commun. 2016 Aug 15;3:12-22. PMC4850496
Project BreakFAST Reports
Presentations
- Presentation: Can school breakfast program participation change rural adolescents' purchasing behaviors in food stores and restaurants. Caitlin Caspi ScD, APHA, Denver, CO. Oct. 29-Nov. 4
- Poster: Altering the school breakfast environment reduces barriers to school breakfast participation among diverse rural youth: BreakFAST study. Mary O Hearst PhD, Amy Shanafelt MA, Qi Wang MS, Robert Leduc PhD, Marilyn S. Nanney PhD. APHA, Denver, CO. Oct. 29-Nov. 4
- Presentation: Increasing social support for breakfast through school policy and environmental change: Project BreakFAST. Julie Mumm APHA, Denver, CO. Oct. 29-Nov. 4
- Poster: “More rural high school students eat school breakfast as a result of changes in school practices”.Marilyn S. Nanney PhD, Robert Leduc PhD, Mary O. Hearst PhD, Amy Shanafelt MA, Qi Wang MS, Katherine Y Grannon MPH, RD, Ellen Dodds MS, RD, Martha Y Kubik PhD, Lisa Harnack PhD. Presented at the International Society for Behavioral Nutrition and Physical Activity 2016 Conference, Capetown, South Africa. June 10, 2016.
- Poster: Change in dietary intake among rural adolescents as a result of the BreakFAST group randomized trial.Mary O Hearst PhD, Lisa J Harnack DrPH, RD, MPH, Robert Leduc PhD, Amy Shanafelt MA, Qi Wang MS, Martha Kubik PhD, MSN, RN, Marilyn S. Nanney PhD, RD. Presented at the International Society for Behavioral Nutrition and Physical Activity 2016 Conference, Capetown, South Africa. June 10, 2016.
- Presentation: "Grab and Go Breakfast: Successes and Challenges" Susie Nanney, PhD, RD, Katherine Young, PHD, RD, and Amy Shanafelt, MA. Presented at the National School Nutrition Association 2015 conference, Salt Lake City, UT, July 12, 2015
- Presentation: "Hunger and Rural Adolescent Personal Health, Home and Academic Factors" Amy Shanafelt, MA, Mary O. Hearst, MPH, PhD, Qi Wang, MS, Robert Leduc, PhD, Marilyn S. Nanney, RD, PhD. Presented at the International Society for Behavior, Nutrition and Physical Activity 2015 conference, Edinburgh Scotland, June 3-6, 2015.
- Poster: “Food insecurity and breakfast benefits barriers and behaviors” Amy Shanafelt,MA, Mary Hearst, MPH, PhD, Qi Wang MS3, Marilyn S. Nanney PhD, RD. Presented at the International Society for Behavior, Nutrition and Physical Activity 2015 conference, Edinburgh Scotland, June 3-6, 2015.
- Poster: "Benefits, barriers, and behaviors related to eating breakfast among rural adolescents" Mary Hearst, MPH, PhD, Amy Shanafelt MA, Qi Wang MS, Marilyn S Nanney PhD, RD. Presented at the International Society for Behavior, Nutrition and Physical Activity 2015 conference, Edinburgh Scotland, June 3-6, 2015.
- Poster: "Characteristics, perceptions, and dieting behaviors of high school students who skip breakfast to control weight" Ellen Dodds, MS, RD, Qi Wang, MS, Lisa Harnack, DrPH, RD, Nicole Larson, PhD, MPH, RDN, Marilyn S. Nanney, PhD, MPH, RD. Presented at the International Society for Behavior, Nutrition and Physical Activity 2015 conference, Edinburgh Scotland, June 3-6, 2015.
- Presentation ” Local Strategies to Address Hunger through School Breakfast”. Susie Nanney, PhD, RD and Libby Stegger (Hunger Free MN), Presented at the Cancer Health Equity Conference, Bloomington, MN 11/ 5/14
- Presentation: “Improving access to the School Breakfast Program in rural Minnesota schools: Results to date from the breakFAST research study.” Susie Nanney, PhD, MPH, RD; Amy Shanafelt, MA; Kate Young, MPH, RD & Kathy Milbrath, Presented at MN School Nutrition Association 8/5/14.
- Poster: “Eating breakfast as a family: Mealtime experiences and linkages to dietary intake among adolescents in rural Minnesota.” Jerica Berge, PhD & Nicole Larson, PhD, Presented at the Society for Nutrition, Education and Behavior, 6/17/14
- Poster: “Encouraging Breakfast: The impact of encouragement from adults on adolescents in rural Minnesota on their overall diet quality and weight status.” Allison Richards, MPH, RD & Julie Arndt, MPH, RD, Presented at 2014 SPH Student Research Day.
- Poster: Characteristics and Perceptions of Food Insecure Adolescents in Rural Minnesota. Blanca E. Moreno, Qi Wang, MS, Amy Shanafelt, MA, Marilyn S. Nanney, PhD, MPH RD. Presented at PHDR Summer Intern Poster Session, 2013
- Poster: “Characteristics of High School Students Who Eat Breakfast.” Kate Young, MPH, RD, Presented at 2013 SPH Research Day.
Resources
- School Recruitment Webinar
- Wave 1 Intervention Newsletter
- Wave 1 Control Newsletter
- School Resource Website
- School Press
- Adolescent Sleep Research
- Marketing Posters
- Training Videos
- Fall Training Webinar Recording
- Spring Training Webinar Recording
- Editable Posters
- Fuel Your Brain
- Grab and Go
- Morning Survival Kit - 1
- Morning Survival Kit - 2
- Morning Survival Kit - 3
- Partner Video: Fuel up to Play 60 Student Ambassador
Example Promotional Videos
Principal Investigator
Marilyn "Susie" Nanney, PhD, MPH, RD
Jerica Berge PhD, MPH (Interim PI from 9/1/16 to 8/31/17)
Project Manager
Kate Grannon, MPH, RD
Co-Investigators
Caitlin Caspi, ScD, Lisa Harnack, PhD; Mary Hearst, PhD; Martha Kubik, PhD, MSN, RNC; and Robert LeDuc, PhD
Collaborating Agencies
MN Department of Education; Community Blueprint; University of Minnesota Extension; Kathleen Milbrath, School Meals Specialist; Midwest Dairy Council and St. Catherine's University