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Formative, Process, and Intermediate Outcome Evaluation of a Pilot School-Based 5 a Day for Better Health Project

Several school-based health initiatives have successfully influenced children’s diets, 3 few of which targeted children’s consumption of fruits and vegetables. 4,5 This paper reports the formative, process, and intermediate outcome results of a 5-month school-based project that was linked to the National 5 A Day for Better Health campaign6 to increase young children’s consumption of fruits and vegetables. This project, The Kansas LEAN School Health Project, PHASE II: 5 A Day for Better Health, was implemented in three elementary schools. Two years prior to the start of this project, these schools completed PHASE I of the Kansas LEAN School Health Project, a more extensive intervention targeting nutrition education, physical activity, and dietary fat. 7,8 While PHASE I focused on reducing children’s consumption of dietary fat and increasing exercise, PHASE II focused on increasing children’s consumption of fruits and vegetables.