The Pro Children Intervention: Applying the Intervention Mapping Protocol to Develop a School-Based Fruit and Vegetable Promotion ProgrammePérez-Rodrigo C. · Wind M. · Hildonen C. · Bjelland M. · Aranceta J. · Klepp K.-I. · Brug J.
aCommunity Nutrition Unit, Department of Public Health, Bilbao, Spain; bDepartment of Public Health, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands; cDepartment of Nutrition, Faculty of Medicine, University of Oslo, Oslo, Norway
Background/Aims: The importance of careful theory-based intervention planning is recognized for fruit and vegetable promotion. This paper describes the application of the Intervention Mapping (IM) protocol to develop the Pro Children intervention to promote consumption of fruit and vegetable among 10- to 13-year-old schoolchildren. Methods: Based on a needs assessment, promotion of intake of fruit and vegetable was split into performance objectives and related personal, social and environmental determinants. Crossing the performance objectives with related important and changeable determinants resulted in a matrix of learning and change objectives for which appropriate educational strategies were identified. Theoretically similar but culturally relevant interventions were designed, implemented and evaluated in Norway, the Netherlands and Spain during 2 school years. Results: Programme activities included provision of fruits and vegetables in the schools, guided classroom activities, computer-tailored feedback and advice for children, and activities to be completed at home with the family. Additionally, optional intervention components for community reinforcement included incorporation of mass media, school health services or grocery stores. School project committees were supported. Conclusion: The Pro Children intervention was carefully developed based on the IM protocol that resulted in a comprehensive school-based fruit and vegetable promotion programme, but culturally sensible and locally relevant.
Department of Public Health, Community Nutrition Unit
Luis Briñas, 18; 4th floor
ES–48013 Bilbao (Spain)
Tel. +34 94 4204465, Fax +34 94 4204466, E-Mail firstname.lastname@example.org
Published online: July 28, 2005
Number of Print Pages : 11
Number of Figures : 2, Number of Tables : 4, Number of References : 26
Annals of Nutrition and Metabolism (European Journal of Nutrition, Metabolic Diseases and Dietetics)
Vol. 49, No. 4, Year 2005 (Cover Date: July-August 2005)
Journal Editor: Elmadfa, I. (Vienna)
ISSN: 0250–6807 (print), 1421–9697 (Online)
For additional information: http://www.karger.com/anm