Evaluation of a Two-tiered Cross-age Teaching Model for Food Literacy-based Education

June 13, 2023 updated by: University of California, Davis
This project will serve adolescents from low-income and historically underserved communities through expansion of existing after-school programs. Adolescents from these communities tend to have slower academic progression and higher high school dropout rates. Extracurricular activities, including informal education through after-school programming, have been suggested to improve these rates and increase college enrollment by supporting traditional classroom-based education. The proposed project aims to educate high school-aged adolescents in food, agriculture, natural resources, and human (FANH) sciences through informal food literacy education. The project also includes a two-tiered cross-age teaching model, allowing for adolescents to be educated by college interns and to become educators for younger youth. Existing curricula, that encompass FANH sciences, will be utilized at each stage of the project. The purpose of the project is not only to educate adolescents in FANH sciences, but also to advance their motivation and efficacy for graduating high school, attending college, and majoring in FANH sciences. The project aims to accomplish these objectives through empowering adolescents to obtain knowledge, skills, and excitement for food literacy. As this model has not been utilized previously, this project will produce a best practices guide for implementing the existing curricula within a two-tiered cross-age teaching model. Additionally, the college internship and mentoring program created through this project will be continued at the initial sites and expanded to other communities. This will allow for a sustainable approach to educating adolescents in FANH sciences and providing mentorship that encourages future enrollment in college.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Terminated

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
24

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • California
      • Davis, California, United States, 95616
        • University of California, Davis

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

9 years to 18 years (Child, Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • There are two groups of participants (adolescents and younger youth) that will be recruited for this study. Adolescent participants must be high school-aged, approximately 13-17 years. Younger youth must be upper elementary school-aged, approximately 9-12 years. Participants for both age groups will be recruited from existing afterschool programs within each participating school district. Comparison youth for both age groups will be recruited from other students within the same school districts.

For the 2019-2020 and 2020-2021 school years, the participating school districts will be in Pittsburg and Williams, California.

Exclusion Criteria:

  • Youth from other school districts

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: Williams Implementation
Behavioral: Science for Life
The implementation for both school years will follow the same procedures with different cohorts. Sixteen adolescents will be recruited through existing after-school programs at each location (32 total each year). College interns will facilitate food literacy lessons after school once per week with high school-aged adolescents. Beginning in January, adolescents will participate in training led by project staff and college interns to become competent cross-age teachers for garden-enhanced nutrition curricula. This training will consist of instruction in utilization of inquiry-based teaching practices and will be followed by adolescents practicing facilitating the curricula in teaching pairs. Up to 32 younger youth participants at each location (up to 64 total each year) will be recruited from local elementary schools while adolescents complete the cross-age teaching training. With mentorship from college interns, adolescents will facilitate curricula in pairs with younger youth.
Experimental: Pittsburg Implementation
Behavioral: Science for Life
The implementation for both school years will follow the same procedures with different cohorts. Sixteen adolescents will be recruited through existing after-school programs at each location (32 total each year). College interns will facilitate food literacy lessons after school once per week with high school-aged adolescents. Beginning in January, adolescents will participate in training led by project staff and college interns to become competent cross-age teachers for garden-enhanced nutrition curricula. This training will consist of instruction in utilization of inquiry-based teaching practices and will be followed by adolescents practicing facilitating the curricula in teaching pairs. Up to 32 younger youth participants at each location (up to 64 total each year) will be recruited from local elementary schools while adolescents complete the cross-age teaching training. With mentorship from college interns, adolescents will facilitate curricula in pairs with younger youth.

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Nutrition Knowledge
Time Frame: 1 school year
Assessed using age-specific validated questionnaires. The score on this assessment is presented as a percentage of correct responses out of 30 questions. Higher percentages represent a better outcome.
1 school year
Self-Efficacy about Teaching Nutrition
Time Frame: 5 months
Adapted questionnaire to assess teen self-efficacy about teaching nutrition using a retrospective, post-then-pre method. This assessment features a 5-point Likert scale.
5 months
Self-Efficacy about Cooking Skills
Time Frame: 1 school year
Motivation and cooking confidence will be measured using an adapted version of a questionnaire developed by University of Louisiana. This questionnaire assesses intrinsic motivation to cook and perceived competence using a retrospective, post-then-pre method.This assessment features a 5-point Likert scale.
1 school year
Fruit and Vegetable Intake (Skin Carotenoids)
Time Frame: 1 year
Fruit and vegetable consumption will be collected using reflection spectroscopy through an instrument called "Veggie Meter." The Veggie Meter can be utilized to objectively estimate carotenoid-containing fruit and vegetable consumption through measurement of skin carotenoids in the fingertip. A handout about this tool will be provided to parents/guardians with the consent form. For the most reliable results, this measurement will be collected during the same time of year to limit false results due to seasonal changes in dietary pattern.
1 year
Dietary intake
Time Frame: 1 school year
A commonly used food frequency questionnaire will be utilized to measure dietary intake in adolescents and younger youth (Block Kids 2004). The tool has been determined to be appropriate for ages 7-17 years. To best assess the eating pattern of the target populations, the option for inclusion of food commonly eaten by Hispanic populations has been selected. This assessment tool will be provided in both English and Spanish so that parents/guardians can help participants complete the assessment at home. Additionally, serving size references will be sent home with the questionnaire. This assessment includes a variety of foods and asks participants how many days in the last week they consumed each food.
1 school year

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Household Food Security
Time Frame: 1 school year
Household food security will be measured using the USDA's U.S. Household Food Security Survey Module. This widely utilized 12-item module has been modified to a fillable questionnaire for parents or guardians of youth to complete.
1 school year
Anthropometrics (to calculate BMI)
Time Frame: 1 school year
Height, and weight will be measured and used to calculate BMI percentile and BMI-z scores. Participants will be measured in light outdoor clothing after the removal of shoes. Height will be measured to the nearest 0.1cm using a transportable stadiometer and body weight will be measured to the nearest 0.1kg using an electronic scale. Waist circumference will be measured to the nearest cm using a body circumference measuring tape. Adiposity and obesity risk will be assessed via age- and sex-specific BMI percentile as recommended by the Expert Committee on Childhood and Adolescent Overweight and Obesity.
1 school year
Civic Responsibility
Time Frame: 1 school year
Civic responsibility will be measured using a reliable questionnaire developed as a part of the 4-H Youth Development Program Healthy Living Measures by the Service-Learning Research and Development Center at University of California, Berkeley. The 24-item questionnaire assesses civic responsibility by measuring three key aspects: connection to community, civic awareness, and civic efficacy. This assessment features a 6-point Likert scale.
1 school year
Motivation for Educational Attainment
Time Frame: 1 school year
Motivation and self-efficacy for attaining higher education will be measured using the Adolescent Education Aspirations Questionnaire. This 16-item questionnaire assesses adolescents' motivation and self-efficacy to graduate high school and attend college. This assessment features a 5-point Likert scale.
1 school year
Academic self-efficacy
Time Frame: 1 school year
The Academic Self-Efficacy Scale was developed based on the Social Cognitive Theory and found reliable when tested in Indian adolescents. The instrument also demonstrated face and content validity. While translated to English, the tool needed further revision to be appropriate for American adolescents.
1 school year
Social and emotional self-efficacy
Time Frame: 1 school year
Portions of the Self-Efficacy Questionnaire for Children (SEQ-C) will be utilized to assess social and emotional self-efficacy. While originally developed in the Netherlands, this questionnaire was tested in two large samples of American adolescents in middle school and high school and found to be an appropriate tool with minor revisions. With assessment of academic self-efficacy being completed with the previously mentioned questionnaire, items referring to academics have been removed from this tool.
1 school year
Disposition toward FANH sciences
Time Frame: 1 school year
Disposition toward FANH sciences will be assessed using a modified version of the STEM Semantics Survey. This five-part survey has been shown to reliably measure disposition toward STEM in high school-aged adolescents.
1 school year
Self-esteem and locus of control
Time Frame: 1 school year
Self-esteem will be assessed in the high school-aged adolescents and perceptions of locus of control will be measured in both adolescents and younger youth using previously used tools.
1 school year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
University of California, Davis

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
September 18, 2019

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
March 12, 2020

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
March 12, 2020

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
September 9, 2019

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
September 18, 2019

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
September 23, 2019

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
June 15, 2023

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
June 13, 2023

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
June 1, 2023

More Information

Terms related to this study

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • 1473718

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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