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Nutrients 2019, 11(1), 147; https://doi.org/10.3390/nu11010147

Choice Architecture in Appalachian High Schools: Evaluating and Improving Cafeteria Environments

1
Department of Human Nutrition and Food, Division of Animal and Nutritional Sciences, Natural Resources and Design, Davis College of Agriculture, West Virginia University, Morgantown, WV 26506-6108, USA
2
Division of Resource Economics and Management, Natural Resources and Design, Davis College of Agriculture, West Virginia University, Morgantown, WV 26506-6108, USA
*
Author to whom correspondence should be addressed.
Received: 26 October 2018 / Revised: 29 November 2018 / Accepted: 5 January 2019 / Published: 11 January 2019
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Abstract

School meals are a primary source of nutrition for many adolescents. Determining factors that influence the selection of various foods can provide insight on strategies to improve students’ cafeteria choices. This evaluation and observation was conducted at three Appalachian high schools to assess the cafeteria environment. The study developed and implemented an assessment tool created using principles of choice architecture and behavioral economics building on the work of the Cornell Center for Behavioral Economics in Child Nutrition Programs (BEN Center). The assessment tool scored eight components of the lunchroom—the exterior, hot serving area, cold serving area, salad bar, beverage area, payment station, dining area and grab-n-go, where a higher score equals healthier components offered. High school (HS) #1 earned 73/128 points (57%), HS #2 earned 69/128 (54%), and HS #3 earned 53/102 (52%). HS #3 did not have a grab-n-go option and the final score was out of 102. Video observation was used to collect data on lunchroom activity during mealtimes. Each school received reports that highlight the results and suggest improvements to raise their score. The scoring tool represents a novel way to assess the health of school lunches, provide insights on how to improve the healthfulness of students’ lunch choice, and improve overall nutrition status. View Full-Text
Keywords: school lunch; choice architecture; behavioral economics; high school; Appalachia; adolescent health school lunch; choice architecture; behavioral economics; high school; Appalachia; adolescent health
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Olfert, M.D.; Hagedorn, R.L.; Clegg, E.N.; Ackerman, S.; Brown, C. Choice Architecture in Appalachian High Schools: Evaluating and Improving Cafeteria Environments. Nutrients 2019, 11, 147.

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