A Pilot Comprehensive School Nutrition Program Improves Knowledge and Intentions for Intake of Milk and Milk Alternatives Among Youth in a Remote First Nation

ObjectiveTo evaluate the impact of a pilot comprehensive school nutrition program modeled on Social Cognitive Theory on knowledge, intentions, self-efficacy, and intake of milk and milk alternatives (MMA) in First Nations youth.MethodsA pilot school nutrition program was implemented at Peetabeck Academy in Fort Albany, Ontario in May, 2010. The Knowledge, Self-Efficacy, and Intentions Questionnaire (KSIQ) and Waterloo Web-based Eating Behavior Questionnaire (WEB-Q) were used to assess change in attitudes and behavior from pre- to postprogram.ResultsThe KSIQ preprogram (n = 26), postprogram (n = 19); WEB-Q preprogram (n = 30), postprogram (n = 10). Improved knowledge (6.0 ± 1.5 vs 6.9 ± 1.5, P = .05) and intention scores (9.6 ± 4.4 vs 11.3 ± 4.1, P = .01) were observed.Conclusions and ImplicationsA comprehensive school nutrition program can improve knowledge and intentions for intake of MMA in First Nations youth. Environmental constraints beyond the school environment need to be addressed.