- Make half your plates fruits and vegetables
- Make at least half your grains whole grains
- Increase physical activity
- Maintain calorie balance
Target Behavior: Healthy Eating
Intervention Type: Direct Education
Intervention Reach and Adoption
Age: Elementary School, Parents/Mothers/Fathers
The ReFresh promotion flyer:
The ReFresh Curriculum can be accessed via the following link:
- After participating in ReFresh, 9 out of 10 (87%) students report consuming at least one fruit the previous day while 7 out of 10 (74%) consume at least one vegetable during the same time period.
- Youth who participate in ReFresh make healthy choices regarding their lunchtime meals. 96% of students report regularly eating fruit with lunch, while 79% report regularly consuming vegetables at their lunchtime meal.
- Youth who participate in ReFresh report significant increases in their preferences for fruits and whole grain foods—98% report liking fruit and 92% report liking whole grain foods after participating in the curriculum.
- When cafeteria improvements (structuring food choices, promoting healthy foods, improving interactions between cafeteria staff and students, etc.) are combined with ReFresh education in the classroom, youth are more likely to select healthy food options, specifically fruits and vegetables.
- Youth who participate in ReFresh within schools that also implement cafeteria improvements report eating fruits and vegetables more frequently and in greater quantities than do those in schools without nutrition education and/or cafeteria improvements.
- Within schools that implement both cafeteria improvements and ReFresh classroom-based lessons, youth report significant increases in their self-efficacy to prepare fruits and vegetables at home and to select fruits and vegetables in the school cafeteria.
|Readiness and Capacity – Short Term (ST)||Changes – Medium Term (MT)||Effectiveness and Maintenance – Long Term (LT)||Population Results (R)|
|Individual||ST1, ST3||MT1, MT3|
|Sectors of Influence|
Since FY18, youth education sites have used the Kids Food and Activity Questionnaire to collect pre and post-program data. This questionnaire tracks individual behavior change among youth participating in any of Maryland SNAP-Ed’s programs, including ReFresh. The questionnaire was modified from the Kids’ Activity and Nutrition Questionnaire developed by the University of Arizona SNAP-Ed Evaluation Team, published here:
LeGros TA, Hartz VL, Jacobs LE. Reliability of a Kids’ Activity and Nutrition Questionnaire for School-Based SNAP-Ed Interventions as Part of a Tiered Development Process. Journal of Nutrition Education and Behavior. 2017;49:125-129.
Healthy School Community Coordinator, Maryland SNAP-Ed Program – University of Maryland Extension
Phone: 410-715-6903 (office line); 443-283-8447 (direct line)
*Updated as of August 7, 2023