Parent/Caregiver Perceptions of the Good Food for Learning Universal School Lunch Program in Canada

Publication: Canadian Journal of Dietetic Practice and Research
5 February 2025

Abstract

The Good Food for Learning universal school lunch program is a two-year population health intervention research study in two elementary schools in Saskatoon, Saskatchewan to implement and evaluate a promising model for school food programs (SFPs) in Canada. A survey was administered to understand parent/caregivers’ perceptions of the free, universal school lunch program, participation, and willingness to pay for a future school lunch program (n = 113). A healthy and cost-free lunch were the top two benefits recognized by parents/caregivers. The survey estimated student participation in the program at 77%. For future program planning, universal and cost-free were favoured program aspects to continue. In addition, 68% of parents/caregivers demonstrated a willingness to pay $2.00 per child per lunch. Understanding parental/caregiver expectations and attitudes towards SFPs can inform the planning, decision-making, and sustainability for future models and a national school food policy in Canada.

Résumé

Le programme universel de dîners à l’école Good Food for Learning [De bons aliments pour bien apprendre] est une étude de recherche interventionnelle en santé populationnelle de deux ans menée dans deux écoles primaires de Saskatoon, en Saskatchewan, afin de mettre en œuvre et d’évaluer un modèle prometteur pour les programmes alimentaires scolaires (PAS) au Canada. Un sondage a été mené pour comprendre la perception qu’ont les parents/fournisseurs de soins (FS) du programme de dîners à l’école gratuit et universel, leur participation et leur volonté de payer pour un éventuel programme de dîners à l’école (n = 113). Des repas nutritifs et gratuits sont les deux principaux avantages reconnus par les parents/FS. Le sondage a estimé à 77 % le taux de participation des élèves au programme. Pour la planification des futurs programmes, l’universalité et la gratuité seront les aspects à privilégier. Par ailleurs, 68 % des parents/FS se sont déclarés prêts à payer 2 $ par enfant et par repas. Comprendre les attentes et attitudes des parents et FS à l’égard des PAS peut orienter la planification, la prise de décision et la viabilité des futurs modèles et d’une politique nationale en matière d’alimentation dans les écoles au Canada.

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Financial support: This project received financial funding from the Canadian Institute for Health Research and an Anonymous Donor.
Conflicts of interest: The authors declare that they have no competing interests.

REFERENCES

1
Black JL and Billette JM. Do Canadians meet Canada’s Food Guide’s recommendations for fruits and vegetables? Appl Physiol Nutr Metab. 2013;38(3):234–42.
2
Hack S, Jessri M, and L’Abbé MR. Nutritional quality of the food choices of Canadian children. BMC Nutr. 2021;7(1):1–10.
3
Scaglioni S, De Cosmi V, Ciappolino V, Parazzini F, Brambilla P, and Agostoni C. Factors influencing children’s eating behaviours. Nutrients. 2018;10(6).
4
Connors M, Bisogni CA, Sobal J, and Devine CM. Managing values in personal food systems. Appetite. 2001 Jun;36(3):189–200.
5
Lusk JL and Briggeman BC. Food values. AJE. 2009;91(9): 184–196.
6
Savage JS, Fisher JO, and Birch LL. Parental influence on eating behavior: conception to adolescence. J Law Med Ethics. 2007 Spring;35(1):22–34.
7
Taylor S, Charlebois S, and Music J. Affordability of Canada’s Food Guide: Current challenges amid COVID-19, War in Ukraine, and other world events. Front Nutr. 2023 Mar 29;10.
8
Li T, Fafard St-Germain AA, Tarasuk V. Household food insecurity in Canada, 2022. Toronto: Research to Identify Policy Options to Reduce Food Insecurity (PROOF);2023 https://proof.utoronto.ca/. Accessed March 21, 2024.
9
Bauer KW, Hearst MO, Escoto K, Berge JM, and Neumark-Sztainer D. Parental employment and work-family stress: Associations with family food environments. Soc Sci Med. 2012 Aug;75(3): 496–504.
10
Daniel C. Economic constraints on taste formation and the true cost of healthy eating. Soc Sci Med. 2016 Jan;148:34–41.
11
Slater J, Sevenhuysen G, Edginton B, and O’Neil J. “Trying to make it all come together”: Structuration and employed mothers’ experience of family food provisioning in Canada. Health Promot Int. 2012;27(3):405–415.
12
Scaglioni S, De Cosmi V, Ciappolino V, Parazzini F, Brambilla P, and Agostoni C. Factors influencing children’s eating behaviours. Nutrients. 2018 May 31;10(6).
13
Tugault-Lafleur CN, Black JL, and Barr SI. Examining school-day dietary intakes among Canadian children. Appl Physiol Nutr Metab. 2017;42(10):1064–72.
14
Taylor JP, Hernandez KJ, Caiger JM, Giberson D, MacLellan D, Sweeney-Nixon M, et al. Nutritional quality of children’s school lunches: Differences according to food source. Public Health Nutr. 2012;15(12):2259–64.
15
Hubbard KL, Must A, Eliasziw M, Folta SC, and Goldberg J. What’s in children’s backpacks: Foods brought from home. J Acad Nutr Diet. 2014;114:1424–31.
16
Sabinsky MS, Toft U, Sommer HM, and Tetens I. Effect of implementing school meals compared with packed lunches on quality of dietary intake among children aged 7–13 years. J Nutr Sci. 2019;8:1–9.
17
Hur I, Burgess-Champoux T, and Reicks M. Higher quality intake from school lunch meals compared with bagged lunches. ICAN. 2011;3(2):70–75.
18
Anderson ML, Gallagher J, Elizabeth RR. School lunch quality and academic performance. NBER. Working Paper 23218. 2017;03:23218.
19
Florence MD, Asbridge M, and Veugelers PJ. Diet quality and academic performance. J Sch Health. 2008;78(4):209–15.
20
Hernandez K, Engler-Stringer R, Kirk S, Wittman H, and McNicholl S. The case for a Canadian national school food program. CFS/RCÉA. 2018;5(3):208–229.
21
Coalition for Healthy School Food. Guiding principles; 2018. Available at: https://www.healthyschoolfood.ca/guiding-principles. Accessed March 21, 2024.
22
Leos-Urbel J, Schwartz AE, Weinstein M, and Corcoran S. Not just for poor kids: The impact of universal free school breakfast on meal participation and student outcomes. Econ Educ Rev. 2013;36:88–107.
23
Domina T, Clark L, Radsky V, and Bhaskar R. There is such a thing as a free lunch: school meals, stigma, and student discipline. Am Educ Res J. 2024;61(2):287–327.
24
Cohen JFW, Verguet S, Giyose BB, and Bundy D. Universal free school meals: the future of school meal programmes? Lancet. 2023 Sep 9;402(10405):831–833.
25
Persson Osowski C and Fjellström C. Understanding the ideology of the Swedish tax-paid school meal. Health Educ J. 2019;4:388–398.
26
Benn J and Carlsson M. Learning through school meals? Appetite. 2014 Jul;78:23–31.
27
Leos-Urbel J, Schwartz AE, Weinstein M, and Corcoran S. Not just for poor kids: The impact of universal free school breakfast on meal participation and student outcomes. Econ Educ Rev. 2013;36.
28
Cohen JFW, Verguet S, Giyose BB, and Bundy D. Universal free school meals: the future of school meal programmes? Lancet. 2023 Sep 9;402(10405):831–833.
29
Spruance LA, Harrison C, Brady P, Woolford M, and LeBlanc H. Who eats school breakfast? parent perceptions of school breakfast in a state with very low participation. J Sch Health. 2018;88(2):139–149.
30
O’Rourke B, Shwed A, Bruner B, and Ferguson K. What’s for lunch? Investigating the experiences, perceptions, and habits of parents and school lunches: a scoping review. J Sch Health. 2020;90(10):812–9.
31
Meier CL, Brady P, Askelson N, Ryan G, Delger P, and Scheidel C. What do parents think about school meals? An exploratory study of rural middle school parents’ perceptions. J Sch Nurs. 2022;38:226–232.
32
Obeng-Gyasi E, Antwi G, and Obeng C. “Food is environmentally and culturally specific!”: A preliminary qualitative study on U.S. immigrant parents’ perceptions of school lunch. Eur J Investig Heal Psychol Educ. 2019;10(1):240–9.
33
Farris A and Serrano E. Elementary parent perceptions on choosing to participate in the national school lunch program or packing their children’s lunches. J Acad Nutr Diet. 2018;9(114):A96–A96.
34
Agaronov A, Entwistle T, and Leung MM. From the lunch table, to the family table: a grounded theory approach to understanding urban adolescents’ experiences of food culture mismatch between school and home environments. Ecol Food Nutr. 2019;58(1):23–44.
35
Martinelli S, Acciai F, Au LE, Yedidia MJ, and Ohri-Vachaspati P. Parental perceptions of the nutritional quality of school meals and student meal participation: before and after the healthy hunger-free kids act. J Nutr Educ Behav. 2020 Nov;52(11):1018–1025.
36
City of Saskatoon Planning and Development. City of Saskatoon: Neighborhood profiles; 2019. Accessed March 21, 2024. CMA.ai (saskatoon.ca).
37
Engler-Stringer R, Black J, Muhajarine N, Martin W, Gilliland J, McVittie J, et al. The good food for learning universal curriculum-integrated healthy school lunch intervention: protocol for a two-year matched control pre-post and case study. JMIR Res Protoc. 2021;10(9):e30899.
38
Everitt T. Improving nutritional intake through environmentally sustainable school food programs [PhD Dissertation]. University of Saskatchewan; 2019. Available at: https://harvest.usask.ca/items/1ce23fba-4980-48f4-8849-c197d5b2e06e. Accessed March 21, 2024.
39
Michnik K. Ph.D. Dissertation. Unpublished.
40
Datta Gupta S, Pahwa P, and Engler-Stringer R. An examination of willingness to participate and willingness to pay for a universal school food program in the Canadian context. Public Health Nutr. 2023 Dec;26(12):3266–3277.
41
Michnik K. Ph.D. Dissertation. Unpublished.
42
de Queiroz FLN, Raposo A, Han H, Nader M, Ariza-Montes A, and Zandonadi RP. Eating competence, food consumption and health outcomes: an overview. Int J Environ Res Public Health. 2022 Apr 8;19(8):4484.
43
Satter E. Eating competence: nutrition education with the satter eating competence model. J Nutr Educ Behav. 2007 Sep-Oct;39(5 Suppl):S189–94.
44
Aydin G, Margerison C, Worsley A, and Booth A. Parents’ communication with teachers about food and nutrition issues of primary school students. Children (Basel). 2022 Apr 4;9(4):510.
45
Zuercher MD, Cohen JFW, Ohri-Vachaspati P, Hecht CA, Hecht K, Polacsek M, et al. Parent perceptions of school meals and how perceptions differ by race and ethnicity. Health Affairs Scholar. 2024 Jan;2(1).
46
Martinelli S, Melnick EM, Acciai F, St Thomas A, and Ohri-Vachaspati P. Parent perceptions and opinions of universal free school meals in Arizona. Nutrients. 2024;16(213).
47
Mauer S, Torheim LE, and Terragni L. Children’s participation in free school meals: a qualitative study among pupils, parents, and teachers. Nutrients. 2022;14(6):1282.
48
Bailey-Davis L, Virus A, McCoy TA, Wojtanowski A, Vander Veur SS, and Foster GD. Middle school student and parent perceptions of government-sponsored free school breakfast and consumption: a qualitative inquiry in an urban setting. J Acad Nutr Diet. 2013;113:251–257.
49
Stapleton SR. Parent activists versus the corporation: a fight for school food sovereignty. Agric Hum Values. 2019;36:805–817.
50
Martinelli S, Acciai F, Au LE, Yedidia MJ, and Ohri-Vachaspati P. Parental perceptions of the nutritional quality of school meals and student meal participation: before and after the healthy hunger-free kids act. J Nutr Educ Behav. 2020 Nov;52(11):1018–1025.
51
Meier CL, Brady P, Askelson N, Ryan G, Delger P, and Scheidel C. What do parents think about school meals? An exploratory study of rural middle school parents’ perceptions. J Sch Nurs. 2022;38:226–232.
52
Farris A and Serrano E. Elementary parent perceptions on choosing to participate in the national school lunch program or packing their children’s lunches. J Acad Nutr Diet. 2018;9(114):A96–A96.
53
Spruance LA, Harrison C, Brady P, Woolford M, and LeBlanc H. Who eats school breakfast? parent perceptions of school breakfast in a state with very low participation. J Sch Health. 2018;88(2):139–149.
54
O’Rourke B, Shwed A, Bruner B, and Ferguson K. What’s for lunch? Investigating the experiences, perceptions, and habits of parents and school lunches: a scoping review. J Sch Health. 2020;90(10):812–9.
55
Hochschild AR, Machung A. The second shift. Penguin; 2012.
56
Ruetz AT, Michnik K, Engler-Stringer R, et al. School food programs in Canada: 15 promising cases. Saskatoon: University of Saskatchewan and Coalition for Healthy School Food; 2024. Available at: https://harvest.usask.ca/items/eeab1aed-37d9-4bf3-bd42-bb2916dd1f03. Accessed 10, July 2024.
57
Furst T, Connors M, Bisogni CA, Sobal J, and Falk LW. Food choice: A conceptual model of the process. Appetite. 1996;26(3):247–66.
58
Sobal J and Bisogni CA. Constructing food choice decisions. Ann Behav Med. 2009 Dec;38 Suppl 1:S37–46.
59
Islam N. The school food environment and elementary students’ food and nutrition-related knowledge, attitudes, and practices in Saskatoon, Saskatchewan [Master’s thesis]. University of Saskatchewan; 2023. https://harvest.usask.ca/items/f0b5fa2c-105b-4cd8-ae10-12e26aa46d9d
60
Li T, Fafard St-Germain AA, Tarasuk V. Household food insecurity in Canada, 2022. Toronto: Research to Identify Policy Options to Reduce Food Insecurity (PROOF); 2023. https://proof.utoronto.ca/. Accessed March 21, 2024.
61
Living Wage Canada. What is a living wage; 2022. Available at: https://www.livingwage.ca/. Accessed March 21, 2024.
62
Datta Gupta S, Pahwa P, and Engler-Stringer R. An examination of willingness to participate and willingness to pay for a universal school food program in the Canadian context. Public Health Nutr. 2023 Dec;26(12):3266–3277.
63
Datta Gupta S, Pahwa P, and Engler-Stringer R. An examination of willingness to participate and willingness to pay for a universal school food program in the Canadian context. Public Health Nutr. 2023 Dec;26(12):3266–3277.
64
Ruetz A, Michnik K, Alaniz-Salinas N, Doyle E, Kirk S, Korten D, et al. Cost analysis of promising school food programs to inform a national school food policy for Canada. Unpublished.
65
Hecht AA, Olarte DA, McLoughlin GM, and Cohen JFW. Strategies to increase student participation in school meals in the United States: A systematic review. J Acad Nutr Diet. 2023 Jul;123(7):1075–1096.e1.
66
Turner L, Guthrie JF, and Ralston K. Community eligibility and other provisions for universal free meals at school: impact on student breakfast and lunch participation in California public schools. Transl Behav Med. 2019 Oct 1;9(5):931–941.
67
McKelvie-Sebileau P, Swinburn B, Glassey R, Tipene-Leach D, and Gerritsen S. Health, wellbeing and nutritional impacts after 2 years of free school meals in New Zealand. Health Promot Int. 2023 Aug 1;38(4):daad093.
68
Raphael D and Bryant T. Maintaining population health in a period of welfare state decline: political economy as the missing dimension in health promotion theory and practice. Promot Educ. 2006;13(4):236–42.
69
Poppendieck J. Free for all: Fixing school food in America. University of California Press; 2010.
70
Tronto J. Caring democracy: Markets, equality and justice. New York University Press; 2013.
71
Ayala A and Meier BM. A human rights approach to the health implications of food and nutrition insecurity. Public Health Rev. 2017;38(1):1–22.
72
Li T, Fafard St-Germain AA, Tarasuk V. Household food insecurity in Canada, 2022. Toronto: Research to Identify Policy Options to Reduce Food Insecurity (PROOF); 2023. Available from: https://proof.utoronto.ca/. Accessed March 21, 2024.
73
Food Secure Canada. School food and the sustainable development goals: A pathway to meeting multiple goals and targets. 2021 June. Available from: https://foodsecurecanada.org/wordpress/wp-content/uploads/2023/07/2021-06-FSC-C4HSF-school_food_and_sdgs_v8_-_final.pdf. Accessed March 21, 2024.
74
World Food Programme. State of school feeding worldwide. Rome: World Food Programme; 2022. Available from: https://docs.wfp.org/api/documents/WFP-0000147725/download/?_ga=2.249638223.894436351.1696972694-398451998.1696972694. Accessed March 21, 2024.
75
Ziegler AM, Kasprzak CM, Mansouri TH, Gregory AM, Barich RA, Hatzinger LA, et al. An ecological perspective of food choice and eating autonomy among adolescents. Front Psychol. 2021;12:654139.
76
Savage JS, Fisher JO, and Birch LL. Parental influence on eating behavior: conception to adolescence. J Law Med Ethics. 2007;35(1):22–34.

Information & Authors

Information

Published In

cover image Canadian Journal of Dietetic Practice and Research
Canadian Journal of Dietetic Practice and Research
e-First
Pages: 1 - 7
Editor: Naomi Cahill

History

Version of record online: 5 February 2025

Key Words

  1. School food programs
  2. Canada
  3. willingness to pay
  4. parent perceptions

Mots-clés

  1. Programmes alimentaires scolaires
  2. Canada
  3. volonté de payer
  4. perception des parents

Authors

Affiliations

Kaylee Michnik RD, PhD Candidate
University of Saskatchewan, Saskatoon, SK
Patricia Basilan BSc
Saskatchewan Health Authority, Saskatoon, SK
Chelsea Cooke BSc
Saskatchewan Health Authority, Saskatoon, SK
Dominique Lummerding BSc
Saskatchewan Health Authority, Saskatoon, SK
Riegann McAuley BSc
Saskatchewan Health Authority, Saskatoon, SK
Natalia Alaniz-Salinas MSc, MPH
University of Saskatchewan, Saskatoon, SK
Rachel Engler-Stringer PhD
University of Saskatchewan, Saskatoon, SK
Ester Kang RD, MSc
Saskatchewan Health Authority, Saskatoon, SK
Roseann Nasser RD, MSc, FDC, CNSC
Saskatchewan Health Authority, Saskatoon, SK

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