H2020Individual fellowship2018–2022

OASES · Outcomes Assessment of Sensory Education in Schools

Horizon 2020 — Marie Skłodowska-Curie Actions

Duration
2018-10-01 → 2022-10-12
EU contribution
€195,455
Participants
1
Scheme
MSCA-IF

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Results in brief

Outcomes Assessment of Sensory Education in Schools

Diet related ill health is a major threat to public health and the sustainability of health services. Low consumption of vegetables and fruit amongst children is a particular concern in the UK. Food fussiness and neophobia have been identified as major barriers to greater consumption. Sensory food education aims to grow children’s confidence and enjoyment in food tasting, to support the development of healthy dietary variety. This action develops conducts a randomised controlled trial to assess outcomes assessment of the ‘Flavour School’ sensory food education programme, implemented in UK primary schools. It targets early primary school children, age 4-7 years, with particular focus on fruit and vegetables. This action has been heavily disrupted by pandemic Covid19 and related restrictions. Some compromises have been necessary to complete the trial, and some work on write-up and publication of results remains to be completed at grant end. The study protocol has been published in the journal Trials, and the trial is registered at ISRCTN40249947. We designed a simple, low pressure tasting activity along the lines of a Flavour School activity. Children participated in the activity before and after the Flavour School intervention. We video recorded the activity and observed the number of items tasted, the number of bites and licks, and the valence (positive/neutral/negative) of their facial expressions. This yielded a very rich description of the children's tasting behaviour. The results showed surprisingly high baseline acceptance in the tasting activity, and even higher at follow up (p < 0.005), but by similar amounts in both the control and the experimental group. The intervention had no significant effect on tasting behaviour in our sample of children. Most children engaged from the start and did not need the extra sensory activities to encourage tasting. This high acceptance included many children who were rated by parents as particularly food fussy/neo-phobic/reluctant. We interpret this to suggest that tasting behaviour depends on context. Children who are reluctant to taste at mealtimes may be much more willing in the context of a low-consequence tasting activity in school. The sensory tasting activities provided a context in which even normally fussy children will taste vegetables and fruit. But this happened at baseline in our study, and extra sensory activities did not turn fussy children into less fussy children at follow-up. Facial expressions measures changed little on average across both groups, and children’s ‘food personalities’ were quite stable between baseline and follow up. Sensory and tasting activities in school class-time offer a powerful context for broadening children's food horizons, but less so for tasting behaviour change. We did not observe children's mealtime or home eating behaviour in this study.

Data: CORDIS, © European Union

Project objective

This action addresses EU SC1: Health, demographic change and wellbeing. Diet related ill health is a major threat to public health and the sustainability of health services in the UK, Europe and internationally. Sensory education has been proposed as one aspect of a multi-pronged response strategy. It aims to improve children’s confidence and enjoyment in trying and appreciating flavours, so as to support the development of healthy dietary variety. Sensory education has been embedded in schools and nurseries in other countries (e.g. Sweden, Finland), but not in UK schools. This action will develop new methods for assessing outcomes of sensory education, and conduct outcomes assessment of the novel Flavour School intervention programme in UK schools. Flavour School is a sensory education programme adapting the established Sapere method to the UK school context. It currently targets early primary school children, age 4-5 years, with particular focus on fruit and vegetables. Outcomes assessment of sensory education has proven challenging. This action will develop new methods for assessment, following recommendations emerging from previous research for direct behavioural analysis in more natural settings, and video recorded testing sessions to enable more sophisticated analysis. These methods are labour intensive, so this action will also develop computer vision facial expression analysis to facilitate video coding, to enable larger scale studies with economically feasible human labour levels. Overall, this action will assess the value of a specific programme of sensory education in UK schools, and will develop innovative, open-source methods for outcomes assessment which will be valuable for gathering quantitative data on the impact of sensory education more generally. In turn, this will support evidence based decision making at the policy level, to implement effective, value-for-money interventions to combat diet related ill health.

Original text from CORDIS.

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Data: CORDIS, © European Union