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Perspectives on Messaging Strategies to Increase Participation in Universal Free School Meal Programs: A Qualitative Study With Parents of Elementary School-Aged Children - 20/01/26

Doi : 10.1016/j.jand.2025.09.011 
Amanda B. Zeitlin, MPH a, Alix Zuceth Durán Gómez, MD a, Cristina J.Y. Lee, MPH a, Andrea Pedroza-Tobias, PhD, MSc a, Christina A. Hecht, PhD b, Anisha I. Patel, MD, MSPH, MSHS a, Kenneth Hecht, LLB b, Anna H. Grummon, PhD, MSPH a, c,
a Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California 
b Nutrition Policy Institute, University of California, Oakland, California 
c Department of Health Policy, Stanford University School of Medicine, Stanford, California 

Address correspondence to: Anna H. Grummon, PhD, MSPH, Departments of Pediatrics and Health Policy, Stanford University School of Medicine , 3145 Porter Dr, A103, Palo Alto, CA 94304. Departments of Pediatrics and Health Policy Stanford University School of Medicine 3145 Porter Dr A103 Palo Alto CA 94304

Abstract

Background

At least 8 states currently have universal free school meal programs that offer school meals at no charge to all students regardless of their household income. Marketing campaigns offer a scalable strategy for motivating parents to encourage their children to participate in these programs, but little is known about what topics campaigns should address.

Objective

To explore perceptions of the content and design of messages encouraging school meal participation among parents of elementary school-aged children.

Design

Qualitative online semistructured interviews conducted during February and March 2024. Interviews explored parents’ reactions to messages encouraging school meal participation with a variety of topics (eg, saving time, improving nutrition) and design elements (eg, cartoons, photographs).

Participants

Parents of children in grades 1 through 5 not frequently consuming school meals and living in states with universal free school meal programs (N = 18; 14 women; 6 Spanish-speaking).

Analysis

Discussions were transcribed verbatim. Investigators developed codes in vivo and analyzed transcripts using a thematic approach.

Results

Parents perceived messages that focused on how school meals are convenient and save money to be most likely to motivate them to encourage their children to eat school meals. Parents also believed that school meals can foster social and developmental benefits. Parents perceived messages describing the nutritional quality of school meals as likely to be motivating, but only if they perceived school meals to be nutritious. Some parents reported they did not know school meals were free, despite living in states with universal free school meals. In terms of design, parents preferred succinct messages with bold colors, modern layouts, and references or statistics.

Conclusions

Campaigns seeking to motivate parents to encourage their children to participate in universal free school meal programs may wish to discuss convenience, saving money, and social and developmental benefits, and to communicate that school meals are free for all students. Future studies will be needed to evaluate whether campaigns discussing these topics successfully promote school meal participation.

Le texte complet de cet article est disponible en PDF.

Keywords : School meals, Universal free school meals, School meals for all, Policy, Qualitative research


Plan


  Supplementary materials: Figure 1 and Figure 3 available at www.jandonline.org
  STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
  FUNDING/SUPPORT This research was supported by a grant (No. 81356) from Healthy Eating Research, a national program of the Robert Wood Johnson Foundation. Views here do not necessarily reflect the views of the Foundation.
  ACKNOWLEDGEMENTS The authors thank the members of our Community Advisory Board for their feedback on the messages and interview guide.
  AUTHOR CONTRIBUTIONS A. Z. D. Gómez collected and analyzed data, provided project management, and wrote the original draft of the manuscript. A. Z. D. Gómez also collected and analyzed data and critically reviewed the manuscript. C. J. Y. Lee analyzed data and critically reviewed the manuscript. C. A. Hecht, A. I. Patel, and K. Hecht contributed to study conceptualization, securing funding, and critically reviewing the manuscript. A. H. Grummon conceptualized the study, developed the interview guide, contributed to data collection, secured funding, and contributed to writing the original draft of the manuscript. All authors reviewed and approved the final manuscript.


© 2026  The Authors. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 126 - N° 2

Article 156209- février 2026 Retour au numéro
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