A Mixed Methods, Quasi-Experimental Evaluation Exploring the Impact of a Secondary School Universal Free School Meals Intervention Pilot

Author:

Carlisle Victoria R.12ORCID,Jessiman Patricia E.12ORCID,Breheny Katie12ORCID,Campbell Rona12,Jago Russell1234ORCID,Leonard Naomi1,Robinson Marcus5,Strong Steve2,Kidger Judi12

Affiliation:

1. Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK

2. NIHR PHIRST Insight, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UK

3. Centre for Exercise, Nutrition & Health Sciences, School for Policy Studies, University of Bristol, Bristol BS8 1QU, UK

4. The National Institute for Health Research, Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol and Weston NHS Foundation Trust, Bristol BS1 2NT, UK

5. London Borough of Hammersmith and Fulham, London W6 9JU, UK

Abstract

Food insecurity amongst households with children is a growing concern globally. The impacts in children include poor mental health and reduced educational attainment. Providing universal free school meals is one potential way of addressing these impacts. This paper reports findings on the impact of a universal free school meals pilot in two English secondary schools. We adopted a mixed-methods, quasi-experimental design. The intervention schools were one mainstream school (n = 414) and one school for students with special educational needs (n = 105). Two other schools were used as comparators (n = 619; n = 117). The data collection comprised a cross sectional student survey during the pilot (n = 404); qualitative interviews with students (n = 28), parents (n = 20) and school staff (n = 12); and student observations of lunchtimes (n = 57). Qualitative data were analysed using thematic analysis, and descriptive analyses and logistic regressions were conducted on the quantitative data. Self-reports of food insecurity were high at both intervention (26.6%) and comparator schools (25.8%). No effects of the intervention were seen in the quantitative findings on either hunger or food insecurity. Qualitative findings indicated that students, families and staff perceived positive impact on a range of outcomes including food insecurity, hunger, school performance, family stress and a reduction in stigma associated with means-tested free school meals. Our research provides promising evidence in support of universal free school meals in secondary schools as a strategy for addressing growing food insecurity. Future research should robustly test the impact of universal free school meals in a larger sample of secondary schools, using before and after measures as well as a comparator group.

Funder

National Institute for Health Research (NIHR) Public Health Intervention Responsive Studies Team

National Institute for Health and Care Research Applied Research Collaboration West

Elizabeth Blackwell Institute for Health Research

University of Bristol

Wellcome Trust Institutional Strategic Support Fund

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

Reference37 articles.

1. The Food Foundation (2022, July 11). Food Insecurity Tracking [Internet]. Available online: https://foodfoundation.org.uk/initiatives/food-insecurity-tracking.

2. Coleman-Jensen, A., Rabbitt, M.P., Gregory, C.A., and Singh, A. (2022). Household Food Security in the United States in 2021, U.S. Department of Agriculture, Economic Research Service.

3. The Trussell Trust (2019). State of Hunger: A Study of Poverty and Food Insecurity in the UK, The Trussell Trust.

4. Baumberg Geiger, B., Edmiston, D., Scullion, L.C., Summers, K., De Vries, R., Ingold, J., Robertshaw, D., and Young, D. (2021). Hunger and the Welfare State Food Insecurity among Benefit Claimants in the UK, University of Salford.

5. The Trussell Trust (2022, June 01). State of Hunger: Building the Evidence on Poverty, Destitution, and Food Insecurity in the UK. Available online: https://www.trusselltrust.org/wp-content/uploads/sites/2/2021/05/State-of-Hunger-2021-Report-Final.pdf.

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