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Table 1 Summary of the included SGBP interventions (n = 35)

From: Evaluating the impacts of school garden-based programmes on diet and nutrition-related knowledge, attitudes and practices among the school children: a systematic review

Author (Year) and location

Duration/ study design

Sample size

Sample

characteristics

Parental involvement

Intervention group

Comparison or control group

Outcomes: measurement tools

Davis et al., (2021) USA [30]

1 school year/cluster RCT

16 schools (n = 3,135)

8–11 years old

Low2

9 monthly parent lessons: 1 hour gardening, nutrition and cooking lessons – The parent curriculum also included the following topics; importance of family eating, healthy shopping, and increasing home available and access of healthy foods.

Garden Leadership Committee formation, student gardening, nutrition, and cooking lessons (either a garden taste-test (7 lessons) or a cooking activity), 9 monthly parent lessons

(n = 1,412)

Compare: delayed intervention

(n = 1,723)

1) F&V and sugar sweetened beverage (SSB) consumption: 2015 School Physical Activity and Nutrition dietary screener

2) Food and meal choice behaviours, self-efficacy to cook and/or prepare F&V and gardening, willingness to try and preferences for F&V, cooking and gardening attitudes, nutrition and gardening knowledge, and child food security: questionnaire

Barnard et al., (2020) USA [31]

4 years/pre-post study

4 schools (n = 4,300)

2–19 years old

High1

Student and family cooking events

School Gardens and Classroom Lessons (n = 172 lessons), Student and Family Cooking Events, Carrot Camp (n = 206), Sprout Scouts (n = 52)

No control group

(n = 0)

1) Knowledge, attitudes, and awareness of the programme: teacher survey

2) Parent/caregiver knowledge and attitudes related to the programme and its potential impact on children: parent/caregiver survey

3) F&V consumption:parent/caregiver survey

Kim et al., (2020) South Korea [32]

12 weeks/pre-post-test experimental design

2 schools (n = 202)

Average age: 11.6 (± 1.5) years old

–

Gardening, nutritional education, and cooking activities utilizing harvests

(n = 202)

No control group

(n = 0)

1) Self-efficacy: dietary self-efficacy questionnaire

2) Outcome expectancies for V consumption: outcome expectation questionnaire

3) Food neophobia: 10-item food neophobia scale

4) V preference: list of representative vegetables from the Dietary Reference Intakes for Koreans 2015

5) Nutrition and gardening knowledge: questionnaire based on Korean elementary textbooks

6) V intake: dietary record sheet

Schreinemachers et al., (2020) Nepal [33]

1 year/cluster RCT

30 schools (n = 779)

8–12 years old

High1

Home gardening

Consisted of a physical garden for hands-on experience in vegetable growing and nutrition education following a booklet with 23 weekly learning modules; children’s caregivers additionally received support to improve their home gardens (Children: 438; parents 437)

Control: no intervention (child: 436; parents 436)

1) V intake: 24-hour recall

2) Food and nutrition knowledge: 15 MCQ

3) Agricultural knowledge: 14 photos of common garden pests and beneficial insects

4) Liking for V: 15 photos of V and recording their liking

5) Snack choices, food practise: questionnaire

Shrestha et al., (2020) Nepal [34]

5 months/cluster RCT

12 schools (n = 682)

8–17 years old

–

School gardening programme (n = 172)

Compare: school gardening programme with complementary WASH, health and nutrition interventions

(n = 197)

Control: no intervention (n = 313)

1) Dietary intake: FFQ and 24-hour recall questionnaire

2) Nutrition knowledge: questionnaire

van den Berg et al., (2020) USA [35]

6 months/ non-RCT

28 low-income schools (n = 1,326)

8–9 years old (42% Hispanic; 78% free/reduced lunch).

Low2

LEGE: gardens built with parents, took home recipe card and family stories.

WAT! Program: family engagement pieces (bonus miles form), end-of-program celebration, weekly English and Spanish newsletters featuring both healthy physical and eating tips.

(Learn! Grow! Eat! Go! [LGEG]) – school garden & school curriculum

(n = 347)

Compare 1: Physical activity (PA) intervention (Walk Across Texas [WAT!]) (n = 336)

Compare 2: both gardening and PA intervention (combined) (n = 358)

Control: delayed intervention (n = 285)

1) V preference, nutrition knowledge, gardening with parents, previous day V consumption: student surveys

2) Home V availability: parent surveys

Khan et al., (2019) UK [36]

1 school year/mix method study – randomised controlled

1 school (n = 60)

9–10 years old

–

Gardening intervention & a Meat-Free Monday session, physical activity & knowledge of nutrition (n = 30)

Compare: delayed intervention (n = 30)

1) Attitude towards, frequency of and preference for eating F&V: self-report questionnaire

2) Experiences of gardening outdoors, attitudes to eating F&V: focus group interview

Landry et al., (2019) USA [37]

12 weeks/RCT

4 schools (n = 290)

Low income, primarily Hispanic/ Latino, 8–11 years old

–

LA Sprouts: cooking and nutrition curriculum & gardening curriculum (n = 160)

Compare: delayed intervention (n = 130)

1) Dietary intake: 2007 Block Kids Food Screeners (adapted from the Block Kids 2004 FFQ)

2) Self-efficacy to cook F&V: adapted questionnaire from Baranowski et al., 2000

3) Motivation to cook and garden F&V: motivation for Health Behaving from the Treatment and Self-Regulation Questionnaire

Massarani et al., (2019) Rio de Janeiro [38]

3 years/pre-post study

1 school (n = 89)

11–12 years old adolescent athletes (14–15 years old at follow up)

Low2

Building of school garden and experimental kitchen with the direct involvement of parents; maintenance of the garden (organisation and planning of the school garden); attend the semi-annual meeting

School gardening & experimental kitchen activities & health promotion class (n = 89)

No control group

1) Dietary intake: FFQ of 12 food items

Nele Huys et al., (2019) Ghent [39]

9 weeks/non-randomised controlled

17 schools (n = 551)

10–12 years old

–

Gardening activity: sowing, taking care of and harvesting vegetables; nutrition education in classroom (n = 312)

Control: no intervention (n = 239)

1) Children’s V intake and determinants (knowledge and awareness): questionnaires

2) Program evaluation: process evaluation questionnaire (teacher and children)

Schreinemachers et al., (2019) Burkina Faso [40]

1 year/ cluster RCT

30 schools (n = 1,760)

8–14 years old

High1

Decided together what vegetables to grow in the school garden; helped to prepare the school garden and to fence it with locally available materials; helped to find water in the dry season and helped with land preparation and fencing.

School gardening; complementary agriculture, nutrition and WASH education; local farmers and other community members in school garden (2014: n = 500; 2015: n = 400)

Control: no intervention (2014: n = 500; 2015 n = 400)

1) F&V preferences and liking: rating for 12 V & 10 snack choices

2) F&V intake: 24-hour recall

3) F&V awareness: give the correct names of 20 common F&V from colour photos

4) Food, nutrition and WASH knowledge: test adjusted from Parmer et al., 2009 & Oldewage-Theron and Egal, 2010

5) Agriculture knowledge: photo test

Leuven et al., (2018) Netherlands [41]

7 months/non-randomised controlled

3 schools

(n = 150)

10–12 years old

–

Garden and nutritionbased classroom lessons, 15 outdoor gardening lessons, and 1 harvesting and cooking lesson Short term (n = 106) Long term (n = 52)

Control: no intervention (n = 65)

1) Capability to identify V, preference for those V, and the opinion regarding V, gardening, and outdoor activity: questionnaire

Taylor et al., (2018) USA [42]

1 year/RCT

2 schools (n = 294)

9–10 years old

Low2

Parent newsletters

Inquiry-based, garden-enhanced nutrition curriculum, in-class cooking demonstrations, take-home activities, family newsletters, a health fair, and school site-specific wellness committees (n = 161)

Compare: delayed intervention (n = 133)

1) Dietary intake: digital images of students’ lunch trays

Wells et al., (2018) USA [43]

2 years/group RCT

46 schools (n = 2,768)

7–11 years old low-income children (8–12 years old in second year intervention)

–

School gardening activities and nutrition education

(n = 1,491)

Control: no intervention (n = 1,277)

1) F&V availability at home: modified version of Baranowski’s GEM-FJV Availability assessment

Gatto et al., (2017) USA [44]

12 weeks/ RCT

4 schools (n = 375)

Low income, primarily Hispanic/ Latino, 8–11 years old

Low2

Bimonthly cooking/nutrition and gardening classes offered to the parents

LA Sprouts: 45-min interactive cooking/nutrition lesson & 45-min gardening lesson (n = 172)

Compare: delayed intervention (n = 147)

1) Dietary intake: 2007 Block Kids Food Screeners (adapted from the Block Kids 2004 FFQ)

Lee et al., (2017) USA [45]

6 weeks (12 one-hour sessions)/pre-post study

6 centres (n = 89)

3–5 years old

Low2

3 newsletters (health benefits of adequate F&V intake, strategies for improving home intake); encouraged to complete activities with children – selecting a favourite recipe for a class recipe book

Lessons include songs, games, and interactive learning activities involving garden maintenance and taste tests (n = 89)

No control group

1) Dietary intake: non-consecutive 3-day food records from parents

2) F&V Availability (Home): the F&V Home Availability questionnaire

Schreinemachers et al., (2017) Bhutan [27]

1 year/ cluster RCT

18 schools (n = 517)

9–15 years old

High1

Cultivation of vegetables with children; provided advice, gardening tools and other materials and advised schoolteachers on crops and varieties to grow. Teachers visited the parents at home and encouraged home gardening

School garden; weekly lessons in gardening, nutrition, and water, sanitation and hygiene (WASH); promotion activities: poster displays, poem displays on school boards, songs, nutrition charts, vegetable charts, pledges (2014: no data; 2015: n = 260)

Control: no intervention (2014: no data; 2015: n = 265)

1) F&V preferences and liking: rating for 12 V + 10 snack choices

2) F&V intake: 24-hour recall

3) F&V awareness: give the correct names of 20 common F&V from colour photos

4) Food, nutrition and WASH knowledge: Parmer et al., 2009 & Oldewage-Theron and Egal, 2010

5) Agriculture knowledge: photo test

Schreinemachers et al., (2017) Nepal [26]

1 year/ cluster RCT

30 schools (n = 1,370)

10–15 years old, low income

A school garden, gardening, nutrition and WASH education and promotional materials for children and parents (poster display, distribution of handouts about nutritious food and hand washing) (2014: n = 429; 2015: n = 369)

Control: no intervention (2014: n = 846; 2015: n = 416)

Davis et al., (2016) USA [46]

12 weeks/ RCT

4 schools (n = 304)

Low income, primarily Hispanic/ Latino, 8–11 years old

–

LA Sprouts participants: weekly 45-minute interactive cooking and nutrition education lesson, 45-minute interactive gardening lesson, and visits to a local farmers’ market 4 times during intervention (n = 167)

Compare: delayed intervention (n = 137)

1) F&V preferences and identification; self-efficacy to eat, cook and garden F&V; nutrition & gardening knowledge, attitudes about cooking and gardening & current home gardening practices; willingness to try F&V: questionnaire

2) Motivation to eat, cook F&V & gardening: Treatment and Self-Regulation Questionnaire

Duncan et al., (2015) UK [47]

12 weeks/non-randomised controlled

2 schools (n = 77)

4–11 years old

–

Theory-based intervention – a school garden, cooking lessons, exploring plants and growth in science and literacy (n = 46)

Control: no intervention (n = 31)

1) F&V consumption: measures of the TPB related to F&V consumption

2) F&V consumption behaviour: Day in the Life Questionnaire (DILQ)

Hanbazaza et al., (2015) Canada [21]

2 school years/pre-post study

1 school (n = 116)

6–12 years old

–

Classroom gardening (Earth Box container gardening) & a healthy F&V snack program (n = 66)

No control group

1) Children’s knowledge of F&V: asking children to write down 5 V&F that they knew

2) F&V preferences and home consumption: an adapted questionnaire

Sharma et al., (2015) USA [48]

8 weeks/ pre-post study

2 centres (n = 103)

3–5 years old

Low2

Children took their plants home to share with their families to encourage dialogue with parents; invite parent to End-of-program celebration

8 PLANT Garden lessons (teacher-led) with hands-on activities emphasizing gardening and nutrition (n = 103)

No control group

1) Preference and willingness to try F&Vs among pre-schoolers: pre − post self-reported parent surveys

Spears-Lanoix et al., (2015) USA [49]

5 months/ pre-post study

1 school (n = 44)

8–9 years old

High1

Gardening together, snacks and meals together, dinners eaten together, and doing physical activity together.

JMG: youth horticulture classroom curriculum – building a class garden, growing seven V, tasting and rating each V, raw, and participating in V recipe tasting

Compare: WAT (PA intervention) – family bonus miles, waling Bingo, and class activity breaks (Children: n = 44, parents: n = 34)

1) Food availability: parent survey

2) V preference and consumption: student self-reported questionnaire

3) Nutrition and health knowledge: questions about healthy living

Wells et al., (2015) USA [50]

2-years (40 lessons)/RCT

49 schools (n = 3,061)

6–12 years old

–

Nutrition and garden-based lessons & gardening activities (n = 1,622)

Control: no intervention (n = 1,439)

1) Science knowledge: 7-item MCQ selected from the University of Missouri (UM) ‘Eating from the Garden Curriculum’ survey

Bontrager Yoder et al., (2014) USA [3]

1 year/quasi-experimental baseline and follow-up assessments

9 schools (n = 1,117)

8–11 years old

–

Farm to School programme: Harvest of the Month, school garden, locally sourced produce in school meals & classroom lessons (n = 1,117)

No control group

1) Knowledge of food, nutrition, and agriculture; attitudes toward trying FV; perception/self-efficacy for eating healthfully, and preference for, exposure of and willingness to try F&V: questionnaire

2) Dietary intake: FFQ, lunch tray photo observation

Cotter et al., (2013) Portugal [51]

6 months/cluster RCT

1 school (n = 155)

10–12 years old

–

Lessons (dangers of high salt intake), gardening activities and collection of herbs for salt substitute at home (n = 58)

Compare: weekly lessons about the dangers of high salt intake (n = 47)

Control: no intervention (n = 34)

1) Estimated salt intake: derived from 24-h urinary collection (1 mEq/24 h sodium 1/4 0.058 g per day salt)

Gibbs et al., (2013) Australia [52]

2.5 years/ pre-post study

12 schools (n = 764)

8–12 years old

Low2

Did not specify

Gardening class and kitchen class (n = 764)

No control group

1) Willingness to try new foods, knowledge & capacity to describe foods, and healthy eating: separate focus group discussions, parent and child questionnaire

Gatto et al., (2012) USA [53]

12 weeks/ non-RCT

1 school (n = 104)

Latino 9–11 years old, more than half were overweight or obese

Low2

Did not specify

LA Sprouts participants: weekly 45-minute interactive cooking and nutrition education lesson, 45-minute interactive gardening lesson and visits to a local farmers’ market 4 times during intervention (n = 34)

Compare: delayed intervention (n = 70)

1) Motivation for healthy eating: Treatment and Self-Regulation Questionnaire 2) Attitudes About, Preferences for, Perceptions, and Self-Efficacy to Eat and Cook F&V: validated questionnaire

Jaenke et al., (2012) Australia [54]

10 weeks/pre-post study

2 schools (n = 127)

11–12 years old

Low2

3 newsletters (health benefits of adequate F&V intake, strategies for improving home intake); encouraged to complete activities with their children – selecting a favourite recipe for a class recipe book

Nutrition education & gardening intervention (with kitchen-based activities) (n = 35)

Compare: nutrition education only (n = 35)

Control: no intervention (n = 57)

1) Food preference, willingness to taste: questionnaire +five-item food preference assessment tool

2) F&V intake: 2 repeat 24-hour recalls

Davis et al., (2011) USA [55]

12 weeks/ non-RCT

1 school (n = 104)

Latino 9–11 years old, more than half were overweight or obese

Low2

3 separate 60-minute parental nutrition and gardening classes

LA Sprouts participants: weekly 45-minute interactive cooking and nutrition education lesson, 45-minute interactive gardening lesson and visits to a local farmers’ market 4 times during intervention (n = 34)

Compare: delayed intervention (n = 70)

1) Dietary intake: 2007 Block Kids Food Screeners (adapted from the Block Kids 2004 FFQ)

Ratcliffe et al., (2011) USA [22]

13 weeks/non-randomised controlled

3 schools (n = 320)

11–13 years old

–

Hands-on gardening & garden-based learning activities integrated into science lesson (n = 170)

Compare: only garden-based sessions integrated into science class (n = 150)

1) Knowledge, attitude and behaviour: Garden Vegetables Frequency Questionnaire (GVFQ) and the Taste Test;

2) V consumption: 24-hour recall

Morgan et al., (2010) Australia [56]

10 weeks/non-RCT

2 schools (n = 127)

11–12 years old

Low2

3 newsletters (health benefits of adequate F&V intake, strategies for improving home intake); encouraged to complete activities with their children – selecting a favourite recipe for a class recipe book

Nutrition education & gardening intervention (with kitchen-based activities) (n = 35)

Compare: nutrition education only (n = 35) Control: no intervention (n = 57)

1) F&V intake: 24 hr. recall

2) V preference: ‘taste and rate’ methods developed by Birch and Sullivan

3) F&V knowledge: questionnaire used in US ‘Gimme 5’ intervention

4) Quality of school life: the quality of school life (QoSL) instrument “

Parmer et al., (2009) USA [57]

28 weeks/ non-randomised controlled

1 school (n = 115)

7–8 years old

–

Nutrition education & gardening intervention (n = 39)

Compare: nutrition education only (n = 37)

Control: no intervention (n = 39)

1) F&V intake: F&V survey; lunchroom observation

2) F&V preference: F&V preference questionnaire, lunchroom observation

3) Nutrition knowledge: questionnaire

Somerset et al., (2009) Australia [58]

12 months/ intervention trial

1 school (n = 252)

9–13 years old in a low socio-economic area

–

Introduction of a school-based food garden, (n = 130)

Compare: historical control design (n = 132)

1) Attitudes towards F&V: the attitudes questionnaire

2) Nutrition knowledge: F&V identification survey

McAleese et al., (2007) USA [59]

12 weeks/non-randomised controlled

3 schools (n = 99)

10–13 years old

–

Garden-based activities & nutrition education (n = 45)

Compare: nutrition education only (n = 25)

Control: no intervention (n = 25)

1) Dietary intake: three 24-hour food recall workbooks

  1. Degree of parental involvement: 1High parental involvement was defined as children having direct interaction with their parents that will affect the intervention outcomes such as parents participating in gardening, cultivating and cooking sessions with children at schools, otherwise it was defined as 2 low parental involvement where the activities included parent newsletter distribution and take-home activities