An interventional study of Nutritional Supplement Pack in Classroom Concentration, Dietary Diversity and Hunger, sponsored by China Medical University Hospital. Recruiting at 14 sites in Taiwan. Open to participants aged 9 Years to 15 Years. Per ClinicalTrials.gov, last updated 2026-09-10.
Sponsored by China Medical University Hospital · Not applicable, Interventional, and Prevention
The goal of this intervention study is to learn whether providing nutritional supplement packs can reduce hunger at school and improve healthy eating behaviors and classroom concentration among students in grades 3-9 attending schools in remote rural areas. The main questions it aims to answer are:
Does receiving nutritional supplement packs reduce hunger at school and improve healthy eating behaviors and classroom concentration after one semester and one school year compared with baseline? Is hunger at school associated with healthy eating behaviors and classroom concentration?
Backgrounds:
Nutritional supplement packs (long life milk, cereals, nuts) are suggested by the Taiwan Nutrition Foundation based on the general lack of intake among people in Taiwan and taking into account the growth of children. The National Food Bank raises funds from companies and distributes them to primary and secondary school children in remote rural areas for use when they are hungry at school. This program has been implemented for almost ten years and recognized by teachers and parents. It is generally believed that hunger in school children may affect their classroom performance, but most research focused only on skipping breakfast. According to actual survey experience, schoolchildren's hunger at school is not only related to whether they have eaten breakfast, but also factors such as eating habits and high activity levels (such as school teams and after physical education classes) outside of meals. Nutritional supplement packs can be provided to students in need immediately by teachers. Aims: This study aims to investigate whether nutritional supplements are effective in improving school children 's hunger, healthy eating behaviors, and classroom concentration.
Methods: The survey subjects are students in grades 3 9 who received nutritional supplement packs. A total of three self-administered questionnaires will be implemented before and after the intervention (one semester and one school year) to assess changes in eating behavior and concentration. The expected number of cases is 6 00 (will be reached within 3 years). After the indicators were quantified, paired t test was used to compare the changes before and after the intervention; linear regression was used to analyze the correlation between hunger at school, healthy eating behavior and classroom concentration. Expected results: Nutritional supplement packs can effectively improve school children's hunger, eating behavior and classroom concentration; school hunger is correlated with eating behavior and classroom concentration.
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This study's planned enrollment of 600 is above the median of 77 across 700 interventional studies indexed under Feeding Behavior.
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Exclusion Criteria:
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You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants will receive nutritional supplement packs for consumption when they feel hungry at school. Outcomes will be assessed at baseline, after one semester, and after one school year.
Dietary Supplement: Nutritional Supplement Pack
Nutritional supplement packs containing shelf-stable milk, cereals, and nuts are provided to participating students for consumption when they feel hungry at school. The intervention is implemented over one school year.
Change in Classroom Concentration Score
Concentration will be assessed using the Classroom concentration scale. The total score ranges from 19 to 114, with higher scores indicating better classroom concentration. Changes from baseline will be assessed after one semester and one school year.
Time frame: Baseline, after one semester, and after one school year
Dietary diversity
Dietary diversity will be assessed using the questionnaire. The total score ranges from 0 to 6, with higher scores indicating better dietary diversity.
Time frame: Baseline, after one semester, and after one school year
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