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"1"“ I "Md-Ill "III THESIS This is to certify that the thesis entitled NUTRITION EDUCATION IN THE K-6 CURRICULUM- TEACHERS' OPINIONS AND TECHNIQUES presented by Barbara Lynne Mutch has been accepted towards fulfillment of the requirements for M-S- degreeinlinmition— flach/fifl?» ”NJ professor Date J/ZJ/l/g/ 0-7639 ~ I!@ilfyllflmlftfllllflllllflnfllIII ovmug mas: 25¢ W “W P" "u" RN us LIBRARY HATER I: return ton-o 21:“; $3.”: 1m] ation records NUTRITION EDUCATION IN THE K-6 CURRICULUM - TEACHERS' OPINIONS AND TECHNIQUES By Barbara Lynne Mutch A THESIS Submitted to Michigan State University in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE Department of Food Science and Human Nutrition 1980 . #:‘vrs ‘ 57/6363 ABSTRACT NUTRITION EDUCATION IN THE K-6 CURRICULUM- TEACHERS' OPINIONS AND TECHNIQUES By Barbara Lynne Mutch Thirty-nine teachers, kindergarten through sixth grade, were interviewed about general teaching responsi- bilities, opinions on what students need to know about nutrition, reasons for including or omitting nutrition in their curriculum and nutrition education topics, tech- niques and resources. Fifty-four percent of teachers were currently including nutrition topics in their curriculum. Age, sex, years of teaching, college major, highest de- gree earned, previous food and nutrition training and nutrition knowledge made no significant difference in teacher's decision to include or omit nutrition. Lack of time. money and/or materials were cited as major rea— sons teachers were not teaching nutrition. The Daily Food Guide and snacks were the nutrition topics most frequently included in curricula. General nutrition knowledge was evaluated. The mean score was fifty percent. Age, sex, years of teaching, school location and previous food and nutrition training made no significant difference in teacher's nutrition knowledge scores. ACKNOWLEDGEMENTS I would like to express my sincere thanks to the following people: To Dr. Carolyn Lackey for her patience, advice and support throughout this research and my graduate program. To Drs. Kathryn Kolasa, Louise Sause and Jenny Bond for their assistance and advice which were invaluable to this research project. To all of the Community Nutrition grad students for their help and support. Krista Dessert is especially thanked for her patience and time spent helping me with my data analysis; Janet Kiley and Amy Slonim for their friendship and sympathetic ears; and Jeri Pigott for her many hours editing the Thesis. To all of the teachers and school personnel who so willingly agreed to participate in the project. To the Michigan Agricultural Experiment Station, the Michigan Department of Education—Nutrition Education and Training Program and the Department of Food Science and Human Nutrition for financial assistance. Finally, a very special thank—you to my husband Dale and son Nicolas for their support and understanding, and for helping me keep things in perspective. ii TABLE OF CONTENTS "Vixen-oscillates....................v \E'MRObUCTION.....................1 .grnRATIONAL DEFINITIONS . . . . . . . . . . . . . .. 6 mmIIOFLITERATURE.................7 7 'Nutrition.Education. . . . . . . . . iNutrition Knowledge and Attitudes of ' Elementary Teachers . . . . . . . . . . . . . . 14 Future Planning. . . . . . . . . 16 ’Status of Nutrition Education in Michigan . Public Schools. . . . . . . 17 'Personal Interview versus Mail Questionnaires. . 18 ‘ sumy. I I O I I O I I O I O I C O I D I O O I 20 , 5:; ‘lq! _¥: 5“ mans AND PROCEDURES. I e u o e I e a I o e I e e I 22 .5. I 4".1‘: Development Of Instruments 0 e e o I e e e l I o 23 \i .‘4 Data collection. I I O I O O U I I O I I O I O C 33 ._ v‘ A, ‘ Data Analysi s U C I C O O C O C C t. D O I . C O . 35 $5333st AND DISCUSSION. . . . . . . . . . . . . . . . 37 The Sample . . . . . . . . Sample Characteristics . . . Inclusion of "Extra" Subjects. Teachers' Opinions . . . . . . Nutrition in the Curriculum. . Other Research Instruments . . Teachers' Philosophies . . . . Observations In The Sample Schools Y AND CONCLUSIONS . . . . . . . . . 3V8enera1 Summary. . . . . . Conclusion and Implications. . . . . o o I n e I O I O o I o I I O I O O I I I I 0 UI. VI 0) UI moo VUI De' “ ii iii ' ;‘~ 4'." Page APPENDICES. . . . . . . . . . . . . . . . . . 90 Appendix A. Research Instruments. . . . . . . . . . . 90 Interview Schedule. . . . . . . . . . . . 90 Nutrition Interest Checklist. . . . . . . 98 Observation Sheets. . . . . . . . . . . . 99 Nutrition Knowledge Test. . . . . . . . . 101 B. Forms and Letters . . . . . . . . . . . . 1&5 Sample Dialogues. . . . . . . . . . . CS Introductory Letter . . . . . . . . . . . 107 Consent Form. . . . . . . . . . . . . . 108 Credential Letter . . . . . . . . . 109 C. Probe Cards . . . . . . . . . . . . . . . 110 D. Nutrition Knowledge Test Item Analysis Data I I I I I I I I I I I I I I I I I I I 11“ LIST OF REFERENCES. . . . . . . . . . . . . . 115 iv 1 Ad: - :3? ' 5- LIST OF TABLES TABLE PAGE l. 10. Selected demographic characteristic of teachers interviewed at two schools (K‘éth) in MiChigan. I I I I I I I I I I I I [+0 Educational background of teachers in— terviewed at two schools (K-6th) in Michigan I I I I I I I I I I I I I I I I I I 42 Distribution of grades taught by teachers interviewed at two schools (K- 6th) in MiCh-igarl I I I I I I I I I I I I I I I I I I u# Type of food and nutrition training re— ported by thirty-two teachers who had received food and nutrition training . . . . #8 Perceived student nutrition knowledge needs reported by teachers interviewed at two schools (K-6th) in Michigan. . . . . . . . . 51 Distribution of current, past and non- nutrition teachers interviewed at two schools (K- 6th) in Michigan. . . . . . . . . 56 Nutrition topics taught by current and past nutrition teachers interviewed at two schools (K-6th) in Michigan. . . . . . . 61 Types of teaching methods used to present nutrition topics by current and past nutri- tion teachers interviewed at two schools (K- 6th) in Michigan. . . . . . . . . . . . . 63 Preparation and class time spent on nutri- tion topics by current and past nutrition teachers interviewed at two schools (K- 6th) in Michigan. . . . . . . . . . . . . . . . . 66 Nutrition knowledge scores of teacher inter- viewed at two schools (K-6th) in Michigan. . 71 PAGE Distribution of nutrition knowledge scores of teachers interviewed at two schools (K—6th) in Michigan. . . . . . . . 71 NKT item response summary data for "'rteachers interviewed at two schools (K’éth) in MiChigan. I I I I I I I I I I I 73 ‘Bersonal interest in selected nutrition . topics b teachers interviewed at two schools K-6th) in Michigan. . . . . . . . 7? Top five nutrition topics that teachers interviewed at two schools (K-6th) in Michigan would teach to their students . . 78 NKT item response data for teachers interviewed at two schools (K-6th) in Mich igan l I I I I I I I I I I I I I I I I 11“ vi v : n V I); LIST OF FIGURES FIGURE PAGE 1. Rate of response for NKT and N10 by teachers interviewed at two schools (K-6th) in MiChigan. I I I I I I I I I I I I 70 INTRODUCTION The importance of nutrition education for school' age children was emphasized during the White House Confer- ence on Food, Nutrition and Health in 1969. The import- ance of nutrition education was further emphasized with the passage of Public Law 95-166, the National School Lunch Act and Child Nutrition Amendment of 1977. Section 19 of the Act related directly to nutrition education: "the proper nutrition of the Nation's children is a matter of highest priority, and there is a need to create oppor- tunities for children to learn about the importance of the principles of good nutrition in their daily lives" (Public Law 95-166, 1977). Childrens' attitudes about food and their food habits have been influenced by many factors (Bell and Lamb, 1973; Carver and Lewis, 1979; Perkins gt a1., 1980). The school can be a major influence on the food habit formation of young children. The elementary school teacher, therefore, has had an opportunity to play a role in students' food habit formation (Petersen and Kies, 1972). Most information gathered to date about kindergarten through 6th grade nutrition education has been obtained via mail questionnaires (Carver and Lewis, 1979; Cook 33 51., 19773 Knudtson, 1972; Lackey and Kolasa, 1979: O'Farrell l 2 and Kendrick, 1972; Perkins 23 gl., 1980; and Petersen and Kies, 1972). The focus of these studies has been: the nutrition knowledge and attitudes of elementary teach— ers toward the teaching of nutrition and the school lunch program (Carver and Lewis, 1979; Knudtson, 1972; Perkins gt gl., 1980 and Petersen and Kies, 1972); the extent of classroom teaching of nutrition and teacher training in nutrition (Cook 23 31., 1977; Knudtson, 1972; O'Farrell and Kendrick, 1972; and Lackey andKolasa1 1979); the degree of administrative and parental support for nutri- tion education (O'Farrell and Kendrick, 1972); and the teachers' approach to changing the food behavior of chil- dren (Petersen and Kies, 1972). Two of the studies using a mail questionnaire pro— cedure did not report response rates. When response rates were reported, the range was 47-85 percent. Since re- spondents may have differed from non-respondents, these samples may have been biased. This research used personal interviews with every teacher in two K-6 Michigan public schools, one rural and one non-rural. Michigan was one of ten states that had legislated policy concerning nutrition in the public schools (Johnson and Butler, 1975). Michigan included nutrition as part of the Minimal Performance Objectives for Health Education (Michigan Department of Education, 197A). However, teach- ers are not required to include nutrition topics in their curriculum in Michigan. Some teachers may have included nutrition or other subjects that are not part of the school's 3 required curriculum. The nutrition education literature did not report reasons why a teacher would include a non— required or extra subject in their curriculum. Information on resources used by teachers for food and nutrition lesson preparation is limited. The school nurse, materials and people from the National Dairy Coun- cil and several state Dairy Councils, textbooks, magazines. government literature, food manufacturer's literature, newspapers, film and filmstrips were the resources men- tioned most frequently by teachers (Cook gt g;., 1977; Hoffman La-Roche, Inc., 1978; Kolasa and Lackey, 1979; and Lackey and Kolasa, 1979). More information on what resources teachers used and on how the resources are used is necessary for future planning. The Department of Food Science and Human Nutrition at Michigan State University has been involved in two large nutrition education research projects: the Michigan School Breakfast Survey and the Nutrition Education and Training (NET) activities. The purpose of the 1978-79 Michigan School Breakfast Survey was to collect data, via personal interviews with K—12th grade Michigan students, on food behavior as it related to participation in school meals programs, snacking habits and the students' nutri- tional well being (Kolasa and Lackey. 1979). Views on meal programs, importance of nutrition and nutrition edu- cation were also collected, from school administrators, 4 food service employees and teachers using interviews and self administered questionnaires. The Nutrition Education and Training (NET) activities have been funded by Public Law 95-166, the National School Lunch and Child Nutrition Amendment of 1977. Michigan State University's involvement with NET activities in 1978-79 included evaluation of NET pilot projects in Michi- gan which had a project coordinator who had conducted nutri- tion education activities and development of a valid and reliable nutrition knowledge test with broad application to various groups (Lackey and Kolasa, 1979; Lackey gt gl., 1979). NET activities for 1979—80 included the production of a videotape for food service employees to foster the development of self-esteem; development of instruction manuals for food service employees; production of a video- tape for elementary school teachers to motivate them to include nutrition education in their curriculum; and de- velopment of a workbook to aid elementary teachers in teach- ing nutrition to their students. The current research supplemented the work Michigan State University has previously been involved with concern- ing nutrition education in Michigan schools. The objectives of this research were to: (1) iden- tify reasons why teachers included any extra subjects, i.e. subjects they were not required to teach; (2) identify rea- sons Why teachers included or omitted nutrition education in their curriculum; (3) document the techniques and 5 resources used to present nutrition topics and (4) test elementary teachers' nutrition knowledge. An additional experimental hypothesis was proposed to be tested in this research project: elementary teachers (grades K-6) will score less than 75 percent on a 40 item true—false-multiple choice nutrition knowledge test (NKT). Teachers scored a mean of 56 percent in the pretesting of the NKT (Lackey gt g1., 1979). The 75 percent score chosen for this research project includes a safety margin. OPERATIONAL DEFINITIONS Nutrition Education Any activity in a classroom that includes food and/or nutrition information. Food and Nutrition Edugation Topic Any lesson or activity which involves any of the ideas contained in the White House Conference on Food, Nutrition and Health Con- ceptual Framework (p.9) (White House Conference, 1969). Teaching Techniques The methods, procedures, re- sources, and/or approach used to present topics. Current Nutrition Teachers Teachers who included food or nutrition topics in their curriculum the present year. Past Nutrition Teachers Teachers who had included food or nutrition topics in their curriculum in a past year but not during the present year. Non-nutrition TeaChers Teachers who have never in- cluded food or nutrition topics in their curriculum. fi— REVIEW OF LITERATURE Nutrition Education Nutrition has been defined as the science of food, the nutrients and other substances therein, their action, interaction, and balance in relation to health and disease and the process by which the organism ingests, digests, absorbs, transports, utilizes and excretes food substances (Michigan Department of Public Health, 1980). In addition, it is concerned with social, economic, cultural and psycho- logical implications of food and eating. Nutrition pro- vides one of the greatest opportunities for an individual to influence his health and well being. Education is the "act or process of providing know- ledge, skills, competence" (Webster, 1976). Nutrition edu- cation, therefore, provides information to enable people to choose food based on their understanding of their bodies' needs while considering the cultural, economic, personal and social implications. A broader goal for nutrition education has been to create awareness and interest, pro— mote the acquisition of knowledge, provide motivation to change, and promote the adoption of new food-related be- havior patterns to promote Optimum health (Robinson, 1976; White House Conference, 1969). The public has shown increasing interest in the re- lationship of nutrition and health. There also has been IIIIIIII'5"'——"’h 8 I an increased concern by both nutritionists and educators that children be given the knowledge and skills so they can function as nutritionally-literate decision makers (Guthrie, 1978). Nutrition education in the school en- , vironment is one way to provide children with this know- ; ledge and skills. The ideal nutrition education approach is to begin in early childhood and continue throughout the elementary and secondary school years (White House Conference, 1969). Callahan (1973) suggested that nutrition education be ad— dressed through comprehensive, sequential, and integrated programs. Nutrition Education Program Components Suggested components of a comprehensive nutrition education program in schools included: (1) instruction on the nutritional value of foods and the relationship be- tween food and human health, (2) assistance in development of positive attitudes toward food, (3) education of food service personnel in the principles and practices of good food service management, and (4) development and use of classroom materials and curricula (Guthrie, 1978; Public Law 95—166, 1977; Robinson, 1976; and White House Confer- ence, 1969). Furthermore, school nutrition education pro- grams need to include parents and other adults. Learning opportunities should be designed to accommodate cultural, economic, personal and family conditions (White House Con- ference, 1969). ~ ‘IIIIIII'V""———__—_—__—__—__—_____"4i’ 9 Nutrition Education Topics Some controversy and confusion currently exist as to what topics could and should be considered part of a school's nutrition education curriculum. The Nutrition Teaching and Nutrition Education panel at the White House Conference on Food, Nutrition and Health developed a "Con- ceptual Framework for Nutrition Education in the Schools" to be used as a resource in developing and evaluating cur- ricula (White House Conference, 1969). This framework illustrated the diversity of food and nutrition topics for a school's curriculum. Conceptual Framework for Nutrition Educgtion in the Schools 1. Nutrition is the process by which food and other substances eaten become you. The food we eat enables us to live, to grow, to keep healthy and well, and to get energy for work and play. 2. Food is made up of certain chemical substances that work together and interact with body chem- icals to serve the needs of the body. a. Each nutrient has specific uses in the body. b. For the healthful individual the nutrients needed by the body are usually available through food. 0. Many kinds and combinations of food can lead to a well-balanced diet. d. No natural food, by itself, has all the nu- trients needed for full growth and health. 3. The way a food is handled influences the amount of nutrients in the food, its safety, appearance, taste, and cost; handling means everything that happens to food while it is being grown, pro- cessed, stored, and prepared for eating. 10 4. All persons, throughout life, have need for about the same nutrients but in varying amounts. a. The amounts needed are influenced by age, sex, size, activity, specific conditions of growth, and state of health, altered some- what by environmental stress. b. Suggestions for kinds and needed amounts of nutrients are made by scientists who con— tinuously revise the suggestions in the light of the findings of new research. c. A daily food guide is helpful in translating the technical information into terms of every- day foods suitable for individuals and fam- ilies. 5. Food use relates to the cultural, social, econ- omic and psychological aspects of living as well as to the physiological. a. Food is culturally defined. b. Food selection is an individual act, but it is usually influenced by social and cultural sanctions. 0. Food can be chosen so as to fulfill physio- logical needs and at the same time satisfy social, cultural, and phychological wants. d. Attitudes toward food are a culmination of many experiences, and the present. 6. The nutrients, singly and in combination of chem- ical substances stimulating natural foods, are available in the market; these may vary widely in usefulness, safety of use, and economy. 7. Food plays an important role in the physical and psychological health of a society or a nation just as it does for the individual and the family. a. The maintenance of good nutrition for the larger units of society involves many matters of public concern. b. Nutrition knowledge and social consciousness enable citizens to participate intelligently in the adoption of public policy affecting the nutrition of people around the world. The variety of nutrition topics included in an ele- mentary school's curriculum has been diverse, but rarely incorporated the number of t0pics contained in the White ) 11 House Conference framework. Some of the most frequently cited topics were food groups, nutrients, meal planning, balanced diets, good breakfasts, snacks, diet and health, sugar and tooth decay, label reading, food handling, cul- tural foods, weight loss diets, athletes' diets, and food safety (Baker, 1972; Grogan, 1978; Hicks, 1978; Kolasa and Lackey, 1979; Niedermeyer and Moncrief, 1975; Spitze, 1971; - and Wodarski 23 pl., 1980). Nutrition Teaching Techniques Many teaching techniques and methods have been em- ployed to present nutrition topics. Techniques included experiments, record keeping, taste testing, bulletin board displays, demonstrations, pre and posttests, food classi- fication-schemes, assigned reading, audiovisuals, puppet shows, games, visual aides, dramatics, peer-teaching, cooking, school cafeteria laboratories, inquiry, discussion, discovery, simulation, debate, food surveys, scrapbooks and field trips (Baker, 1972; Head, 1974; Hicks, 1979; Niedermeyer and Moncrief, 1975; Sodowsky, 1973; Spitze, 1971; Stackhouse, 1979; and Wodarski pp g1., 1980). Reasons why teachers chose a specific technique for teaching nutrition have not been explored in detail. 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TT :Tuu- TTTTTT-.T. .ammwnowz :« Que-.5 Season 95 um vmngmuaw 9.9.0.3... How mummy 09.0mm...“ am: .55 .7... LIST OF REFERENCES REFERENCES Acock, A.C. and W.J. Scott. A model for predicting be- havior: the effect of attitude and social class on high and low visibility political participation. Social Psychology Quarterly #3 (1): 59-72, 1980. Baker, M.J. Influence of nutrition education on fourth and fifth graders. Journal of Nutrition Education “355‘58 9 1972' Bell, C. and M. Lamb. Nutrition education and dietary behavior of fifth graders. Journal of Nutrition Education 5:196, 1973. Bowman, E. Developing a state plan: three state co- ordinators share their experiences. Food and Nutrition 9 (6):12, 1979. Callahan, D.L. Inservice teacher workshops. Journal of Nutrition Education 5:233-23#, 1973. Carver, L.R. and K.J. Lewis. A nutrition knowledge test for elementary school teachers. Journal of Nutri- tion Education 11:68-71, 1979. Cook, C.B., D.A. Eiler and E.C. Kaminaka. How much nutri- tion education in grades K-6? Journal of Nutrition Education 9:131-135, 1977. Crane, J.G. and M.V. Angrosino. Field Projects in Antro- pology: A Student Handbook. Morristown, N.J.: General Learning Press, 197A. Earl, R.D. and D.R. Winklejohn. Attitudes of elementary teachers toward science and sciene teaching. Science Education 61(1): 41-45, 1977. Ebel, R. Essentials of Educational Measurement. Third Ed. Englewood Cliffs: Prentice—Hall, Inc., 1979. Egan, M.C., M. Goodwin and A. Maretzki. Pregnant women, children and adolescents. Journal of Nutrition Education 12 (Supplement 1): 121—128, 1930. Fishbein, M. and I. Ajzen. Belief, Attitude, Intention and Behavior: An Introduction to Theory and Re- search. Reading, Mass: Addison-Wesley, 1971. 115 116 Grogan, J. Teacher inservice for nutrition education--an interdisciplinary approach in the school system. Journal of Nutrition Education 10:119-120. 1978. Guthrie, H.A. What should be taught in nutrition educa- tion. Thresholds in Education #:23-24, 1978. Head, M.K. A nutrition education program at three grade levels. Journal of Nutrition Education 6:56-59, 1974. Hicks, B.M. Perspectives in teaching nutrition-~utilizing school food service--part IV. Food and Nutrition Nggg 49(3):3. 1978- Hoffmann-LaRoohe Inc. Current Nutrition Beliefs and Prac- tices Among Health Educators, Students, Parents. Final Report. Nutley, N.J.: Hoffmann-La Roche Inc., 1978. Johnson, M.J. and J.L. Butler. Where is nutrition educa- tion in U.S. public schools. Journal of Nutrition Education 7:20-21, 1975. Knudtson, H.K. Nutrition Concepts Held by Fifth and Sixth Grade Teachers in Iowa. Unpublished Master‘s Thesis. Ames: Iowa State University, 1972. Kolasa, K. and C. Lackey. Michigan School Breakfast Survey. Final Report. Unpublished, Michigan State University, 1979- Lackey, C. and K. Kolasa. Nutrition Education and Training Activities. Final Report. Unpublished, Michigan State University, 1979. Lackey, 0., K. Kolasa, K. Penner, and B. Mutch. Deve10p- ment of a nutrition knowledge test. Final Report. Unpublished, Michigan State University, 1979. Michigan Department of Education.' Minimal Health Performance Objectives for Health Education in Michigan. Lansing: Michigan Department of Education, 1974. Michigan Department of Public Health. Basic nutrition facts of Michigan. Working Draft. Lansing: Michigan De- partment of Public Health, 1980. Miller, D.C. Handbook of Research Design and Social Measure- ment. New York: David McKay Company, Inc., 1977. Nie, N.H., C.H. Hull, J.G. Jenkins, K. Steinbrenner and D.H. Bent. Statistigal Package for the Social Sciences Second Ed. New York: McGraw-Hill, 1975. 117 Niedermeyer, F.C. and M.H. Moncrief. Primary graders stud nutrition. The;Elementary School Journgl (Feb :305-310, 1975. O'Farrell, M. and J.L. Kendrick. Educators' attitudes toward nutrition education in Florida. Journal of Nutrition Education 4:15-16, 1972. Perkins, K.L., F.R. Roach and A.G. Vaden. Influence of teachers' attitudes toward the school lunch program on student participation. Journal of Nutrition Education 12:55-60, 1980. Petersen, M.E. and C. Kies. Nutrition knowledge and at- titudes of early elementary teachers. Journal of Nutrition Education #:11-15, 1972. Pourchot, L.L. and J.R. Ellis. Nutrition education pre- paration for educators. Thresholds in Education 4:17-19, 1978. Public Law 95-166. National School Lunch Act and Child Nutrition Amendments of 1977. Robinson, C.H. Nutrition education--what comes next? Journal of the American Dietetic Association 69:126- 132, 1976. Sodowsky, J.D. Inservice nutrition education for elemen- tary teachers. Journal of Nutrition Education 5: 139-1fi2, 1973. Spitze, H.T. Innovation techniques for teaching nutrition. Journal of Nutrition Education. 3:156-159, 1971. Stackhouse, M. Nutrition education and training. Food and Nutrition 9(6):10-1l, 1979. Standard Research Inc., RPX user's manual. Revision 2K). East Lansing: Standard Research Inc.,1980 . Tinkleman, S.N. Planning the objective test. In Educa- tional Measurement. R.L. Thorndike, ed. Washington, D.C.: American Council on Education, 1971, pp. 46-80. Webster's Third New International Dictionary. 17th ed. s.v. "Education". Springfield: G and C Merriam Company, 1976. ' White House Conference on Food, Nutrition and Health. Final Report. Washington, D.C.: U.S. Government Printing Office, 1969. 118 Wicker, A.W. An examination of the "other variables" eXplanation of attitude-behavior inconsistency. Journal_of Personality and Social Psychology 19:18-30, 1971. Wodarski, L.A., C.L. Adelson, M.T. Todd and J.S. Wodarski. Teaching nutrition by teams-games-tournaments. Journal of Nutrition Education 12:61-65, 1980. MICHIGAN SInIE UNIV. LIBRARIES mllWIN[IllWNW"WWWIWINIIHNHI 31293105441509