Increasing Fruit and Vegetable Consumption among Preschoolers: Evaluation of Color Me Healthy

  • Author Footnotes
    † Dr. Kendra E. Witt was a doctoral student at the University of Texas-El Paso at the time this study was completed.
    Kendra E. Witt
    Address for correspondence: Kendra Witt, PhD, MPH, Blue Cross of Idaho Foundation for Health, 3000 E. Pine Ave, Meridian, ID 83642; Phone: (208) 286-3461; Fax: (208) 286-3535
    † Dr. Kendra E. Witt was a doctoral student at the University of Texas-El Paso at the time this study was completed.
    Blue Cross of Idaho Foundation for Health, Meridian, ID
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  • Carolyn Dunn
    Department of 4H Youth Development and Family & Consumer Sciences, North Carolina Cooperative Extension, North Carolina State University, Raleigh, NC
    Search for articles by this author
  • Author Footnotes
    † Dr. Kendra E. Witt was a doctoral student at the University of Texas-El Paso at the time this study was completed.
Published:September 19, 2011DOI:



      Determine whether Color Me Healthy (CMH), an interactive nutrition and physical activity program for preschool children, increases fruit and vegetable consumption.


      Intervention study. Data were collected at baseline, 1 week post-intervention, and 3 months post-intervention.


      Child care centers.


      Preschool children (n = 263) in 17 child care centers.


      Child care centers were randomly assigned to 1 of 2 conditions; children (n = 165) in 10 centers received the CMH curriculum, and children (n = 98) in 7 centers acted as comparisons and did not receive the curriculum.

      Main Outcome Measures

      Process and outcome evaluation. Consumption of fruit and vegetable snacks.


      Data were analyzed using repeated-measures analysis of variance and hierarchical linear modeling.


      Children who received CMH significantly increased their consumption of fruit snacks by approximately 20.8% and vegetable snacks by approximately 33.1% between baseline assessment and the assessment conducted 3 months after the completion of the CMH program. Hierarchical linear modeling determined that group assignment (ie, CMH or control) was the only significant predictor of fruit and vegetable consumption.

      Conclusions and Implications

      Findings suggest that CMH may be used in child care settings for developing healthful eating habits.

      Key Words

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