Abstract
Adequate consumption of diverse fruits and vegetables is important for healthy growth and development, yet promoting healthy dietary practices among children remains challenging. This study assessed changes in nutrition knowledge and self-reported dietary practices following a video-assisted rainbow nutrition intervention among schoolchildren aged 8–11 years in Mangalore, India. A quantitative one-group pre-test–post-test study was conducted among 91 schoolchildren recruited through purposive sampling. Participants completed baseline assessments, received a standardized five-minute educational video on rainbow nutrition, and were reassessed one month later. Changes in knowledge and dietary-practice scores were analysed using the Wilcoxon signed-rank test. Mean knowledge scores increased from 6.37 (SD 2.62) at baseline to 10.77 (SD 2.18) at follow-up (Z = −8.101, P < 0.001). At baseline, 44 children (48.4%) had inadequate dietary-practice scores and none had adequate scores. At follow-up, 2 children (2.2%) remained inadequate, while 49 (53.8%) achieved adequate practice scores; the change was significant (Z = −7.702, P < 0.001). The intervention was associated with significant improvements in nutrition knowledge and self-reported dietary practices at one month. These findings suggest that a brief, standardized audiovisual approach may be feasible for school-based nutrition education. However, the absence of a comparison group and reliance on self-reported practices limit causal interpretation. Controlled studies with validated dietary measures and longer follow-up are needed to confirm these findings.
Supplementary materials
Title
Table 1. Selected characteristics of study participants (n = 91)
Description
A total of 91 schoolchildren aged 8–11 years were included in the analysis. The largest age group was 9 years (43/91, 47.3%), followed by 10 years (37/91, 40.7%). Girls comprised 53 (58.2%) participants and boys 38 (41.8%). All participants were studying in Grades 6–7.
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Title
Table 2. Nutrition knowledge before and one month after the intervention
Description
The mean knowledge score increased from 6.37 (SD 2.62) at baseline to 10.77 (SD 2.18) at one-month follow-up, representing an absolute increase of 4.40 points. The Wilcoxon signed-rank test indicated a statistically significant difference between baseline and follow-up scores (Z = −8.101, P < 0.001).
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Table 3. Distribution of dietary-practice categories before and one month after the intervention
Description
At baseline, 44 children (48.4%) had inadequate dietary-practice scores and 47 (51.6%) had moderate scores; none were classified as having adequate practice. At one-month follow-up, 2 children (2.2%) remained in the inadequate category, 40 (44.0%) were classified as moderate and 49 (53.8%) were classified as adequate. The Wilcoxon signed-rank test demonstrated a statistically significant pre–post difference (Z = −7.702, P < 0.001).
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Supplementary weblinks
Title
World Health Organization. Healthy diet. Geneva: WHO; 2026. WHO: Healthy diet
Description
A healthy diet throughout the life course plays a vital role in preventing all forms of malnutrition and reducing the risk of various noncommunicable diseases (NCDs) and related health conditions.
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