Effectiveness Of Selling Fruits In Pieces Or In Bulk In Improving Fruit Consumption Of High-school Students A Cluster Randomized Controlled Trial In Urban Setting Of Ethiopia

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Background: Diets high in fnlits and vegetables arc widely recommended for hcahhicr life.rnFruits have historically he ld a place in dietary guida nce because of their concentrations of dietaryrnfib er, vitamins, minerals, electrolytes; and morc recently phytochcmicals, especiallyrnantioxidants. However, fruit consumption in Ethiopia is very low. The barriers and enablersrnaffecting consumer behavior towards fruits consumption including price, preference, qual ity,rnsafety and access are largely undocumented; hence, maki ng it diffi cult to design effectiverninterventions that improve consumption of fruit s. For example, fnlils arc sold around somernschools, but the minimum amount that one can buy is half a ki logram, This may discouragernstudents from buying fru its as a snack and may contribute to the purchase of sweets and biscuitsrnthat arc more affordable to thcm.rnObjective: The objective of this study was to evaluatc whet her selling fmits in pieces improvesrnconsumption and volume of sale than the current practice of selling fruits in bulk (kilogram).rnMethodology: A cluster randomized contfolled trial was conducted from April through Junern20 19 in selected schools of Addis Ababa, Ethiopia. A double population proportion for clusterrnrandomized trial was employed to calcu late thc sample size. After adding 5% non-response rate,rnthe lolal smnple size was estimated to be 369. Data were collected on socio-demographicrninfomlation, fruit consumption pattem, vo lumc of sale per day and other variable that determinernfruit consumption pattem by usi ng semi structured and pre tested tool. EPI data version 4.2.0 wasrnused to code, enter and clean the collected data. Data WCfe analyzed usi ng SPSS version 20 andrnSAS version 9.4. Descriptive statistics were lIsed to describe variables in relation to thc outcome.rnMixed-effect linear regress ion was employed to see the impact of intcrvention. We lIsedrnunstructured variance matrix stnteture to estimate the parameters of the random intercept. Allrntests were two-sided and P

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Effectiveness Of Selling Fruits In Pieces Or In Bulk In Improving Fruit Consumption Of High-school Students A Cluster Randomized Controlled Trial In Urban Setting Of Ethiopia

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