{
  "abstract": "Introduction\n\nThis mixed-methods case study evaluates Fueling Bright Futures, an integrated approach involving enhancing school gardens, improving the menu of canteen, and providing nutrition education in three public schools in Cavite, Philippines. The intervention addresses both undernutrition and overweight and obesity, tackling the double burden of malnutrition among Filipino schoolchildren.Methods\n\nThis mixed-methods study was conducted in three public elementary schools in Cavite, Philippines. Baseline and endline assessments (Apr 2024, Feb 2025) included canteen menu audits (per DepEd Order 13), garden inventories, and focus groups with staff and administrators. Effectiveness and scalability were evaluated using the Intervention Scalability Assessment Tool (ISAT) in participatory workshops with policymakers and stakeholders. Qualitative data from all sessions were coded and thematically analyzed via NVivo14 and mapped to ISAT domains.Results\n\nAll the schools made substantial gains in garden output, dietary diversity, and the nutritional quality of canteen offerings. The number of \"green\" menu items increased sharply (School A: 2-11 per week), whereas the number of \"red\" foods decreased substantially (School B: 10-2 per week; School C: 13-4). Canteen staff adjusted recipes to use more garden produce, although some packaged snacks persisted. Barriers included limited resources, irregular garden supplies, time constraints, and outside processed food vendors. Strong leadership and community participation elevated acceptability, but infrastructure and sustainability challenges persisted.Conclusions\n\nImproving and integrating school gardens, improved canteen menus, and staff training can enhance school food environments in resource-limited schools. Success requires strong leadership, partnerships, practical planning, and sustained resources. Ongoing investment and collaboration are critical to building nutrition-friendly school environments that support students' health and well-being.",
  "abstract_shown": true,
  "affiliations": [
    "Helen Keller Intl, New York, NY, USA. mhoang@hki.org.",
    "Helen Keller Intl, Manila, Philippines.",
    "International Institute of Rural Reconstruction, Cavite, Philippines.",
    "Helen Keller Intl, New York, NY, USA.",
    "Helen Keller Intl, Kathmandu, Nepal.",
    "Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 12,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Mai A Hoang",
      "orcid": "0009-0008-9979-6542"
    },
    {
      "affs": [
        1
      ],
      "name": "Patricia Isabel A Matienzo"
    },
    {
      "affs": [
        2
      ],
      "name": "Diana Jean Umali"
    },
    {
      "affs": [
        2
      ],
      "name": "Ma Shiela Anunciado"
    },
    {
      "affs": [
        3
      ],
      "name": "Lisa Littrell"
    },
    {
      "affs": [
        2
      ],
      "name": "Susan Del Rio"
    },
    {
      "affs": [
        4
      ],
      "name": "Aman Sen Gupta"
    },
    {
      "affs": [
        3
      ],
      "name": "Tom van Mourik"
    },
    {
      "affs": [
        5
      ],
      "name": "Lauren DeVol"
    },
    {
      "affs": [
        3,
        5
      ],
      "name": "Rolf Klemm"
    },
    {
      "affs": [
        2
      ],
      "name": "Emilita Monville-Oro"
    },
    {
      "affs": [
        1
      ],
      "name": "Dolly Reario"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/81r21z5tc319e.bib",
  "cited_by": 0,
  "doi": "10.1186/s12889-026-28430-w",
  "fulltext_url": "https://europepmc.org/articles/PMC13700392",
  "id": "81r21z5tc319e",
  "issns": [
    "1471-2458"
  ],
  "landing_url": "https://europepmc.org/article/MED/42928154",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3616|School Health and Nursing Education"
    ]
  ],
  "openalex": "W7171711955",
  "pdf_url": "https://europepmc.org/articles/PMC13700392?pdf=render",
  "pmcid": "PMC13700392",
  "pmid": "42928154",
  "published": "2026-07-29",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/81r21z5tc319e.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:20Z",
      "native_id": "MED:42928154",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42928154"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:1471-2458",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Fueling Bright Futures: a mixed-methods case study on integrating gardens, canteens, and nutrition training in philippine public schools.",
  "title_text": "Fueling Bright Futures: a mixed-methods case study on integrating gardens, canteens, and nutrition training in philippine public schools.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:20Z",
  "url": "https://research.draconitic.com/paper/81r21z5tc319e",
  "venue": "BMC public health",
  "versions": []
}