{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T10:38:07Z","timestamp":1789468687386,"version":"build-2803163510"},"reference-count":61,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The School Breakfast Program (SBP) provides academic and nutritional benefits to U.S. children. In Utah, the Start Smart Utah policy requires schools with higher proportions of students from low\u2010income backgrounds to adopt alternative breakfast models. Research suggests policy adoption does not guarantee effective implementation. This study examined school stakeholders' perspectives on implementing Start Smart Utah.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This qualitative study recruited Utah school stakeholders (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200932) whose schools were required to implement an alternative breakfast model under Start Smart Utah. A semi\u2010structured interview guide explored implementation experiences and perceived support. Interviews were analyzed using reliability thematic analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five themes were constructed: (a) supporting students through school breakfast, (b) initial implementation: shifting strategies and support, (c) student participation in school breakfast, (d) tensions among quality, choice, and waste, and (e) recommendations for strengthening alternative breakfast models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>Findings show that clear communication, adequate resources, and stakeholder engagement are essential for policy success. Embedding funding, training, and feedback mechanisms can improve implementation and equity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SBPs remain vital to student well\u2010being and academic success. Start Smart Utah shows that expanding access through policy can yield benefits, but success depends on implementation realities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70215","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T14:26:11Z","timestamp":1787149571000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Policy to Practice: School Stakeholder Perspectives on Alternative Breakfast Implementation in Utah"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4669-3315","authenticated-orcid":false,"given":"Devin","family":"Killian","sequence":"first","affiliation":[{"name":"Department of Public Health Brigham Young University  Provo Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7139-1457","authenticated-orcid":false,"given":"J. Mitchell","family":"Vaterlaus","sequence":"additional","affiliation":[{"name":"Department of Health and Human Development Montana State University  Bozeman Montana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8233-6457","authenticated-orcid":false,"given":"Sophia","family":"Galleguillos","sequence":"additional","affiliation":[{"name":"Department of Public Health Brigham Young University  Provo Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6555-1538","authenticated-orcid":false,"given":"Haley","family":"Hoelzer","sequence":"additional","affiliation":[{"name":"Department of Public Health Brigham Young University  Provo Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0254-483X","authenticated-orcid":false,"given":"Lori Andersen","family":"Spruance","sequence":"additional","affiliation":[{"name":"Department of Public Health Brigham Young University  Provo Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"C.FitzSimonsandC.Hayes \u201cThe Reach of School Breakfast and Lunch During the 2022\u20132023 School Year. 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