Healthier Children's Meals in Restaurants: An Exploratory Study to Inform Approaches That Are Acceptable Across Stakeholders

Stephanie Anzman-Frasca, Sara C. Folta, Meaghan E. Glenn, Anita Jones-Mueller, Vanessa M. Lynskey, Anjali A. Patel, Lisa L. Tse, Nanette V. Lopez

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


Objective Assess parents–, children's, and restaurant executives’ perspectives on children's meals in restaurants. Design Cross-sectional. Setting Parents and children completed predominantly quantitative surveys at 4 quick- and full-service restaurant locations. Telephone interviews were conducted with executives representing additional restaurants. Participants Parents (n = 59) and their first- through fourth-grade children (n = 58); executives (n = 4). Variables Measured Parent/child perspectives on child meal selection and toy incentives in restaurants; executives’ views on kids’ meals and barriers to supplying healthier kids’ meals. Analysis Frequencies, thematic analysis. Results A total of 63% of children ordered from children's menus, 8% of whom ordered healthier kids’ meals. Half of parents reported that children determined their own orders. Taste was the most common reason for children's meal choices. Most (76%) children reported visiting the restaurant previously; 64% of them placed their usual order. Parents’ views on toy incentives were mixed. Themes from executive interviews highlighted factors driving children's menu offerings, including children's habits and preferences and the need to use preexisting pantry items. Executives described menu changes as driven by profitability, consumer demand, regulation, and corporate social responsibility. Conclusions and Implications Findings can inform the development of restaurant interventions that are effective in promoting healthier eating and are acceptable to parents, children, and restaurant personnel.

Original languageEnglish (US)
Pages (from-to)285-295.e1
JournalJournal of Nutrition Education and Behavior
Issue number4
StatePublished - Apr 1 2017
Externally publishedYes


  • children
  • children's meals
  • nutrition
  • parents
  • restaurants

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics


Dive into the research topics of 'Healthier Children's Meals in Restaurants: An Exploratory Study to Inform Approaches That Are Acceptable Across Stakeholders'. Together they form a unique fingerprint.

Cite this