ABSTRACT
Background: Poor dietary behaviors are risk factors for developing chronic diseases that plague public health. Purpose: This study sought to determine the differences in pre and post food label and food choice scores among first-year college students at the beginning and end of the semester. Case analyses were conducted to evaluate individualized changes. Methods: Students completed pre and post electronic surveys. Food label and food choice scores were computed. Reliability analysis was conducted for each computed score. Paired t tests were employed to compare the differences in scores at pre and post measure. Case analyses showed differences per individual student. Results: Paired t test revealed a statistically significant difference with an increase in food label–reading behavior (P = .000) and food choice behavior (P = .000). Case analyses showed that 27% of students practiced food label reading more frequently in at least one category above at post measure and 29% indicated choosing healthier food options more frequently. Discussion: College nutrition courses may improve college student food label reading skills and result in healthier food choices. Translation to Health Education Practice: Health Educators can work with higher education institutions to play a role in reducing disease risks by educating students and providing environmental supports for dietary improvement.