Digital Commons Network^™

Attribution As Architecture In The Digital Age, Laura A. Heymann

Faculty Publications

As technology changes, one thing remains constant: human creators seem to care about attribution, whether as creators or as audience members. Current U.S. law lacks the means for many creators to effectively address attributional interests, and experience has shown that top-down, imposed technological solutions can fail to gain the necessary buy-in and adoption. The best approach, examples suggest, is for platforms to think of attribution as part of the architecture of their systems, but to take their cues from user-developed, individualized solutions, which will not only be more responsive to user interests but also allow adaptation as interests change and …

Better Digital Contracts With Prosocial Friction-In-Design, Brett Frischmann, Moshe Y. Vardi

Faculty Publications

Contract law is supposed to enable people to reach genuine agreements and cooperate. If this ideal was ever a reality, the rise of mass market contracts and boil­erplate rendered it pure fiction. Modern consumer contracts are incomprehensible to most people. No one reads them anyway.

Digital contracting involves design features that amplify traditional boilerplate harms and create others. For example, digital contracting is too cheap; low marginal costs lead to overexpansion in scale and scope. To make matters worse, the loss of autonomy from repeat engagement with digital contracting systems is pernicious. People become increasingly predictable and programmable as digital …

Examining The Effects Of Firearm Lethality And Aggressors’ Intentions To Kill On Injurious Firearm Violence At American Schools: A Research Note, Brent R. Klein, Cory Schnell, Steven M. Chermak, Joshua D. Freilich

Faculty Publications

This study examined firearm lethality and aggressors’ lethal intent on injurious fatal and nonfatal school shootings using data from The American School Shooting Study, which covers 329 school shootings in the United States from 1990 to 2016. We developed a new multidimensional construct for measuring shooters’ determination to kill and examined firearm characteristics while considering confounding factors. We identified 11 distinct categories of shooters’ intent, with most showing a strong desire to kill. Both intent and weapon lethality significantly impacted school shooting homicides. Overall, we recommend that prevention and theoretical models should address both factors.

Impression Motivations And Mental Health In Collegiate Athletes And Musicians: The Benefits Of Promoting Virtues, Mary L. Inman, Olufemi A. Oluyedun, Erin Moran, Brendyn Mroz, Madison Mccreery

Faculty Publications

This study identifies two key impression-management motivations that arise in public settings: promoting virtues and preventing harm to one’s image. We explored their impact on mental health—specifically, socially-based perfectionism and depressive symptoms. Drawing from regulatory-focus theory, we predicted promotion motivations would predict strong mental health, prevention motivations would predict poor mental health, and promotion motivations would buffer against the negative effects of prevention motivations. Collegiate athletes and musicians (N = 262) completed validated measures of impression motivation, perfectionism, and depressive symptoms. Results revealed that athletes reported lower levels of perfectionism and depressive symptoms than did musicians. Across both groups, …

Out Of The Vacuum: The Effect Of Tax Liability Changes On Compliance In The Presence Of Withholding Position And Group Affiliation, Chelsea Rae Austin, Donna Bobek Schmitt, Spenser G. Seifert

Faculty Publications

Prior research has established that tax liability increases lead to decreased compliance. However, tax liability changes do not happen in a vacuum. Notably, prior research has also identified a withholding phenomenon: individuals in a tax due position are less compliant than those in a refund position. Additionally, tax law changes are often enacted in politically polarized environments. We examine how three factors—tax liability changes, withholding position, and group affiliation—combine to influence individuals' tax compliance decisions. Our experimental results show that a tax increase is universally experienced as a loss, even when coupled with a tax refund and enacted by an …

Dsm-5 Based Algorithms For The Autism Diagnostic Interview-Revised For Children Ages 4–17 Years, Linnea A. Lampinen, Shuting Zheng, Lindsay Olson, Vanessa H. Bal, Audrey E. Thurm, Amy N. Esler, Stephen M. Kanne, So Hyun Kim, Catherine Lord, China Pareneau, Kerri P. Nowell, Jane E. Roberts, Nicole Takahashi, Somer L. Bishop

Faculty Publications

Background: The Autism Diagnostic Interview, Revised (ADI-R) is a caregiver interview that is widely used as part ofthe diagnostic assessment for Autism Spectrum Disorder (ASD). Few large-scale studies have reported the sensitivityand specificity of the ADI-R algorithms, which are based on DSM-IV Autistic Disorder criteria. Kim and Lord (Journalof Autism and Developmental Disorders, 2012, 42, 82) developed revised DSM-5-based toddler algorithms, which areonly applicable to children under 4 years. The current study developed DSM-5-based algorithms for children ages4–17 years and examined their performance compared to clinical diagnosis and to the original DSM-IV-basedalgorithms. Methods: Participants included 2,905 cases (2,144 ASD, 761 …

The Efficacy And Usability Of Motivational Interviewing Just-In-Time Trainings For Youth Mentors, Mackenzie J. Hart, Samuel Mcquillin, Aidyn Iachini, Daniel K. Cooper, Mark D. Weist

Faculty Publications

Using youth mentors to deliver evidence-based psychosocial services has been proposed to increase the reach of treatments, in part given the affordability and ubiquity of mentors in youth settings. Further, tests of mentor-delivered motivational interviewing (MI) have shown increases in youth mentees' academic performance and wellbeing. Yet, traditional methods of training mentors to use MI can be costly and time-consuming. Previous work has suggested the value of asynchronous, brief, just-in-time training (JITT) to help offset these challenges; however, MI JITT for mentors has not yet been formally evaluated. As such, here, we report on a preliminary study of MI JITT …

Preventing Suicidal Thoughts And Behaviors Among Youth: Integrative Data Analysis Of Crossover Impacts Of The Coping Power Preventive Intervention, Heather Mcdaniel, Alexa C. Budavari, Alexandra Tonigan, Ava E. Michael, Stephen G. West, Nisha Gottfredson O'Shea, Nicole P. Powell, Lixin Qu, Lissette M. Saavedra, Anna Yaros, Catherine P. Bradshaw, John E. Lochman, Antonio A. Morgan-López

Faculty Publications

Objective

Method

Sleep Quality, Emotional Moods, And Cognitive Outcomes Among People Living With Hiv: An Ecological Momentary Assessment Study, Shan Qiao Ph.D., Abhishek Aggarwal, Camryn Garrett, Arielle N’Diaye, Atena Pasha, Irene Esu, Chih Hsiang Yang Ph.D., Xiaoming Li Ph.D.

Faculty Publications

Introduction Although studies have explored the relationship between sleep quality, mood, and cognitive outcomes among people living with HIV (PLWH), few use ecological momentary assessment (EMA) techniques to evaluate within-person associations between sleep quality and emotional/cognitive outcomes among PLWH at the day level. This study investigated the association between previous night’s sleep quality and momentary psychological outcomes in participants’ natural setting. Methods Study participants were PLWH in South Carolina who were at least 18 years old, diagnosed with HIV for at least 2 years, and able to operate a cellphone. Participants were sampled using posters posted in AIDS Service organizations, …

I Do, And I Will: Effectual Religiosity May Strengthen The Triad Chord Of Commitment For Women Of Faith, Tamara M. Chamberlain, Loren Marks, David C. Dollahite, Ashley Lebaron-Black, Elizabeth Kay Madsen, Christina N. Cooper

Faculty Publications

Although religiosity is commonly linked to marital satisfaction in sociological research, few studies have examined how it strengthens marital commitment among women of faith. This study explored the perspectives of religious, heterosexual married women using interviews in the United States from 196 highly religious couples with successful marriages. Three core themes emerged: (1) personal commitment—including the decision to marry, religious beliefs and practices, and the need for effort and sacrifice; (2) moral commitment—highlighting sexual relations before marriage, promises made before God, family, and friends, and views on fidelity and divorce; and (3) structural commitment— emphasizing the role of a religious …

Development Of Respiratory Sinus Arrhythmia In Young Infants With Autism Spectrum Disorder, Preterm Birth, And Typical Development, Jessica Bradshaw, John E. Richards, Julia Yurkovic-Harding, Eilis Mclaughlin

Faculty Publications

Respiratory sinus arrhythmia (RSA) is a key index of parasympathetic function and environmental adaptability. Lower resting RSA has been linked to preterm (PT) birth in infancy and autism spectrum disorder (ASD) in childhood, yet RSA across the first 2 years in young infants born PT or later diagnosed with ASD remains unknown. This study examined resting RSA and mean interbeat interval (IBI) development from 1 to 24 months in infants at varying ASD likelihoods, including infant siblings of children with ASD and those born PT. A longitudinal design tracked resting RSA and mean IBI in 137 infants from 1 to …

Tort Liability For Failure To Age Gate: A Promising Regulatory Response To Digital Public Health Hazards, Matthew B. Lawrence, Brett Frischmann, Avi Sholkoff

Faculty Publications

Tort liability for failure to “age gate” is a promising legal response to the public health hazards of AI, social media, sports gambling, and other digital spaces. Tort liability for failure to “age gate” hinges liability for harms to minors on an app’s failure to take reasonable steps to prevent minors from gaining access or otherwise to apply appropriate governance rules, such as privacy-protective default settings or ensuring genuine parental consent. While no one legal response is a panacea, tort liability for failure to age gate carries several distinctive advantages that make it a particularly promising option at this stage …

Menopause-Related Changes In Sleep And The Associations With Cardiometabolic Health: A Narrative Review, Joshua R. Sparks, Xuewen Wang Ph.D., Faha

Faculty Publications

This narrative review examines the complex relationship between sleep changes during the menopausal transition and cardiometabolic risks. The most common complaint about sleep is increased awakenings during sleep. Other complaints include having trouble falling asleep, waking up too early, insufficient and non-restorative sleep, and overall poor quality. Sleep determined using objective methods also indicates that greater awakenings after sleep onset are associated with the period of menopausal transition. Polysomnography recordings suggest physiological hyperarousal during sleep. Changes in other sleep metrics, such as sleep latency and sleep duration, are less consistent, and some studies suggest they may not worsen during the …

“I Feel Like A Lot Of Times Women Are The Ones Who Are Problem-Solving For All The People That They Know”: The Gendered Impacts Of The Pandemic On Women In Alaska, Marya Rozanova-Smith, Andrey N. Petrov

Faculty Publications

The impacts of the COVID-19 pandemic and post-pandemic recovery in urban communities in the Arctic have been substantial, but their gendered aspects remain largely unknown. The goal of this study was to enhance the understanding of the gender-based impact on women in the urban areas of Alaska by exploring strengths and constraints to resilience in the social and economic domains of gender equality during and in the aftermath of the COVID-19 pandemic. Drawing on grounded theory methodology, this study is based on 29 in-depth, semi-structured interviews. The study methodology utilized a conceptual framework that integrated deficit-based and strength-based analytical perspectives. …

Little Cigar And Cigarillo Graphic Health Warnings And Quitting Behaviors A Randomized Clinical Trial, Adam O. Goldstein, Kristen L. Jarman, Leah M. Ranney, Jennifer Cornacchione Ross, Sarah D. Kowitt, Chineme Enyioha, Sonia A. Clark, Paschal Sheeran, James F. Thrasher Ph.D., Ma, Ms, Desmond Jenson, Nadja A. Vielot

Faculty Publications

IMPORTANCE Although little cigars and cigarillos (LCCs) are common combustible tobacco products, the effects of LCC warning labels on behavioral outcomes remain untested.

OBJECTIVE To evaluate the effects of LCC graphic health warnings (GHWs) on promoting LCC quitting intentions and behaviors.

DESIGN, SETTING, AND PARTICIPANTS This randomized clinical trial included 1029 adult LCC users from a Qualtrics online panel who were randomized to (1) LCC GHWs (n = 339), (2) existing US Food and Drug Administration (FDA) text-only warnings (n = 346), or (3) no stimulus control (n = 344). Participants accessed messages via email from May 1 to August …

Changes In Mental Health Care Utilisation Before And During The Covid-19 Pandemic Among People Living With Hiv In The Usa: A Retrospective Cohort Study Using The All Of Us Dataset, Atena Pasha, Shan Qiao, Jiajia Zhang Ph.D., Ruilie Cai, Buwei He, Xueying Yang, Chen Liang Ph.D., Sharon Weissman, Xiaoming Li Ph.D.

Faculty Publications

Introduction Despite the profound impact of the COVID-19 pandemic on people living with HIV (PLWH) mental health, large-scale, real-world data on mental healthcare utilisation and associated factors among PLWH remain limited. This study explores mental healthcare utilisation and associated factors among PLWH during the COVID-19 pandemic.

Methods Using a retrospective cohort design, we identified and included 4575 PLWH through computational phenotyping based on relevant Observational Medical Outcomes Partnership Common Data Model concept sets from the All of Us programme between March 2018 and March 2022. Mental healthcare utilisation was measured using the yearly count of mental healthcare visits and compared …

Sex-Related Measurement Bias In Autism Spectrum Disorder Symptoms In The Baby Siblings Research Consortium, Catherine A. Burrows, Sooyeon Sung, Shuting Zheng, Greg S. Young, Tony Charman, Cherly Klaiman, Ami Klin, Natasha Marrus, Sally Ozonoff, Joseph Piven, Diana L. Robins, Rebecca J. Schmidt, A. J. Schwichtenberg, Sara Jane Webb, Lonnie Zwaigenbaum, Leslie J. Carver, Katarzyna Chawarska, Suzanne Curtin, Shafali S. Jeste, Jana M. Iverson, Jane E. Roberts

Faculty Publications

Importance Disparities exist in age of diagnosis and prevalence of autism spectrum disorder (ASD) for female compared with male children. Correcting for sources of bias is critical for improving equitable ASD identification.

Objective To determine whether sex differences exist in measurement of ASD symptoms using the Autism Diagnostic Observation Schedule (ADOS) among young children at high familial likelihood (HFL) and low familial likelihood (LFL) of ASD.

Design, Setting, and Participants This cohort study collected longitudinal, prospective data from the Baby Siblings Research Consortium between January 1, 2003, and December 31, 2021. Participants included 3106 children who had an older sibling …

Sex-Related Measurement Bias In Autism Spectrum Disorder Symptoms In The Baby Siblings Research Consortium, Catherine A. Burrows, Sooyeon Sung, Shuting Zheng, Tony Charman, Cheryl Klaiman, Ami Klin, Natasha Marrus, Sally Ozonof, Joseph Piven, Diana L. Robins, Rebecca J. Schmidt, A. J. Schwichtenberg, Sara Jane Webb, Lonnie Zwaigenbaum, Leslie J. Carver, Katarzyna Chawarska, Suzanne Curtin, Shafali S. Jeste, Jana M. Iverson, Rebecca J. Landa, Daniel S. Messinger, Jane E. Roberts, Wendy L. Stone, Helen Tager-Flusberg, Amy N. Esler, Meghan Miller, Somer L. Bishop, Jed T. Elison

Faculty Publications

IMPORTANCE Disparities exist in age of diagnosis and prevalence of autism spectrum disorder (ASD) for female compared with male children. Correcting for sources of bias is critical for improving equitable ASD identification. OBJECTIVE To determine whether sex differences exist in measurement of ASD symptoms using the Autism Diagnostic Observation Schedule (ADOS) among young children at high familial likelihood (HFL) and low familial likelihood (LFL) of ASD. DESIGN, SETTING, AND PARTICIPANTS This cohort study collected longitudinal, prospective data from the Baby Siblings Research Consortium between January 1, 2003, and December 31, 2021. Participants included 3106 children who had an older sibling …

Proactive Planning For Contextual Fit: The Role Of The Implementation Premortem, Guillermo M. Wippold, Kaylyn A. Garcia, Ariel Domlyn, Dylan Wong, Maria E. Fernandez

Faculty Publications

Background

Implementation failure is a major barrier to program success. It is widely acknowledged that context matters—individual, community, and organizational norms, values, environment, and priorities influence successful program implementation. A mismatch between how the program was intended to be delivered and the constraints of the context in which it was delivered is a major cause of implementation failure. The barriers to implementation are usually understood after a program has failed. Although there are tools that can help accommodate for, or overcome, contextually-driven sources of implementation failure, there remains a significant gap – a tool and structured approach to analyze data …

Examining The Effects Of Firearm Lethality And Aggressors’ Intentions To Kill On Injurious Firearm Violence At American Schools: A Research Note, Brent R. Klein, Cory Schnell, Steven M. Chermak, Joshua D. Freilich

Faculty Publications

This study examined firearm lethality and aggressors’ lethal intent on injurious fatal and nonfatal school shootings using data from The American School Shooting Study, which covers 329 school shootings in the United States from 1990 to 2016. We developed a new multidimensional construct for measuring shooters’ determination to kill and examined firearm characteristics while considering confounding factors. We identified 11 distinct categories of shooters’ intent, with most showing a strong desire to kill. Both intent and weapon lethality significantly impacted school shooting homicides. Overall, we recommend that prevention and theoretical models should address both factors.

Coding Manual: Analyzing Semistructured Interview Data For Master Narratives, Jayson Seaman, Cindy Hartman, Andrew D. Coppens

Faculty Publications

This coding manual accompanies a methodological reorientation in narrative identity research, one that challenges the field’s prevailing “protagonist bias” — the assumption that first-person autobiographical accounts are the primary or most valid source for identifying cultural master narratives as psychological resources. While much psychological research has centered on how individuals narrate their own lives, this approach can obscure the ways that broader cultural narratives are circulated, reinforced, and contested through discourse beyond the self. This method provides researchers with a systematic approach for identifying how master narratives operate across multiple narrative levels, often outside of biographical storytelling.

The Silent Grief Of Grandmothers After An Out-Of-Order Death—An Interpretative Phenomenological Analysis, Jordan Robertson, Elizabeth Cutrer, Paul Caldarella, Jeremy B. Yorgason, Terrell Young, Erjola Gjini, Sarah Stuart, Savannah Tueller

Faculty Publications

This study delves into the lived experiences of grandmothers grappling with grief following the “out-of-order” death of a child, child-in-law, or grandchild, using an Interpretative Phenomenological Analysis grounded in the Dual Process Model-Revised. With 70% of U.S. adults over 65 being grandparents, the research highlights their often-invisible role as both grievers and caregivers amid family loss. Findings reveal three key themes: navigating personal grief, intergenerational support dynamics, and reconstructing family identity. Grandmothers oscillate between loss-oriented and restoration-oriented coping, with grief intensity varying by relational proximity—most profound when losing their own child. They provide emotional and practical support to surviving grandchildren, …

Direct And Indirect Associations Of Childhood Adversities With Functional Impairment And Life Stress Among Military Personnel, Laura Campbell-Sills, Emily R. Edwards, Sam D. Strizver, Karmel W. Choi, Jason D. Kautz, Santiago Papini, James A. Naifeh, Pablo A. Aliaga, Paul B. Lester, Ronald C. Kessler, Robert J. Ursano, Murray B. Stein, Paul D. Biese

Faculty Publications

Background

Adverse childhood experiences (ACEs) are associated with physical and mental health difficulties in adulthood. This study examines the associations of ACEs with functional impairment and life stress among military personnel, a population disproportionately affected by ACEs. We also evaluate the extent to which the associations of ACEs with functional outcomes are mediated through internalizing and externalizing disorders.

Methods

The sample included 4,666 STARRS Longitudinal Study (STARRS-LS) participants who provided information about ACEs upon enlistment in the US Army (2011–2012). Mental disorders were assessed in wave 1 (LS1; 2016–2018), and functional impairment and life stress were evaluated in wave 2 …

Collection Of Instructional Slides From Molten Salt Electrochemistry Symposium (Moses), Devin Rappleye, Carlos Mejia

Faculty Publications

During the Molten Salt Electrochemistry Symposium (MoSES) on July 30-31, 2025, interactive instruction was given to the attendees including live demonstrations. These slides contain the introductory instructions given for each learning module at MoSES 2025. Please visit https://pyro.byu.edu/moses for more information.

Resilience Mediates The Association Between Discrimination And Psychological Distress Among Rural, Black Women In South Carolina: A Structural Equation Model, Camryn Garrett, Abhisheak Aggrawal, Huiyi Xia, Cheuk Chi Tam, Bankole Olatosi Ph.D., Sarah Wilcox Phd, Xiaoming Li Ph.D., Shan Qiao Ph.D.

Faculty Publications

Introduction

The marginalization of intersecting racial, gender, and rural identities compounds the structural vulnerabilities (e.g., discrimination, stigma, health disparities) experienced by Black women in South Carolina’s rural areas. Discriminatory experiences can deteriorate mental health; however, resilience can potentially reduce the ill effects of discrimination by decreasing associated psychological distress. This study examines the mediating role of resilience in the association between discrimination and psychological distress among rural, Black women in South Carolina in the post-pandemic era.

Methods

Black women (n = 300, mean age = 48.6) living in rural South Carolina were recruited from January to February 2024 using …

Exploring Socio-Psychological Drivers And Pathways Of Sustainable Fashion Consumption, Jiyeon Kim Ph.D., Md. Rafiqul Islam Rana M.S.,Ph.D

Faculty Publications

This study explores social and psychological factors influencing the intention to purchase sustainable fashion products. Integrating self-congruity theory, self-completion theory, and Theory of Planned Behaviour, this study proposed a dual-path model of socio-psychological variables essential for shaping consumer attitudes towards sustainable consumption and subsequent purchase intention. Additionally, the moderating role of sustainable brand awareness in the link between attitude and intention and the effect of affordability on purchase intentions were tested. Data were collected from 278 US fashion consumers through an online survey, and PLS-SEM was used for the analyses. Results show that self-identity drives self-expressive benefits, while environmental awareness …

The Relationship Between Hand Grip Strength And Cognitive Function In Middle-Aged And Elderly People In China: A Cross-Sectional Analysis Based On Charls Data, Haiwei Li, Jing Zhang, Peipei Cheng, Liwei Guo, Xuemei Sui M.D., M.P.H., Ph.D.

Faculty Publications

This study explores the relationship between hand grip strength (HGS) and cognitive function in China’s middle-aged and elderly population. We employed a cross-sectional design using data from 4535 participants aged ≥ 45 years from the 2015 China Health and Retirement Longitudinal Study national dataset. The relationships between HGS and various dimensions of cognitive function, as well as the association between HGS and cognitive impairment, were investigated using ordinary least squares regression models and logistic regression models. Dose–response relationships between HGS and cognitive impairment were modeled using restricted cubic spline curves. Subgroup and sensitivity analyses were performed to assess the robustness …

A Caffeine And Theacrine Combination Improves Cognitive Performance In Tactical Personnel Under Physically Fatiguing Conditions, Blaine S. Lints, Adam T. Harrison, Sten O. Stray-Gundersen, Gianna F. Mastrofini, Riccardo F. Romersi, Noah K. Nakagawa, Mackenzie B. Yonder, Chimaobim E. Martin-Diala, Alexa J. Chandler, R. Davis Moore, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak

Faculty Publications

Background

Optimizing human performance under stressful physical and cognitive conditions is paramount during high-stakes military operations. As such, interventions to improve warfighter performance by mitigating task-induced cognitive performance deficits are necessary. While caffeine is the most widely consumed psychoactive substance in the world, common side effects (i.e. anxiousness, micro-saccades, irritability) may be detrimental to warfighter operations. Theacrine, a purine alkaloid similar in structure to caffeine but with a longer half-life, less habituation, and fewer side effects, is proposed as a caffeine-alternative to enhance cognitive resilience.

Methods

Tactically trained participants (n = 20; F = 5; M = 16; age …

Effects Of Elicitation Method On Functionally Relevant Item Selection In Spanish And English Monolinguals And Bilinguals, Dallin J. Bailey, Esther Barahona Wilkes

Faculty Publications

Purpose: One important decision speech language pathologists make when planning anomia treatment is the identification and selection of the specific vocabulary items to target during therapy. However, this process is not entirely straightforward. Although ‘functional relevance’ has high face validity for the identification of target items, interpretations differ, which may impact which words are selected for therapy. As such, target item selection methods vary, with resulting items impacted by the specific method used. There are also many person-level variables that may impact the functional relevance of specific items, such as the heritage language of the patient or their bilingualism status. …

Differences In Children’S Food And Beverage Consumption Between School And Summer: Three-Year Findings From The What’S Up (Undermining Prevention) With Summer Observational Cohort Study, Michael Beets Med, Mph, Phd, Sarah Burkart, Christopher D. Pfledderer, Elizabeth L. Adams Phd, Robert Weaver Med, Phd, Bridget Armstrong, Keith Brazendale, Xuanxuan Zhu, Alexander Mclain, Gabrielle Turner-Mcgrievy Ph.D., Rd, Russell R. Pate, Andrew T. Kaczynski, Amanda Fairchild, Brian Saelens, Hannah Parker, Amy L. Yaroch, Emily Eglitis, Anthony J. Holmes

Faculty Publications

Background

Summer vacation is a time when youth gain excessive weight. A key driver of unhealthy weight gain is poor dietary quality. The absence of consistent structure (e.g., school), is hypothesized to be one of the reasons for lower diet quality during summer. This study examined differences in school and summer dietary quality among a diverse cohort of children across three years. We also examined the impact of attending structured programs on children’s diets.

Methods

Parents of 1,032 children (age 5–14 years, 48% girls) completed a time use diary each day for 14-days during school (April/May) and again in summer …