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Glick AA, Winham DM, Heer MM, Shelley MC, Hutchins AM. Health Belief Model Predicts Likelihood of Eating Nutrient-Rich Foods among U.S. Adults. Nutrients 2024; 16:2335. [PMID: 39064780 PMCID: PMC11279385 DOI: 10.3390/nu16142335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2024] [Revised: 07/06/2024] [Accepted: 07/09/2024] [Indexed: 07/28/2024] Open
Abstract
Despite decades of messaging, most Americans still consume excess fats and sugars, but inadequate fiber, potassium, and calcium. Nutrient-rich foods (NRFs) have a high density of favorable nutrients related to calories. Choosing NRFs could lower risk of nutrition-related chronic diseases and aid in their control. We hypothesized that having greater knowledge of NRFs, the presence of a nutrition-related chronic disease or risk factor, and positive Health Belief Model (HBM) views would be predictive of the likelihood of eating NRFs. Through a national online survey panel, 976 adults aged 18-80 completed demographic, health, NRF knowledge, attitudes, and HBM construct questions. Participants were 77% White, 52% women, and 55% had a nutrition-related disease or risk factor. Multivariable HBM scales were generated by theory, principal components, and reliability analysis. NRF knowledge was significantly higher for women, Whites, households without children, and persons without a nutrition-related disease (all p ≤ 0.015). 'Likelihood of eating NRFs' was significantly higher for persons with a nutrition-related disease, Whites, married participants, main food shoppers, and households with children (all p ≤ 0.022). Regressing demographic and HBM constructs on the 'likelihood of eating NRFs' resulted in R2 of 0.435. Nutrition-related disease and HBM constructs of self-efficacy, perceived benefits, and cues to action were predictive of the likelihood of eating NRFs, but higher NRF knowledge was negatively associated.
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Affiliation(s)
- Abigail A. Glick
- Department of Food Science & Human Nutrition, Iowa State University, Ames, IA 50011, USA; (A.A.G.); (M.M.H.)
| | - Donna M. Winham
- Department of Food Science & Human Nutrition, Iowa State University, Ames, IA 50011, USA; (A.A.G.); (M.M.H.)
| | - Michelle M. Heer
- Department of Food Science & Human Nutrition, Iowa State University, Ames, IA 50011, USA; (A.A.G.); (M.M.H.)
| | - Mack C. Shelley
- Departments of Political Science and Statistics, Iowa State University, Ames, IA 50011, USA;
| | - Andrea M. Hutchins
- Department of Human Physiology & Nutrition, University of Colorado Colorado Springs, Colorado Springs, CO 80918, USA;
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Turner A, Flood VM, LaMonica HM. Older adults' needs and preferences for a nutrition education digital health solution: A participatory design study. Health Expect 2024; 27:e13923. [PMID: 38014900 PMCID: PMC10734207 DOI: 10.1111/hex.13923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 11/15/2023] [Accepted: 11/16/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND The global population is ageing rapidly and there is a need for strategies to promote health and wellbeing among older adults. Nutrition knowledge is a key predictor of dietary intake; therefore, effective educational programmes are urgently required to rectify poor dietary patterns. Digital health technologies provide a viable option for delivering nutrition education that is cost-effective and widely accessible. However, few technologies have been developed to meet the unique needs and preferences of older adults. OBJECTIVE The aim of this study was to explore technology use among older adults and qualitatively determine the content needs and design preferences for an online nutrition education resource tailored to older adult consumers in Australia. METHODS Twenty adult participants aged 55 years and older (95% female) participated in one of four 2-h participatory design workshops. In each workshop, prompted discussion questions were used to explore participants' technology use and preferences and to explore content needs and design preferences for an online nutrition education resource specific to older adults. RESULTS All participants were regularly using a range of different devices (e.g., smartphones, tablets and computers) and reported being comfortable doing so. Participants wanted a website that provided general nutrition information, practical advice and recipes. To enhance engagement, they sought a personalised resource that could be adjusted to suit their needs, included up-to-date information and allowed for easy sharing with others by exporting information as a PDF. CONCLUSIONS Participatory design methods generate new knowledge for designing and tailoring digital health technologies to be appropriate and useful for the target audience. Specifically, older adults seek an online resource that has large and simple fonts with clear categories, providing them with practical advice and general nutrition information that can be personalised to suit their own needs and health concerns, with the option to export and print information into a paper-based format. PATIENT OR PUBLIC CONTRIBUTION Older adults actively participated in the development and evaluation process to generate ideas about potential features, functionalities, uses and practicalities of an online nutrition education resource.
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Affiliation(s)
- Ashlee Turner
- Sydney School of Health Sciences, Faculty of Medicine and HealthThe University of SydneySydneyNew South WalesAustralia
| | - Victoria M. Flood
- Sydney School of Health Sciences, Faculty of Medicine and HealthThe University of SydneySydneyNew South WalesAustralia
- University Centre for Rural Health (Northern Rivers), Faculty of Medicine and HealthThe University of SydneyLismoreNew South WalesAustralia
| | - Haley M. LaMonica
- Translational Research Collective, Faculty of Medicine and HealthThe University of SydneySydneyNew South WalesAustralia
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Ramuscak AV, Duncan AM, Ma DWL, Haines J. Parents' knowledge of the 2019 Canada's Food Guide recommendations. Appl Physiol Nutr Metab 2023; 48:1015-1018. [PMID: 37712552 DOI: 10.1139/apnm-2023-0159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/16/2023]
Abstract
Little is known about Canadians' knowledge of the 2019 Canada's Food Guide (CFG) recommendations. Using cross-sectional survey data from the Guelph Family Health Study, our brief communication aimed to explore parents' knowledge of the 2019 CFG recommendations through descriptive statistics and content analysis. Among a sample of 122 parents, we found that parents had a general understanding of the 2019 CFG's recommendations but poor knowledge of specific details of the recommendations, such as the names of the three food groups and which foods contain unhealthy fats.
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Affiliation(s)
- Alyssa V Ramuscak
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Alison M Duncan
- Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - David W L Ma
- Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Jess Haines
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada
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Conti MV, Gnesi M, Zelaschi N, Yaghi K, Ghazi L, Cena H. A new methodology to structure a nutrition educational course: the results of a short-term educational-intervention pilot study. J Nutr Sci 2023; 12:e70. [PMID: 37457676 PMCID: PMC10345778 DOI: 10.1017/jns.2023.55] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 05/09/2023] [Accepted: 06/08/2023] [Indexed: 07/18/2023] Open
Abstract
The incidence of malnutrition in developing countries, such as Kenya, is still high. The most recent international reports outline an increase in the prevalence of overnutrition in Sub-Saharan Africa, where undernutrition and hidden hunger conditions still represent an emergency. Among the factors influencing malnutrition conditions connected to dietary intake and eating habits, evidence shows the importance of food knowledge. Traditionally, in developing countries, women represent the pillar of the food system and impact their children's nutrition: food-based, women-centred strategies are recommended to address nutrient gaps, educate and empower women, and counteract malnutrition. The short communication presents the results of the ACTION project: an educational-intervention pilot study targeting childbearing-age women living in rural areas of Southern Kenya. To evaluate the feasibility of the educational course built, the authors administered to the women a food knowledge questionnaire, before and after the intervention. Study results describe an increase in women's food knowledge after attending the food education course. This encourages to increase education courses which can represent a starting point in improving food habits with a positive effect on the health condition in developing counties too.
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Affiliation(s)
- Maria Vittoria Conti
- Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Via Bassi 21, 27100 Pavia, Italy
| | - Marco Gnesi
- Section of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy
| | - Noemi Zelaschi
- Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Via Bassi 21, 27100 Pavia, Italy
| | - Kassandra Yaghi
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, P.O. Box 11-5020 Riad El Solh, Beirut 11072809, Lebanon
| | - Layal Ghazi
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, P.O. Box 11-5020 Riad El Solh, Beirut 11072809, Lebanon
| | - Hellas Cena
- Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Via Bassi 21, 27100 Pavia, Italy
- Clinical Nutrition and Dietetics Service, Unit of Internal Medicine and Endocrinology, ICS Maugeri IRCCS, 27100 Pavia, Italy
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Papežová K, Kapounová Z, Zelenková V, Riad A. Nutritional Health Knowledge and Literacy among Pregnant Women in the Czech Republic: Analytical Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3931. [PMID: 36900942 PMCID: PMC10001919 DOI: 10.3390/ijerph20053931] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 02/18/2023] [Accepted: 02/20/2023] [Indexed: 06/18/2023]
Abstract
Adequate nutrition and the nutritional status of pregnant women are critical for the health of both the mother and the developing foetus. Research has shown a significant impact of nutrition on the child's health and the future risk of developing chronic noncommunicable diseases (NCDs), such as obesity, diabetes, hypertension, and cardiovascular disease. There is currently no data on the level of nutritional knowledge of Czech pregnant women. This survey aimed to evaluate their level of nutritional knowledge and literacy. An analytical cross-sectional study was conducted in two healthcare facilities in Prague and Pilsen between April and June 2022. An anonymous self-administered paper-form questionnaire for assessing the level of nutritional knowledge (40 items) and the Likert scale for assessing nutrition literacy (5 items) were used. A total number of 401 women completed the questionnaire. An individual's nutritional knowledge score was calculated and compared with demographic and anamnestic characteristics using statistical methods. The results showed that only 5% of women achieved an overall nutritional score of 80% or more. University education (p < 0.001), living in the capital city (p < 0.001), experiencing first pregnancy (p = 0.041), having normal weight and being overweight (p = 0.024), and having NCDs (p = 0.044) were statistically significantly associated with a higher nutritional knowledge score. The lowest knowledge scores were found in the areas of optimal energy intake, optimal weight gain, and the role of micronutrients in diet during pregnancy. In conclusion, the study shows limited nutrition knowledge of Czech pregnant women in some areas of nutrition. Increasing nutritional knowledge and nutrition literacy in Czech pregnant women is crucial for supporting their optimal course of pregnancy and the future health of their offspring.
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Affiliation(s)
- Klára Papežová
- Department of Public Health, Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic
- Department of Social Medicine, Department of Social and Assesment Medicine, Charles University, 323 00 Pilsen, Czech Republic
| | - Zlata Kapounová
- Department of Public Health, Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic
| | - Veronika Zelenková
- Department of Public Health, Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic
| | - Abanoub Riad
- Department of Public Health, Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic
- Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech EBHC: JBI Centre of Excellence, Masaryk University GRADE Centre), Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic
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Lwin MO, Malik S, Ng JS, Kang VBT. Intergenerational Hypertension Prevention Education for Children and Family Members: A Longitudinal Assessment. High Blood Press Cardiovasc Prev 2023; 30:135-143. [PMID: 36752984 DOI: 10.1007/s40292-023-00561-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 01/09/2023] [Indexed: 02/09/2023] Open
Abstract
INTRODUCTION Many adults are unaware of hypertension risks. Fortunately, hypertension is preventable with lifestyle modifications and regular blood pressure (BP) monitoring. Through reverse socialization (RS), children, acting as information agents, can potentially influence adults' long-term health behaviours. AIM This study aimed to assess the longitudinal effects of a RS-based intervention, with and without experiential component of performing home BP measurement, in enhancing hypertension awareness and motivating regular BP measurement among children and their adult family members (AFMs). METHODS The intervention involves educating grade five children about hypertension and asking them to share this information with AFMs either using only information brochures (non-experiential intervention) or complemented with performing home BP measurement (experiential intervention). Hypertension knowledge and coping appraisals to perform regular BP measurement were assessed before, immediately post-program, and three-months post-program. RESULTS Children's (n = 514) BP knowledge and confidence in sharing BP knowledge improved post-intervention and sustained longitudinally, but the effect was more pronounced among those in the experiential intervention. AFMs' (n = 251) self-efficacy to perform regular BP measurement and intention to prevent hypertension improved only for those in the experiential intervention. Improvement was sustained for self-efficacy only. AFMs' response cost reduced long-term for both intervention types. However, AFMs' hypertension knowledge and response efficacy were unchanged. CONCLUSIONS Even one-off short RS-based interventions with children can be sufficient to increase hypertension awareness for AFMs. An experiential component in similar family-targeted RS programs can capitalize on improvements in self-efficacy and intention to effect sustained behaviour change in hypertension preventive behaviours.
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Affiliation(s)
- May Oo Lwin
- Nanyang Technological University, Singapore, Singapore
| | - Shelly Malik
- Nanyang Technological University, Singapore, Singapore.
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The Effect of Educational Intervention Based on Theory of Planned Behavior Approach on Complementary Feeding: A Randomized Controlled Trial. Int J Pediatr 2023; 2023:1086919. [PMID: 36712578 PMCID: PMC9876695 DOI: 10.1155/2023/1086919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 10/19/2022] [Accepted: 12/16/2022] [Indexed: 01/19/2023] Open
Abstract
Complementary feeding should be given to infants at 6 months in addition to breastmilk. Mothers' knowledge and behavior in giving adequate complementary feeding are crucial to prevent malnutrition risk. During the pandemic, conventional nutrition education cannot be maintained and could lead to decreased mothers' knowledge. This study is aimed at analyzing the effectiveness of nutrition education using online digital platforms (WhatsApp) to improve a mother's behavior in providing nutritious complementary food based on the theory of planned behavior approach. This was a quasiexperiment with one pretest and posttest design group in the form of education and counselling. Ten educational sessions were developed to improve one or more TPB constructs. Media used for education are PowerPoint, text description, posters, and video tutorials; it is implemented by sending materials through the WhatsApp application. Using 80% power, the sample size was calculated for 155 subjects. Subjects were recruited through the accidental sampling method. Data was collected by the online method using a validated open-ended self-developed questionnaire for knowledge, while attitude, subjective norms, intention, and self-efficacy were measured using a Likert-scale questionnaire, where participants rated the strength of their belief that they could engage in a specific task. The paired t-test was used to analyze the difference in outcomes measured. The response rate of this study was accounted for at 77.5%. The mean age of mothers was 28.2 years old; most of them were university graduates (80.2%) and working as private sector workers (40.0%). The average child's age was 6.6 months old. 78.2% of children were exclusively breastfed. Our study revealed that 10 sessions of nutrition education and counselling covered over 8 days increased the mother's knowledge (60.0 ± 15.5 vs. 80.3 ± 15.0, respectively, before and after education; p < 0.005) and resulted in psychological changes including mother's attitude (64.3 ± 4.9 vs. 65.8 ± 3.9), subjective norm (3.76 ± 0.9 vs. 3.87 ± 1.0), perceived behavioral control (3.78 ± 0.9 vs. 4.12 ± 0.12), self-efficacy (63.3 ± 22.5 vs. 77.5 ± 19.2), and intention toward giving nutritious complementary feeding (4.11 ± 1.0 vs. 4.30 ± 0.9; p < 0.005). WhatsApp nutrition education proved to be effective in improving the mother's knowledge and behavior in providing nutritious complementary food; thus, it has potential for use. In the future, the Ministry of Health from the district to the national level could implement this type of education as an alternative of conventional nutrition education through scheduled classes.
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Selected Organizational and Managerial Aspects of Health and Nutrition Education of Various Types of Consumers of Spa Treatment Services in Poland. Nutrients 2022; 14:nu14112337. [PMID: 35684136 PMCID: PMC9183019 DOI: 10.3390/nu14112337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 05/29/2022] [Accepted: 06/01/2022] [Indexed: 02/04/2023] Open
Abstract
Consumer education, including nutrition education, understood as a process based on scientific principles, is becoming a very effective element in influencing the health of the population in the modern world. This work is based on direct research carried out in 2016–2018 in the form of a questionnaire interview among patients—consumers of educational services in spa treatment facilities. The research sample was N = 1000 (600 people were tested with the use of PAPI (Paper and Pencil Interview), and 400 people with the use of CAWI (Computer-Assisted Web Interview)) and concerned a representative group of spa patients in Poland. In addition, as a supplement, a direct survey was conducted in the form of a Computer-Assisted Telephone Interview with managers of spa treatment facilities (N = 50). Consumers of spa treatment services differ from each other, and types can be distinguished based on their professional activity status and the type of entity that pays for their stay in the spa, and, using cluster analysis, the status of professional activity in relation to their education level. The nutritional education system is based on highly specialized medical personnel. At the same time, it does not use the available assessment tools based on proven monitoring and evaluation indicators. Health education, which also includes nutritional education, apart from disease prevention, is the basic tool for health promotion in spa treatment conditions, enabling the introduction of a permanent change in the patients’ lifestyles, the additional advantages of which are low costs and relatively high efficiency. In the course of the study, several useful patient profiles were also distinguished, thanks to which it is possible to select dedicated educational methods for selected groups of recipients.
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Ziso D, Chun OK, Puglisi MJ. Increasing Access to Healthy Foods through Improving Food Environment: A Review of Mixed Methods Intervention Studies with Residents of Low-Income Communities. Nutrients 2022; 14:nu14112278. [PMID: 35684077 PMCID: PMC9182982 DOI: 10.3390/nu14112278] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Revised: 05/22/2022] [Accepted: 05/27/2022] [Indexed: 12/22/2022] Open
Abstract
Food insecurity is a broad and serious public health issue in the United States, where many people are reporting lack of access to healthy foods. The reduced availability of healthy, affordable foods has led to increased consumption of energy-dense and nutrient-poor foods, resulting in increasing the risk for many chronic diseases such as obesity, cardiovascular diseases, and type 2 diabetes mellitus. Thus, identifying promising approaches to increase access to healthy foods through improving the food environment is of importance. The purpose of this review article is to highlight how the food environment affects directly a person’s food choices, and how to increase access to healthy foods through improving environmental approaches. The literature search was focused on finding different approaches to improve food security, primarily those with an impact on food environment. Overall, potential solutions were gathered through multilevel environmental approaches, including nutrition education and peer education, community-based participatory research, and policy changes in supplemental nutrition programs. A recommendation to reduce food insecurity is learning to create meals with a variety of seasonal fruits and vegetables purchased from affordable farmers’ markets.
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Rahman M, Tariqujjaman M, Islam MR, Sheikh SP, Sultana N, Ahmed T, Ahmed S, Sarma H. Socioeconomic Inequalities in Women's Undernutrition: Evidence from Nationally Representative Cross-Sectional Bangladesh Demographic and Health Survey 2017-2018. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19084698. [PMID: 35457563 PMCID: PMC9031436 DOI: 10.3390/ijerph19084698] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 04/30/2022] [Accepted: 03/30/2022] [Indexed: 11/16/2022]
Abstract
The objective of this study was to explore the socioeconomic inequalities in undernutrition among ever-married women of reproductive age. We used nationally representative cross-sectional data from the Bangladesh Demographic and Health Survey, 2017−2018. Undernutrition was defined as a body mass index (BMI) of <18.5 kg/m2. The concentration index (C) was used to measure the socioeconomic inequality in the prevalence of women’s undernutrition. A multiple binary logistic regression model was carried out to find out the factors associated with women’s undernutrition. The prevalence of undernutrition among women of 15−49 years was 12%. Among them, 8.5% of women were from urban and 12.7% of women were from rural areas. The prevalence of undernutrition was highest (21.9%) among women who belonged to the adolescent age group (15−19 years). The C showed that undernutrition was more prevalent among the socioeconomically worst-off (poorest) group in Bangladesh (C = −0.26). An adjusted multiple logistic regression model indicated that women less than 19 years of age had higher odds (adjusted odds ratio, AOR: 2.81; 95% confidence interval, CI: 2.23, 3.55) of being undernourished. Women from the poorest wealth quintile (AOR: 3.93, 95% CI: 3.21, 4.81) had higher odds of being undernourished. On the other hand, women who had completed secondary or higher education (AOR: 0.55; 95% CI: 0.49, 0.61), married women who were living with their husbands (AOR: 0.72, 95% CI: 0.61, 0.86), and women exposed to mass media (AOR: 0.87, 95% CI: 0.79, 0.97) were less likely to be undernourished. Intervention strategies should be developed targeting the poorest to combat undernutrition in women of reproductive age in Bangladesh.
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Affiliation(s)
- Mahfuzur Rahman
- Nutrition and Clinical Services Division, icddr,b, Dhaka 1212, Bangladesh; (M.R.); (N.S.); (T.A.)
| | - Md. Tariqujjaman
- Nutrition and Clinical Services Division, icddr,b, Dhaka 1212, Bangladesh; (M.R.); (N.S.); (T.A.)
- Correspondence:
| | - Md. Rayhanul Islam
- Health Systems and Population Studies Division, icddr,b, Dhaka 1212, Bangladesh; (M.R.I.); (S.P.S.)
| | - Sifat Parveen Sheikh
- Health Systems and Population Studies Division, icddr,b, Dhaka 1212, Bangladesh; (M.R.I.); (S.P.S.)
- Centre for Injury Prevention and Research, Dhaka 1212, Bangladesh
| | - Nadia Sultana
- Nutrition and Clinical Services Division, icddr,b, Dhaka 1212, Bangladesh; (M.R.); (N.S.); (T.A.)
| | - Tahmeed Ahmed
- Nutrition and Clinical Services Division, icddr,b, Dhaka 1212, Bangladesh; (M.R.); (N.S.); (T.A.)
| | - Sayem Ahmed
- Health Economics and Health Technology Assessment, Institute of Health and Wellbeing, University of Glasgow, Glasgow G1 28RZ, UK;
- Department of Tropical Disease Biology, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK
| | - Haribondhu Sarma
- The National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT 2601, Australia;
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Ravikumar D, Spyreli E, Woodside J, McKinley M, Kelly C. Parental perceptions of the food environment and their influence on food decisions among low-income families: a rapid review of qualitative evidence. BMC Public Health 2022; 22:9. [PMID: 34983469 PMCID: PMC8727174 DOI: 10.1186/s12889-021-12414-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 12/09/2021] [Indexed: 11/10/2022] Open
Abstract
Background The food environment within and surrounding homes influences family dietary habits with socio-economic areas at a nutritional disadvantage. Families’ perception of the food environment and how it influences their food decisions is less clear. This rapid review aimed to synthesise qualitative evidence of parental perspectives of the food environment and their influence on food decisions among disadvantaged families. Method Qualitative and mixed-methods peer-reviewed journal articles published after 2000, that explored the perspectives of low-income parents in relation to their food environment and how this impacted food decisions for families with children aged 2-17 years, were included in this review. Embase, Scopus and PsycINFO were the databases chosen for this review. Search strategies included seven concepts related to family, food, perceptions, influences, environment, socio-economic status and study type. Two independent reviewers screened sixty-four studies. Thematic synthesis was employed. Results Two thousand one hundred and forty five results were identified through database searching and 1,650 were screened. Fourteen articles that originated from the US, Australia and the UK were included in this review. No articles were excluded following quality appraisal. Child preferences, financial and time constraints, and location and access to food outlets were barriers to accessing healthy food. Parental nutrition education and feeding approaches varied but positive outcomes from interventions to address these behaviours will be short-lived if inequities in health caused by poverty and access to affordable and healthy food are not addressed. The reliance on social support from families or government sources played an important role for families but are likely to be short-term solutions to health and nutritional inequities. Conclusions This qualitative evidence synthesis provides an insight into the perceptions of low-income parents on the factors influencing food decisions. Findings have implications for public health and the development of effective strategies to improve the dietary habits of children of disadvantaged families. Sustainable changes to dietary habits for families on low-income requires policy responses to low income, food access and to the high cost of healthy foods.
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Affiliation(s)
- Divya Ravikumar
- Health Promotion Research Centre, National University of Ireland Galway, University Rd, Galway, Republic of Ireland
| | - Eleni Spyreli
- Centre for Public Health, Queen's University Belfast, Belfast, BT12 6BJ, UK.
| | - Jayne Woodside
- Centre for Public Health, Queen's University Belfast, Belfast, BT12 6BJ, UK
| | - Michelle McKinley
- Centre for Public Health, Queen's University Belfast, Belfast, BT12 6BJ, UK
| | - Colette Kelly
- Health Promotion Research Centre, National University of Ireland Galway, University Rd, Galway, Republic of Ireland
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Byker Shanks C, Vanderwood K, Grocke M, Johnson N, Larison L, Wytcherley B, Yaroch AL. The UnProcessed Pantry Project (UP3): A Community-Based Intervention Aimed to Reduce Ultra-Processed Food Intake Among Food Pantry Clients. FAMILY & COMMUNITY HEALTH 2022; 45:23-33. [PMID: 34783688 PMCID: PMC8604383 DOI: 10.1097/fch.0000000000000310] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Low-income populations are more likely to experience food and nutrition insecurity and suffer a greater burden of noncommunicable disease than the general population. The UnProcessed Pantry Project (UP3) is an intervention aimed to reduce ultra-processed food availability and consumption of food pantry clients accessing the emergency food system. The pilot study included nutrition education, food boxes, and social support for 16 weeks at 2 food pantries. Data collection included the ASA24 dietary recall to calculate Healthy Eating Index-2015 (HEI-2015) scores, biomarkers (hemoglobin A1c, total cholesterol, blood pressure, waist circumference, body mass index [BMI]), and a demographic and psychosocial survey. Dietary quality among 43 participants significantly (P < .05) improved as measured by the HEI-2015 for total HEI-2015, whole grains, total protein foods, and added sugars scores. BMI, total cholesterol, and waist circumference also significantly improved across study participants. Findings indicate that the emergency food system may be an effective access point to apply frameworks including UP3 to address ultra-processed food consumption, dietary quality, and noncommunicable chronic disease risk among food-insecure populations. Programs and policies that limit the amount of ultra-processed food in the emergency food system should be further tested and could be efficacious in addressing inequities among vulnerable populations.
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Affiliation(s)
- Carmen Byker Shanks
- Department of Health and Human Development, Montana State University, Bozeman, Montana (Drs Byker Shanks and Grocke, Mr Johnson, and Mss Larison and Wytcherley); Gretchen Swanson Center for Nutrition, Omaha, Nebraska (Drs Byker Shanks and Yarock); and Gallatin County Health Department, Bozeman, Montana (Dr Vanderwood)
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13
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The effect of a fresh produce incentive paired with cooking and nutrition education on healthy eating in low-income households: a pilot study. Public Health Nutr 2021; 24:2704-2714. [PMID: 33431079 DOI: 10.1017/s1368980021000094] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
OBJECTIVE This study pilot-tested combining financial incentives to purchase fruits and vegetables with nutrition education focused on cooking to increase the consumption of fruits and vegetables and improve attitudes around healthy eating on a budget among low-income adults. The goal of the pilot study was to examine implementation feasibility and fidelity, acceptability of the intervention components by participants and effectiveness. DESIGN The study design was a pre-post individual-level comparison without a control group. The pilot intervention included two components, a scan card providing free produce up to a weekly maximum dollar amount for use over a 2-month period, and two sessions of tailored nutrition and cooking education. Outcomes included self-reported attitudes about healthy eating and daily fruit and vegetable consumption from one 24-h dietary recall collected before and after the intervention. SETTING Greater Minneapolis/St. Paul area in Minnesota. PARTICIPANTS Adults (n 120) were recruited from five community food pantries. RESULTS Findings indicated that the financial incentive component of the intervention was highly feasible and acceptable to participants, but attendance at the nutrition education sessions was moderate. Participants had a statistically significant increase in the consumption of fruit, from an average of 1·00 cup/d to 1·78 cups/d (P < 0·001), but no significant change in vegetable consumption or attitudes with respect to their ability to put together a healthy meal. CONCLUSIONS While combining financial incentives with nutrition education appears to be acceptable to low-income adult participants, barriers to attend nutrition education sessions need to be addressed in future research.
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Cardoso AP, Ferreira V, Leal M, Ferreira M, Campos S, Guiné RPF. Perceptions about Healthy Eating and Emotional Factors Conditioning Eating Behaviour: A Study Involving Portugal, Brazil and Argentina. Foods 2020; 9:foods9091236. [PMID: 32899811 PMCID: PMC7555827 DOI: 10.3390/foods9091236] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 08/30/2020] [Accepted: 09/02/2020] [Indexed: 01/20/2023] Open
Abstract
This study analysed the perceptions about healthy eating as well as some emotional factors conditioning eating behaviour in a sample of people from Portugal, Brazil and Argentina. This is a descriptive cross-sectional study involving a non-probabilistic sample of 2501 participant. Data was collected through a questionnaire applied to adult citizens residing in their respective countries. For data analysis chi-square tests were used, and associations were evaluated by Cramer's coefficients. Moreover, a tree classification analysis was conducted for variables related with perceptions about healthy eating and emotional conditioning of eating behaviour. The results revealed that participants' perceptions are generally in agreement with healthy eating. However, significant differences were found between countries (p = 0.018) and by levels of education (p < 0.0005), with a more accurate perception for Portugal and at the university level. The existence of statistically significant associations between all sociodemographic variables considered and the conditioning of eating behaviour by emotional motivations should be noted. Tree classification analysis showed that the most important discriminant sociodemographic variable for perceptions about healthy eating was education, followed by professional area and country, while the most relevant discriminants for emotional conditioning of eating behaviour were country and then living environment and sex. Thus, it is important to consider these variables in initiatives that aim to promote adherence to behaviours that contribute to the health and well-being of the population.
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Affiliation(s)
- Ana Paula Cardoso
- CI&DEI Research Centre, School of Education, Polytechnic Institute of Viseu, 3504-510 Viseu, Portugal;
- Correspondence:
| | - Vanessa Ferreira
- Department of Nutrition, School of Nursing, UFMG University, Belo Horizonte, BR 30130-100, Brazil;
| | - Marcela Leal
- Faculty of Health Sciences, School of Nutrition, Maimonides University, Buenos Aires, AR C1405, Argentina;
| | - Manuela Ferreira
- UICISA:E Research Centre, School of Health, Polytechnic Institute of Viseu, 3504-510 Viseu, Portugal;
| | - Sofia Campos
- CI&DEI Research Centre, School of Education, Polytechnic Institute of Viseu, 3504-510 Viseu, Portugal;
| | - Raquel P. F. Guiné
- CERNAS Research Centre, School of Agriculture, Polytechnic Institute of Viseu, 3504-510 Viseu, Portugal;
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West EG, Lindberg R, Ball K, McNaughton SA. The Role of a Food Literacy Intervention in Promoting Food Security and Food Literacy-OzHarvest's NEST Program. Nutrients 2020; 12:E2197. [PMID: 32718054 PMCID: PMC7468773 DOI: 10.3390/nu12082197] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Revised: 07/20/2020] [Accepted: 07/21/2020] [Indexed: 01/02/2023] Open
Abstract
Food literacy interventions are widely implemented to improve the food security and health of low-socioeconomic adults. The purpose of this study was to conduct an inquiry into the value of OzHarvest's six-week NEST (Nutrition Education and Skills Training) program in promoting food security and food literacy, and to identify the barriers and enablers that participants experienced in sustaining food security, and in utilising their food literacy skills beyond the program. A descriptive evaluation study with pre-post surveys (n = 21) and post-program interviews (n = 17) was conducted, with a convenience sample of NEST program participants living in Sydney, Newcastle, and Melbourne, Australia. Participants demonstrated improvements in food security status (p = 0.030), cooking confidence (p = 0.001), food preparation behaviours (p = 0.006), nutrition knowledge (p = 0.033), vegetable consumption (p = 0.043), and a reduction in intake of sugar-sweetened beverages (p = 0.017), and salty snack foods (p = 0.011). The interviews revealed that participants learned to stretch their food budgets and make meaningful changes to their food utilisation (a key dimension of food security). Interviews also identified enablers (e.g., social support) and barriers (e.g., health conditions) to achieving food security. Acknowledging the need for a multi-faceted approach that also addresses upstream determinants, interventions like NEST may play a role in promoting food security and food literacy.
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Affiliation(s)
- Elisha G. West
- Institute for Physical Activity and Nutrition, Deakin University, Geelong, VIC 3220, Australia; (R.L.); (S.A.M.)
| | | | - Kylie Ball
- Institute for Physical Activity and Nutrition, Deakin University, Geelong, VIC 3220, Australia; (R.L.); (S.A.M.)
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16
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Jih J, Stewart SL, Luong TN, Nguyen TT, McPhee SJ, Nguyen BH. A Cluster Randomized Controlled Trial of a Lay Health Worker Intervention to Increase Healthy Eating and Physical Activity Among Vietnamese Americans. Prev Chronic Dis 2020; 17:E33. [PMID: 32352912 PMCID: PMC7207051 DOI: 10.5888/pcd17.190353] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Introduction Americans have low levels of knowledge of and adherence to recommendations for healthy eating of fruits and vegetables and for physical activity (HEPA). We conducted a cluster randomized controlled trial of a lay health worker intervention to increase HEPA among Vietnamese Americans. Methods We randomized 64 lay health workers to 2 intervention arms. Each lay health worker recruited 10 participants aged 50 to 74. From 2008 to 2013, using flip charts, lay health workers led 2 educational sessions on HEPA (intervention) or colorectal cancer (comparison). We assessed HEPA knowledge and self-reported behaviors by preintervention and postintervention surveys 6 months apart. Results Of the 640 participants, 50.0% were female, 38.4% had lived in the United States for 10 years or fewer, and 71.4% reported limited English proficiency. Knowledge of the recommended intake of fruits and vegetables (≥5 servings daily) increased from 2.6% to 60.5% in the intervention group (n = 311) and from 2.9% to 6.7% in the comparison group (n = 316) (intervention vs comparison change, P < .001). Knowledge of the physical activity recommendation (≥150 minutes weekly) increased from 2.6% to 62.4% among intervention participants and from 1.0% to 2.5% among comparison participants (P < .001). Consumption of 5 or more daily servings of fruits and vegetables increased more in the intervention group (8.4% to 62.1%) than in the comparison group (5.1% to 12.7%) (P < .001). Participants reporting 150 minutes or more of physical activity weekly increased from 28.9% to 54.0% in the intervention group and from 38.0% to 46.8% in the comparison group (intervention vs comparison change, P = .001). Conclusion A lay health worker intervention increased both healthy eating and physical activity knowledge and self-reported behaviors among older Vietnamese Americans.
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Affiliation(s)
- Jane Jih
- Division of General Internal Medicine, University of California, San Francisco, 1545 Divisadero St, San Francisco, CA 94115. .,Multiethnic Health Equity Research Center, University of California, San Francisco.,Asian American Research Center on Health, San Francisco, California
| | - Susan L Stewart
- Department of Public Health Sciences, University of California, Davis
| | | | - Tung T Nguyen
- Division of General Internal Medicine, University of California, San Francisco
| | - Stephen J McPhee
- Division of General Internal Medicine, University of California, San Francisco
| | - Bang H Nguyen
- Research Department, Cancer Prevention Institute of California, Fremont, California
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17
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Murimi MW, Nguyen B, Moyeda-Carabaza AF, Lee HJ, Park OH. Factors that contribute to effective online nutrition education interventions: a systematic review. Nutr Rev 2020; 77:663-690. [PMID: 31290970 DOI: 10.1093/nutrit/nuz032] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
CONTEXT The use of the internet and technology as a medium for delivering online nutrition education (ONE) has increased; however, evidence-based studies exploring factors that contribute to best practices in online interventions have not emerged. OBJECTIVE The purpose of this systematic review was to identify factors that contributed to successful ONE interventions in relation to research studies published between 2009 and 2018. DATA SOURCES Following the PRISMA guidelines, relevant studies were identified through PubMed, Medline, Web of Science, Science Direct, and Education Resources Information Center (ERIC) databases. DATA EXTRACTION Five authors screened and determined the quality of the studies using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system and extracted the data from the articles. DATA ANALYSIS Twenty-seven studies were included: 21 studies were website-based, 3 were delivered through smartphone application, 2 were delivered as online courses, and 1 used text messages. Tailored messages/feedback, interaction between participants and investigators, identification of specific behaviors, use theory, adequate duration, and alignment between stated objectives and activities were factors that contributed to successful online interventions, while comparison bias and the lack of specific details on duration and dosage, tracking system, objective outcome measurements, and follow-up were factors that may have interfered with successful ONE interventions. CONCLUSIONS The findings underscore the importance of developing ONE intervention designs that utilize factors unique to online platforms for effective interventions aimed at behavior change.
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Affiliation(s)
- Mary W Murimi
- College of Human Sciences, Texas Tech University, Lubbock, Texas, USA
| | - Bong Nguyen
- College of Human Sciences, Texas Tech University, Lubbock, Texas, USA
| | | | - Hyun-Jung Lee
- College of Human Sciences, Texas Tech University, Lubbock, Texas, USA
| | - Oak-Hee Park
- College of Human Sciences, Texas Tech University, Lubbock, Texas, USA
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18
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Santella ME, Hagedorn RL, Wattick RA, Barr ML, Horacek TM, Olfert MD. Learn first, practice second approach to increase health professionals' nutrition-related knowledge, attitudes and self-efficacy. Int J Food Sci Nutr 2019; 71:370-377. [PMID: 31724444 DOI: 10.1080/09637486.2019.1661977] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Health professionals generally have positive attitudes towards the role of nutrition in medicine, but limited knowledge and low self-efficacy for incorporating it into routine care. To assess the effectiveness of a "learn first, practice second" intervention on the nutrition-related knowledge, attitudes, and self-efficacy of multidisciplinary health professionals, the present approach consisted of 16 weeks of online education and 2 weeks of cultural immersion in Tuscany, Italy. Data was captured via online surveys at Baseline, Post-education, Post-immersion, and Follow Up. Repeated measures ANOVA with irregular spacing was used, followed by Dunnett's or Cochran-Mantel-Haenszel testing. Results indicate significantly improved participant nutrition knowledge (nonzero correlation p = .0136, means score p = .0075) and self-efficacy (T0-T1 p < .0001, T0-T2 p < .0001, T0-T3 p = .0002), with differences in attitude trending towards significance (p = .0764). Findings from this study suggest that a combination of online education and hands on learning experiences can be beneficial for increasing health professionals' nutrition knowledge, confidence, and potentially attitude.
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Affiliation(s)
- Madison E Santella
- Division of Animal and Nutritional Sciences, Davis College of Agriculture, Natural Resources, and Design, West Virginia University, Morgantown, WV, USA
| | - Rebecca L Hagedorn
- Division of Animal and Nutritional Sciences, Davis College of Agriculture, Natural Resources, and Design, West Virginia University, Morgantown, WV, USA
| | - Rachel A Wattick
- Division of Animal and Nutritional Sciences, Davis College of Agriculture, Natural Resources, and Design, West Virginia University, Morgantown, WV, USA
| | - Makenzie L Barr
- Division of Animal and Nutritional Sciences, Davis College of Agriculture, Natural Resources, and Design, West Virginia University, Morgantown, WV, USA
| | - Tanya M Horacek
- Department of Public Health, Food Studies and Nutrition, David B. Falk College of Sport and Human Dynamics, Syracuse University, Syracuse, NY, USA
| | - Melissa D Olfert
- Division of Animal and Nutritional Sciences, Davis College of Agriculture, Natural Resources, and Design, West Virginia University, Morgantown, WV, USA
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Vizcarra M, Palomino AM, Iglesias L, Valencia A, Gálvez Espinoza P, Schwingel A. Weight Matters-Factors Influencing Eating Behaviors of Vulnerable Women. Nutrients 2019; 11:nu11081809. [PMID: 31390758 PMCID: PMC6723940 DOI: 10.3390/nu11081809] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Revised: 07/31/2019] [Accepted: 08/02/2019] [Indexed: 11/16/2022] Open
Abstract
Women from low socioeconomic backgrounds are more affected by obesity than men. The influence of weight as a determinant of women's eating behaviors has seldom been studied, especially in Latin America. In this study, we analyzed the food choices of vulnerable women according to their weight status. We conducted photo-elicitation interviews with 31 women from low-income neighborhoods in Santiago, Chile. Weight and height were measured and participants were divided into normal weight (n = 9), overweight (n = 15), and obese groups (n = 7) according to World Health Organization (WHO) body mass index (BMI) categories (p < 0.001). Quantitative and qualitative approaches were used for the analysis. Women in overweight and obese groups described more about their families, temporality, financial issues, and food perception. When weight groups were analyzed separately, more factors explaining eating behaviors were found (mental and physical health, body dissatisfaction, gender role, and obstacles for eating healthy) in the obese group. Results suggest that women with obesity or overweight based their diets on more internal and external factors than did normal weight women. This study contributes to our understanding of why changing behaviors can be difficult in women with obesity. Health care providers should consider these factors in the implementation of programs to address the need for a healthy diet for overweight and obese women.
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Affiliation(s)
- Marcela Vizcarra
- Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL 61820, USA
| | - Ana María Palomino
- Department of Nutrition, College of Medicine, Universidad de Chile, Santiago 8380453, Chile
- Department of Primary Care and Family Health, College of Medicine, Universidad de Chile, Santiago 8900085, Chile
| | - Lorena Iglesias
- Department of Nutrition, College of Medicine, Universidad de Chile, Santiago 8380453, Chile
| | - Alejandra Valencia
- Department of Nutrition, College of Medicine, Universidad de Chile, Santiago 8380453, Chile
| | | | - Andiara Schwingel
- Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL 61820, USA
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20
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Aktaç S, Sabuncular G, Kargin D, Gunes FE. Evaluation of Nutrition Knowledge of Pregnant Women before and after Nutrition Education according to Sociodemographic Characteristics. Ecol Food Nutr 2018; 57:441-455. [PMID: 30421984 DOI: 10.1080/03670244.2018.1544561] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
The aim of this cross-sectional study is to evaluate the effect of nutrition education on nutritional knowledge levels of pregnant women. The study was undertaken on a sample of pregnant women (i = 743) attending health centers in Istanbul for prenatal care. Nutrition knowledge scores were significantly higher in posttest (23.0) than pretest (16.0) after receiving nutrition education (p < .001). Significant differences in pretest (p < .05) but not posttest (p > .05) scores were found for factors, such as education level, work status, and the number of pregnancies; significant differences in both test scores were found for age and nutrition information (p < .05). In conclusion, pregnant women need to be given adequate and appropriate nutrition education for maternal and child health according to sociodemographic characteristics.
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Affiliation(s)
- Sule Aktaç
- a Department of Nutrition and Dietetics, Faculty of Health Sciences , Marmara University , Istanbul , Turkey
| | - Guleren Sabuncular
- a Department of Nutrition and Dietetics, Faculty of Health Sciences , Marmara University , Istanbul , Turkey
| | - Dicle Kargin
- b Department of Nutrition and Dietetics, Institute of Health Sciences , Marmara University , Istanbul , Turkey
| | - Fatma Esra Gunes
- a Department of Nutrition and Dietetics, Faculty of Health Sciences , Marmara University , Istanbul , Turkey
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21
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Socio-Ecological Barriers to Dry Grain Pulse Consumption among Low-Income Women: A Mixed Methods Approach. Nutrients 2018; 10:nu10081108. [PMID: 30126084 PMCID: PMC6116030 DOI: 10.3390/nu10081108] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 08/13/2018] [Accepted: 08/14/2018] [Indexed: 12/19/2022] Open
Abstract
The purpose of this study was to determine the socio-ecological influences on dry grain pulse consumption (beans, peas, lentils, chickpeas) among low-socioeconomic women in Iowa. Seven focus groups were conducted, with 36 women who qualified for income-based federal assistance. Data were collected from October 2017 to January 2018. Participants completed a survey that gathered individual demographics, assessed perceptions of dry grain pulses, and level of food security. Fifty-eight percent of the women were non-Hispanic white, and 39% were African American, all with an average age of 34.7 years. Thirty-three percent of the women consumed pulses less than once per week. Over 80% agreed that beans were healthful and satiating. Some health benefits of beans were unknown by more than 33% of the population, e.g., lower cancer risk, lower LDL, maintain blood glucose. Only 30% of the women were food secure. Focus group audio recordings were transcribed and analyzed by two researchers, using the grounded theory approach. At the policy level, participants knew pulses were included in USA federal nutrition assistance programs like the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Pulses were widely available in grocery stores in communities. Interpersonally, women felt that male partners preferred meats, and children needed animal-source proteins. Individually, women perceived uncooked dry pulses were challenging to prepare. Conclusively, more detailed instruction on pulse preparation, different pulse varieties, and offering canned pulses through WIC may increase consumption.
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Ravaoarisoa L, Raherimandimby H, Rakotonirina J, Rakotomanga JDDM, Dramaix MW, Donnen P. Mothers' dietary practices in the Amoron'i Mania region Madagascar. Pan Afr Med J 2018; 30:76. [PMID: 30344860 PMCID: PMC6191245 DOI: 10.11604/pamj.2018.30.76.15140] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Accepted: 05/09/2018] [Indexed: 11/11/2022] Open
Abstract
Introduction Madagascar has one of the highest prevalence's of malnutrition worldwide. Dietary practice is an important element to consider in the fight against malnutrition. This study aims to describe mothers' dietary patterns and dietary diversity and to identify characteristics associated with this dietary diversity. Methods A cross sectional study was carried-out among 670 non-pregnant mothers aged 18 to 45, who had delivered more than 6 months earlier and were living in the Amoron'i Mania region of Madagascar. The study was conducted during the post-harvest period. A food frequency questionnaire were used to assess the dietary pattern and the women's dietary diversity score was established from the 24-hour recall data. Results Almost all (99%) of mothers ate rice every day and 59% ate green leaves. Fifty three percent of mothers had consumed fruit less than once per week, 55% for legumes, 67% for vegetables and 91% for meat. Dietary diversity score ranged from 1 to 7 and 88% of mothers had a low dietary diversity score (<5). On multivariate analysis, factors significantly associated with low dietary diversity were: low education level (AOR=3.80 [1.58-9.02], p=0.003), parity higher than 3 (AOR=2.09 [1.22-3.56], p=0.007), birth interval ≥ 24 months (AOR=4.01 [2.08-7.74], p<0.001), rice production availability ≤ 6 months (AOR=2.33 [1.30-4.17], p=0.013), low attendance at market (AOR=4.20 [1.63-10.83], p<0.001) and low movable property possession score (AOR=4.87 [2.15-11.04], p<0.001). Conclusion Mother's experience poor diet diversity. Unfavorable socioeconomic conditions are associated with this poor food diversification.
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Affiliation(s)
- Lantonirina Ravaoarisoa
- Institut National de Santé Publique et Communautaire, Antananarivo, Madagascar.,Faculté de Médecine d'Antananarivo, Madagascar.,Ecole de Santé Publique de l'Université Libre de Bruxelles, Belgique
| | | | - Julio Rakotonirina
- Institut National de Santé Publique et Communautaire, Antananarivo, Madagascar.,Faculté de Médecine d'Antananarivo, Madagascar
| | - Jean de Dieu Marie Rakotomanga
- Institut National de Santé Publique et Communautaire, Antananarivo, Madagascar.,Faculté de Médecine d'Antananarivo, Madagascar
| | | | - Philippe Donnen
- Ecole de Santé Publique de l'Université Libre de Bruxelles, Belgique
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Iron-Segev S, Lusweti JN, Kamau-Mbuthia E, Stark AH. Impact of Community-Based Nutrition Education on Geophagic Behavior and Dietary Knowledge and Practices among Rural Women in Nakuru Town, Kenya: A Pilot Study. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2018; 50:408-414.e1. [PMID: 29277491 DOI: 10.1016/j.jneb.2017.10.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2017] [Revised: 10/25/2017] [Accepted: 10/26/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE Geophagia, the deliberate consumption of rocks, soil, or clay, is prevalent in developing countries, particularly sub-Saharan Africa. Health risks associated with this behavior include parasitosis, heavy metal poisoning, nutrient deficiencies, and poor birth outcomes. This pilot study was designed to reduce geophagic practices and improve nutrition among rural Kenyan women. METHODS The researchers used snowball sampling to recruit participants (n = 135; aged 15-49 years) from low socioeconomic areas who consumed geophagic materials. Interviews were carried out before and after a nutrition intervention implemented by trained community health volunteers. RESULTS Nutrition education focusing on geophagia significantly (P < .001) decreased the practice in 77% of participants. Postintervention interviews also demonstrated substantial improvement in understanding the concept of making half the plate vegetables using the healthy plate model. CONCLUSIONS AND IMPLICATIONS Nutrition education can be useful for reducing geophagia (a largely ignored, unsafe dietary behavior) and enhancing nutritional knowledge in African women.
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Affiliation(s)
- Sharon Iron-Segev
- Robert H. Smith Faculty of Agriculture, Food, and Environment, Institute of Biochemistry, Food Science, and Nutrition, School of Nutritional Sciences, Hebrew University of Jerusalem, Rehovot, Israel.
| | - Janerose Nasimiyu Lusweti
- Robert H. Smith Faculty of Agriculture, Food, and Environment, Institute of Biochemistry, Food Science, and Nutrition, School of Nutritional Sciences, Hebrew University of Jerusalem, Rehovot, Israel
| | | | - Aliza H Stark
- Robert H. Smith Faculty of Agriculture, Food, and Environment, Institute of Biochemistry, Food Science, and Nutrition, School of Nutritional Sciences, Hebrew University of Jerusalem, Rehovot, Israel
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Reicks M, Kocher M, Reeder J. Impact of Cooking and Home Food Preparation Interventions Among Adults: A Systematic Review (2011-2016). JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2018; 50:148-172.e1. [PMID: 28958671 DOI: 10.1016/j.jneb.2017.08.004] [Citation(s) in RCA: 128] [Impact Index Per Article: 21.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Revised: 08/02/2017] [Accepted: 08/14/2017] [Indexed: 05/09/2023]
Abstract
OBJECTIVE To update a review of the impact of interventions for adults that included a cooking component on diet, health, and psychosocial outcomes. DESIGN A total of 3,047 records were identified by searching MEDLINE, Agricola, Web of Science, and the Cochrane Central Register of Controlled Trials (January, 2011 to March, 2016). A total of 34 articles met inclusion and exclusion criteria for analysis. Study description and outcomes were extracted and synthesized to generate conclusions regarding impact. RESULTS Less than half of the studies included a control group. The most common intended outcomes were improvements in fruit and/or vegetable intake and weight. The majority of studies showed positive dietary behavior changes and improvements in cooking confidence and knowledge. Limitations included the lack of a control group, no follow-up past after intervention, the use of nonvalidated assessment instruments, and small convenience samples. DISCUSSION Findings were similar to a previous review regarding positive impact on dietary and cooking confidence outcomes. Clinical and weight outcomes were addressed in more studies included in the current review than in the previous 1; however, limitations were similar. CONCLUSIONS AND IMPLICATIONS Intervention design and assessment tools need to be strengthened in intervention studies with cooking components.
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Affiliation(s)
- Marla Reicks
- Department of Food Science and Nutrition, University of Minnesota, St. Paul, MN.
| | - Megan Kocher
- Library Science, University of Minnesota Libraries, St. Paul, MN
| | - Julie Reeder
- State of Oregon Special Supplemental Nutrition Program for Women, Infants, and Children, Portland, OR
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25
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Ijaz S, Thorley H, Porter K, Fleming C, Jones T, Kesten J, Mamluk L, Richards A, Marques EMR, Savović J. Interventions for preventing or treating malnutrition in homeless problem-drinkers: a systematic review. Int J Equity Health 2018; 17:8. [PMID: 29338739 PMCID: PMC5771104 DOI: 10.1186/s12939-018-0722-3] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Accepted: 01/08/2018] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Excessive drinking leads to poor absorption of nutrients and homeless problem-drinkers often have nutritionally inadequate diets. Depletion of nutrients such as vitamin B1 can lead to cognitive impairment, which can hinder efforts to reduce drinking or engage with services. This review aimed to assess effectiveness of interventions designed to prevent or treat malnutrition in homeless problem-drinkers. METHODS We systematically searched nine electronic databases and 13 grey literature sources for studies evaluating interventions to improve nutrition in homeless populations, without regional or language restrictions. Screening for inclusion was done in duplicate. One reviewer extracted data and assessed risk of bias, and another checked the extractions. Primary outcomes were nutrition status/deficiency, liver damage, and cognitive function. Secondary outcomes included abstinence, comorbidities, resource use, acceptability and engagement with intervention. Results were synthesised narratively. RESULTS We included 25 studies (2 Randomised Controlled Trials; 15 uncontrolled before and after; 7 surveys; 1 case-control). Nine studies evaluated educational and support interventions, five food provision, and three supplement provision. Eight studies evaluated a combination of these interventions. No two interventions were the same, and all studies were at high risk of bias. Nutritional status (intake/ deficiency) were reported in 11 studies and liver function in one. Fruit and vegetable intake improved with some education and support interventions (n = 4 studies) but not others (n = 2). Vitamin supplements appeared to improve vitamin deficiency levels in the blood (n = 2). Free or subsidised meals (n = 4) and food packs (n = 1) did not always fulfil dietary needs, but were usually considered acceptable by users. Some multicomponent interventions improved nutrition (n = 3) but acceptability varied (n = 3). No study reported cost effectiveness. CONCLUSIONS The evidence for any one intervention for improving malnutrition in homeless problem-drinkers was based on single studies at high risk of bias. Various food and supplement provision interventions appear effective in changing nutritional status in single studies. Educational and multicomponent interventions show improved nutritional behaviour in some studies but not others. Further better quality evidence is required before these interventions can be recommended for implementation. Any future studies should seek the end user input in their design and conduct. TRIAL REGISTRATION Registered with PROSPERO: CRD42015024247 .
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Affiliation(s)
- Sharea Ijaz
- The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) at University Hospitals Bristol NHS Foundation Trust, 9th Floor Whitefriars, Lewins Mead, Bristol, BS1 2NT UK
- Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UK
| | - Helen Thorley
- The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) at University Hospitals Bristol NHS Foundation Trust, 9th Floor Whitefriars, Lewins Mead, Bristol, BS1 2NT UK
- Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UK
| | | | - Clare Fleming
- Compass Health, The Compass Centre, 1 Jamaica Street, Bristol, BS2 8JP UK
| | - Tim Jones
- The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) at University Hospitals Bristol NHS Foundation Trust, 9th Floor Whitefriars, Lewins Mead, Bristol, BS1 2NT UK
- Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UK
| | - Joanna Kesten
- The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) at University Hospitals Bristol NHS Foundation Trust, 9th Floor Whitefriars, Lewins Mead, Bristol, BS1 2NT UK
- Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UK
- The National Institute for Health Research Health Protection Research Unit in Evaluation of Interventions, London, UK
| | - Loubaba Mamluk
- The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) at University Hospitals Bristol NHS Foundation Trust, 9th Floor Whitefriars, Lewins Mead, Bristol, BS1 2NT UK
- Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UK
| | - Alison Richards
- The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) at University Hospitals Bristol NHS Foundation Trust, 9th Floor Whitefriars, Lewins Mead, Bristol, BS1 2NT UK
- Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UK
| | - Elsa M. R. Marques
- Bristol Medical School, Musculoskeletal Research Unit, Translational Health Sciences, University of Bristol, Bristol, UK
| | - Jelena Savović
- The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) at University Hospitals Bristol NHS Foundation Trust, 9th Floor Whitefriars, Lewins Mead, Bristol, BS1 2NT UK
- Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UK
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Loehmer E, Smith S, McCaffrey J, Davis J. Examining Internet Access and Social Media Application Use for Online Nutrition Education in SNAP-Ed Participants in Rural Illinois. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2018; 50:75-82.e1. [PMID: 29325666 DOI: 10.1016/j.jneb.2017.03.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2016] [Revised: 03/08/2017] [Accepted: 03/09/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To examine Internet access and interest in receiving nutrition education via social media applications among low-income adults participating in the Supplemental Nutrition Assistance Program Education (SNAP-Ed). METHODS A cross-sectional survey was distributed during 25 SNAP-Ed classes throughout the 16 southernmost counties of Illinois. RESULTS From 188 responses, the majority of participants had Internet access (76%). Among participants aged 18-32 years (n = 51), 92% owned a smartphone with Internet access and 57% indicated that they would use online nutrition education, with most interest in e-mail (41%), Facebook (40%), and text messaging (35%). There was little interest in using blogs, Vine, Twitter, Tumblr, and Pinterest. Overall, 49% of middle-aged adults aged 33-64 years and 87% of seniors aged ≥65 years reported they would not use online nutrition education. CONCLUSIONS AND IMPLICATIONS Results indicated similar Internet accessibility in southern Illinois among low-income populations compared with national rural rates. Interest in using online nutrition education varied among SNAP-Ed participants according to age. Young adults appeared to be the most captive audience regarding online nutrition education. Results may be useful to agencies implementing SNAP-Ed to supplement current curriculum with online nutrition education for audiences aged ≤32 years.
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Affiliation(s)
- Emily Loehmer
- Office of Extension and Outreach, College of Agricultural, Consumer and Environmental Sciences, University of Illinois Extension, Urbana, IL.
| | - Sylvia Smith
- Department of Animal Science, Food and Nutrition, College of Agricultural Sciences, Southern Illinois University Carbondale, Carbondale, IL
| | - Jennifer McCaffrey
- Office of Extension and Outreach, College of Agricultural, Consumer and Environmental Sciences, University of Illinois Extension, Urbana, IL
| | - Jeremy Davis
- Department of Animal Science, Food and Nutrition, College of Agricultural Sciences, Southern Illinois University Carbondale, Carbondale, IL
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Hollywood L, Surgenor D, Reicks M, McGowan L, Lavelle F, Spence M, Raats M, McCloat A, Mooney E, Caraher M, Dean M. Critical review of behaviour change techniques applied in intervention studies to improve cooking skills and food skills among adults. Crit Rev Food Sci Nutr 2017; 58:2882-2895. [PMID: 28678613 DOI: 10.1080/10408398.2017.1344613] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
BACKGROUND Cooking and food skills interventions have grown in popularity; however, there is a lack of transparency as to how these interventions were designed, highlighting a need to identify and understand the mechanisms of behavior change so that effective components may be introduced in future work. This study critiques cooking and food skills interventions in relation to their design, behavior change techniques (BCTs), theoretical underpinnings, and outcomes. METHODS A 40-item CALO-RE taxonomy was used to examine the components of 59 cooking and food skills interventions identified by two systematic reviews. Studies were coded by three independent coders. RESULTS The three most frequently occurring BCTs identified were #1 Provide information on consequences of behavior in general; #21 Provide instruction on how to perform the behavior; and #26 Prompt Practice. Fifty-six interventions reported positive short-term outcomes. Only 14 interventions reported long-term outcomes containing BCTs relating to information provision. CONCLUSION This study reviewed cooking and food skills interventions highlighting the most commonly used BCTs, and those associated with long-term positive outcomes for cooking skills and diet. This study indicates the potential for using the BCT CALO-RE taxonomy to inform the design, planning, delivery and evaluation of future interventions.
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Affiliation(s)
- Lynsey Hollywood
- a Department of Hospitality and Tourism Management, Ulster Business School , Ulster University , Coleraine , UK
| | - Dawn Surgenor
- a Department of Hospitality and Tourism Management, Ulster Business School , Ulster University , Coleraine , UK
| | - Marla Reicks
- b Department of Food Science and Nutrition , University of Minnesota , St Paul , Minnesota , USA
| | - Laura McGowan
- c Institute for Global Food Security, School of Biological Sciences , Queen's University Belfast , Belfast , UK
| | - Fiona Lavelle
- c Institute for Global Food Security, School of Biological Sciences , Queen's University Belfast , Belfast , UK
| | - Michelle Spence
- c Institute for Global Food Security, School of Biological Sciences , Queen's University Belfast , Belfast , UK
| | - Monique Raats
- d Food, Consumer Behaviour and Health Research Centre, School of Psychology , University of Surrey , Guildford , UK
| | - Amanda McCloat
- e Department of Home Economics , St Angela's College , Sligo , Ireland
| | - Elaine Mooney
- e Department of Home Economics , St Angela's College , Sligo , Ireland
| | - Martin Caraher
- f Department of Sociology, School of Arts and Social Sciences, City , University of London , Belfast , UK
| | - Moira Dean
- c Institute for Global Food Security, School of Biological Sciences , Queen's University Belfast , Belfast , UK
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Demos KE, McCaffery JM, Thomas JG, Mailloux KA, Hare TA, Wing RR. Identifying the mechanisms through which behavioral weight-loss treatment improves food decision-making in obesity. Appetite 2017; 114:93-100. [PMID: 28315419 PMCID: PMC5477769 DOI: 10.1016/j.appet.2017.03.013] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Revised: 03/05/2017] [Accepted: 03/11/2017] [Indexed: 10/20/2022]
Abstract
OBJECTIVES Behavioral weight loss (BWL) programs are the recommended treatment for obesity, yet it is unknown whether these programs change one's ability to use self-control in food choices and what specific mechanisms support such change. Using experimental economics methods, we investigated whether changes in dietary behavior in individuals with obesity following BWL are driven by one or more of the following potential mechanisms: changes in the perception of the 1) health or 2) taste of food items, and/or 3) shifting decision weights for health versus taste attributes. Therefore, we compared these mechanisms between obese participants and lifetime normal weight controls (NW) both before and after BWL. METHODS Females with obesity (N = 37, mean BMI = 33.2) completed a food choice task involving health ratings, taste ratings, and decision-making pre- and post-standard BWL intervention. NW controls (N = 30, BMI = 22.4) completed the same task. RESULTS Individuals with obesity exhibited increased self-control (selecting healthier, less tasty food choices) post-treatment. However, their rates of self-control remained significantly lower than NW. We found no differences in initial health perceptions across groups, and no changes with treatment. In contrast, taste ratings and the relative value of taste versus health decreased following treatment. Although, post-treatment participants continued to perceive unhealthy foods as tastier and used less self-control than NW controls, they showed significant improvements in these domains following a BWL intervention. CONCLUSIONS To help individuals improve dietary decisions, additional research is needed to determine how to make greater changes in taste preferences and/or the assignment of value to taste versus health attributes in food choices.
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Affiliation(s)
- Kathryn E Demos
- Department of Psychiatry & Human Behavior, Warren Alpert Medical School of Brown University, The Miriam Hospital, USA.
| | - Jeanne M McCaffery
- Department of Psychiatry & Human Behavior, Warren Alpert Medical School of Brown University, The Miriam Hospital, USA
| | - J Graham Thomas
- Department of Psychiatry & Human Behavior, Warren Alpert Medical School of Brown University, The Miriam Hospital, USA
| | - Kimberly A Mailloux
- Department of Psychiatry & Human Behavior, Warren Alpert Medical School of Brown University, The Miriam Hospital, USA
| | - Todd A Hare
- Laboratory for Social and Neural Systems Research, Department of Economics, University of Zurich, Switzerland
| | - Rena R Wing
- Department of Psychiatry & Human Behavior, Warren Alpert Medical School of Brown University, The Miriam Hospital, USA
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Murimi MW, Kanyi M, Mupfudze T, Amin MR, Mbogori T, Aldubayan K. Factors Influencing Efficacy of Nutrition Education Interventions: A Systematic Review. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2017; 49:142-165.e1. [PMID: 27814976 DOI: 10.1016/j.jneb.2016.09.003] [Citation(s) in RCA: 77] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2016] [Revised: 09/04/2016] [Accepted: 09/08/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVE To examine systematically factors that contribute to the efficacy of nutrition education interventions in promoting behavior change for good health based on their stated objective. In a departure from previous reviews, the researchers investigated factors that lead to success of various types of interventions. Critical analysis of these factors constituted the outcome of this review. METHODS This study followed Preferred Reporting Items for Systematic Reviews and Meta-analysis criteria. A total of 246 original articles published between 2009 and 2015 in PubMed, Medline, Web of Science, Academic Search Complete, Science Direct, Cochrane Reviews, ERIC, and PsychLIT were initially considered. The number was screened and scaled down to 40 publications for the final analysis. Quality assessment was based on the Cochrane Handbook for Systematic Reviews of Intervention. Studies were rated as having low risk of bias, moderate risk, or high risk. RESULTS Efficacy of nutrition education interventions depended on major factors: interventions that lasted ≥5 months; having ≤3 focused objectives; appropriate design and use of theories; fidelity in interventions; and support from policy makers and management for worksite environmental interventions. CONCLUSIONS AND IMPLICATIONS Intervention duration of ≥5 months, ≤3 focused objectives, randomization, use of theories, and fidelity are factors that enhance success of interventions based on the results of this study.
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Affiliation(s)
- Mary W Murimi
- College of Human Sciences, Texas Tech University, Lubbock, TX.
| | - Michael Kanyi
- College of Human Sciences, Texas Tech University, Lubbock, TX
| | | | - Md Ruhul Amin
- College of Human Sciences, Texas Tech University, Lubbock, TX
| | - Teresia Mbogori
- College of Human Sciences, Texas Tech University, Lubbock, TX
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Ornelas IJ, Deschenie D, Jim J, Bishop S, Lombard K, Beresford SA. Yéego Gardening! A Community Garden Intervention to Promote Health on the Navajo Nation. Prog Community Health Partnersh 2017; 11:417-425. [PMID: 29332855 PMCID: PMC6582943 DOI: 10.1353/cpr.2017.0049] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
BACKGROUND Yéego Gardening! is a community garden intervention to increase gardening behavior, increase access to low-cost fruit and vegetables, and ultimately increase consumption in Navajo communities. OBJECTIVES To design a theory-based, culturally relevant intervention with three components: a community garden, monthly workshops on gardening and healthy eating, and community outreach. METHODS Gardens were constructed and maintained in collaboration with community-based organizations in two Navajo communities. Monthly workshops were held throughout the growing season and incorporated aspects of Navajo culture and opportunities to build confidence and skills in gardening and healthy eating behaviors. In addition, program staff attended community events to promote gardening and healthy eating. CONCLUSIONS Community input was essential throughout the planning and implementation of the intervention. If effective, community gardens may be a way to increase fruit and vegetable availability and intake, and ultimately reduce risk of obesity and diabetes.
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Development and validation of a nutrition knowledge questionnaire for a Canadian population. Public Health Nutr 2016; 20:1184-1192. [DOI: 10.1017/s1368980016003372] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractObjectiveThe present study aimed to develop and validate a nutrition knowledge questionnaire in a sample of French Canadians from the province of Quebec, taking into account dietary guidelines.DesignA thirty-eight-item questionnaire was developed by the research team and evaluated for content validity by an expert panel, and then administered to respondents. Face validity and construct validity were measured in a pre-test. Exploratory factor analysis and covariance structure analysis were performed to verify the structure of the questionnaire and identify problematic items. Internal consistency and test–retest reliability were evaluated through a validation study.SettingOnline survey.SubjectsSix nutrition and psychology experts, fifteen registered dietitians (RD) and 180 lay people participated.ResultsContent validity evaluation resulted in the removal of two items and reformulation of one item. Following face validity, one item was reformulated. Construct validity was found to be adequate, with higher scores for RDv. non-RD (21·5 (sd2·1)v. 15·7 (sd3·0) out of 24,P<0·001). Exploratory factor analysis revealed that the questionnaire contained only one factor. Covariance structure analysis led to removal of sixteen items. Internal consistency for the overall questionnaire was adequate (Cronbach’sα=0·73). Assessment of test–retest reliability resulted in significant associations for the total knowledge score (r=0·59,P<0·001).ConclusionsThis nutrition knowledge questionnaire was found to be a suitable instrument which can be used to measure levels of nutrition knowledge in a Canadian population. It could also serve as a model for the development of similar instruments in other populations.
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Kamimura A, Nourian MM, Jess A, Chernenko A, Assasnik N, Ashby J. Perceived benefits and barriers and self-efficacy affecting the attendance of health education programs among uninsured primary care patients. EVALUATION AND PROGRAM PLANNING 2016; 59:55-61. [PMID: 27591485 DOI: 10.1016/j.evalprogplan.2016.08.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/01/2016] [Revised: 06/07/2016] [Accepted: 08/13/2016] [Indexed: 06/06/2023]
Abstract
Lifestyle interventions have shown to be effective in improving health status, health behaviors, and self-efficacy. However, recruiting participants to health education programs and ensuring the continuity of health education for underserved populations is often challenging. The goals of this study are: to describe the attendance of health education programs; to identify stages of change to a healthy lifestyle; to determine cues to action; and to specify factors affecting perceived benefits and barriers to healthy food choices and physical activity among uninsured primary care patients. Uninsured primary care patients utilizing a free clinic (N=621) completed a self-administered survey from September to December of 2015. US born English speakers, non-US born English speakers, and Spanish speakers reported different kinds of cues to action in attending health education programs. While self-efficacy increases perceived benefits and decreases perceived barriers for physical activity, it increases both perceived benefits and perceived barriers for healthy food choices. The participants who had attended health education programs did not believe that there were benefits for healthy food choices and physical activity. This study adds to the body of literature on health education for underserved populations.
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Affiliation(s)
- Akiko Kamimura
- Department of Sociology, University of Utah, Salt Lake City, UT, USA.
| | - Maziar M Nourian
- School of Medicine, University of Utah, Salt Lake City, UT, USA.
| | | | - Alla Chernenko
- Department of Sociology, University of Utah, Salt Lake City, UT, USA.
| | - Nushean Assasnik
- Health, Society and Policy, University of Utah, Salt Lake City, UT, USA.
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Graham R, Stolte O, Hodgetts D, Chamberlain K. Nutritionism and the construction of ‘poor choices’ in families facing food insecurity. J Health Psychol 2016; 23:1863-1871. [PMID: 27682336 DOI: 10.1177/1359105316669879] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The dominant research approach to both food insecurity and charitable meal provision is nutritionistic, deficit-orientated and ignores wider socio-economic issues. This reinforces existing power dynamics and overlooks the agency of people living food-insecure lives. We critique this dominant approach and draw on the everyday experiences of families facing food insecurity to ground an alternative approach that emphasises food as a social determinant of health.
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Jih J, Le G, Woo K, Tsoh JY, Stewart S, Gildengorin G, Burke A, Wong C, Chan E, Fung LC, Yu F, Pasick R, McPhee SJ, Nguyen TT. Educational Interventions to Promote Healthy Nutrition and Physical Activity Among Older Chinese Americans: A Cluster-Randomized Trial. Am J Public Health 2016; 106:1092-8. [PMID: 26985605 PMCID: PMC4880259 DOI: 10.2105/ajph.2016.303111] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/02/2016] [Indexed: 12/25/2022]
Abstract
OBJECTIVES To evaluate the efficacy of an in-language intervention of 2 lectures plus printed materials versus printed materials alone on knowledge and adherence to nutrition and physical activity guidelines among older Chinese Americans in San Francisco, California. METHODS From August 2010 to September 2013, we randomized 756 Chinese Americans aged 50 to 75 years to either lectures plus print (n = 361) or print (n = 357). Clusters were the participants recruited by each lay health worker. Intervention outcomes were changes in knowledge of recommended vegetable intake, fruit intake, and physical activity level and adherence to those recommendations from pre- to 6 months postintervention. RESULTS The retention rate was 99%. At baseline, knowledge and adherence to recommendations were low. Print yielded increases in knowledge of recommended vegetable intake and physical activity level and adherence to fruit intake and physical activity recommendations. Lectures plus print had significant increases in all 6 outcomes. In multivariable models, lectures plus print was superior to print for knowledge of vegetable (adjusted odds ratio [AOR] = 12.61; 95% confidence interval [CI] = 6.50, 24.45) and fruit (AOR = 16.16; 95% CI = 5.61, 46.51) intake recommendations and adherence to vegetable intake recommendations (AOR = 5.53; 95% CI = 1.96, 15.58). CONCLUSIONS In-language print materials, alone and combined with lectures, increased nutrition and physical activity knowledge and behaviors among older Chinese Americans.
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Affiliation(s)
- Jane Jih
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Gem Le
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Kent Woo
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Janice Y Tsoh
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Susan Stewart
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Ginny Gildengorin
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Adam Burke
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Ching Wong
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Elaine Chan
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Lei-Chun Fung
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Filmer Yu
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Rena Pasick
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Stephen J McPhee
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Tung T Nguyen
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
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Caspi CE, Davey C, Friebur R, Nanney MS. Results of a Pilot Intervention in Food Shelves to Improve Healthy Eating and Cooking Skills Among Adults Experiencing Food Insecurity. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2016; 12:77-88. [PMID: 28386304 DOI: 10.1080/19320248.2015.1095146] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Since the start of the 2007 economic downturn, reliance on emergency food assistance suppliers (e.g., food pantries, also known as food shelves) has increased. Many food shelves strive to provide effective nutrition programs to serve their clients, even while they are faced with a scarcity of resources. Rigorous evaluation of the impact of such programming on dietary outcomes is, therefore, warranted. The aim of this study was to evaluate the effectiveness of a pilot cooking and nutrition education intervention among food shelf clients. A six-session class was conducted with 63 participants in four food shelves in Minneapolis and St. Paul, MN. Diet was assessed through a 24-hour recall from which a Healthy Eating Index (HEI) score was created. Cooking skills were assessed by survey. Average HEI scores increased from 50.9 at baseline to 58.5 post-intervention (p = 0.01, n = 43). Participants demonstrated improved cooking skills scores post-intervention (35.9 vs. 33.1 at baseline, p = 0.002, n = 45). Future research is needed to advance our understanding of how best to improve client nutrition knowledge and cooking skills. This study provides some evidence that improvements in diet and skills can be demonstrated with minimal intervention.
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Affiliation(s)
- Caitlin Eicher Caspi
- University of Minnesota, Department of Family Medicine and Community Health, Program in Health Disparities Research, 717 Delaware St. SE, Minneapolis, MN 55414, Ph: +1-612-626-7074, F: +1-612-626-6782
| | - Cynthia Davey
- Biostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota, 717 Delaware St SE, Minneapolis, MN 55414, Ph: 1+ 612-626-5202
| | - Robin Friebur
- University of Minnesota, Department of Family Medicine and Community Health, Program in Health Disparities Research, 717 Delaware St. SE, Minneapolis, MN 55414, Ph: +1-612-626-7074, F: +1-612-626-6782
| | - Marilyn S Nanney
- University of Minnesota, Department of Family Medicine and Community Health, Program in Health Disparities Research, 717 Delaware St. SE, Minneapolis, MN 55414, Ph: +1-612-626-7074, F: +1-612-626-6782
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Thomas DW, Yeshmanova A, Akanova A, Umutbayeva G, Abikulova A, Chaikovska V. Development of a memory center for older adults in Almaty, Kazakhstan: Innovative Practice. DEMENTIA 2016; 16:665-672. [PMID: 26951363 DOI: 10.1177/1471301216636491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Recognizing the economic and health-outcome value of early cognitive assessment and intervention among its older citizens has guided the Innovative Research School in Gerontology of the SD Asfendiyarov Kazakh National Medical University to begin the process of establishing its nation's first memory center in Almaty, Kazakhstan. Life expectancy in Kazakhstan, which continues to undergo health-care reform since its independence in 1991 from the former Soviet Union, has steadily risen from 64.4 years in 1996 to 68.67 in 2009. With increased life expectancy has been a corresponding rise in cognitive impairments among older adults. The components of the Memory Center, which comprises assessment, education and support, non-pharmaceutical and pharmaceutical interventions, are described.
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Affiliation(s)
| | - Ainur Yeshmanova
- S.D Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | - Assiya Akanova
- S.D Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | | | - Akmaral Abikulova
- S.D Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | - Vera Chaikovska
- S.D Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
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Tsu L, Buckley K, Nguyen S, Kohn J. Evaluating the impact of pharmacist health education on the perceptions of the pharmacist's role among women living in a homeless shelter. Pharm Pract (Granada) 2016; 13:649. [PMID: 26759620 PMCID: PMC4696123 DOI: 10.18549/pharmpract.2015.04.649] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Accepted: 12/02/2015] [Indexed: 11/14/2022] Open
Abstract
Objectives: To determine the impact of pharmacist-provided educational seminars on the participant’s perception of the pharmacist’s role in providing women’s health education. Secondary objectives include the participant’s level of perceived benefit from the information provided during each presentation, as well as determining characteristics of participants who are interested in attending seminars. Methods: This is a prospective study conducted within a homeless women’s shelter in Phoenix, Arizona. Pharmacists and pharmacy students provided 10 monthly educational seminars on topics related to women’s health. Participants completed a pre- and post-seminar survey regarding their perceptions of the presentations and pharmacists. Results: Fifty-six participants attended at least one of 10 seminars from January to November 2014. The average age was 46 years old, taking approximately 3 medications, and 66% completed a high school degree or lower. Prior to the presentations, 30% of participants agreed or strongly agreed that they would seek advice from a pharmacist on the topic presented, which increased significantly to 82% of participants after the presentation (p<0.001). Similarly, 55% of participants rated themselves as agreeing or strongly agreeing with being knowledgeable on the topic presented prior to the presentation, and this increased significantly to 77% after the presentation (p=0.001). After attending the educational session, 70% of participants agreed or strongly agreed that they would make changes to their health, and that they would attend an additional session. The participants noted their increased learning about the topic, the clarity of visual aids and presentation, and knowledge of the presenters as the best parts of the presentation. Conclusion: Pharmacist’s participation in providing educational seminars in the homeless women’s population increases the participant’s knowledge and perception of the pharmacist’s role within the population. Future studies can further investigate an evolving role of pharmacists in optimizing healthcare in the homeless population.
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Affiliation(s)
- Laura Tsu
- Clinical Assistant Professor, School of Pharmacy, Chapman University . Irvine, CA ( United States ).
| | - Kelsey Buckley
- College of Pharmacy - Glendale, Midwestern University . Glendale, AZ ( United States ).
| | - Sarah Nguyen
- College of Pharmacy - Glendale, Midwestern University . Glendale, AZ ( United States ).
| | - Jennifer Kohn
- College of Pharmacy - Glendale, Midwestern University . Glendale, AZ ( United States ).
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Murray EK, Auld G, Inglis-Widrick R, Baker S. Nutrition Content in a National Nutrition Education Program for Low-Income Adults: Content Analysis and Comparison With the 2010 Dietary Guidelines for Americans. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2015; 47:566-573.e1. [PMID: 26566098 DOI: 10.1016/j.jneb.2015.09.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Revised: 08/28/2015] [Accepted: 09/02/2015] [Indexed: 06/05/2023]
Abstract
The purpose of this study was to identify nutrition-related content employed nationally by the Expanded Food and Nutrition Education Program (EFNEP) with adult participants. A content analysis was used to assess the type, frequency, and depth of nutrition content in adult curricula most used by EFNEP nationally compared with the 2010 Dietary Guidelines for Americans (2010 DGA). All EFNEP curricula reviewed employed the vast majority of the 2010 DGA nutrition recommendations, with differences in the frequency and depth of nutrition content. Further research is needed to determine which 2010 DGA recommendations are most important to teach and evaluate within a low-income population.
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Affiliation(s)
- Erin K Murray
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO
| | - Garry Auld
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO
| | - Ruth Inglis-Widrick
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO
| | - Susan Baker
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO.
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Al-Yateem N, Attia AKN, AL-Yafei T, Mohammed A, Mahmood B. The impact of a school nurse intervention on adolescents' knowledge about healthy eating. ACTA ACUST UNITED AC 2015. [DOI: 10.12968/bjsn.2015.10.6.280] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Nabeel Al-Yateem
- Assistant Professor, University of Sharjah, College of Health Sciences, Department of Nursing, United Arab Emirates
| | - Amal Kadry Nicola Attia
- Professor of Nursing, University of Sharjah, College of Health Sciences, Department of Nursing, United Arab Emirates
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