Journal of Nutrition Education and Behavior最新文献

Objective: To evaluate health outcomes associated with a Food is Medicine (FIM) intervention.

Design: Single group prepost design.

Participants: Patients with food insecurity at a Federally Qualified Health Center who had a nutrition-related health condition (n = 134).

Intervention: Nine-month FIM program which provided medically tailored grocery boxes and one-on-one nutrition coaching.

Main outcome measures: Hemoglobin A1C, body mass index, blood pressure, fruit and vegetable consumption, food insecurity, medication adherence, and overall health status.

Analysis: Generalized estimating equations estimated the association between outcomes and program participation.

Results: Mean hemoglobin A1C decreased from 7.4% to 7.0% (P = 0.001), body mass index declined from 40.5 to 39.6 (P < 0.01), fruit and vegetable intake increased from 10.0 to 14.6 times/wk (P < 0.001), and food insecurity decreased from 89.6% to 36.1% (P < 0.001). Medication adherence (P = 0.002) and overall health status (P < 0.001) also significantly improved post program.

Conclusion and implications: Participation in a FIM intervention was associated with significant improvements in patient health outcomes, food security, and diet behaviors. Findings show potential for FIM interventions implemented in partnership between food banks and safety net providers to alleviate food insecurity and improve patients' health outcomes.

Objective: To conduct a needs assessment to understand the expectations and eLearning preferences of Black parents of young children to inform the development of a healthy beverage education program.

Methods: A convenience sample of Black parents (n = 64) completed a survey on eLearning format preferences. Individual interviews (n = 20) with survey respondents explored program expectations and motivations for participation. Descriptive statistics and qualitative content analyses were used for data analysis.

Results: Videos were the preferred eLearning format. Participants' expectations of the eLearning program included representations using cultural identifiers (e.g., hair and skin color) reflective of Black culture. They also wanted videos to be engaging, concise, and short (5-10 minutes). The learning topics of interest included the sugar content of beverages, label reading, health consequences of sugar-sweetened beverages, and easy-to-make healthy beverage recipes.

Conclusion and implications: The findings of this study may inform the development of healthy beverage education programs for Black families of young children. Future studies should examine the impact of these interventions on health behaviors and outcomes.

Objective: To explore stakeholders' perceptions of the barriers, facilitators, and existing needs associated with evaluating policy, system, and environmental (PSE) strategies focused on early childhood nutrition within Supplemental Nutrition Assistance Program-Education (SNAP-Ed) programming using the Capabilities, Opportunities, and Motivations of Behavior Model.

Methods: Stakeholders (n = 32) implementing and evaluating SNAP-Ed-approved PSE nutrition-related strategies across the US participated in virtual semistructured interviews. Audio transcripts were deidentified, coded, and analyzed manually by 2 research assistants using thematic analysis with a hybrid deductive and inductive coding approach.

Results: Participants described existing evaluation tools as primarily descriptive, focusing on the PSE change process, implementation details, and reach. While recognizing the value and efficacy of current tools, participants highlighted the need for new metrics to assess the medium- and long-term behavioral impacts and sustainability of these PSE strategies.

Conclusions and implications: There is a need to develop and validate a feasible nutrition-related PSE change evaluation tool that measures behavioral outcomes and sustainability to fully understand the effectiveness of PSE change strategies in SNAP-Ed programs affecting young children.

Objective: To explore barriers and facilitators to campus food pantry utilization among international students attending a public university in the southeastern US and to report suggested solutions to address food and nutrition insecurity.

Methods: A qualitative study was used as a part of a larger explanatory mixed-method design. International students who reported using the campus food pantry were eligible to participate in semistructured interviews, which were analyzed thematically.

Results: Thirty international graduate students participated. Barriers and facilitators to campus food pantry utilization largely centered on the quality and variety of culturally appropriate foods, pantry advertisement and operational strategies, individual accessibility barriers, and perceptions of stigma. Extending service hours, improving advertisements and the food supply, and addressing stigma were recommended.

Conclusions and implications: Attention to campus food pantry food supply improvements, accessibility concerns, and stigma reduction activities could help to improve food and nutrition security among international students.