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Strengthening Policy, Systems and Environmental Strategies in Nutrition Education for Lasting Impact
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-01 DOI: 10.1016/j.jneb.2024.12.003
Lauren Haldeman PhD
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引用次数: 0
The 2022 Minnesota Statewide Food Shelf Survey: Reported Availability of Healthy Foods and Importance of Culturally-specific Foods by Participant Demographic Characteristics 2022 年明尼苏达州全州食物架调查:按参与者人口特征分列的健康食品供应情况和特定文化食品的重要性。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-01 DOI: 10.1016/j.jneb.2024.08.006
Francine Overcash PhD, MPH , Patrick Brady PhD , Abby Gold PhD, MPH, RD , Beth Labenz MPH , Marla Reicks PhD, RDN, LN , Susannah West MPH

Objective

To determine whether shopper-reported availability of foods from Minnesota food shelves and the importance of cultural foods/cooking items differed by demographic characteristics.

Methods

Cross-sectional survey of food pantry shoppers (n = 4,680) who visited more than or equal monthly with choice over food selection.

Results

Hispanic and Black shoppers had higher odds of reporting produce, eggs, and cooking items were always available than White shoppers (odds ratio [OR] > 1.35; P < 0.001–0.02). The odds of Asian participants reporting that meat, poultry, and fish were always available were lower than White participants (OR, 0.55; P = 0.002). Asian, Black, Hispanic, and male shoppers had higher odds of indicating the importance of culturally-specific food and cooking item availability than their counterparts (White, females, respectively) (OR, 1.7–6.1; P <0.001).

Conclusions and Implications

Inequities exist in the availability of healthy and culturally-specific foods in food pantries that could be addressed via food-sourcing policies/strategies and food bank distribution efforts.
目的确定购物者报告的明尼苏达州食品储藏室食品供应情况以及文化食品/烹饪物品的重要性是否因人口特征而异:方法:对食品储藏室购物者(n = 4,680)进行横断面调查,这些购物者每月访问食品储藏室的次数多于或等于一次,并可选择食品:结果:与白人购物者相比,西班牙裔和黑人购物者报告农产品、鸡蛋和烹饪食品总是有货的几率更高(几率比 [OR] > 1.35;P < 0.001-0.02)。亚裔参与者报告肉类、家禽和鱼类总是可以买到的几率低于白人参与者(OR,0.55;P = 0.002)。亚裔、黑人、西班牙裔和男性购物者表示具有文化特色的食品和烹饪物品供应的重要性的几率要高于他们的同类购物者(分别为白人和女性)(OR,1.7-6.1;P 结论和启示:食品储藏室在提供健康食品和特定文化食品方面存在不平等现象,可通过食品采购政策/策略和食品银行的分配工作来解决。
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引用次数: 0
Nutrition Education in Primary Care: Comparing Video vs Handout Interventions 初级保健中的营养教育:比较视频与讲义干预。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-01 DOI: 10.1016/j.jneb.2024.09.008
Alison Johnston BS , Morgan Voulo BS , Gail C. D'Souza DrPH , Olivia Lawler MS , Michael Flanagan MD , Penny M. Kris-Etherton PhD , Kristen Grine DO , Travis D. Masterson PhD

Objective

Compare the effectiveness of instructional videos with print handouts when educating family medicine patients about the use of herbs and spices to reduce sodium, saturated fat, and added sugars during meal preparation.

Design

Enrollees were randomized to either view 5 short videos or read 3 handouts. The intervention was implemented while patients waited for their provider to begin their appointment. Postintervention surveys were completed on the patient's smartphone.

Setting

Penn State Health family medicine clinics.

Participants

Patients who attended in-person appointments between September 2022 and August 2023 (n = 102).

Main Outcome Measure(s)

The impact of video and handout intervention on participants’ interest, confidence, knowledge, and intention to use herbs and spices and their perceptions of the intervention.

Analysis

Descriptive statistics summarized sample characteristics; t tests compared video and handout groups.

Results

The video group had higher scores for interest, confidence, and intention to use herbs and spices. Participants perceived the videos as clearer (P = 0.001) and more appropriately complex (P = 0.02) than the handout materials.

Conclusions and Implications

Videos were superior to handouts in promoting interest, confidence, and intention to use herbs and spices for healthier cooking. Videos may improve patient engagement and preventive health care practices in clinical settings.
目标:比较教学视频和印刷讲义在教育家庭医生患者在备餐过程中使用草药和香料减少钠、饱和脂肪和添加糖的效果:比较教学视频和印刷讲义在教育家庭医生病人使用草药和香料来减少膳食中的钠、饱和脂肪和添加糖方面的效果:设计:参加者被随机分配观看 5 部视频短片或阅读 3 份讲义。干预措施在患者等待医疗服务提供者开始预约时实施。干预后的调查在患者的智能手机上完成:宾夕法尼亚州立卫生院家庭医学诊所:主要结果测量指标:视频和讲义干预对参与者使用草药和香料的兴趣、信心、知识和意向的影响,以及他们对干预的看法:分析:描述性统计总结了样本特征;t 检验比较了视频组和讲义组:结果:视频组在使用草药和香料的兴趣、信心和意向方面得分更高。参与者认为视频比讲义材料更清晰(P = 0.001)、更复杂(P = 0.02):在提高使用香草和香料进行健康烹饪的兴趣、信心和意向方面,视频优于讲义。视频可提高临床环境中患者的参与度和预防保健实践。
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引用次数: 0
Editorial Board/Board of Directors
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-01 DOI: 10.1016/S1499-4046(24)00539-6
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引用次数: 0
Empowering Women Farmers: Paving the Way for Food Security and Equality
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-01 DOI: 10.1016/j.jneb.2024.12.002
Habiba Nur PhD, MS, Abiodun T. Atoloye PhD, cPHN, Getrude Mphwanthe PhD, RDN, Jigna Dharod PhD, Mary Murimi PhD, RD, Martha Archuleta PhD, RDN
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引用次数: 0
Validation of a Brief Physical Activity Assessment Tool for Adults With Limited Resources 资源有限的成人简易体能活动评估工具的验证。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-01 DOI: 10.1016/j.jneb.2024.10.011
Cheng Li PhD , Garry Auld PhD , Scott E. Crouter PhD , Debra M. Palmer-Keenan PhD, MEd

Objective

To validate a Brief Physical Activity Assessment Tool for the Expanded Food and Nutrition Program (EFNEP).

Design

Phase 1: test-retest reliability based on 2 survey administrations; Phase 2: concurrent validity triangulated with accelerometer data; Phase 3: sensitivity to change and responsiveness and secondary analysis of EFNEP national dataset.

Setting

Community centers and/or EFNEP classes across the US.

Participants

Phase 1: 75 adults; Phase 2: 106 adults; and Phase 3: 53,393 adults.

Main Outcome Measures

Test-retest reliability, concurrent validity, and sensitivity to change and responsiveness.

Analysis

Test-retest reliability: intraclass correlation, κ, and Spearman correlation coefficient (SCC); concurrent validity: SCC; sensitivity to change: standardized response mean, effect size, and paired t tests; responsiveness: minimal important difference.

Results

The Brief Physical Activity Assessment Tool's test-retest results were moderate (intraclass correlation = 0.77–0.84; κ = 0.55–0.61; SCC = 0.59–0.84). Concurrent validity differed by questions but was highest for the muscle-strengthening question (SCC = 0.87). All questions demonstrated moderate sensitivity to change and responsiveness. Patterns between non-Hispanics and Hispanics were similar.

Conclusions and Implications

The study resulted in a brief, validated, nationally tested questionnaire for evaluating physical activity changes for non-Hispanic adults with limited resources, which could be included in short surveys. It could be further validated among other populations.
目的:验证用于扩大食品营养计划(EFNEP)的简要体育锻炼评估工具:验证食物与营养扩展计划(EFNEP)的简要体育锻炼评估工具:第 1 阶段:基于两次调查管理的重复测试可靠性;第 2 阶段:与加速度计数据进行三角验证的并发有效性;第 3 阶段:对变化的敏感性和响应性,以及对 EFNEP 国家数据集的二次分析:地点: 美国各地的社区中心和/或 EFNEP 课程:第一阶段:75 名成人;第二阶段:106 名成人;第三阶段:53393 名成人:主要结果测量:重测可靠性、并发有效性、对变化的敏感性和反应性:分析:重测可靠性:类内相关、κ和斯皮尔曼相关系数(SCC);同期有效性:SCC;对变化的敏感性:反应性:分析:重测可靠性:等内相关、κ 和斯皮尔曼相关系数(SCC);同期有效性:SCC;变化敏感性:标准化反应平均值、效应大小和配对 t 检验;响应性:最小重要差异:结果:简明体育锻炼评估工具的重测结果为中等(类内相关=0.77-0.84;κ=0.55-0.61;SCC=0.59-0.84)。并发效度因问题而异,但肌肉强化问题的并发效度最高(SCC = 0.87)。所有问题对变化的敏感性和反应性都处于中等水平。非西班牙裔和西班牙裔之间的模式相似:该研究为评估资源有限的非西班牙裔成年人的体育锻炼变化提供了一份简短、有效、经过全国测试的问卷,可将其纳入短期调查中。该问卷还可在其他人群中进一步验证。
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引用次数: 0
Impact of Harvest Lentil Vegetable Blend and Nutrition Education on Child Growth, Caregivers’ Nutrition Knowledge, and WASH Practices 丰收扁豆混合蔬菜和营养教育对儿童成长、护理人员营养知识和讲卫生做法的影响。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-01 DOI: 10.1016/j.jneb.2024.09.009
Elyvine Ingabire-Gasana BS, Mary Murimi PhD, RD, LDN

Objective

To assess the changes in child nutrition status, caregivers’ knowledge, and water, sanitation, and hygiene (WASH) practices following the provision of Harvest Lentil Vegetable Blend to children and a nutrition education intervention to their caregivers.

Design

Three-week pretest-posttest study.

Setting

Turkana, Kenya.

Participants

Children aged 6–59 months (n = 162) and their caregivers (n = 127) completed the intervention, representing > 70% retention.

Interventions

Provision of Harvest Lentil Vegetable Blend to children and nutrition education intervention for caregivers on child feeding and WASH practices.

Main Outcomes Measures

Children's anthropometric measurements, caregivers’ nutrition knowledge, and WASH practices.

Analysis

Wilcoxon signed rank and McNemar tests.

Results

At baseline, 19%, 24%, and 35% of children were stunted, underweight, and wasted, respectively. At the endpoint, the weight-for-age z-scores increased by 0.61 (P = 0.04) for children 6–12 months and by 0.31 (P = 0.03) for children 13–47 months. Weight-for-height z-scores increased by 0.84 (P = 0.04) among children 6–12 months and by 0.42 (P = 0.04) among children 13–47 months. The proportion of caregivers who reported washing hands after defecation and before cooking increased by 37% and 26%, respectively (P = 0.001).

Conclusions and Implications

An on-site feeding program that used nutrient-dense supplemental food was associated with positive changes in children's nutrition status within a short duration. Nutrition education intervention increased the proportion of caregivers who practiced some key WASH practices.
目的评估在向儿童提供丰收扁豆混合蔬菜并对其看护人进行营养教育干预后,儿童营养状况、看护人知识以及饮水、环境卫生和个人卫生(WASH)做法的变化:设计:为期三周的前测-后测研究:地点:肯尼亚图尔卡纳:6-59 个月大的儿童(n = 162)和他们的看护人(n = 127)完成了干预,保留率大于 70%:干预措施:为儿童提供丰收扁豆混合蔬菜,并对照顾者进行儿童喂养和讲卫生做法方面的营养教育干预:主要结果测量:儿童的人体测量、看护人的营养知识和讲卫生做法:分析:Wilcoxon 符号秩检验和 McNemar 检验:基线时,分别有 19%、24% 和 35% 的儿童发育迟缓、体重不足和消瘦。在终点,6-12 个月儿童的体重-年龄 z 值增加了 0.61(P = 0.04),13-47 个月儿童的体重-年龄 z 值增加了 0.31(P = 0.03)。体重身高 z 值在 6-12 个月儿童中增加了 0.84(P = 0.04),在 13-47 个月儿童中增加了 0.42(P = 0.04)。报告在排便后和烹饪前洗手的照顾者比例分别增加了 37% 和 26% (P = 0.001):使用营养丰富的辅食的现场喂养计划能在短期内使儿童的营养状况发生积极变化。营养教育干预提高了采取一些主要讲卫生做法的照顾者的比例。
{"title":"Impact of Harvest Lentil Vegetable Blend and Nutrition Education on Child Growth, Caregivers’ Nutrition Knowledge, and WASH Practices","authors":"Elyvine Ingabire-Gasana BS,&nbsp;Mary Murimi PhD, RD, LDN","doi":"10.1016/j.jneb.2024.09.009","DOIUrl":"10.1016/j.jneb.2024.09.009","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the changes in child nutrition status, caregivers’ knowledge, and water, sanitation, and hygiene (WASH) practices following the provision of Harvest Lentil Vegetable Blend to children and a nutrition education intervention to their caregivers.</div></div><div><h3>Design</h3><div>Three-week pretest-posttest study.</div></div><div><h3>Setting</h3><div>Turkana, Kenya.</div></div><div><h3>Participants</h3><div>Children aged 6–59 months (n = 162) and their caregivers (n = 127) completed the intervention, representing &gt; 70% retention.</div></div><div><h3>Interventions</h3><div>Provision of Harvest Lentil Vegetable Blend to children and nutrition education intervention for caregivers on child feeding and WASH practices.</div></div><div><h3>Main Outcomes Measures</h3><div>Children's anthropometric measurements, caregivers’ nutrition knowledge, and WASH practices.</div></div><div><h3>Analysis</h3><div>Wilcoxon signed rank and McNemar tests.</div></div><div><h3>Results</h3><div>At baseline, 19%, 24%, and 35% of children were stunted, underweight, and wasted, respectively. At the endpoint, the weight-for-age z-scores increased by 0.61 (<em>P</em> = 0.04) for children 6–12 months and by 0.31 (<em>P</em> = 0.03) for children 13–47 months. Weight-for-height z-scores increased by 0.84 (<em>P</em> = 0.04) among children 6–12 months and by 0.42 (<em>P</em> = 0.04) among children 13–47 months. The proportion of caregivers who reported washing hands after defecation and before cooking increased by 37% and 26%, respectively (<em>P</em> = 0.001).</div></div><div><h3>Conclusions and Implications</h3><div>An on-site feeding program that used nutrient-dense supplemental food was associated with positive changes in children's nutrition status within a short duration. Nutrition education intervention increased the proportion of caregivers who practiced some key WASH practices.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 2","pages":"Pages 111-119"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
“All You Need to Manage Blood Pressure”: A Comprehensive e-Education Program for Hypertension "管理血压所需的一切":高血压综合电子教育计划。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-01 DOI: 10.1016/j.jneb.2024.09.010
Bhavika Singhvi PhD , Vishakha Singh PhD , SubbaRao M. Gavaravarapu PhD , Archana Konapur PhD
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引用次数: 0
Validity and Reliability Assessment of a Food and Physical Activity Questionnaire for Adolescents From Low-Income Communities 低收入社区青少年食物和体育活动问卷的有效性和可靠性评估。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-01 DOI: 10.1016/j.jneb.2024.10.009
Graham E. Bastian PhD, RDN, LN , Nurgül Fitzgerald PhD, RD , Susan S. Baker EdD , Debra M. Palmer-Keenan PhD, MEd

Objective

Develop and validate an evaluation questionnaire for sixth-12th grade Expanded Food and Nutrition Education Program (EFNEP) participants.

Design

Five-step process: domain concept prioritization, question generation, question pretesting, reliability testing, and criterion validity testing.

Setting

Community sites in 4 states and New Jersey EFNEP secondary program data.

Participants

Nineteen sixth-12th graders were interviewed; secondary data included 164 ninth-12th graders.

Variables Measured

Content, face, and criterion validity; internal reliability.

Analysis

Iterative template analysis to gauge conceptual understanding; exploratory factor analysis with orthogonal Varimax rotation, interitem correlations, and Cronbach α; Spearman correlations and Bland-Altman plots against the Physical Activity Questionnaire for Adolescents and Youth Risk Behavior Survey questions.

Results

Fourteen questions with acceptable face validity were developed. One item (handwashing) had a ceiling effect and was removed. Eleven of the remaining 13 items were loaded onto 4 factors. The remaining 2 items were kept because of conceptual relevance. The questionnaire demonstrated acceptable reliability and validity overall, but subscale Cronbach α values ranged from 0.53–0.75.

Conclusions and Implications

This 13-item questionnaire was presented to national EFNEP program leaders and was implemented by EFNEP in October 2023. Further research could establish temporal reliability and gold standard criterion validity estimates with a multistate sample of sixth through 12th graders.
目标: 为六年级至十二年级的食品营养教育扩展计划(EFNEP)参与者开发并验证评估问卷:为六年级至十二年级食品与营养教育扩展计划(EFNEP)参与者开发并验证评估问卷:设计:五步流程:领域概念优先排序、问题生成、问题预测、可靠性测试和标准有效性测试:环境:4 个州的社区站点和新泽西州 EFNEP 次级计划数据:19 名六至十二年级学生接受了访谈;二次数据包括 164 名九至十二年级学生:分析:分析:迭代模板分析以衡量对概念的理解;探索性因子分析,包括正交瓦里马克斯旋转、项间相关性和 Cronbach α;与青少年体育活动问卷和青少年危险行为调查问题的斯皮尔曼相关性和布兰德-阿尔特曼图:制定了 14 个具有可接受的表面效度的问题。有一个项目(洗手)出现了上限效应,因此被删除。剩下的 13 个项目中有 11 个被加载到 4 个因子上。其余 2 个项目因概念相关而被保留。问卷的总体信度和效度均可接受,但子量表 Cronbach α 值在 0.53-0.75 之间:这份包含 13 个项目的调查问卷已提交给各国全民教育国家项目负责人,并由全民教育国家项目于 2023 年 10 月开始实施。进一步的研究可以在六年级到十二年级的多州样本中建立时间可靠性和黄金标准有效性估计。
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引用次数: 0
Community-Engaged Development of a Nutrition Curriculum: The Go Healthy Indigenous-Supported Agriculture Study 社区参与的营养课程发展:土著支持的健康农业研究。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-01 DOI: 10.1016/j.jneb.2024.10.003
Tara L. Maudrie PhD, MSPH , Cassandra J. Nguyen PhD , Susanna V. Lopez PhD , Kaylee R. Clyma MPH , Kristina Gabriel BS , Jann Hayman EdD , Addie Hudgins , Valarie Blue Bird Jernigan DrPH

Objective

To understand how Osage Nation community members define healthy eating and develop a corresponding nutrition curriculum through community engagement.

Design

This project comprised a concurrent embedded mixed methods group concept mapping (GCM) study followed by focus group discussions (FGD) to provide feedback on a nutrition curriculum.

Setting

Osage Nation, Oklahoma.

Participants

In the GCM study, 54 participants were recruited from a study of an Indigenous-supported agriculture program. GCM study participants and the Go Healthy Advisory Group participated in 2 FGDs.

Phenomenon of Interest

For the first study, concepts related to healthy eating were explored. In the second study, participants provided feedback on curriculum clarity, perceived efficacy, and relevance.

Analysis

In the first study, a multidimensional scaling algorithm was used to plot statements, and concept clusters were interpreted in a facilitated meeting with participants. A basic content analysis approach was used in the second study.

Results

Five concept clusters related to healthy eating were identified. These clusters were used to generate an 8-module curriculum deemed clear, potentially efficacious, and relevant among FGD participants.

Conclusions and Implications

Community members contributed to a framework of healthy eating for the Osage community, which was used to develop a nutrition curriculum that will be integrated into an Indigenous-supported agriculture program. Future research should explore long-term sustainability and the broader cultural impacts of nutrition programs on Indigenous health and food sovereignty.
目的:了解奥塞奇族社区成员如何定义健康饮食,并通过社区参与制定相应的营养课程。设计:本项目包括一项并行嵌入式混合方法群体概念映射(GCM)研究,随后是焦点小组讨论(FGD),以提供对营养课程的反馈。背景:俄克拉荷马州奥塞奇族。参与者:在GCM研究中,54名参与者是从一个土著支持农业项目的研究中招募的。GCM研究参与者和Go Healthy咨询小组参加了2次fgd。感兴趣的现象:在第一个研究中,我们探讨了与健康饮食相关的概念。在第二项研究中,参与者提供了关于课程清晰度、感知有效性和相关性的反馈。分析:在第一项研究中,使用多维尺度算法来绘制语句,并在与参与者的便利会议中解释概念聚类。第二项研究采用了基本的内容分析方法。结果:确定了与健康饮食相关的五个概念簇。这些分组用于生成8个模块的课程,这些课程在FGD参与者中被认为是清晰、潜在有效和相关的。结论和影响:社区成员为奥塞奇社区健康饮食框架作出了贡献,该框架被用于制定营养课程,该课程将纳入土著支持的农业方案。未来的研究应该探索长期的可持续性和营养计划对土著健康和粮食主权的更广泛的文化影响。
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引用次数: 0
期刊
Journal of Nutrition Education and Behavior
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