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Dietary Salt-Related Knowledge, Attitudes, and Behaviors of New Zealand Adults Aged 18-65 Years. 新西兰18-65岁成年人的饮食盐相关知识、态度和行为
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-01-10 DOI: 10.1016/j.jneb.2024.12.001
Neela Bhana, Jennifer Utter, Carley Grimes, Helen Eyles

Objective: To explore dietary salt-related knowledge, attitudes, and behaviors of New Zealand (NZ) adults aged 18-65 years and assess differences by demographic subgroups.

Design: Cross-sectional online survey conducted between June 1, 2018 and August 31, 2018.

Setting: Participants were recruited in shopping malls, via social media, and a market research panel.

Participants: English-speaking adults residing in NZ.

Variables measured: An amended version of The Pan American and World Health Organization Knowledge, Attitudes, and Behaviors standardized survey tool was used. Demographic data (age, sex, ethnicity, and educational attainment) were also collected.

Analysis: Descriptive statistics reported. Chi-square test for independence to assess differences by demographics.

Results: The survey was completed by 1,131 adults (mean age 36 ± 15 years; n = 876 [78%] female; n = 661 [78%] NZ European/other; n = 210 [19%] Asian; n =164 [15%] Māori). In addition, 865 participants (83%) knew the primary dietary source of salt; 406 (40%) knew the recommended salt intake; 946 (95%) believed food manufacturers are responsible for sodium reduction; 563 (55%) supported government regulations; and 259 (26%) used food labels. Females and NZ European/other participants reported more favorable salt-reducing behaviors, such as avoiding fast-food and packaged, ready-to-eat foods (P < 0.001).

Conclusions and implications: Improving salt-related knowledge, attitudes, and behaviors in NZ is particularly important for men, underserved populations, and adults aged 45-65 years. A multicomponent, national NZ salt reduction program based on research addressing engagement and effectiveness for at-risk groups is warranted.

目的:了解新西兰18-65岁成年人的饮食盐相关知识、态度和行为,并评估不同人口亚群的差异。设计:2018年6月1日至2018年8月31日进行横断面在线调查。环境:参与者通过社交媒体和市场调查小组在购物中心招募。参与者:居住在新西兰的讲英语的成年人。测量变量:使用了泛美和世界卫生组织知识、态度和行为标准化调查工具的修订版。还收集了人口统计数据(年龄、性别、种族和教育程度)。分析:报告的描述性统计。卡方检验的独立性,以评估人口统计差异。结果:共1131名成人(平均年龄36±15岁;N = 876[78%]女性;n = 661[78%]新西兰欧洲/其他;n = 210[19%]亚洲人;n =164 [15%] Māori)。此外,865名参与者(83%)知道盐的主要饮食来源;406人(40%)知道推荐的盐摄入量;946人(95%)认为食品制造商有责任减少钠含量;563人(55%)支持政府管制;259家(26%)使用食品标签。女性和新西兰欧洲/其他参与者报告了更有利的减盐行为,例如避免快餐和包装的即食食品(P < 0.001)。结论和启示:在新西兰,改善与盐有关的知识、态度和行为对男性、服务不足人群和45-65岁的成年人尤为重要。有必要在研究的基础上,制定一个多成分的新西兰国家减盐计划,解决风险群体的参与和有效性问题。
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引用次数: 0
University Students Implement a Nutrition and Cooking Education Curriculum With Fidelity. 大学生忠实实施营养与烹饪教育课程。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-01-08 DOI: 10.1016/j.jneb.2024.10.012
Jessica Soldavini, Lindsey Smith Taillie, Leslie A Lytle, Maureen Berner, Dianne Stanton Ward, Alice Ammerman

Objective: To assess the ability of trained university students to implement Cooking Matters for Kids, a hands-on nutrition and cooking education curriculum for third through fifth-grade children.

Methods: Process evaluation data were collected from 6 Cooking Matters for Kids courses led by university students in the fall of 2019 and spring of 2020 at 6 afterschool programs in Orange County, North Carolina. Trained research assistants observed lessons and reported whether key intervention components were implemented as planned, the level of participant engagement, what worked well, and what could be improved on.

Results: University students implemented the curriculum with high fidelity and kept most participants engaged during lessons. Dividing children into smaller groups and assigning instructor roles worked well. Limited completion of take-home challenge activities was an area to improve on.

Conclusions and implications: University students may be effective instructors for Cooking Matters for Kids and other related programs.

目的:评估受过训练的大学生实施“为孩子做饭”的能力,这是一门针对三到五年级儿童的动手营养和烹饪教育课程。方法:从2019年秋季和2020年春季在北卡罗来纳州奥兰治县的6个课外项目中由大学生领导的6个“儿童烹饪问题”课程中收集过程评估数据。训练有素的研究助理观察课程,并报告关键干预成分是否按计划实施,参与者参与程度,哪些有效,哪些可以改进。结果:大学生对课程的实施保真度高,并使大多数参与者在课堂上保持专注。将孩子分成小组并分配教师角色效果很好。完成有限的带回家挑战活动是一个需要改进的领域。结论和启示:大学生可能是儿童烹饪问题和其他相关项目的有效讲师。
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引用次数: 0
Learning From Pregnant Women Eating 5 Servings or More of Vegetables Daily: Strategies, Behaviors, and Motivators. 从每天吃5份或更多蔬菜的孕妇身上学习:策略、行为和动机。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-01-08 DOI: 10.1016/j.jneb.2024.12.004
Judith Maher, Emma Annetts, Sandra Lee, Nina Meloncelli, Lauren Kearney

Objective: To explore the context, behaviors, strategies, and motivators of pregnant women who consume 5 servings of vegetables daily.

Methods: Positive deviance study involving Australian pregnant women (9 of 529) identified through a validated food frequency questionnaire. Semistructured interviews explored their strategies, behaviors, and motivators.

Results: Women valued vegetables for health benefits and disease management. Prioritizing vegetables in main meals and snacks was key, supported by planning, purchasing, and preparation. Social support and a positive environment facilitated regular vegetable consumption easier. Cooking skills and, in some cases, gardening were important enablers. Results provide practical strategies to address commonly reported challenges to vegetable consumption.

Conclusions and implications: Pregnant women's experiences of meeting vegetable intake recommendations offer valuable insights into practices that enhance dietary quality. Further research and testing in practice is warranted with pregnant women and their significant others to promote increased vegetable intake and better outcomes for families.

目的:探讨孕妇每天食用5份蔬菜的背景、行为、策略和激励因素。方法:通过一份有效的食物频率问卷,对529名澳大利亚孕妇(9名)进行阳性偏差研究。半结构化访谈探讨了他们的策略、行为和激励因素。结果:女性看重蔬菜的健康益处和疾病管理。在主餐和零食中优先考虑蔬菜是关键,并得到计划、采购和准备的支持。社会支持和积极的环境使经常食用蔬菜变得更加容易。烹饪技巧,在某些情况下,园艺是重要的促成因素。结果提供了实用的策略,以解决普遍报道的蔬菜消费的挑战。结论和启示:孕妇满足蔬菜摄入量建议的经验为提高饮食质量的实践提供了有价值的见解。进一步的研究和实践测试是有必要的孕妇和他们的重要的其他人,以促进增加蔬菜摄入量和更好的结果为家庭。
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引用次数: 0
Vermont's Universal School Meals Program: Challenging the Neoliberal Education Paradigm. 佛蒙特州的全民学校供餐计划:挑战新自由主义教育范式。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-01-08 DOI: 10.1016/j.jneb.2024.12.007
Alexandra Brooks

This article examines the recent implementation of Universal School Meals (USM) programs in several US states in the context of the increasing influence of neoliberalism in the public schooling system. By subverting a neoliberal paradigm, USM programs disrupt prevailing narratives of poverty and work to reclaim education's central place in the public sphere. A systems-thinking analysis of this issue reveals USM programs to be a powerful leverage point for change. Examining Vermont as a case study, this analysis explores how USM programs present an opportunity to reimagine the purpose of public schooling beyond the boundaries of a neoliberal paradigm.

本文考察了在新自由主义对公立学校系统影响日益增加的背景下,美国几个州最近实施的全民学校供餐(USM)计划。通过颠覆新自由主义范式,USM项目颠覆了主流的贫困叙事,并致力于重新夺回教育在公共领域的中心地位。对这一问题的系统思维分析表明,USM计划是变革的有力杠杆点。检查佛蒙特州作为一个案例研究,本分析探讨如何USM程序提供了一个机会,以重新想象超出新自由主义范式的界限的公立学校的目的。
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引用次数: 0
Nibble with Willow Early Childhood Intervention: Teacher Reports of Positive Program Impacts on Children and Their Families Nibble with Willow 儿童早期干预:教师报告项目对儿童及其家庭的积极影响。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-01-01 DOI: 10.1016/j.jneb.2024.10.007
Lynn Fredericks BA , Jennifer Utter PhD, MPH, RD , Juliette Pope MS , Pamela Koch EdD, RD
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引用次数: 0
Experiences and Perspectives of Canadian Dietetic Educators Regarding Food Literacy and Its Incorporation Into Undergraduate Dietetics Programs 加拿大饮食教育工作者关于食物素养的经验与观点,以及将其纳入大学饮食课程。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-01-01 DOI: 10.1016/j.jneb.2024.09.007
Cathy Langdon MSc, RD, Allison Cammer PhD, RD, Roy Dobson PhD, Jessica R.L. Lieffers PhD RD

Objective

To explore the experiences and perspectives of Canadian dietetic educators regarding food literacy and its incorporation into accredited undergraduate food and nutrition programs.

Design

Semistructured qualitative interviews.

Setting

Canada.

Participants

Purposive sampling via email invitation of dietetic educators (n = 18) who teach academic courses in food and nutrition programs in Canada that lead to a career in dietetics.

Phenomenon of Interest

How food literacy is understood and valued; where and how food literacy is being included in curricula; challenges to incorporation.

Analysis

Interpretive description, concurrent data collection and analysis, constant comparative analysis, inductive coding, and development of themes.

Results

Four themes were developed from the interview transcripts, which included the following: conceptualization of food literacy is still evolving; food literacy is important to the dietetic profession; aspects of food literacy felt to be well represented in curricula, but there is room for growth; and food literacy's incorporation in curricula is challenged by unclear key concepts.

Conclusions and Implications

A key first step to inform how food literacy is taught in dietetic education programs is to find agreement on an operational definition of food literacy in the context of dietetic practice and to clarify the role dietitians play in promoting food literacy.
目的:探讨加拿大饮食教育工作者在食品素养方面的经验和观点,并将其纳入经认证的本科食品和营养课程。设计:半结构化定性访谈。设置:加拿大。参与者:通过电子邮件邀请在加拿大教授食品和营养项目学术课程的营养教育工作者(n = 18)进行有目的的抽样,这些教育工作者可能会从事营养学方面的职业。兴趣现象:如何理解和重视食物素养;在何处以及如何将食品知识纳入课程;公司面临的挑战。分析:解释性描述,并发数据收集分析,持续对比分析,归纳编码,主题开发。结果:从访谈记录中发展出四个主题,其中包括以下内容:食品素养的概念化仍在发展;食物知识对营养学专业来说很重要;食品素养的各个方面在课程中得到了很好的体现,但仍有增长的空间;而将食品素养纳入课程也受到关键概念不明确的挑战。结论和意义:了解如何在饮食教育计划中教授食物素养的关键第一步是在饮食实践的背景下就食物素养的操作定义达成一致,并阐明营养师在促进食物素养方面所起的作用。
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引用次数: 0
Acceptability of Pilot School-based Food Pantries Compared With Weekend Feeding BackPack Programs Among Food Pantry Clients in Rural Tennessee: A Mixed-Methods Approach 田纳西州农村地区食品储藏室客户对校内食品储藏室试点与周末喂养背包计划的接受程度比较:混合方法。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-01-01 DOI: 10.1016/j.jneb.2024.09.002
Marissa McElrone PhD, RDN, CPH , Kimberly Osment MPH , Emory Evans MPH , Shelby Gillian MPH

Objective

To explore the client acceptability and perceived impact of pilot school-based food pantries (SBFPs) and compare client preference between SBFPs and BackPack programs (locally termed Sack Pack) in 3 rural Tennessee elementary schools.

Methods

A mixed-method design, including cross-sectional surveys (n = 25) and semistructured interviews (n = 11), was used to assess and compare program acceptability.

Results

Client satisfaction was uniformly positive for both programs; however, a majority preferred the food quantity (84%), nutritional value (76%), variety (68%), quality (68%), and convenience (64%) of SBFPs. Clients reported feeding more household members with SBFPs (3.9 ± 0.9 vs 3.0 ± 1.0) compared with Sack Pack. When exploring SBFPs vs Sack Pack, 3 primary themes emerged from interviews and were supported by survey data: preferences for different program elements; food acceptability; and SBFP impact and expansion.

Conclusions and Implications

Findings support continuing SBFPs in rural schools. Studies on expanding the use of trusted and accessible schools as potential healthful food distribution sites are warranted to support broader community food access in rural areas.
目的在田纳西州的 3 所农村小学探索试点校内食品储藏室 (SBFP) 的客户接受度和感知影响,并比较客户对 SBFP 和 BackPack 计划(当地称为 Sack Pack)的偏好:方法: 采用混合方法设计,包括横截面调查(n = 25)和半结构式访谈(n = 11),以评估和比较计划的可接受性:结果:客户对两个计划的满意度都很高;然而,大多数客户更喜欢 SBFPs 的食物数量(84%)、营养价值(76%)、种类(68%)、质量(68%)和便利性(64%)。与 "麻袋包 "相比,服务对象表示使用 "小包装食品"(3.9 ± 0.9 vs 3.0 ± 1.0)喂养的家庭成员更多。在探讨 SBFPs 与 Sack Pack 的对比时,访谈中出现了 3 个主要的主题,并得到了调查数据的支持:对不同计划要素的偏好;食物的可接受性;以及 SBFP 的影响和扩展:调查结果支持在农村学校继续实施 SBFP。为支持农村地区更广泛的社区食物获取,有必要研究如何扩大使用可信赖且容易到达的学校作为潜在的健康食物分发场所。
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引用次数: 0
Incorporating Trauma-Informed Practices in Nutrition Education 将创伤知情实践纳入营养教育。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-01-01 DOI: 10.1016/j.jneb.2024.11.001
Marissa McElrone PhD, RDN, CPH , Palak Gupta PhD, MPH , M. Elizabeth (Beth) Miller PhD, RDN, LDN, FAND , Bree Bode PhD, MPH, CHES , Kelseanna Hollis-Hansen PhD, MPH
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引用次数: 0
Deciphering Dichos for Nutrition and Health Discussion: A Qualitative Study Among Men of Mexican Origin With or At-Risk of Type 2 Diabetes 解密 Dichos,促进营养与健康讨论:墨西哥裔男性 2 型糖尿病患者或高危人群的定性研究。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-01-01 DOI: 10.1016/j.jneb.2024.09.003
Antonio Miranda PhD, RD, LD, CDCES , Claudia Sánchez PhD , David O. Garcia PhD, FACSM , Lina Gonzalez MS, RD , Daysy Guevara MS, RD , Paula Garcia MS, RD , Scarlett Bravo MS, RD , Cynthia Warren PhD

Objective

This study investigates the potential use of dichos (colloquial Spanish sayings) in nutrition and health education for men of Mexican origin, focusing on their recognizability, traditional meanings, and health topic applicability.

Design

A qualitative study that included individual interviews (n = 12) and pile sort methodology to explore 16 dichos. Interviews discussed dicho recognizability and traditional meaning. The pile sort explored the applicability of dichos for health topics. Finally, participants elaborated on the potential utility of dichos for nutrition and health education.

Setting

At-home, one-on-one interviews.

Participants

Mexican-origin, native-Spanish-speaking males with a body mass index ≥ 30 kg/m2.

Phenomenon of Interest

The potential application of dichos for nutrition and health education.

Analysis

Dichos were scored for recognizability (total of 12 participants). The qualitative analysis involved 4 cycle coding for the identification of the traditional meaning and health topic applicability of dichos.

Results

Eleven of the 16 dichos were recognized and defined by 100% of participants. Qualitative analysis revealed the meanings of dichos that are applicable to the health topics of healthy eating, physical activity, health motivation, social support, and stress management. All participants supported the viability of dichos as a linguistic educational tool.

Conclusions and Implications

Dichos may serve as a cultural-linguistic strategy in nutrition education for men of Mexican origin with or at risk for type 2 diabetes.
目的:本研究调查了在针对墨西哥裔男性的营养和健康教育中使用 dichos(西班牙语俗语)的可能性:本研究调查了 dichos(西班牙语俗语)在墨西哥裔男性营养与健康教育中的潜在用途,重点关注它们的可识别性、传统含义以及健康话题的适用性:设计:一项定性研究,包括个人访谈(n = 12)和堆积分类法,以探讨 16 个 dichos。访谈讨论了二乔的可识别性和传统含义。堆分类法探讨了二乔在健康主题方面的适用性。最后,参与者阐述了二乔对营养和健康教育的潜在作用:地点:一对一家庭访谈:参与者:墨西哥裔、以西班牙语为母语、体重指数≥ 30 kg/m2 的男性:分析:根据可识别性对二歧体进行评分(共有 12 名参与者)。定性分析包括 4 个周期的编码,以确定 dichos 的传统含义和健康主题的适用性:结果:在 16 个 "二乔 "中,有 11 个 "二乔 "得到了 100%参与者的认可和定义。定性分析显示,二乔的含义适用于健康饮食、体育锻炼、健康激励、社会支持和压力管理等健康主题。所有参与者都支持将 Dichos 作为一种语言教育工具:Dichos 可作为一种文化-语言策略,用于对患有或可能患有 2 型糖尿病的墨西哥裔男性进行营养教育。
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引用次数: 0
Highlighting the Importance of Policy, Systems and Environmental Change Interventions in Nutrition Education and Behavior 强调政策、系统和环境变化干预在营养教育和行为中的重要性?
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-01-01 DOI: 10.1016/j.jneb.2024.11.002
Lauren Haldeman PhD
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引用次数: 0
期刊
Journal of Nutrition Education and Behavior
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