Pub Date : 2024-12-01DOI: 10.1016/j.jneb.2024.07.007
Jordan A. Levinson PhD , Dawn Clifford PhD, RDN , Emma M. Laing PhD, RDN, FAND , Cristen L. Harris PhD, RDN, FAND , Nicholas Slagel PhD, RDN , Nikole D. Squires MS , Jeffrey M. Hunger PhD
This Perspective article encourages the field of nutrition and dietetics to move away from a weight-centric paradigm that emphasizes weight loss and weight management as primary health outcomes. This approach can perpetuate weight stigma, which is associated with poorer health behaviors, poorer mental health, disordered eating, and even increased mortality risk. We propose an alternative approach—adopting a weight-inclusive paradigm—that focuses on providing care across the weight spectrum by centering health behaviors rather than weight. This approach allows individuals of all sizes to have equitable access to high-quality nutrition and dietetics care.
{"title":"Weight-Inclusive Approaches to Nutrition and Dietetics: A Needed Paradigm Shift","authors":"Jordan A. Levinson PhD , Dawn Clifford PhD, RDN , Emma M. Laing PhD, RDN, FAND , Cristen L. Harris PhD, RDN, FAND , Nicholas Slagel PhD, RDN , Nikole D. Squires MS , Jeffrey M. Hunger PhD","doi":"10.1016/j.jneb.2024.07.007","DOIUrl":"10.1016/j.jneb.2024.07.007","url":null,"abstract":"<div><div>This Perspective article encourages the field of nutrition and dietetics to move away from a weight-centric paradigm that emphasizes weight loss and weight management as primary health outcomes. This approach can perpetuate weight stigma, which is associated with poorer health behaviors, poorer mental health, disordered eating, and even increased mortality risk. We propose an alternative approach—adopting a weight-inclusive paradigm—that focuses on providing care across the weight spectrum by centering health behaviors rather than weight. This approach allows individuals of all sizes to have equitable access to high-quality nutrition and dietetics care.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 12","pages":"Pages 923-930"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.jneb.2024.10.005
Yenory Hernández-Garbanzo PhD (Past PresidentSociety for Nutrition Education and Behavior), Nicole Brandt (Executive DirectorSociety for Nutrition Education and Behavior)
{"title":"Building Tomorrow: The Importance of Strategic Planning for SNEB","authors":"Yenory Hernández-Garbanzo PhD (Past PresidentSociety for Nutrition Education and Behavior), Nicole Brandt (Executive DirectorSociety for Nutrition Education and Behavior)","doi":"10.1016/j.jneb.2024.10.005","DOIUrl":"10.1016/j.jneb.2024.10.005","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 12","pages":"Page 843"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792747","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}
Pub Date : 2024-12-01DOI: 10.1016/j.jneb.2024.08.003
Virginia B. Gray PhD, RDN , Cara Cuite PhD , Megan Patton-López PhD, RD , Rickelle Richards PhD, MPH, RDN, CD , Mateja Savoie-Roskos PhD, MPH, RDN , Stephanie Machado DrPH, MPH , Emily Heying PhD, RD, LD , Matthew Landry PhD, RDN, FAND , Susan Chen PhD , Rebecca L. Hagedorn-Hatfield PhD, RDN, LD , Georgianna Mann PhD , Zubaida Qamar PhD, RDN , Kendra OoNorasak MS, RD, LD , Victoria A. Zigmont PhD, MPH
Objective
To describe current food insecurity (FI)-related training among nutrition/dietetics, public health, and social work students.
Methods
A cross-sectional online survey was used among students (n = 306) enrolled in health-related programs at 12 US universities. Participants reported FI-related course-based and extracurricular experiences and rated confidence to address FI on a scale of 1–3. Open-ended questions investigated perceived definitions of FI and impactful course activities. Descriptive statistics and thematic analysis were used for data analysis.
Results
Participants’ FI definitions were multifaceted. Most (80.6%) reported FI being covered in at least 1 course. The overall mean confidence to address FI was 2.2 ± 0.48. Participants suggested increasing application-based opportunities and skills training.
Conclusions and Implications
Most students have a basic understanding of FI and report high confidence to address it in the future. Impactful FI-related experiences and participants’ suggestions guide developing an FI training resource to enhance student FI competency and sensitivity.
目的描述营养学/饮食学、公共卫生和社会工作专业学生目前接受的与粮食不安全（FI）相关的培训情况：对美国 12 所大学健康相关专业的学生（n = 306）进行了横向在线调查。参与者报告了与家庭健康相关的课程和课外经历，并对解决家庭健康问题的信心进行了1-3级评分。开放式问题调查了人们对健康教育和有影响力的课程活动的认知定义。数据分析采用了描述性统计和主题分析：结果：参与者对 FI 的定义是多方面的。大多数人（80.6%）报告说，在至少一门课程中涉及到了融合。解决 FI 问题的总体平均信心指数为 2.2 ± 0.48。参与者建议增加以应用为基础的机会和技能培训：大多数学生对金融信息有基本的了解，并表示对将来解决金融信息问题很有信心。与金融投资相关的重要经验和参与者的建议为开发金融投资培训资源提供了指导，以提高学生的金融投资能力和敏感性。
{"title":"Food Insecurity Knowledge and Training Among College Students in Health Majors","authors":"Virginia B. Gray PhD, RDN , Cara Cuite PhD , Megan Patton-López PhD, RD , Rickelle Richards PhD, MPH, RDN, CD , Mateja Savoie-Roskos PhD, MPH, RDN , Stephanie Machado DrPH, MPH , Emily Heying PhD, RD, LD , Matthew Landry PhD, RDN, FAND , Susan Chen PhD , Rebecca L. Hagedorn-Hatfield PhD, RDN, LD , Georgianna Mann PhD , Zubaida Qamar PhD, RDN , Kendra OoNorasak MS, RD, LD , Victoria A. Zigmont PhD, MPH","doi":"10.1016/j.jneb.2024.08.003","DOIUrl":"10.1016/j.jneb.2024.08.003","url":null,"abstract":"<div><h3>Objective</h3><div>To describe current food insecurity (FI)-related training among nutrition/dietetics, public health, and social work students.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey was used among students (n = 306) enrolled in health-related programs at 12 US universities. Participants reported FI-related course-based and extracurricular experiences and rated confidence to address FI on a scale of 1–3. Open-ended questions investigated perceived definitions of FI and impactful course activities. Descriptive statistics and thematic analysis were used for data analysis.</div></div><div><h3>Results</h3><div>Participants’ FI definitions were multifaceted. Most (80.6%) reported FI being covered in at least 1 course. The overall mean confidence to address FI was 2.2 ± 0.48. Participants suggested increasing application-based opportunities and skills training.</div></div><div><h3>Conclusions and Implications</h3><div>Most students have a basic understanding of FI and report high confidence to address it in the future. Impactful FI-related experiences and participants’ suggestions guide developing an FI training resource to enhance student FI competency and sensitivity.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 12","pages":"Pages 893-903"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.jneb.2024.07.012
Yue Wang MS , Haiyue Zhang MS , Shibo Guo MS , Haixia Wei MS , Xun Jiang PhD , Lei Shang PhD , Lisa R. Fries PhD
Objective
To explore the feeding practices and feeding environment of Chinese families with 6–10-month-old infants.
Design
One day of caregiver-recorded feeding occasions.
Setting
Homes in Shaanxi, China.
Participants
Families recruited using convenience sampling.
Variables Measured
Videos were coded for feeding practice frequency and acceptance rate, feeding environment, and responsiveness to infant fullness cues and eating pace.
Analysis
Wilcoxon rank sum tests examined the differences in feeding practice use based on caregiver type, infant sex, and infant weight status.
Results
Twenty-eight families provided videos for coding. The most commonly observed feeding practices were opening the mouth, giving instructions, and interfering with the child's actions. Prompts to eat were accepted 86.9% of the time. Overweight infants’ caregivers used significantly more coercive prompts to eat than did caregivers of healthy-weight infants (P < 0.05). Mothers used more autonomy-supportive prompts to eat than did fathers (P < 0.05). Early, active, and late infant fullness cues were captured in 25.6%, 34.8%, and 8.5% of videos, respectively. 53.6% of caregivers fed at the right pace, whereas 14.5% and 31.9% fed too slow or too fast, respectively. Approximately 5.5% of videos had a screen on, and 33.5% of videos included at least 1 other distraction during the meal.
Conclusions and Implications
Differences in feeding practices among caregivers suggest that targeted advice may further improve feeding practices. Improving the caregiver's ability to identify satiety cues and respond to infant eating speed may also reduce the risk of overfeeding.
{"title":"Common Feeding Practices Used by Chinese Caregivers of 6–10-Month-Old Infants: A Behavioral Observation Study in Shaanxi Province","authors":"Yue Wang MS , Haiyue Zhang MS , Shibo Guo MS , Haixia Wei MS , Xun Jiang PhD , Lei Shang PhD , Lisa R. Fries PhD","doi":"10.1016/j.jneb.2024.07.012","DOIUrl":"10.1016/j.jneb.2024.07.012","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the feeding practices and feeding environment of Chinese families with 6–10-month-old infants.</div></div><div><h3>Design</h3><div>One day of caregiver-recorded feeding occasions.</div></div><div><h3>Setting</h3><div>Homes in Shaanxi, China.</div></div><div><h3>Participants</h3><div>Families recruited using convenience sampling.</div></div><div><h3>Variables Measured</h3><div>Videos were coded for feeding practice frequency and acceptance rate, feeding environment, and responsiveness to infant fullness cues and eating pace.</div></div><div><h3>Analysis</h3><div>Wilcoxon rank sum tests examined the differences in feeding practice use based on caregiver type, infant sex, and infant weight status.</div></div><div><h3>Results</h3><div>Twenty-eight families provided videos for coding. The most commonly observed feeding practices were opening the mouth, giving instructions, and interfering with the child's actions. Prompts to eat were accepted 86.9% of the time. Overweight infants’ caregivers used significantly more coercive prompts to eat than did caregivers of healthy-weight infants (<em>P</em> < 0.05). Mothers used more autonomy-supportive prompts to eat than did fathers (<em>P</em> < 0.05). Early, active, and late infant fullness cues were captured in 25.6%, 34.8%, and 8.5% of videos, respectively. 53.6% of caregivers fed at the right pace, whereas 14.5% and 31.9% fed too slow or too fast, respectively. Approximately 5.5% of videos had a screen on, and 33.5% of videos included at least 1 other distraction during the meal.</div></div><div><h3>Conclusions and Implications</h3><div>Differences in feeding practices among caregivers suggest that targeted advice may further improve feeding practices. Improving the caregiver's ability to identify satiety cues and respond to infant eating speed may also reduce the risk of overfeeding.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 12","pages":"Pages 856-868"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.jneb.2024.08.001
Callie Ogland-Hand MA , Jillian Schulte MA, MPH , Lindsay M. Osborn MPH , Owusua Yamoah PhD , Pat Bebo MS, RDN , Darcy A. Freedman PhD
Objective
Identify themes essential to implementing policy, system, and environmental (PSE) interventions within kindergarten to 12th-grade (K–12) settings and provide associated indicators of readiness and capacity to support healthy eating PSE work among Supplemental Nutrition Assistance Program-Education (SNAP-Ed) practitioners in Ohio.
Design
Interview data were collected in Ohio from December, 2020 to May, 2021.
Participants
Ohio SNAP-Ed practitioners (n = 12), community residents with low income (n = 26), and K–12 experts statewide (n = 10) and nationally (n = 3).
Phenomenon of Interest
Healthy eating PSE implementation.
Analysis
We conducted a qualitative analysis to identify themes and indicators related to implementing healthy eating PSEs in schools. During virtual consensus conferences (December, 2021–April, 2022), themes and indicators were sorted and ranked by perceived importance to PSE implementation.
Results
Four themes and 14 indicators were identified. Expert-derived weights quantified the themes’ importance to PSE implementation efforts in K–12. Themes included: (1) school system support and capacity (weight 0.372), (2) school food environment (0.278), (3) SNAP-Ed practitioner capacity and resources (0.192), and (4) familial influence and awareness (0.158).
Conclusions and Implications
Findings provide guidance for tailoring healthy eating PSEs in K–12 schools using local levels of readiness and capacity. Results highlight targeted areas of focus to support the implementation of healthy eating PSE interventions in K–12 schools through SNAP-Ed programming in diverse contexts. Future research is needed on the applicability of these findings based on feedback from school district staff and community members with children in different school settings.
目标：确定在幼儿园至十二年级（K-12）环境中实施政策、系统和环境（PSE）干预措施的基本主题，并提供俄亥俄州补充营养援助计划-教育（SNAP-Ed）从业人员支持健康饮食 PSE 工作的准备情况和能力的相关指标：访谈数据于 2020 年 12 月至 2021 年 5 月在俄亥俄州收集：俄亥俄州 SNAP-Ed 从业人员（n = 12）、低收入社区居民（n = 26）、全州（n = 10）和全国（n = 3）K-12 专家：分析：我们进行了定性分析，以确定与在学校实施健康饮食 PSE 有关的主题和指标。在虚拟共识会议期间（2021 年 12 月至 2022 年 4 月），我们对主题和指标进行了分类，并根据其对实施 PSE 的重要性进行了排序：结果：确定了四个主题和 14 个指标。结果：确定了 4 个主题和 14 个指标。专家得出的权重量化了这些主题对幼儿园至 12 年级实施 PSE 工作的重要性。主题包括(1) 学校系统的支持和能力（权重 0.372），(2) 学校食品环境（0.278），(3) SNAP-Ed 从业人员的能力和资源（0.192），以及 (4) 家庭的影响和意识（0.158）：研究结果为根据当地的准备程度和能力水平在 K-12 学校定制健康饮食 PSE 提供了指导。研究结果强调了有针对性的重点领域，以支持在不同背景下通过 SNAP-Ed 计划在 K-12 学校实施健康饮食 PSE 干预措施。今后还需要根据校区工作人员和社区成员的反馈，研究这些发现在不同学校环境中的适用性。
{"title":"Healthy Eating in K–12 Schools: Assessing Readiness and Capacity to Guide SNAP-Ed Programming in Ohio","authors":"Callie Ogland-Hand MA , Jillian Schulte MA, MPH , Lindsay M. Osborn MPH , Owusua Yamoah PhD , Pat Bebo MS, RDN , Darcy A. Freedman PhD","doi":"10.1016/j.jneb.2024.08.001","DOIUrl":"10.1016/j.jneb.2024.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>Identify themes essential to implementing policy, system, and environmental (PSE) interventions within kindergarten to 12th-grade (K–12) settings and provide associated indicators of readiness and capacity to support healthy eating PSE work among <em>Supplemental Nutrition Assistance Program-Education</em> (SNAP-Ed) practitioners in Ohio.</div></div><div><h3>Design</h3><div>Interview data were collected in Ohio from December, 2020 to May, 2021.</div></div><div><h3>Participants</h3><div>Ohio SNAP-Ed practitioners (n = 12), community residents with low income (n = 26), and K–12 experts statewide (n = 10) and nationally (n = 3).</div></div><div><h3>Phenomenon of Interest</h3><div>Healthy eating PSE implementation.</div></div><div><h3>Analysis</h3><div>We conducted a qualitative analysis to identify themes and indicators related to implementing healthy eating PSEs in schools. During virtual consensus conferences (December, 2021–April, 2022), themes and indicators were sorted and ranked by perceived importance to PSE implementation.</div></div><div><h3>Results</h3><div>Four themes and 14 indicators were identified. Expert-derived weights quantified the themes’ importance to PSE implementation efforts in K–12. Themes included: (1) school system support and capacity (weight 0.372), (2) school food environment (0.278), (3) SNAP-Ed practitioner capacity and resources (0.192), and (4) familial influence and awareness (0.158).</div></div><div><h3>Conclusions and Implications</h3><div>Findings provide guidance for tailoring healthy eating PSEs in K–12 schools using local levels of readiness and capacity. Results highlight targeted areas of focus to support the implementation of healthy eating PSE interventions in K–12 schools through SNAP-Ed programming in diverse contexts. Future research is needed on the applicability of these findings based on feedback from school district staff and community members with children in different school settings.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 12","pages":"Pages 845-855"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331445","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}
Pub Date : 2024-12-01DOI: 10.1016/S1499-4046(24)00483-4
{"title":"Editorial Board/Board of Directors","authors":"","doi":"10.1016/S1499-4046(24)00483-4","DOIUrl":"10.1016/S1499-4046(24)00483-4","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 12","pages":"Page A3"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143181462","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}
Pub Date : 2024-12-01DOI: 10.1016/j.jneb.2024.10.006
Lauren Haldeman (Editor-in-Chief, Journal of Nutrition Education and Behavior, Advancing Research, Practice & Policy)
{"title":"Advancing the Field Through Systematic Reviews in Nutrition Education and Behavior","authors":"Lauren Haldeman (Editor-in-Chief, Journal of Nutrition Education and Behavior, Advancing Research, Practice & Policy)","doi":"10.1016/j.jneb.2024.10.006","DOIUrl":"10.1016/j.jneb.2024.10.006","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 12","pages":"Page 844"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792742","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}
Pub Date : 2024-12-01DOI: 10.1016/j.jneb.2024.07.008
Andrea Leschewski PhD , Steven J. Pierce PhD , M. Catalina Aragon MS , Susan S. Baker EdD , Margaret Udahogora PhD, RD , Kylie Pybus MPH , Nicole Owens Duffy PhD , Annie J. Roe PhD, RDN , Kavitha Sankavaram PhD
Objective
To assess whether the adult Expanded Food and Nutrition Education Program (EFNEP) is a cost-effective intervention that generates sustained improvement in biomarkers of chronic disease risk.
Design
A longitudinal quasi-experimental design with 2 parallel arms (untreated comparison vs EFNEP) and 4 waves of data collection (pretest, posttest, 6 months, and 12 months after completion).
Setting
Eligible adult EFNEP community settings in Colorado, Florida, Maryland, and Washington.
Participants
Free-living adults (n = 500) aged 18–50 years, with income ≤ 185% of the Federal Poverty Line.
Intervention(s)
Adult EFNEP delivered using an evidence-based curriculum, Eating Smart • Being Active.
Main Outcome Measure(s)
Chronic disease biomarkers (body mass index, blood pressure, and HbA1c), food and physical activity behaviors, dietary intake, health status, and demographics will be measured using objective biometric indicators, the Adult EFNEP Questionnaire, a 24-hour dietary recall, a health questionnaire, and demographic forms.
Analysis
Linear mixed models will be used to assess whether adult EFNEP has a significant (P < 0.01) impact on 3 chronic disease biomarkers. The program's estimated impact on chronic disease biomarkers will be incorporated into a cost-benefit analysis framework to assess the economic value generated by adult EFNEP through chronic disease risk reduction.
{"title":"A Proposed Cost-Benefit Analysis of Adult EFNEP Utilizing Biomarkers of Chronic Disease Risk","authors":"Andrea Leschewski PhD , Steven J. Pierce PhD , M. Catalina Aragon MS , Susan S. Baker EdD , Margaret Udahogora PhD, RD , Kylie Pybus MPH , Nicole Owens Duffy PhD , Annie J. Roe PhD, RDN , Kavitha Sankavaram PhD","doi":"10.1016/j.jneb.2024.07.008","DOIUrl":"10.1016/j.jneb.2024.07.008","url":null,"abstract":"<div><h3>Objective</h3><div>To assess whether the adult <em>Expanded Food and Nutrition Education Program</em> (EFNEP) is a cost-effective intervention that generates sustained improvement in biomarkers of chronic disease risk.</div></div><div><h3>Design</h3><div>A longitudinal quasi-experimental design with 2 parallel arms (untreated comparison vs EFNEP) and 4 waves of data collection (pretest, posttest, 6 months, and 12 months after completion).</div></div><div><h3>Setting</h3><div>Eligible adult EFNEP community settings in Colorado, Florida, Maryland, and Washington.</div></div><div><h3>Participants</h3><div>Free-living adults (n = 500) aged 18–50 years, with income ≤ 185% of the Federal Poverty Line.</div></div><div><h3>Intervention(s)</h3><div>Adult EFNEP delivered using an evidence-based curriculum, <em>Eating Smart</em> • <em>Being Active</em>.</div></div><div><h3>Main Outcome Measure(s)</h3><div>Chronic disease biomarkers (body mass index, blood pressure, and HbA1c), food and physical activity behaviors, dietary intake, health status, and demographics will be measured using objective biometric indicators, the Adult EFNEP Questionnaire, a 24-hour dietary recall, a health questionnaire, and demographic forms.</div></div><div><h3>Analysis</h3><div>Linear mixed models will be used to assess whether adult EFNEP has a significant (<em>P</em> < 0.01) impact on 3 chronic disease biomarkers. The program's estimated impact on chronic disease biomarkers will be incorporated into a cost-benefit analysis framework to assess the economic value generated by adult EFNEP through chronic disease risk reduction.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 12","pages":"Pages 904-917"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299810","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}
Pub Date : 2024-12-01DOI: 10.1016/j.jneb.2024.08.002
Klazine van der Horst MPH, PhD , Samantha Smith MS, RDN , Amy Blom MS, RDN , Loan Catalano BSc , Ana Isabel de Allmeida Costa MS, PhD , Joyce Haddad PhD, APD , Leslie Cunningham-Sabo PhD, RDN
Objective
To examine the factors that make such programs successful, this systematic review compared the outcomes of children's participation in cooking interventions based on intervention characteristics.
Design
Systematic review of randomized controlled trials of children's participation in cooking interventions published between 1998 and 2022 guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.
Setting
All settings
Participants
Children and parents.
Main Outcome Measures
Cooking skills, food acceptance and dietary behavior.
Analysis
Systematic search of 1,104 articles and review of 23 studies (42 articles) meeting inclusion criteria.
Results
Interventions varied in participant age, settings, cooking sessions, and program length. Knowledge of cooking skills, self-efficacy, and child cooking involvement were the most frequent positive outcomes; improvements in dietary intake were rarely achieved. Seven studies had a high rating for research quality.
Conclusion and Implications
Lack of standardized assessment, large variability in program characteristics, and insufficient intervention description made it difficult to discern best practices for children's cooking programs. Improvements in intervention development and measurement instruments are needed. Interventions that include hands-on cooking lessons seem promising in improving knowledge and self-efficacy; however, further exploration is required on the factors that make cooking programs successful in the long term.
{"title":"Outcomes of Children's Cooking Programs: A Systematic Review of Intervention Studies","authors":"Klazine van der Horst MPH, PhD , Samantha Smith MS, RDN , Amy Blom MS, RDN , Loan Catalano BSc , Ana Isabel de Allmeida Costa MS, PhD , Joyce Haddad PhD, APD , Leslie Cunningham-Sabo PhD, RDN","doi":"10.1016/j.jneb.2024.08.002","DOIUrl":"10.1016/j.jneb.2024.08.002","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the factors that make such programs successful, this systematic review compared the outcomes of children's participation in cooking interventions based on intervention characteristics.</div></div><div><h3>Design</h3><div>Systematic review of randomized controlled trials of children's participation in cooking interventions published between 1998 and 2022 guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.</div></div><div><h3>Setting</h3><div>All settings</div></div><div><h3>Participants</h3><div>Children and parents.</div></div><div><h3>Main Outcome Measures</h3><div>Cooking skills, food acceptance and dietary behavior.</div></div><div><h3>Analysis</h3><div>Systematic search of 1,104 articles and review of 23 studies (42 articles) meeting inclusion criteria.</div></div><div><h3>Results</h3><div>Interventions varied in participant age, settings, cooking sessions, and program length. Knowledge of cooking skills, self-efficacy, and child cooking involvement were the most frequent positive outcomes; improvements in dietary intake were rarely achieved. Seven studies had a high rating for research quality.</div></div><div><h3>Conclusion and Implications</h3><div>Lack of standardized assessment, large variability in program characteristics, and insufficient intervention description made it difficult to discern best practices for children's cooking programs. Improvements in intervention development and measurement instruments are needed. Interventions that include hands-on cooking lessons seem promising in improving knowledge and self-efficacy; however, further exploration is required on the factors that make cooking programs successful in the long term.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 12","pages":"Pages 881-892"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.jneb.2024.07.006
Dawn Earnesty PhD, RDN , Karen Franck PhD , Susan Baker EdD , Annie J. Roe PhD, RDN , Michael Puglisi PhD, RD , Kavitha Sankavaram PhD
This report explores the 24-hour dietary recall (24HDR) form used for the Expanded Food and Nutrition Education Program (EFNEP). Dietary supplement use, amount of money spent on food, time being physically active, portion size consumed, foods reported by meals, and preparation of the meal were common components collected among 61 EFNEP programs. Components not included were instructions for the peer educator, use of food models/measuring cups, examples of foods/beverages, time food/beverages were consumed, color coding, and a prompt to review what was written. A standardized 24-hour dietary recall form with training protocols is recommended to uphold the integrity of data collection.
{"title":"Standardizing Dietary Recall: A Necessity for the Expanded Food and Nutrition Education Program","authors":"Dawn Earnesty PhD, RDN , Karen Franck PhD , Susan Baker EdD , Annie J. Roe PhD, RDN , Michael Puglisi PhD, RD , Kavitha Sankavaram PhD","doi":"10.1016/j.jneb.2024.07.006","DOIUrl":"10.1016/j.jneb.2024.07.006","url":null,"abstract":"<div><div>This report explores the 24-hour dietary recall (24HDR) form used for the <em>Expanded Food and Nutrition Education Program</em> (EFNEP). Dietary supplement use, amount of money spent on food, time being physically active, portion size consumed, foods reported by meals, and preparation of the meal were common components collected among 61 EFNEP programs. Components not included were instructions for the peer educator, use of food models/measuring cups, examples of foods/beverages, time food/beverages were consumed, color coding, and a prompt to review what was written. A standardized 24-hour dietary recall form with training protocols is recommended to uphold the integrity of data collection.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 12","pages":"Pages 918-922"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903431","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}
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