首页 > 最新文献

Journal of Nutrition Education and Behavior最新文献

英文 中文
The Development of a Food Waste Reduction Commitments Questionnaire Tool for Food Retailers in the United States 为美国食品零售商开发减少食物浪费承诺问卷工具
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.013
Ren Chan BS, Mi Zhou PhD, MPH, Susan Chen PhD

Background

In the United States (U.S.), approximately one-third of the food supply is wasted. Although few food waste policies exist to enforce food waste reduction (FWR) in food retail settings, many food retailers (FR) have corporate social responsibility (CSR) commitments to reduce food waste. To date, no evidence-based measurement tools exclusive for evaluating FWR efforts in food retail exist.

Objective

To develop and validate a questionnaire to evaluate FRs’ commitments to reduce food waste.

Study Design, Settings, Participants

This study had two phases; 1) to review existing literature to guide questionnaire development and 2) to conduct cognitive interviews to assess face validity of the developed questionnaire. Literature on existing FWR and sustainability frameworks guided the development of questionnaire items. Feedback for the questionnaire was gathered through structured cognitive interviews. Participants were recruited via purposive sampling. Inclusion criteria were that they were older than 18 years, worked in the U.S., and worked as a food systems researcher/professional.

Measurable Outcome/Analysis

Participants were asked about the overall questionnaire, areas that needed clarification, and the scoring system. Interviews continued until data saturation was met. The interviews were audio recorded, transcribed using Otter.AI, de-identified, and analyzed for recurring themes using inductive thematic analysis.

Results

The initial questionnaire contained six domains informed by existing FWR literature. These included current FWR commitments, food waste prevention practices, food rescue practices, food recycling practices, other sustainability-informed practices, and future commitments. Participants of the cognitive interview (n=4) mentioned that the tool was comprehensive and aligned with the Environmental Protection Agency Wasted Food Scale. Suggestions for improvement included adding a domain to address retailers employee education for FWR, improving readability of the questionnaire, and including examples of public FWR policies.

Conclusions

This evidence-based questionnaire comprehensively addresses areas for FWR among US FR. Future researchers can use this questionnaire to assess current CSR commitments toward FWR. Additionally, FR and policymakers can use this tool to guide the development of FWR initiatives.

Funding

Circle of Friends

背景美国约有三分之一的食品被浪费。虽然在食品零售环境中很少有减少食物浪费(FWR)的政策,但许多食品零售商(FR)都有减少食物浪费的企业社会责任(CSR)承诺。本研究分为两个阶段:1)回顾现有文献以指导问卷开发;2)进行认知访谈以评估所开发问卷的面效度。有关现有 FWR 和可持续性框架的文献为问卷项目的开发提供了指导。通过结构化认知访谈收集了对问卷的反馈意见。参与者是通过有目的的抽样招募的。可衡量的结果/分析参与者被问及整个问卷、需要澄清的领域以及评分系统。访谈一直持续到数据饱和为止。对访谈进行录音,使用 Otter.AI 进行转录,去除身份标识,并使用归纳式主题分析法对重复出现的主题进行分析。这些领域包括当前的 FWR 承诺、防止食物浪费实践、食物救援实践、食物回收实践、其他可持续发展实践以及未来承诺。认知访谈的参与者(n=4)提到,该工具很全面,与环境保护署的浪费食物量表一致。改进建议包括增加一个领域,以解决零售商员工的 FWR 教育问题,提高问卷的可读性,以及加入公共 FWR 政策的实例。未来的研究人员可以利用这份问卷来评估当前企业对 FWR 的承诺。此外,联邦共和国和政策制定者可以利用这一工具来指导 FWR 计划的制定。
{"title":"The Development of a Food Waste Reduction Commitments Questionnaire Tool for Food Retailers in the United States","authors":"Ren Chan BS,&nbsp;Mi Zhou PhD, MPH,&nbsp;Susan Chen PhD","doi":"10.1016/j.jneb.2024.05.013","DOIUrl":"10.1016/j.jneb.2024.05.013","url":null,"abstract":"<div><h3>Background</h3><p>In the United States (U.S.), approximately one-third of the food supply is wasted. Although few food waste policies exist to enforce food waste reduction (FWR) in food retail settings, many food retailers (FR) have corporate social responsibility (CSR) commitments to reduce food waste. To date, no evidence-based measurement tools exclusive for evaluating FWR efforts in food retail exist.</p></div><div><h3>Objective</h3><p>To develop and validate a questionnaire to evaluate FRs’ commitments to reduce food waste.</p></div><div><h3>Study Design, Settings, Participants</h3><p>This study had two phases; 1) to review existing literature to guide questionnaire development and 2) to conduct cognitive interviews to assess face validity of the developed questionnaire. Literature on existing FWR and sustainability frameworks guided the development of questionnaire items. Feedback for the questionnaire was gathered through structured cognitive interviews. Participants were recruited via purposive sampling. Inclusion criteria were that they were older than 18 years, worked in the U.S., and worked as a food systems researcher/professional.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Participants were asked about the overall questionnaire, areas that needed clarification, and the scoring system. Interviews continued until data saturation was met. The interviews were audio recorded, transcribed using Otter.AI, de-identified, and analyzed for recurring themes using inductive thematic analysis.</p></div><div><h3>Results</h3><p>The initial questionnaire contained six domains informed by existing FWR literature. These included current FWR commitments, food waste prevention practices, food rescue practices, food recycling practices, other sustainability-informed practices, and future commitments. Participants of the cognitive interview (n=4) mentioned that the tool was comprehensive and aligned with the Environmental Protection Agency Wasted Food Scale. Suggestions for improvement included adding a domain to address retailers employee education for FWR, improving readability of the questionnaire, and including examples of public FWR policies.</p></div><div><h3>Conclusions</h3><p>This evidence-based questionnaire comprehensively addresses areas for FWR among US FR. Future researchers can use this questionnaire to assess current CSR commitments toward FWR. Additionally, FR and policymakers can use this tool to guide the development of FWR initiatives.</p></div><div><h3>Funding</h3><p>Circle of Friends</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949896","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
Examining the Roles of Emotional Eating and Interactive Nutrition Literacy in Predicting Diet Quality Among Undergraduates 研究情绪化饮食和互动式营养知识在预测大学生饮食质量中的作用
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.095
Kayla Parsons MS, RDN, Kelley Strout PhD, RN, Wenjun Zhou PhD, Jade McNamara PhD, RD

Background

Literature regarding the relationship between stress and undergraduates’ dietary choices has been extensively documented, yet limited evidence recognizes the implications of emotional eating and one's ability to apply nutrition knowledge to diet quality (DQ).

Objective

To examine the relationship between undergraduates’ emotional response to food (ERF), interactive nutrition literacy (INL), and DQ.

Study Design, Settings, Participants

A cross-sectional study was conducted using an online survey among first-year nursing students enrolled in a four-year public university one week before the fall semester and at the beginning of an experiential learning program.

Measurable Outcome/Analysis

The Mindful Eating Questionnaire assessed ERF, with higher scores indicating decreased influence of one's emotions on dietary choices. INL was measured using the Young Adult Nutrition Literacy Scale, with higher scores indicating higher INL. DQ was indicated by the Short Healthy Eating Index, with higher scores indicating better DQ. Complete data were used in the analysis. Hierarchical multiple linear regression was used to identify if ERF and INL predicted DQ, while controlling for gender. Significance levels were p<0.05.

Results

Participants (N=56) were mostly white (93.5%), female (90.3%), and on average 19.1 ± 1.0 years old. Average DQ was 50.9 ± 9.6, out of 100. Average EFR was 3.11 ± 0.5 out of 5, and the average INL was 3.5 ± 0.7 out of 5. The first model was significant in predicting DQ. Significance remained when controlling for gender (F(2,55)=11.79, p<0.001). Participants’ ERF (β=.24, t(55)=3.47,p=0.001) accounted for 30% variance in DQ, and INL approached significance in the model (β=.41, t(55)=1.99, p=0.052).

Conclusions

Findings provide evidence for interventions emphasizing mindfulness and applying nutrition knowledge through experiential learning to facilitate positive eating behaviors and improve DQ among undergraduates.

Funding

NIH

背景有关压力与大学生饮食选择之间关系的文献已被广泛记录,但有关情绪化饮食的影响以及一个人将营养知识应用于饮食质量(DQ)的能力的证据却很有限。目的研究大学生对食物的情绪反应(ERF)、互动式营养素养(INL)和 DQ 之间的关系。研究设计、设置、参与者在秋季学期开学前一周和体验式学习项目开始时,对一所四年制公立大学的护理专业一年级学生进行了一项在线调查,从而开展了一项横断面研究。INL 采用 "年轻成人营养素养量表"(Young Adult Nutrition Literacy Scale)进行测量,得分越高表明 INL 越高。健康饮食指数(DQ)采用简短健康饮食指数(Short Healthy Eating Index)进行测量,得分越高,表明 DQ 越好。完整数据用于分析。使用层次多元线性回归来确定ERF和INL是否能预测DQ,同时控制性别。结果参与者(N=56)大多为白人(93.5%)、女性(90.3%),平均年龄为(19.1 ± 1.0)岁。平均 DQ 为 50.9 ± 9.6(满分 100 分)。平均 EFR 为 3.11 ± 0.5(满分 5 分),平均 INL 为 3.5 ± 0.7(满分 5 分)。第一个模型在预测 DQ 方面具有显著性。在控制了性别因素后,其显著性依然存在(F(2,55)=11.79, p<0.001)。参与者的 ERF(β=.24,t(55)=3.47,p=0.001)占 DQ 变异的 30%,INL 在模型中接近显著性(β=.41,t(55)=1.99,p=0.052)。结论研究结果为强调正念和通过体验式学习应用营养知识的干预措施提供了证据,以促进积极的饮食行为并改善大学生的 DQ。
{"title":"Examining the Roles of Emotional Eating and Interactive Nutrition Literacy in Predicting Diet Quality Among Undergraduates","authors":"Kayla Parsons MS, RDN,&nbsp;Kelley Strout PhD, RN,&nbsp;Wenjun Zhou PhD,&nbsp;Jade McNamara PhD, RD","doi":"10.1016/j.jneb.2024.05.095","DOIUrl":"10.1016/j.jneb.2024.05.095","url":null,"abstract":"<div><h3>Background</h3><p>Literature regarding the relationship between stress and undergraduates’ dietary choices has been extensively documented, yet limited evidence recognizes the implications of emotional eating and one's ability to apply nutrition knowledge to diet quality (DQ).</p></div><div><h3>Objective</h3><p>To examine the relationship between undergraduates’ emotional response to food (ERF), interactive nutrition literacy (INL), and DQ.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A cross-sectional study was conducted using an online survey among first-year nursing students enrolled in a four-year public university one week before the fall semester and at the beginning of an experiential learning program.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>The Mindful Eating Questionnaire assessed ERF, with higher scores indicating decreased influence of one's emotions on dietary choices. INL was measured using the Young Adult Nutrition Literacy Scale, with higher scores indicating higher INL. DQ was indicated by the Short Healthy Eating Index, with higher scores indicating better DQ. Complete data were used in the analysis. Hierarchical multiple linear regression was used to identify if ERF and INL predicted DQ, while controlling for gender. Significance levels were p&lt;0.05.</p></div><div><h3>Results</h3><p>Participants (N=56) were mostly white (93.5%), female (90.3%), and on average 19.1 ± 1.0 years old. Average DQ was 50.9 ± 9.6, out of 100. Average EFR was 3.11 ± 0.5 out of 5, and the average INL was 3.5 ± 0.7 out of 5. The first model was significant in predicting DQ. Significance remained when controlling for gender (F(2,55)=11.79, p&lt;0.001). Participants’ ERF (β=.24, t(55)=3.47,p=0.001) accounted for 30% variance in DQ, and INL approached significance in the model (β=.41, t(55)=1.99, p=0.052).</p></div><div><h3>Conclusions</h3><p>Findings provide evidence for interventions emphasizing mindfulness and applying nutrition knowledge through experiential learning to facilitate positive eating behaviors and improve DQ among undergraduates.</p></div><div><h3>Funding</h3><p>NIH</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950003","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
Understanding Mothers’ Lived Experiences Providing Safe and Nutritious Foods for Their Families in Nigeria 了解尼日利亚母亲为家人提供安全营养食品的生活经历
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.031
Abiodun Atoloye PhD, Folake Samuel PhD, Bunmi Bamgbade MPH, Olufemi Aluko PhD, Bolanle Otegbayo PhD, Nkem Torimiro PhD, Abiodun Areola PhD, Andrea Bersamin PhD

Background

Household-level food safety, which is underrepresented in research on food safety, represents a significant economic and public health concern in Nigeria. Exposure to unsafe food in the household creates a vicious cycle of diarrhea and other foodborne illnesses and threatens the nutritional status of the most vulnerable, especially infants and young children.

Objective

Our objective was to document mothers’ lived experiences in providing safe and nutritious foods for their families using a participatory and qualitative approach.

Study Design, Settings, Participants

Mothers of children <5 years (n=55) were recruited from 5 local government areas in Ibadan Metropolis, Nigeria. Mothers took photos and recorded written or audio narratives using the Our Voice Discovery Tool App, following prompts about food safety vulnerability over 5 days.

Measurable Outcome/Analysis

In follow-up discussions, mothers shared their photos and discussed potential solutions.

Results

Lack of access to resources, equipment and basic amenities; presence of pests; lack of control over food safety in eating out occasions; environmental conditions; shared kitchen and toilet facilities were identified as threats to food safety in the household. Mothers shared many of their strategies to mitigate threats and proposed solutions to improve conditions.

Conclusions

Mothers identified various factors at multiple levels of the socio-ecological model that contributed to or detracted from their household's food safety. These findings will be shared with key stakeholders and policymakers to identify and implement sustainable solutions.

Funding

USAID

背景家庭层面的食品安全在食品安全研究中的代表性不足,是尼日利亚的一个重大经济和公共卫生问题。在家庭中暴露于不安全的食物会造成腹泻和其他食源性疾病的恶性循环,并威胁到最弱势群体(尤其是婴幼儿)的营养状况。研究设计、环境、参与者从尼日利亚伊巴丹市的 5 个地方政府辖区招募了 5 岁儿童的母亲(55 人)。在后续讨论中,母亲们分享了她们的照片并讨论了潜在的解决方案。结果缺乏资源、设备和基本设施;害虫的存在;外出就餐时缺乏对食品安全的控制;环境条件;共用厨房和厕所设施被认为是对家庭食品安全的威胁。母亲们分享了她们减轻威胁的许多策略,并提出了改善条件的解决方案。这些发现将与主要利益相关者和决策者分享,以确定并实施可持续的解决方案。
{"title":"Understanding Mothers’ Lived Experiences Providing Safe and Nutritious Foods for Their Families in Nigeria","authors":"Abiodun Atoloye PhD,&nbsp;Folake Samuel PhD,&nbsp;Bunmi Bamgbade MPH,&nbsp;Olufemi Aluko PhD,&nbsp;Bolanle Otegbayo PhD,&nbsp;Nkem Torimiro PhD,&nbsp;Abiodun Areola PhD,&nbsp;Andrea Bersamin PhD","doi":"10.1016/j.jneb.2024.05.031","DOIUrl":"10.1016/j.jneb.2024.05.031","url":null,"abstract":"<div><h3>Background</h3><p>Household-level food safety, which is underrepresented in research on food safety, represents a significant economic and public health concern in Nigeria. Exposure to unsafe food in the household creates a vicious cycle of diarrhea and other foodborne illnesses and threatens the nutritional status of the most vulnerable, especially infants and young children.</p></div><div><h3>Objective</h3><p>Our objective was to document mothers’ lived experiences in providing safe and nutritious foods for their families using a participatory and qualitative approach.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Mothers of children &lt;5 years (n=55) were recruited from 5 local government areas in Ibadan Metropolis, Nigeria. Mothers took photos and recorded written or audio narratives using the Our Voice Discovery Tool App, following prompts about food safety vulnerability over 5 days.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>In follow-up discussions, mothers shared their photos and discussed potential solutions.</p></div><div><h3>Results</h3><p>Lack of access to resources, equipment and basic amenities; presence of pests; lack of control over food safety in eating out occasions; environmental conditions; shared kitchen and toilet facilities were identified as threats to food safety in the household. Mothers shared many of their strategies to mitigate threats and proposed solutions to improve conditions.</p></div><div><h3>Conclusions</h3><p>Mothers identified various factors at multiple levels of the socio-ecological model that contributed to or detracted from their household's food safety. These findings will be shared with key stakeholders and policymakers to identify and implement sustainable solutions.</p></div><div><h3>Funding</h3><p>USAID</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953466","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
A Mixed-Methods Study of Nutrition Interventions Implemented in Autistic Children by Caregivers From a Facebook Support Group 关于 Facebook 支持小组的护理人员对自闭症儿童实施营养干预的混合方法研究
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.033
Aygul Akhmadullina MS, Laila A. Allam, Sydney D. Johnson, L. Suzanne Goodell PhD, RDN

Background

Caregivers of autistic children (CACs) use nutrition interventions to improve autism-related symptoms. However, the efficacy of most interventions lacks evidence. By sharing on social media personal experiences with nutrition interventions in their children, CACs could be disseminating ineffective or harmful interventions to others.

Objective

To examine nutrition interventions implemented in autistic children by caregivers, including caregivers’ expectations and claimed effects of those interventions.

Study Design, Settings, Participants

Researchers extracted nutrition intervention-related threads posted from January to December 2022 on a publicly-available Facebook page for CACs. Participants were CACs who posted and/or commented on an extracted thread.

Measurable Outcome/Analysis

Researchers coded each post and comment for participant identification, nutrition intervention implementation, expectation, and claimed effect. Analysts deductively categorized each intervention, expectation, and claimed effect. Researchers calculated nutrition intervention frequency as well as expectation and claimed effect frequency within each intervention.

Results

Of the 2677 participants, 32.4% implemented at least one nutrition intervention in their child. Of the 308 implemented interventions, CACs most frequently reported using vitamins, laxatives, and melatonin to treat their child's autistic-related symptoms. Other less common interventions included cannabinoids, restricting food dyes, the Nemechek protocol, and the GAPS diet. Of the 867 CACs implementing at least one intervention, 29.4% and 15.5% expected the intervention to improve their child's physiological and/or behavioral symptoms, respectively. While the vast majority of CACs’ claimed effects aligned with their intervention expectations, 6% stated the intervention had no effect and 4.3% stated the intervention caused negative effects.

Conclusions

Caregivers reported using over 300 different nutrition interventions, including some not previously found in the literature. Little to no evidence exists about the safety and efficacy of most of these interventions. Additional research is needed to create evidence-based recommendations for nutrition intervention implementation in autistic children. Furthermore, healthcare providers can encourage CACs to discuss nutrition intervention implementation with them to help identify unevaluated interventions and allow practitioners to provide evidence-based alternatives.

Funding

None

背景自闭症儿童的照顾者(CACs)使用营养干预措施来改善自闭症相关症状。然而,大多数干预措施的疗效缺乏证据。研究设计、设置、参与者研究人员提取了 2022 年 1 月至 12 月期间在公开的自闭症儿童照护者 Facebook 页面上发布的与营养干预相关的主题。可衡量的结果/分析研究人员对每个帖子和评论进行编码,以确定参与者身份、营养干预实施情况、期望和声称的效果。分析人员对每项干预、期望和声称的效果进行演绎分类。在 2677 名参与者中,32.4% 的人对其子女实施了至少一项营养干预措施。在实施的 308 项干预措施中,CAC 最常报告使用维生素、泻药和褪黑素来治疗孩子的自闭症相关症状。其他不太常见的干预措施包括大麻素、限制食物染料、Nemechek 方案和 GAPS 饮食法。在实施至少一种干预措施的 867 名 CAC 中,分别有 29.4% 和 15.5% 的 CAC 希望干预措施能改善其孩子的生理和/或行为症状。虽然绝大多数 CAC 声称效果与其干预预期一致,但有 6% 的 CAC 表示干预没有效果,4.3% 的 CAC 表示干预造成了负面影响。关于这些干预措施的安全性和有效性,几乎没有任何证据。需要开展更多的研究,为自闭症儿童营养干预的实施提供循证建议。此外,医疗保健提供者可以鼓励儿童咨询委员会与他们讨论营养干预措施的实施,以帮助识别未经评估的干预措施,并允许从业人员提供以证据为基础的替代方案。
{"title":"A Mixed-Methods Study of Nutrition Interventions Implemented in Autistic Children by Caregivers From a Facebook Support Group","authors":"Aygul Akhmadullina MS,&nbsp;Laila A. Allam,&nbsp;Sydney D. Johnson,&nbsp;L. Suzanne Goodell PhD, RDN","doi":"10.1016/j.jneb.2024.05.033","DOIUrl":"10.1016/j.jneb.2024.05.033","url":null,"abstract":"<div><h3>Background</h3><p>Caregivers of autistic children (CACs) use nutrition interventions to improve autism-related symptoms. However, the efficacy of most interventions lacks evidence. By sharing on social media personal experiences with nutrition interventions in their children, CACs could be disseminating ineffective or harmful interventions to others.</p></div><div><h3>Objective</h3><p>To examine nutrition interventions implemented in autistic children by caregivers, including caregivers’ expectations and claimed effects of those interventions.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Researchers extracted nutrition intervention-related threads posted from January to December 2022 on a publicly-available Facebook page for CACs. Participants were CACs who posted and/or commented on an extracted thread.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Researchers coded each post and comment for participant identification, nutrition intervention implementation, expectation, and claimed effect. Analysts deductively categorized each intervention, expectation, and claimed effect. Researchers calculated nutrition intervention frequency as well as expectation and claimed effect frequency within each intervention.</p></div><div><h3>Results</h3><p>Of the 2677 participants, 32.4% implemented at least one nutrition intervention in their child. Of the 308 implemented interventions, CACs most frequently reported using vitamins, laxatives, and melatonin to treat their child's autistic-related symptoms. Other less common interventions included cannabinoids, restricting food dyes, the Nemechek protocol, and the GAPS diet. Of the 867 CACs implementing at least one intervention, 29.4% and 15.5% expected the intervention to improve their child's physiological and/or behavioral symptoms, respectively. While the vast majority of CACs’ claimed effects aligned with their intervention expectations, 6% stated the intervention had no effect and 4.3% stated the intervention caused negative effects.</p></div><div><h3>Conclusions</h3><p>Caregivers reported using over 300 different nutrition interventions, including some not previously found in the literature. Little to no evidence exists about the safety and efficacy of most of these interventions. Additional research is needed to create evidence-based recommendations for nutrition intervention implementation in autistic children. Furthermore, healthcare providers can encourage CACs to discuss nutrition intervention implementation with them to help identify unevaluated interventions and allow practitioners to provide evidence-based alternatives.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953474","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
Development of a Survey to Assess Student Interest in a Campus-Based Community Garden 开展调查以评估学生对校园社区花园的兴趣
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.007
Rebecca Allgeier, Teresa Drake PhD, RDN, MCHES

Background

Food insecurity is a significant problem on college campuses. Community gardens are a potential solution and have additional benefits such as the promotion of sustainable thoughts and actions, improvement of mental wellness, and even increased academic performance, without the same level of stigma associated with other interventions such as food pantries.

Objective

To develop an instrument to assess behavioral capability, expectations, value expectancies, self-efficacy, collective efficacy, and likelihood to volunteer among students regarding a campus-based, community garden.

Study Design, Settings, Participants

This cross-sectional study was conducted at a Mid-western, private university using a convenience sampling of students. Instrument items were developed using the Social Cognitive Theory, and the survey was administered online.

Measurable Outcome/Analysis

Internal consistency of the subscales was analyzed using Cronbach's alpha. Descriptive statistics were used to report demographics and interest level of participants.

Results

Of the 209 respondents, 60% were women and ages ranged 18-43 years (M= 20.46 + 2.67). The internal consistency reliability of the subscales for behavioral capability, expectations, expectancies, and likelihood to volunteer were excellent (ɑ= .90, .90, .93, .92, respectively). Self-efficacy and collective efficacy were only 1 item each so reliability was not analyzed. Of respondents, 70% (n=190) felt confident in their ability to contribute to the garden, and 85% (n=190) felt confident students could work together to contribute. Seventy percent (n=189) also reported they would be likely to volunteer in the garden, and 75% (n=188) would be likely to use the produce grown.

Conclusions

This instrument was determined to be reliable among this population. Other institutions may also find this survey useful to determine interest in a campus-based community garden.

Funding

None

背景食物不安全是大学校园的一个重大问题。社区菜园是一个潜在的解决方案,它还能带来更多益处,如促进可持续思想和行动、改善心理健康、甚至提高学习成绩,而不会像食品储藏室等其他干预措施那样带来耻辱感。研究设计、设置、参与者这项横断面研究是在一所中西部私立大学进行的,采用的是学生便利抽样法。采用社会认知理论开发了工具项目,并通过在线方式进行了调查。结果在 209 名受访者中,60% 为女性,年龄在 18-43 岁之间(M= 20.46 + 2.67)。行为能力、期望、期待和志愿服务可能性等分量表的内部一致性信度非常好(ɑ分别为.90、.90、.93、.92)。自我效能感和集体效能感各只有一个项目,因此未对其信度进行分析。在受访者中,70%(n=190)的受访者对自己为花园做出贡献的能力有信心,85%(n=190)的受访者对学生能够共同努力做出贡献有信心。70%(n=189)的受访者还表示,他们可能会在花园里做志愿者,75%(n=188)的受访者可能会使用花园里种植的农产品。其他机构可能也会发现该调查有助于确定对校园社区菜园的兴趣。
{"title":"Development of a Survey to Assess Student Interest in a Campus-Based Community Garden","authors":"Rebecca Allgeier,&nbsp;Teresa Drake PhD, RDN, MCHES","doi":"10.1016/j.jneb.2024.05.007","DOIUrl":"10.1016/j.jneb.2024.05.007","url":null,"abstract":"<div><h3>Background</h3><p>Food insecurity is a significant problem on college campuses. Community gardens are a potential solution and have additional benefits such as the promotion of sustainable thoughts and actions, improvement of mental wellness, and even increased academic performance, without the same level of stigma associated with other interventions such as food pantries.</p></div><div><h3>Objective</h3><p>To develop an instrument to assess behavioral capability, expectations, value expectancies, self-efficacy, collective efficacy, and likelihood to volunteer among students regarding a campus-based, community garden.</p></div><div><h3>Study Design, Settings, Participants</h3><p>This cross-sectional study was conducted at a Mid-western, private university using a convenience sampling of students. Instrument items were developed using the Social Cognitive Theory, and the survey was administered online.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Internal consistency of the subscales was analyzed using Cronbach's alpha. Descriptive statistics were used to report demographics and interest level of participants.</p></div><div><h3>Results</h3><p>Of the 209 respondents, 60% were women and ages ranged 18-43 years (M= 20.46 + 2.67). The internal consistency reliability of the subscales for behavioral capability, expectations, expectancies, and likelihood to volunteer were excellent (ɑ= .90, .90, .93, .92, respectively). Self-efficacy and collective efficacy were only 1 item each so reliability was not analyzed. Of respondents, 70% (n=190) felt confident in their ability to contribute to the garden, and 85% (n=190) felt confident students could work together to contribute. Seventy percent (n=189) also reported they would be likely to volunteer in the garden, and 75% (n=188) would be likely to use the produce grown.</p></div><div><h3>Conclusions</h3><p>This instrument was determined to be reliable among this population. Other institutions may also find this survey useful to determine interest in a campus-based community garden.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953481","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
Improving College Students’ Breastfeeding Knowledge, Attitude, and Intention Through Smartphone Breastfeeding App in Nigeria 通过智能手机母乳喂养应用程序提高尼日利亚大学生的母乳喂养知识、态度和意向
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.102
Oluwatosin Leshi PhD, Isibhakhomen Ejoh PhD, Tawede Adewale MS, RD, Imosioluwa Oyesola MS

Background

Suboptimal breastfeeding practices contribute to child malnutrition in developing countries like Nigeria. Deficits in adolescents and young adults’ knowledge, attitude, and intention towards breastfeeding significantly influence suboptimal breastfeeding practices, which impacts child health outcomes.

Objective

To assess the effectiveness of a smartphone application (BF101) in improving breastfeeding knowledge, attitude, and intention among college students.

Study Design, Settings, Participants

A quasi-experimental study was conducted among final-year students at Emmanuel Alayande College of Education, Oyo, Nigeria. Participants were allocated to the intervention (n = 210) and control (n = 210) groups. The intervention group received access to BF101 app on their phone, featuring six modules covering various aspects of breastfeeding.

Measurable Outcome/Analysis

Pre- and post-intervention assessments of the breastfeeding knowledge, intention, and attitude of the participants were assessed using validated breastfeeding knowledge, attitude and intention questionnaire. Responses were scored and categorized as either adequate or inadequate for knowledge and intention, and positive or negative for the attitude.

Results

The study revealed that the intervention group showed significant improvements in breastfeeding knowledge, attitude and intention; the overall proportion of participants with adequate knowledge increased from 1.9% to 71.4%. Additionally, 42.8% of participants who initially lacked adequate breastfeeding knowledge transitioned to having sufficient knowledge after the intervention. Significant increase was reported in participants’ positive attitude towards breastfeeding, from 11% to 65.2%; 28.4% were identified to have transitioned from having negative at baseline to positive attitude after the intervention. Similarly, participants with the overall intention to breastfeed improved from 20.9% to 51.9%, although only 5% transitioned from lacking the intention to breastfeed to expressing future breastfeeding intention. However, no significant improvements were observed in the breastfeeding knowledge, attitude and intention of participants in the control group.

Conclusions

The findings underscore the effectiveness of a Smartphone-based breastfeeding education in improving breastfeeding knowledge, attitude, and intention among college students in Nigeria. Smartphone-based interventions could be an effective targeted approach to addressing gaps in breastfeeding education and avenue to prepare young adults for parenthood.

Funding

None

背景在尼日利亚等发展中国家,不理想的母乳喂养方式导致儿童营养不良。目标评估智能手机应用程序(BF101)在提高大学生母乳喂养知识、态度和意向方面的效果。研究设计、设置、参与者在尼日利亚奥约州 Emmanuel Alayande 教育学院的毕业班学生中开展了一项准实验研究。参与者被分配到干预组(n = 210)和对照组(n = 210)。可测量的结果/分析使用有效的母乳喂养知识、态度和意向问卷对干预前和干预后参与者的母乳喂养知识、意向和态度进行评估。研究结果表明,干预组在母乳喂养知识、态度和意向方面均有显著改善;对母乳喂养有充分认识的参与者比例从 1.9%增至 71.4%。此外,42.8%最初对母乳喂养缺乏足够了解的参与者在干预后转变为对母乳喂养有足够了解。据报告,参与者对母乳喂养的积极态度显著增加,从 11% 增加到 65.2%;28.4% 的参与者从基线时的消极态度转变为干预后的积极态度。同样,参与者对母乳喂养的总体意向从 20.9%提高到 51.9%,但只有 5%的参与者从缺乏母乳喂养意向转变为表达了未来的母乳喂养意向。结论:研究结果表明,基于智能手机的母乳喂养教育能有效改善尼日利亚大学生的母乳喂养知识、态度和意向。基于智能手机的干预措施可以成为一种有效的有针对性的方法,以解决母乳喂养教育方面的不足,并为年轻成年人为人父母做好准备。
{"title":"Improving College Students’ Breastfeeding Knowledge, Attitude, and Intention Through Smartphone Breastfeeding App in Nigeria","authors":"Oluwatosin Leshi PhD,&nbsp;Isibhakhomen Ejoh PhD,&nbsp;Tawede Adewale MS, RD,&nbsp;Imosioluwa Oyesola MS","doi":"10.1016/j.jneb.2024.05.102","DOIUrl":"10.1016/j.jneb.2024.05.102","url":null,"abstract":"<div><h3>Background</h3><p>Suboptimal breastfeeding practices contribute to child malnutrition in developing countries like Nigeria. Deficits in adolescents and young adults’ knowledge, attitude, and intention towards breastfeeding significantly influence suboptimal breastfeeding practices, which impacts child health outcomes.</p></div><div><h3>Objective</h3><p>To assess the effectiveness of a smartphone application (BF101) in improving breastfeeding knowledge, attitude, and intention among college students.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A quasi-experimental study was conducted among final-year students at Emmanuel Alayande College of Education, Oyo, Nigeria. Participants were allocated to the intervention (n = 210) and control (n = 210) groups. The intervention group received access to BF101 app on their phone, featuring six modules covering various aspects of breastfeeding.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Pre- and post-intervention assessments of the breastfeeding knowledge, intention, and attitude of the participants were assessed using validated breastfeeding knowledge, attitude and intention questionnaire. Responses were scored and categorized as either adequate or inadequate for knowledge and intention, and positive or negative for the attitude.</p></div><div><h3>Results</h3><p>The study revealed that the intervention group showed significant improvements in breastfeeding knowledge, attitude and intention; the overall proportion of participants with adequate knowledge increased from 1.9% to 71.4%. Additionally, 42.8% of participants who initially lacked adequate breastfeeding knowledge transitioned to having sufficient knowledge after the intervention. Significant increase was reported in participants’ positive attitude towards breastfeeding, from 11% to 65.2%; 28.4% were identified to have transitioned from having negative at baseline to positive attitude after the intervention. Similarly, participants with the overall intention to breastfeed improved from 20.9% to 51.9%, although only 5% transitioned from lacking the intention to breastfeed to expressing future breastfeeding intention. However, no significant improvements were observed in the breastfeeding knowledge, attitude and intention of participants in the control group.</p></div><div><h3>Conclusions</h3><p>The findings underscore the effectiveness of a Smartphone-based breastfeeding education in improving breastfeeding knowledge, attitude, and intention among college students in Nigeria. Smartphone-based interventions could be an effective targeted approach to addressing gaps in breastfeeding education and avenue to prepare young adults for parenthood.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953489","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
Is Parent Diet Quality Related to Child Diet Quality? A Cross-Sectional Pilot Study Among Low-Income Families from Indiana 家长饮食质量与儿童饮食质量有关吗?印第安纳州低收入家庭的横断面试点研究
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.103
Analí Morales-Juárez MS, BS, Mwiza A. Uwashimimana BS, Regan Bailey PhD, MPH, RD, CPH, Bruce A. Craig PhD, MS, BS, Janet Tooze PhD, MPH, Blake Connolly MPH, Wanda Stevens BA, Heather A. Eicher-Miller PhD, MS, BA

Background

Evidence has shown inconclusive relationships between parent and child diets, including diet quality, despite an expected link.

Objective

The objective of this pilot study was to determine whether parent diet quality predicts child diet quality among low-income families in Indiana, United States.

Study Design, Settings, Participants

Baseline data collected from April 2023 to January 2024 from 49 paired parents 26-75 years and their children 5-17 years (one parent and one child) from low-income households throughout Indiana was utilized for this secondary analysis.

Measurable Outcome/Analysis

The parent completed the U.S. Household Food Security Survey Module and parent and child each completed one to four 24-hour dietary recalls. The Healthy Eating Index (HEI-2015) for both parent and child were derived using the simple method for individuals. Their associations were assessed via Pearson correlation (unadjusted) as well as multiple linear regression models with child HEI as the dependent variable, adjusted for food security status; child's sex, ethnicity, and age; and parent's age and smoking status.

Results

The HEI-2015 total scores indicated poor dietary quality for parents and children (50.9±11.6 and 51.5±12.1, respectively). The parent-child correlations for HEI-2015 that were statistically significant (p < 0.05) were weak to moderate (r=0.4 for total HEI, total fruits, greens and beans, and saturated fats; r=0.3 for whole fruits, total vegetables, and fatty acids; and r=0.5 for whole grains). When controlling for covariates, parent diet quality was not significantly related to child diet quality for the total HEI-2015 score but was significantly related for components such that an increase in one HEI point in the parent score, on average, was related to a small increase of 0.4 points for greens and beans (p=0.01), whole grains (p=0.004), and saturated fats (p=0.01); and 0.3 points for fatty acids (p=0.02) in the child scores.

Conclusions

A weak-moderate relationship existed between parent-child diets for several dietary quality components. Factors other than parental dietary quality may potentially play a role in child dietary quality among low-income households.

Funding

NIFA

背景有证据表明,尽管父母与子女的饮食(包括饮食质量)之间存在预期联系,但两者之间的关系并不确定。目标本试点研究旨在确定父母的饮食质量是否能预测美国印第安纳州低收入家庭中子女的饮食质量。研究设计、环境、参与者从 2023 年 4 月到 2024 年 1 月,从印第安纳州低收入家庭中 49 对 26-75 岁的父母和他们 5-17 岁的子女(父母各一人,子女一人)中收集的基线数据被用于此次二次分析。可衡量的结果/分析父母完成美国家庭食品安全调查模块,父母和子女各完成一到四次 24 小时饮食回忆。父母和子女的健康饮食指数(HEI-2015)均采用针对个人的简单方法得出。通过皮尔逊相关性(未调整)以及以儿童健康饮食指数为因变量的多元线性回归模型,并根据粮食安全状况、儿童的性别、种族和年龄以及父母的年龄和吸烟状况进行调整,评估了两者之间的关联。HEI-2015 的父母与子女相关性在统计学上有显著意义(p < 0.05),属于弱到中等(HEI 总分、水果总分、绿色蔬菜和豆类以及饱和脂肪的相关性为 r=0.4;全水果、蔬菜总分和脂肪酸的相关性为 r=0.3;全谷物的相关性为 r=0.5)。在控制协变量的情况下,就 HEI-2015 总分而言,家长饮食质量与儿童饮食质量的关系并不显著,但就各组成部分而言,家长饮食质量与儿童饮食质量的关系却很显著。结论 父母与子女的膳食在几种膳食质量成分上存在微弱-中等程度的关系。在低收入家庭中,父母膳食质量以外的因素可能会对儿童膳食质量产生潜在影响。
{"title":"Is Parent Diet Quality Related to Child Diet Quality? A Cross-Sectional Pilot Study Among Low-Income Families from Indiana","authors":"Analí Morales-Juárez MS, BS,&nbsp;Mwiza A. Uwashimimana BS,&nbsp;Regan Bailey PhD, MPH, RD, CPH,&nbsp;Bruce A. Craig PhD, MS, BS,&nbsp;Janet Tooze PhD, MPH,&nbsp;Blake Connolly MPH,&nbsp;Wanda Stevens BA,&nbsp;Heather A. Eicher-Miller PhD, MS, BA","doi":"10.1016/j.jneb.2024.05.103","DOIUrl":"10.1016/j.jneb.2024.05.103","url":null,"abstract":"<div><h3>Background</h3><p>Evidence has shown inconclusive relationships between parent and child diets, including diet quality, despite an expected link.</p></div><div><h3>Objective</h3><p>The objective of this pilot study was to determine whether parent diet quality predicts child diet quality among low-income families in Indiana, United States.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Baseline data collected from April 2023 to January 2024 from 49 paired parents 26-75 years and their children 5-17 years (one parent and one child) from low-income households throughout Indiana was utilized for this secondary analysis.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>The parent completed the U.S. Household Food Security Survey Module and parent and child each completed one to four 24-hour dietary recalls. The Healthy Eating Index (HEI-2015) for both parent and child were derived using the simple method for individuals. Their associations were assessed via Pearson correlation (unadjusted) as well as multiple linear regression models with child HEI as the dependent variable, adjusted for food security status; child's sex, ethnicity, and age; and parent's age and smoking status.</p></div><div><h3>Results</h3><p>The HEI-2015 total scores indicated poor dietary quality for parents and children (50.9±11.6 and 51.5±12.1, respectively). The parent-child correlations for HEI-2015 that were statistically significant (p &lt; 0.05) were weak to moderate (r=0.4 for total HEI, total fruits, greens and beans, and saturated fats; r=0.3 for whole fruits, total vegetables, and fatty acids; and r=0.5 for whole grains). When controlling for covariates, parent diet quality was not significantly related to child diet quality for the total HEI-2015 score but was significantly related for components such that an increase in one HEI point in the parent score, on average, was related to a small increase of 0.4 points for greens and beans (p=0.01), whole grains (p=0.004), and saturated fats (p=0.01); and 0.3 points for fatty acids (p=0.02) in the child scores.</p></div><div><h3>Conclusions</h3><p>A weak-moderate relationship existed between parent-child diets for several dietary quality components. Factors other than parental dietary quality may potentially play a role in child dietary quality among low-income households.</p></div><div><h3>Funding</h3><p>NIFA</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953493","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
Registered Dietitian (RDN) Lack Knowledge and Experience Working With Human Trafficked Individuals: A Call for Interprofessional Team Education 注册营养师 (RDN) 缺乏与被贩运者合作的知识和经验:呼吁开展跨专业团队教育
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.028
Christen Cupples Cooper EdD, RDN, Lydia McRoberts MS, RDN

Background

Human trafficking (HT) is the forcible recruitment and retention of individuals for forced labor, sex or other types of service. HT victims may suffer from malnutrition, dehydration, low food security, and infections, leading to poor health outcomes. HT victims are normally treated with interprofessional team care (IPT). Although RDNs are trained to deliver MNT for these conditions, they may lack knowledge, self-efficacy, and opportunities to assist HT individuals on IPT.

Objective

To explore Registered Dietitian cli(RDN) knowledge, self-efficacy, barriers and need for training to assist HT individuals.

Study Design, Settings, Participants

This cross-sectional study involved a 43-question e-mail survey completed by (n=241; response rate 25%) members of the Indiana Academy of Nutrition and Dietetics (63% of responses), the Academy of Nutrition and Dietetics’ Women's Health Dietetic Practice Group (23%), and Ball State University dietetic preceptors (14%).

Measurable Outcome/Analysis

Descriptive statistics, Chi-Square analyses, and ANOVA were used to determine RDNs’ overall knowledge of, self-efficacy for, experience working with and barriers to assisting HT individuals on IPT.

Results

Participants were largely female (97%), white (97%), and had 10+ years of practice (54%). Two-thirds of participants indicated they were “not at all” confident in identifying and caring for HT individuals. RDNs between ages 30-44 and had 3-5 years of practice had the highest mean scores for HT knowledge. RDNs indicated that barriers to working with HT individuals included a lack of: education and professional development on how to serve this population; known cases in the workplace; and reliance on incomplete patient histories. RDNs indicated that they desire more education on assisting HT individuals through continuing education, preferably through webinars.

Conclusions

No studies to date have explored RDNs’ knowledge of, experience with, or educational needs for raising their ability to assist HT individuals in a variety of settings. RDNs face barriers to working on IPT serving HT individuals. Education, particularly continuing education, may help facilitate RDNs’ ability to make impactful improvements in HT individuals’ health and well-being.

Funding

None

背景人口贩运(HT)是指强行招募和留用人员从事强迫劳动、性服务或其他类型的服务。人口贩运受害者可能会出现营养不良、脱水、食物保障不足和感染等问题,从而导致不良的健康后果。HT 受害者通常会接受跨专业团队护理(IPT)。尽管注册营养师接受过针对这些情况提供营养与康复治疗的培训,但他们可能缺乏知识、自我效能感和机会来协助 HT 患者进行 IPT。研究设计、设置、参与者这项横断面研究涉及 43 个问题的电子邮件调查,调查对象包括印第安纳州营养与饮食科学院成员(n=241;回复率 25%)(回复率 63%)、营养与饮食科学院妇女健康饮食实践小组成员(23%)和波尔州立大学营养师实习生(14%)(n=241;回复率 25%)。可衡量的结果/分析采用描述性统计、Chi-Square 分析和方差分析来确定营养师对协助高危人群进行 IPT 的总体知识、自我效能、工作经验和障碍。结果参与者大多为女性(97%)、白人(97%),从业时间超过 10 年(54%)。三分之二的参与者表示,她们对识别和照顾高危人群 "完全没有 "信心。年龄在 30-44 岁之间、从业 3-5 年的营养营养师在高危人群知识方面的平均得分最高。营养营养师表示,与高危人群打交道的障碍包括:缺乏有关如何为这一人群服务的教育和专业发展;工作场所的已知病例;以及对不完整病史的依赖。结论迄今为止,还没有研究探讨过营养营养师的知识、经验或教育需求,以提高他们在各种环境中帮助高危人群的能力。营养营养师在为高危人群提供 IPT 服务时面临障碍。教育,尤其是继续教育,可能有助于提高营养与营养师的能力,从而对改善高危人群的健康和福祉产生影响。
{"title":"Registered Dietitian (RDN) Lack Knowledge and Experience Working With Human Trafficked Individuals: A Call for Interprofessional Team Education","authors":"Christen Cupples Cooper EdD, RDN,&nbsp;Lydia McRoberts MS, RDN","doi":"10.1016/j.jneb.2024.05.028","DOIUrl":"10.1016/j.jneb.2024.05.028","url":null,"abstract":"<div><h3>Background</h3><p>Human trafficking (HT) is the forcible recruitment and retention of individuals for forced labor, sex or other types of service. HT victims may suffer from malnutrition, dehydration, low food security, and infections, leading to poor health outcomes. HT victims are normally treated with interprofessional team care (IPT). Although RDNs are trained to deliver MNT for these conditions, they may lack knowledge, self-efficacy, and opportunities to assist HT individuals on IPT.</p></div><div><h3>Objective</h3><p>To explore Registered Dietitian cli(RDN) knowledge, self-efficacy, barriers and need for training to assist HT individuals.</p></div><div><h3>Study Design, Settings, Participants</h3><p>This cross-sectional study involved a 43-question e-mail survey completed by (n=241; response rate 25%) members of the Indiana Academy of Nutrition and Dietetics (63% of responses), the Academy of Nutrition and Dietetics’ Women's Health Dietetic Practice Group (23%), and Ball State University dietetic preceptors (14%).</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Descriptive statistics, Chi-Square analyses, and ANOVA were used to determine RDNs’ overall knowledge of, self-efficacy for, experience working with and barriers to assisting HT individuals on IPT.</p></div><div><h3>Results</h3><p>Participants were largely female (97%), white (97%), and had 10+ years of practice (54%). Two-thirds of participants indicated they were “not at all” confident in identifying and caring for HT individuals. RDNs between ages 30-44 and had 3-5 years of practice had the highest mean scores for HT knowledge. RDNs indicated that barriers to working with HT individuals included a lack of: education and professional development on how to serve this population; known cases in the workplace; and reliance on incomplete patient histories. RDNs indicated that they desire more education on assisting HT individuals through continuing education, preferably through webinars.</p></div><div><h3>Conclusions</h3><p>No studies to date have explored RDNs’ knowledge of, experience with, or educational needs for raising their ability to assist HT individuals in a variety of settings. RDNs face barriers to working on IPT serving HT individuals. Education, particularly continuing education, may help facilitate RDNs’ ability to make impactful improvements in HT individuals’ health and well-being.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953521","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
Comparative Analysis of Federal Food Programs 联邦食品计划比较分析
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.065
Komal Jethmalani MS, CDE

Objective

This report examines the U.S. Department of Agriculture's Food and Nutrition Service (FNS) programs’ landscape; highlighting considerable shifts in participation rates, expenditure trends, and strategic policy adjustments over the 2023 fiscal year (FY).

Results

In FY 2023, the FNS programs witnessed a notable decrease in total expenditure to $152.9B, down from $183.0B in the previous FY, potentially signaling tapering of pandemic-induced emergency support measures. Participation in the Supplemental Nutrition Assistance Program (SNAP) experienced a slight increase, by 1.1 million/ month on average compared to FY 2022. However, the total SNAP expenditure dropped by 6.6B; hypothetically indicating the fading impact of emergency allotments. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), experienced a slight increase in participation rate of almost 6.4 million from 6.3 million as well in total expenditure to $6.7B from $5.7B in FY 2022. In continuation from the previous year, the comprehensive support provided in FY 2023, through the NSLP (National School Lunch Program), SBP (School Breakfast Program), CACFP (Child and Adult Care Food Program), and SFSP (Summer Food Service Program) programs, reported a combined total expenditure of $28.43B. However, this indicates a decline from $33.6B in FY 2022. The reduction in Pandemic Electronic Benefit Transfer (P-EBT) program expenditure to $13.69B from $17.9B in FY 2022, further illustrates potential transition towards pre-pandemic operational levels and diminishing reliance on emergency interventions.

Conclusions

This report could be the result of adaptive strategies employed by USDA in FY 2023 to navigate the evolving economic landscape. The detailed analysis provides insights into the shifting dynamics of food and nutrition assistance programs, marking a critical step towards recovery, resilience, and strategic realignment of resources in the post-pandemic era.

Funding

None

本报告对美国农业部食品与营养服务(FNS)项目的情况进行了研究;重点介绍了 2023 财年(FY)参与率、支出趋势和战略政策调整方面的显著变化。参与补充营养援助计划(SNAP)的人数略有增加,与 2022 财年相比,平均每月增加 110 万人。然而,SNAP 的总支出减少了 66 亿美元;这表明紧急拨款的影响正在减弱。妇女、婴儿和儿童特别补充营养计划(WIC)的参与率略有增加,从 630 万增加到近 640 万,总支出也从 2022 财年的 57 亿美元增加到 67 亿美元。与前一年相比,2023 财政年度通过 NSLP(国家学校午餐计划)、SBP(学校早餐计划)、CACFP(儿童和成人护理食品计划)和 SFSP(夏季食品服务计划)计划提供的综合支持,总支出达到 284.3 亿美元。然而,这表明与 2022 财年的 336 亿美元相比有所下降。大流行病电子福利转移计划(P-EBT)的支出从 2022 财年的 179 亿美元减少到 136.9 亿美元,这进一步说明可能会向大流行病前的业务水平过渡,并减少对紧急干预措施的依赖。详细的分析深入揭示了食品和营养援助计划的动态变化,标志着在后大流行病时代实现恢复、复原和资源战略调整的关键一步。
{"title":"Comparative Analysis of Federal Food Programs","authors":"Komal Jethmalani MS, CDE","doi":"10.1016/j.jneb.2024.05.065","DOIUrl":"10.1016/j.jneb.2024.05.065","url":null,"abstract":"<div><h3>Objective</h3><p>This report examines the U.S. Department of Agriculture's Food and Nutrition Service (FNS) programs’ landscape; highlighting considerable shifts in participation rates, expenditure trends, and strategic policy adjustments over the 2023 fiscal year (FY).</p></div><div><h3>Results</h3><p>In FY 2023, the FNS programs witnessed a notable decrease in total expenditure to $152.9B, down from $183.0B in the previous FY, potentially signaling tapering of pandemic-induced emergency support measures. Participation in the Supplemental Nutrition Assistance Program (SNAP) experienced a slight increase, by 1.1 million/ month on average compared to FY 2022. However, the total SNAP expenditure dropped by 6.6B; hypothetically indicating the fading impact of emergency allotments. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), experienced a slight increase in participation rate of almost 6.4 million from 6.3 million as well in total expenditure to $6.7B from $5.7B in FY 2022. In continuation from the previous year, the comprehensive support provided in FY 2023, through the NSLP (National School Lunch Program), SBP (School Breakfast Program), CACFP (Child and Adult Care Food Program), and SFSP (Summer Food Service Program) programs, reported a combined total expenditure of $28.43B. However, this indicates a decline from $33.6B in FY 2022. The reduction in Pandemic Electronic Benefit Transfer (P-EBT) program expenditure to $13.69B from $17.9B in FY 2022, further illustrates potential transition towards pre-pandemic operational levels and diminishing reliance on emergency interventions.</p></div><div><h3>Conclusions</h3><p>This report could be the result of adaptive strategies employed by USDA in FY 2023 to navigate the evolving economic landscape. The detailed analysis provides insights into the shifting dynamics of food and nutrition assistance programs, marking a critical step towards recovery, resilience, and strategic realignment of resources in the post-pandemic era.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953529","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
Herbs, Spices, and Flavoring Ingredients Owned Among People With Limited Financial Resources From Five Race and Ethnic Groups 五个种族和族裔群体中经济资源有限者拥有的草药、香料和调味配料
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.010
Ricardo Kairios MS, Debra Palmer-Keenan PhD, MEd, Graham Bastian PhD, RDN

Background

Nutrition educators commonly use cooking demonstrations to elicit positive dietary quality and food resource management behavior changes. When developing these recipes, it is recommended for programs geared towards audiences with limited financial resources to select ingredients that are low-priced, accessible, and culturally appropriate. A large percentage of adult audiences served by these programs in the United States identify as being Hispanic, and in New Jersey, a majority of Hispanics from low-income environments identify as being Puerto Rican, Mexican, or Dominican.

Objective

To identify and compare culinary seasonings owned by 3 Hispanic and 2 non-Hispanic, adult groups from low-income environments.

Study Design, Settings, Participants

Descriptive; observations, literature review, and semi-structured interviews. 12 stores located within low-income Hispanic neighborhoods (observations) and Zoom and in-person interviews at community agencies. Puerto Ricans (n=30), Mexicans (n=33), Dominicans (n=45), non-Hispanic Blacks (n=25), and non-Hispanic Whites (n=39) from low-income environments living in New Jersey, who spoke English or Spanish, and reported being the primarily food purchaser and cook in their homes.

Measurable Outcome/Analysis

Specific culinary seasonings owned. Descriptive statistics for all data, stratified by race/ethnicity and Analysis of Variance (ANOVAs) on seasonings owned by group.

Results

Overall, participants owned between 4 and 101 culinary seasonings (mean = 32.5+16.7). Similarities and differences among groups’ seasoning ownership were detected. Fresh garlic, ground cinnamon, and table salt were identified as being “usually” or “always” owned by at least 67% of participants from each group. Seventeen seasonings were “rarely” or “never” owned by at least 67% of participants from each group. A statistically significant (P<.05) difference existed between Mexicans and non-Mexicans, due to Mexicans’ ownership of numerous hot peppers.

Conclusions

Educators working with both single and multi-cultural audiences should be aware of cultural variations in culinary seasoning ownership, and when working with Hispanic audiences, differentiate among the heritage of those served. Future research should obtain similar data from groups living outside of New Jersey and compare this study's findings.

Funding

Expanded Food and Nutrition Education Program

背景营养教育者通常使用烹饪示范来激发积极的饮食质量和食物资源管理行为变化。在制定这些食谱时,建议面向经济资源有限的受众的计划选择价格低廉、容易获得和文化适宜的食材。在美国,这些计划所服务的成年受众中有很大一部分自称是西班牙裔,而在新泽西州,来自低收入环境的西班牙裔大多自称是波多黎各人、墨西哥人或多米尼加人。研究设计、环境、参与者描述性;观察、文献综述和半结构式访谈。12 家位于西班牙裔低收入社区内的商店(观察)以及在社区机构进行的变焦和面对面访谈。调查对象为居住在新泽西州低收入环境中的波多黎各人(人数=30)、墨西哥人(人数=33)、多米尼加人(人数=45)、非西班牙裔黑人(人数=25)和非西班牙裔白人(人数=39),他们讲英语或西班牙语,并称自己是家中主要的食品购买者和烹饪者。对所有数据进行描述性统计,按种族/族裔进行分层,并对各组拥有的调味料进行方差分析(ANOVA)。发现了各组调味料拥有量的异同。每组至少有 67% 的参与者 "通常 "或 "总是 "拥有新鲜大蒜、肉桂粉和食盐。各组至少有 67% 的参与者 "很少 "或 "从不 "拥有 17 种调味料。墨西哥人和非墨西哥人之间的差异具有统计学意义(P<.05),这是因为墨西哥人拥有许多辣椒。未来的研究应从生活在新泽西州以外的群体中获取类似数据,并对本研究的结果进行比较。
{"title":"Herbs, Spices, and Flavoring Ingredients Owned Among People With Limited Financial Resources From Five Race and Ethnic Groups","authors":"Ricardo Kairios MS,&nbsp;Debra Palmer-Keenan PhD, MEd,&nbsp;Graham Bastian PhD, RDN","doi":"10.1016/j.jneb.2024.05.010","DOIUrl":"10.1016/j.jneb.2024.05.010","url":null,"abstract":"<div><h3>Background</h3><p>Nutrition educators commonly use cooking demonstrations to elicit positive dietary quality and food resource management behavior changes. When developing these recipes, it is recommended for programs geared towards audiences with limited financial resources to select ingredients that are low-priced, accessible, and culturally appropriate. A large percentage of adult audiences served by these programs in the United States identify as being Hispanic, and in New Jersey, a majority of Hispanics from low-income environments identify as being Puerto Rican, Mexican, or Dominican.</p></div><div><h3>Objective</h3><p>To identify and compare culinary seasonings owned by 3 Hispanic and 2 non-Hispanic, adult groups from low-income environments.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Descriptive; observations, literature review, and semi-structured interviews. 12 stores located within low-income Hispanic neighborhoods (observations) and Zoom and in-person interviews at community agencies. Puerto Ricans (n=30), Mexicans (n=33), Dominicans (n=45), non-Hispanic Blacks (n=25), and non-Hispanic Whites (n=39) from low-income environments living in New Jersey, who spoke English or Spanish, and reported being the primarily food purchaser and cook in their homes.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Specific culinary seasonings owned. Descriptive statistics for all data, stratified by race/ethnicity and Analysis of Variance (ANOVAs) on seasonings owned by group.</p></div><div><h3>Results</h3><p>Overall, participants owned between 4 and 101 culinary seasonings (mean = 32.5+16.7). Similarities and differences among groups’ seasoning ownership were detected. Fresh garlic, ground cinnamon, and table salt were identified as being “usually” or “always” owned by at least 67% of participants from each group. Seventeen seasonings were “rarely” or “never” owned by at least 67% of participants from each group. A statistically significant (P&lt;.05) difference existed between Mexicans and non-Mexicans, due to Mexicans’ ownership of numerous hot peppers.</p></div><div><h3>Conclusions</h3><p>Educators working with both single and multi-cultural audiences should be aware of cultural variations in culinary seasoning ownership, and when working with Hispanic audiences, differentiate among the heritage of those served. Future research should obtain similar data from groups living outside of New Jersey and compare this study's findings.</p></div><div><h3>Funding</h3><p>Expanded Food and Nutrition Education Program</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953589","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
期刊
Journal of Nutrition Education and Behavior
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1