Journal of Nutrition Education and Behavior最新文献

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Home Availability of Different Forms of Fruits and Vegetables and Parent/Child Diet by Income: Findings from 4 Studies 按收入划分的不同种类水果和蔬菜的家庭可得性和父母/儿童饮食：来自4项研究的结果。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-12-01 Epub Date: 2025-09-01 DOI: 10.1016/j.jneb.2025.07.007

Aysegul Baltaci PhD , Melissa N. Laska PhD, RD , Ziou Jiang MS , Leslie A. Lytle PhD , Mary O. Hearst PhD, MPH , Jayne A. Fulkerson PhD

Objective

Assessed the availability of any form, fresh, frozen, canned, and dried fruits and vegetables (FVs), their associations with parent/child sodium and added sugar intakes across household incomes.

Design

Cross-sectional data analysis.

Setting and Participants

960 parent/child dyads across 4 studies.

Variables Measured

A home food inventory was used to assess FV availability in different forms. Parent/child sodium and added sugar intakes were evaluated.

Analysis

Associations between the availability of different FV forms and sodium and added sugar intakes were examined using income-stratified correlation coefficients, based on free/reduced-price lunch eligibility as a proxy for income.

Results

We saw no significant differences by income in the total number of vegetables in any form, fresh FVs, and canned fruits. Households with lower incomes had fewer frozen FVs than households with higher incomes. While homes with lower incomes had significantly more canned vegetables, there was no relationship between canned vegetables and sodium intake for parents or children in these households.

Conclusions and Implications

Our results suggest that assumptions about differences and consequences of the food available in homes of families with low incomes need to be evaluated within the community of interest. This approach will more accurately assess community risk and help tailor effective interventions.

目的：评估任何形式的新鲜、冷冻、罐装和干果蔬菜（FVs）的可获得性，以及它们与父母/孩子在家庭收入中钠和添加糖摄入量的关系。设计：横断面数据分析。环境和参与者：4项研究中的960对父母/孩子。测量变量：使用家庭食品库存来评估不同形式的FV可用性。评估了父母/孩子钠和添加糖的摄入量。分析：使用收入分层相关系数，以免费/降价午餐资格作为收入的代理，研究了不同形式的FV可获得性与钠和添加糖摄入量之间的关系。结果：我们没有看到任何形式的蔬菜，新鲜水果和罐装水果的总数量的收入显著差异。收入较低的家庭比收入较高的家庭拥有较少的冷冻FVs。虽然收入较低的家庭有更多的罐装蔬菜，但对于这些家庭的父母或孩子来说，罐装蔬菜和钠摄入量之间没有关系。结论和意义：我们的研究结果表明，关于低收入家庭的食物差异和后果的假设需要在感兴趣的社区内进行评估。这种方法将更准确地评估社区风险，并有助于制定有效的干预措施。

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引用次数: 0

Judgment for Infant Feeding Choices and Opinions of Infant Feeding Messages 婴儿喂养选择的判断与婴儿喂养信息的意见。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-12-01 Epub Date: 2025-09-03 DOI: 10.1016/j.jneb.2025.07.014

Kimberly N. Doughty PhD , Lliana Joe , Sarah N. Taylor MD, MSCR

Objective

To assess mothers’ perceptions of judgment for infant feeding practices and opinions of the messages Breast is Best and Fed is Best, and investigate variation in these outcomes by sociodemographic characteristics and infant feeding practices.

Design

Cross-sectional survey design.

Participants

US women with children aged 1–4 years (n = 926) recruited from a national online opinion panel.

Main Outcome Measures

Perceptions of judgment for breastfeeding and formula feeding by health care providers and community members; opinions of infant feeding messages.

Analysis

We used multivariable logistic regression to identify predictors of each outcome measure.

Results

Approximately 40% of participants who used infant formula felt judged for formula feeding by both health care providers and their community. Of those who ever breastfed, 17.0% and 26.3% felt judged for breastfeeding by providers and their community, respectively. More than half (56.1%) of respondents had a very positive opinion of Fed is Best, as compared with 33.3% for Breast is Best. Sociodemographic characteristics were significantly associated with perceived judgment and/or attitudes toward infant feeding messages.

Conclusions and Implications

Perceptions of judgment were common. Opinions of Breast is Best were more negative than opinions of Fed is Best, suggesting a need for more effective and nuanced breastfeeding promotion messages.

目的：评估母亲对婴儿喂养方式的判断和对“母乳是最好的”和“母乳喂养是最好的”信息的看法，并调查社会人口统计学特征和婴儿喂养方式对这些结果的影响。设计：横断面调查设计。参与者：有1-4岁孩子的美国妇女（n = 926）从全国在线意见小组中招募。主要结果测量：卫生保健提供者和社区成员对母乳喂养和配方奶喂养判断的看法；对婴儿喂养信息的意见。分析：我们使用多变量逻辑回归来确定每个结果测量的预测因子。结果：大约40%的使用婴儿配方奶粉的参与者感到被卫生保健提供者和他们的社区评判配方喂养。在曾经母乳喂养的人中，分别有17.0%和26.3%的人感到母乳喂养受到提供者及其社区的评判。超过一半（56.1%）的受访者对“Fed是最好的”持非常积极的看法，而对“Breast是最好的”持非常积极看法的受访者为33.3%。社会人口学特征与感知判断和/或对婴儿喂养信息的态度显著相关。结论和启示：判断知觉是常见的。“母乳是最好的”的观点比“美联储是最好的”的观点更消极，这表明需要更有效、更细致的母乳喂养宣传信息。

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引用次数: 0

Implementation Fidelity of a Digital Nutrition Education Intervention Program for Community-Dwelling Older Adults 社区居住老年人数字营养教育干预计划的实施保真度。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-12-01 Epub Date: 2025-09-11 DOI: 10.1016/j.jneb.2025.07.013

Vidya Sharma PhD, RD, LD, CDCES , M. Marilu Martinez PhD , Erica Sosa PhD , Meizi He PhD , Tianou Zhang PhD , Zenong Yin PhD , Sarah L. Ullevig PhD, RD, LD

Objective

To evaluate the fidelity of a digital nutrition education intervention program for community-dwelling older adults.

Design

Cluster randomized controlled trial with 5 conditions, including attendance records, class observations, preassessment and postassessment of nutrition and technology knowledge, postprogram surveys, and qualitative analysis.

Setting

Congregate Meal Program sites in San Antonio, Texas (n = 12).

Participants

Older adults (n = 319)

Intervention

In-person technology training and support followed by online nutrition education.

Measurable Outcome/Analysis

Fidelity was scored on an average percentage scale (benchmark > 75%). Qualitative analysis of focus groups.

Results

A total of 319 participants completed the postprogram survey with responses indicative of high satisfaction rates with Google Classroom (96%), online nutrition sessions (96%), and weekly socials (72%). Attendance was 97% and 94%, respectively, for the technology and online nutrition classes, and the average fidelity was > 90%. Older adults (n = 49) participated in focus groups. Key themes included comfort with technology, motivation for the intervention, and the value of supplemental resources.

Conclusions and Implications

Providing technology access, training, and online nutrition education implemented with high fidelity increased participants’ comfort and motivation to engage in online nutrition programs. These findings can inform future interventions and the development of digital nutrition education programs for older adults.

目的：评价数字化营养教育干预方案对社区居住老年人的保真度。设计：整群随机对照试验，共设5个条件，包括出勤记录、课堂观察、营养和技术知识的前评和后评、课程后调查和定性分析。实验地点：德克萨斯州圣安东尼奥市（n = 12）的聚集膳食计划站点。参与者：老年人（n = 319）干预：现场技术培训和支持，随后是在线营养教育。可测量的结果/分析：保真度按平均百分比评分（基准> 75%）。焦点小组的定性分析。结果：共有319名参与者完成了课程后调查，结果表明谷歌课堂（96%）、在线营养课程（96%）和每周社交活动（72%）的满意率很高。技术课程和在线营养课程的出勤率分别为97%和94%，平均保真度为90%。老年人（n = 49）参加了焦点小组。关键主题包括技术舒适度、干预动机和补充资源的价值。结论和意义：提供高保真度的技术获取、培训和在线营养教育增加了参与者参与在线营养计划的舒适度和动机。这些发现可以为未来的干预措施和老年人数字营养教育计划的发展提供信息。

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引用次数: 0

Connecting Research and Researchers Through the JNEB Podcast 通过JNEB播客连接研究和研究人员

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-12-01 Epub Date: 2025-12-05 DOI: 10.1016/j.jneb.2025.10.011

Lauren Haldeman PhD (Editor-in-Chief)

引用次数: 0

Eating Competence is Related to Early Childhood Educators’ Body-Related Perceptions and Behaviors and Division of Responsibility Adherence 幼儿教育工作者的饮食能力与身体知觉、行为、责任分工、依从性相关。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-12-01 Epub Date: 2025-08-25 DOI: 10.1016/j.jneb.2025.07.012

Cristen L. Harris PhD, RDN, CD, CSSD, CEDS, ACSM-CEP, FAND , Kana Ogaki MPH, RDN , Chris Mornick MPH, RDN

Objective

To explore relationships between training type, adherence to the Satter Division of Responsibility (sDOR, a specialized form of responsive feeding), health and body-related perceptions and behaviors, and eating competence (EC) in early childhood education (ECE) providers.

Methods

Exploratory, cross-sectional study with a self-administered online survey from a convenience sample of ECE providers (n = 474) who had participated in the Nurturing Young Eaters vs other training in the state of Washington.

Results

No significant relationship was found between training type and ECE providers’ adherence to the sDOR (P = 0.52). Participants who perceived their general health to be excellent (P < 0.001), their weight to be just right/somewhat underweight (P < 0.001), or had not dieted within the past 3 years (P = 0.007) had higher EC. There was a positive correlation between EC and sDOR (r = 0.133, P = 0.006).

Conclusions and Implications

Providers’ EC and attitudes about their health and weight are associated with how they feed children in their care. Future interventions with ECE providers may benefit from addressing providers’ EC and body-related perceptions.

目的：探讨幼儿教育（ECE）提供者的培训类型、遵守萨特责任分工（sDOR，一种特殊形式的反应性喂养）、健康和身体相关的感知和行为以及饮食能力（EC）之间的关系。方法：探索性、横断面研究，通过一项自管理的在线调查，从参与华盛顿州培养年轻食客与其他培训的ECE提供者（n = 474）中抽取方便样本。结果：培训类型与ECE提供者对sDOR的依从性无显著相关（P = 0.52）。认为自己总体健康状况良好（P < 0.001）、体重刚刚好/体重偏轻（P < 0.001）或在过去3年内没有节食（P = 0.007）的参与者EC较高。EC与sDOR呈正相关（r = 0.133, P = 0.006）。结论和影响：提供者的EC和对其健康和体重的态度与他们如何喂养所照顾的儿童有关。未来与ECE提供者的干预可能受益于解决提供者的EC和身体相关的看法。

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引用次数: 0

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-12-01 DOI: 10.1016/j.jneb.2025.08.005

Jennifer Salt Taylor RD, CHES

引用次数: 0

Engaging Stakeholders to Support Sustainable Fruit and Vegetable Prescription Programs 让利益相关者参与支持可持续水果和蔬菜处方项目

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-12-01 Epub Date: 2025-12-05 DOI: 10.1016/j.jneb.2025.10.014

引用次数: 0

Fact-Checking #Breastfeeding: Analyzing TikTok Videos Related to Breastfeeding Information 事实核查#母乳喂养：分析与母乳喂养信息相关的TikTok视频。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-12-01 Epub Date: 2025-08-26 DOI: 10.1016/j.jneb.2025.07.008

Alexa Parra PhD, RN , Jazmin Ramirez BSN, RN , Tayla von Ash ScD , Cynthia N. Lebron PhD, MPH

Objective

To systematically characterize and fact-check breastfeeding-related content on TikTok and assess its accuracy against established evidence-based recommendations.

Design

This study employed quantitative content analysis to examine TikTok videos tagged with #breastfeeding to quantify breastfeeding information patterns, engagement metrics, and creator types. Only videos sharing breastfeeding information in English (regardless of country) were included. Videos were coded using a predefined framework developed by the study authors.

Main Outcome Measures

Engagement metrics, creator type, and video accuracy.

Analysis

Interrater reliability was calculated using Cohen’s kappa. Descriptive statistics were used to determine the frequency of videos in each category. A 1-way analysis of variance was applied to assess differences in engagement between evidence-based, non-evidence-based, or misinformation videos. Multivariate analysis of variance was performed to analyze differences in engagement based on video accuracy.

Results

Of the 224 videos analyzed, 65% were classified as evidence-based, while 32% were non-evidence-based. Misinformation outperformed the other categories in shares, saves, and views. No significant differences in engagement metrics were found between evidence-based and non-evidence-based videos.

Conclusions and Implications

These findings offer insights into how breastfeeding information is portrayed on TikTok and may inform strategies to improve the dissemination of accurate, evidence-based content on social media platforms.

目的：系统地描述和事实核查抖音上与母乳喂养相关的内容，并根据既定的循证建议评估其准确性。设计：本研究采用定量内容分析来检查带有#母乳喂养标签的TikTok视频，以量化母乳喂养信息模式、参与指标和创作者类型。只包括用英语分享母乳喂养信息的视频（不分国家）。视频使用研究作者开发的预定义框架进行编码。主要衡量指标：用户粘性指标、创作者类型和视频准确性。分析：采用Cohen’s kappa计算被测者信度。使用描述性统计来确定每个类别中视频的频率。采用单向方差分析来评估基于证据、非基于证据或错误信息的视频之间的参与差异。进行多变量方差分析，分析基于视频准确性的敬业度差异。结果：224个视频中，65%为循证视频，32%为非循证视频。错误信息在分享、保存和查看方面的表现优于其他类别。在基于证据和非基于证据的视频之间，用户粘性指标没有显著差异。结论和影响：这些发现为了解母乳喂养信息如何在TikTok上被描述提供了见解，并可能为改善社交媒体平台上准确、循证内容的传播提供策略。

{"title":"Fact-Checking #Breastfeeding: Analyzing TikTok Videos Related to Breastfeeding Information","authors":"Alexa Parra PhD, RN , Jazmin Ramirez BSN, RN , Tayla von Ash ScD , Cynthia N. Lebron PhD, MPH","doi":"10.1016/j.jneb.2025.07.008","DOIUrl":"10.1016/j.jneb.2025.07.008","url":null,"abstract":"<div><h3>Objective</h3><div>To systematically characterize and fact-check breastfeeding-related content on TikTok and assess its accuracy against established evidence-based recommendations.</div></div><div><h3>Design</h3><div>This study employed quantitative content analysis to examine TikTok videos tagged with #breastfeeding to quantify breastfeeding information patterns, engagement metrics, and creator types. Only videos sharing breastfeeding information in English (regardless of country) were included. Videos were coded using a predefined framework developed by the study authors.</div></div><div><h3>Main Outcome Measures</h3><div>Engagement metrics, creator type, and video accuracy.</div></div><div><h3>Analysis</h3><div>Interrater reliability was calculated using Cohen’s kappa. Descriptive statistics were used to determine the frequency of videos in each category. A 1-way analysis of variance was applied to assess differences in engagement between evidence-based, non-evidence-based, or misinformation videos. Multivariate analysis of variance was performed to analyze differences in engagement based on video accuracy.</div></div><div><h3>Results</h3><div>Of the 224 videos analyzed, 65% were classified as evidence-based, while 32% were non-evidence-based. Misinformation outperformed the other categories in shares, saves, and views. No significant differences in engagement metrics were found between evidence-based and non-evidence-based videos.</div></div><div><h3>Conclusions and Implications</h3><div>These findings offer insights into how breastfeeding information is portrayed on TikTok and may inform strategies to improve the dissemination of accurate, evidence-based content on social media platforms.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 12","pages":"Pages 1122-1128"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976915","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

Editorial Board/Board of Directors 编辑委员会/董事会

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-12-01 Epub Date: 2025-12-05 DOI: 10.1016/S1499-4046(25)00454-3

引用次数: 0

Exploring Facilitators and Barriers for Personalized Dietary Incentives Among Online Shoppers at Cardiovascular Risk and Key Informants to Inform an Automated Shopping Platform 探索心血管风险在线购物者个性化饮食激励的促进因素和障碍，并为自动化购物平台提供关键信息。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-12-01 Epub Date: 2025-09-14 DOI: 10.1016/j.jneb.2025.07.010

Maya K. Vadiveloo PhD, RD , Alison Tovar PhD, MPH , Emily G. Elenio MPH , Carsten Eickhoff PhD , John San Soucie PhD , Sarah Feldstein Ewing PhD , Kim M. Gans PhD, LDN, MPH , Anne N. Thorndike MD, MPH

Objective

To identify preferences, facilitators, and barriers to healthy eating and using a personalized diet application (Smart Cart 2.0) for online grocery shopping.

Methods

Convergent, parallel multimethods study among shoppers (aged > 18 years, grocery shopped online with obesity [body mass index, 30 kg/m²] or hypertension, n=20) and public health professional key informants (n = 11). Online surveys (shoppers only) and in-depth interviews using mock-up application images queried preferences, facilitators, and barriers. We synthesized quantitative and qualitative data for thematic analysis.

Results

The most common barriers (25%) were money and time, while health motivated most food purchases (55%). Four themes emerged from interviews: (1) consuming healthy foods was hard, (2) healthy meal planning would be easier with a one-stop shopping tool, (3) the application addressed shoppers’ needs, and (4) some additions could promote application sustainability.

Conclusions and Implications

Smart Cart 2.0 addressed healthy eating barriers. Integrating feedback will enhance application design for future evaluation.

目的：确定健康饮食的偏好、促进因素和障碍，并使用个性化饮食应用程序（Smart Cart 2.0）进行在线杂货购物。方法：采用趋同、平行的多方法研究，对在网上购物的消费者（年龄在10 ~ 18岁，肥胖[体重指数，30 kg/m2]或高血压，n=20）和公共卫生专业关键线人（n = 11）进行调查。在线调查（仅限购物者）和使用模拟应用程序图像的深度访谈查询了偏好、促进因素和障碍。我们综合定量和定性数据进行专题分析。结果：最常见的障碍（25%）是金钱和时间，而健康是购买食品的主要动机（55%）。采访中出现了四个主题：(1)消费健康食品很难，(2)健康膳食计划将更容易使用一站式购物工具，(3)应用程序满足购物者的需求，(4)一些添加的功能可以促进应用程序的可持续性。结论和意义：Smart Cart 2.0解决了健康饮食障碍。集成反馈将增强应用程序设计，以便将来进行评估。

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