Kicklighter Jana R, Whitley Deborah M, Kelley Susan J, Shipskie Sherry M, Taube Julie L, Berry Rashelle C
Division of Nutrition, Georgia State University, Atlanta, GA 30302-3995, USA.
J Am Diet Assoc. 2007 Jul;107(7):1210-3. doi: 10.1016/j.jada.2007.04.006.
This pilot study explored the impact of an educational program on nutrition and physical activity knowledge of urban African-American grandparents raising their grandchildren. The program was integrated into a community-based intervention, Project Healthy Grandparents, and was implemented during the first 15 minutes of 10 grandparent support groups and parenting classes. Subjects included 22 grandparents who attended at least six sessions and completed pre- and posttests of nutrition and physical activity knowledge. Participants' posttest scores were significantly higher than their pretest scores (P<0.05), indicating an increase in knowledge. Eighteen grandparents provided insights about diet and physical activity and barriers to lifestyle changes during an audiotaped focus group. Based on analysis of the focus group's discussion, three major influences on healthful eating and physical activity emerged, including financial considerations, presence of grandchildren in the home, and preference for traditional cultural foods. Themes from the focus group were consistent with responses on the nutrition and physical activity knowledge test. Satisfaction with the program was very high and no specific recommendations for improvements were made. Results can guide future nutrition interventions for this target group and potentially contribute to grandparents' improved health and ability to care for their grandchildren.
这项试点研究探讨了一项教育计划对抚养孙辈的城市非裔美国祖父母的营养和身体活动知识的影响。该计划被纳入一项基于社区的干预项目“健康祖父母计划”，并在10个祖父母支持小组和育儿课程的前15分钟实施。研究对象包括22位祖父母，他们至少参加了六次课程，并完成了营养和身体活动知识的前后测。参与者的后测分数显著高于前测分数（P<0.05），表明知识有所增加。在一次录音焦点小组讨论中，18位祖父母提供了有关饮食、身体活动以及生活方式改变障碍的见解。基于对焦点小组讨论的分析，出现了对健康饮食和身体活动的三大主要影响因素，包括经济因素、家中孙辈的存在以及对传统文化食物的偏好。焦点小组的主题与营养和身体活动知识测试的回答一致。对该计划的满意度非常高，且未提出具体的改进建议。研究结果可为针对该目标群体的未来营养干预提供指导，并有可能有助于祖父母改善健康状况以及照顾孙辈的能力。
