Eyles Helen, Mhurchu Cliona Ni, Wharemate Laurie, Funaki-Tahifote Mafi, Lanumata Tolotea, Rodgers Anthony
Clinical Trials Research Unit, School of Population Health, University of Auckland, Private Bag 92019, Auckland, New Zealand.
Health Educ Res. 2009 Aug;24(4):558-74. doi: 10.1093/her/cyn057. Epub 2008 Oct 28.
In New Zealand, the burden of nutrition-related disease is greatest among vulnerable and disadvantaged groups, including Maori and Pacific peoples. However, little research is currently available on effective ways to improve nutrition in these communities. This paper describes the development of six paper-based nutrition education resources for multi-ethnic participants in a large supermarket intervention trial. Six focus groups involving 15 Maori, 13 Pacific and 16 non-Maori, non-Pacific participants were held. A general inductive approach was applied to identify common themes around participants' understanding and thoughts on relevance and usefulness of the draft resources. Feedback from focus groups was used to modify resources accordingly. Five themes emerged across all focus groups and guided modification of the resources: (i) perceived higher cost of healthy food, (ii) difficulty in changing food-purchasing habits, (iii) lack of knowledge, understanding and information about healthy food, (iv) desire for personally relevant information that uses ethnically appropriate language and (v) other barriers to healthy eating, including limited availability of healthy food. Many issues affect the likelihood of purchase and consumption of healthy food. These issues should be taken into account when developing nutritional materials for New Zealanders and possibly other multi-ethnic populations worldwide.
在新西兰，与营养相关疾病的负担在包括毛利人和太平洋岛民在内的弱势群体和处境不利群体中最为沉重。然而，目前关于改善这些社区营养状况的有效方法的研究很少。本文描述了在一项大型超市干预试验中为多民族参与者开发的六种纸质营养教育资源的过程。举行了六个焦点小组，其中包括15名毛利人、13名太平洋岛民以及16名非毛利、非太平洋岛民参与者。采用了一种通用归纳法来确定围绕参与者对资源草案的相关性和有用性的理解及想法的共同主题。焦点小组的反馈被用于相应地修改资源。所有焦点小组都出现了五个主题，并指导了资源的修改：（i）认为健康食品成本较高，（ii）改变食品购买习惯困难，（iii）缺乏关于健康食品的知识、理解和信息，（iv）渴望使用符合种族文化的语言提供的与个人相关的信息，以及（v）健康饮食的其他障碍，包括健康食品供应有限。许多问题影响着健康食品的购买和消费可能性。在为新西兰人以及全球其他多民族人群开发营养材料时，应考虑这些问题。
