Deakin Health Economics, Faculty of Health, Deakin University, Melbourne, Australia.
BMC Public Health. 2013 Apr 30;13:411. doi: 10.1186/1471-2458-13-411.
Community-based programs aimed at improving cooking skills, cooking confidence and individual eating behaviours have grown in number over the past two decades. Whilst some evidence exists to support their effectiveness, only small behavioural changes have been reported and limitations in study design may have impacted on results.This paper describes the first evaluation of the Jamie Oliver Ministry of Food Program (JMoF) Australia, in Ipswich, Queensland. JMoF Australia is a community-based cooking skills program open to the general public consisting of 1.5 hour classes weekly over a 10 week period, based on the program of the same name originating in the United Kingdom.
METHODS/DESIGN: A mixed methods study design is proposed. Given the programmatic implementation of JMoF in Ipswich, the quantitative study is a non-randomised, pre-post design comparing participants undergoing the program with a wait-list control group. There will be two primary outcome measures: (i) change in cooking confidence (self-efficacy) and (ii) change in self-reported mean vegetable intake (serves per day). Secondary outcome measures will include change in individual cooking and eating behaviours and psycho-social measures such as social connectedness and self-esteem. Repeated measures will be collected at baseline, program completion (10 weeks) and 6 months follow up from program completion. A sample of 250 participants per group will be recruited for the evaluation to detect a mean change of 0.5 serves a day of vegetables at 80% power (0.5% significance level). Data analysis will assess the magnitude of change of these variables both within and between groups and use sub group analysis to explore the relationships between socio-demographic characteristics and outcomes.The qualitative study will be a longitudinal design consisting of semi-structured interviews with approximately 10-15 participants conducted at successive time points. An inductive thematic analysis will be conducted to explore social, attitudinal and behavioural changes experienced by program participants.
This evaluation will contribute to the evidence of whether cooking programs work in terms of improving health and wellbeing and the underlying mechanisms which may lead to positive behaviour change.
Australian and New Zealand Trial registration number: ACTRN12611001209987.
过去二十年来,旨在提高烹饪技能、烹饪信心和个人饮食行为的基于社区的项目数量有所增加。虽然有一些证据支持其有效性,但仅报告了较小的行为改变,并且研究设计的局限性可能影响了结果。本文描述了昆士兰州伊普斯维奇市 Jamie Oliver 食品部计划(JMoF)澳大利亚的首次评估。JMoF 澳大利亚是一个面向公众的基于社区的烹饪技能计划,每周有 1.5 小时的课程,为期 10 周,基于起源于英国的同名计划。
方法/设计:提出了一种混合方法研究设计。鉴于 JMoF 在伊普斯维奇的计划实施,定量研究是一种非随机、前后测设计,比较接受该计划的参与者与等待名单对照组。将有两个主要结果测量指标:(i)烹饪信心(自我效能感)的变化和(ii)自我报告的平均蔬菜摄入量(份/天)的变化。次要结果测量指标将包括个人烹饪和饮食行为的变化以及社会联系和自尊等心理社会措施的变化。将在基线、计划完成(10 周)和计划完成后 6 个月进行重复测量。为评估将招募每组 250 名参与者,以检测 80%功率(0.5%显著性水平)下每天平均增加 0.5 份蔬菜的均值变化。数据分析将评估这些变量在组内和组间的变化幅度,并使用亚组分析探索社会人口统计学特征与结果之间的关系。
定性研究将是一个纵向设计,包括在连续时间点对大约 10-15 名参与者进行半结构化访谈。将进行归纳主题分析,以探索计划参与者经历的社会、态度和行为变化。
该评估将有助于证明烹饪计划是否在改善健康和福祉方面有效,以及可能导致积极行为改变的潜在机制。
澳大利亚和新西兰试验注册编号:ACTRN12611001209987。