Herbert Jessica, Flego Anna, Gibbs Lisa, Waters Elizabeth, Swinburn Boyd, Reynolds John, Moodie Marj
Deakin Health Economics, Faculty of Health, Deakin University, Melbourne, Victoria, Australia.
BMC Public Health. 2014 Dec 12;14:1161. doi: 10.1186/1471-2458-14-1161.
Jamie's Ministry of Food (JMoF) Australia is a 10-week community-based cooking skills program which is primarily aimed at increasing cooking skills and confidence and the promotion of eating a more nutritious diet. However, it is likely that the program influences many pathways to behaviour change. This paper explores whether JMoF impacted on known precursors to healthy cooking and eating (such as attitudes, knowledge, beliefs, cooking enjoyment and satisfaction and food purchasing behaviour) and whether there are additional social and health benefits which arise from program participation.
A mixed method, quasi-experimental longitudinal evaluation with a wait-list control was conducted. Intervention participants were measured using repeated questionnaires at three time points; before and after the program and at six-month follow-up. Control participants completed the questionnaire 10 weeks before their program and at program commencement. Quantitative analysis used a linear mixed model approach and generalised linear models for repeated measures using all available data. Qualitative methods involved 30-minute repeated semi-structured interviews with a purposively selected sample, analysed thematically.
Statistically significant differences between groups and over time were found for a reduction of take away/fast food weekly purchasing (P = 0.004), and increases in eating meals at the dinner table (P = 0.01), cooking satisfaction (P = 0.01), and the ability to prepare a meal in 30 minutes (P < 0.001) and from basics that was low in cost (P < 0.001). The qualitative findings supported the quantitative results. Repeat qualitative interviews with fifteen participants indicated increased confidence and skills gained from the program to prepare meals from scratch as well as increases in family involvement in cooking and meal times at home.
Jamie's Ministry of Food, Australia resulted in improvements in participants' food and cooking attitudes and knowledge, food purchasing behaviours and social interactions within the home environment, which were sustained six months after the program.
Australian and New Zealand Trial registration number: ACTRN12611001209987.
澳大利亚杰米美食部(JMoF)是一项为期10周的社区烹饪技能项目,主要目标是提高烹饪技能和信心,促进人们食用更营养的饮食。然而,该项目可能会影响行为改变的多种途径。本文探讨JMoF是否对健康烹饪和饮食的已知先兆(如态度、知识、信念、烹饪乐趣与满意度以及食品购买行为)产生影响,以及参与该项目是否会带来额外的社会和健康益处。
采用混合方法进行准实验纵向评估,并设置等待名单对照组。干预组参与者在三个时间点通过重复问卷调查进行测量,分别是项目开始前、项目结束后以及六个月随访时。对照组参与者在项目开始前10周和项目开始时完成问卷调查。定量分析采用线性混合模型方法和广义线性模型对所有可用数据进行重复测量。定性方法包括对有目的选择的样本进行30分钟的重复半结构化访谈,并进行主题分析。
在每周减少外卖/快餐购买量(P = 0.004)、增加在餐桌上用餐(P = 0.01)、烹饪满意度(P = 0.01)、30分钟内准备一顿饭菜的能力(P < 0.001)以及用低成本基础食材准备饭菜的能力(P < 0.001)方面,发现组间和随时间变化存在统计学显著差异。定性研究结果支持定量结果。对15名参与者进行的重复定性访谈表明,该项目使参与者从零开始准备饭菜的信心和技能有所提高,同时家庭参与烹饪和在家用餐时间也有所增加。
澳大利亚的杰米美食部项目使参与者的食物和烹饪态度及知识、食品购买行为以及家庭环境中的社会互动得到改善,且在项目结束六个月后仍持续存在。
澳大利亚和新西兰试验注册号:ACTRN12611001209987。