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杰米的食品部:澳大利亚一项烹饪技能项目即时和持续影响的准实验评估

Jamie's Ministry of Food: quasi-experimental evaluation of immediate and sustained impacts of a cooking skills program in Australia.

作者信息

Flego Anna, Herbert Jessica, Waters Elizabeth, Gibbs Lisa, Swinburn Boyd, Reynolds John, Moodie Marj

机构信息

Deakin Health Economics, Faculty of Health, Deakin University, Melbourne, Australia.

Jack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.

出版信息

PLoS One. 2014 Dec 16;9(12):e114673. doi: 10.1371/journal.pone.0114673. eCollection 2014.

Abstract

OBJECTIVE

To evaluate the immediate and sustained effectiveness of the first Jamie's Ministry of Food Program in Australia on individuals' cooking confidence and positive cooking/eating behaviours.

METHODS

A quasi- experimental repeated measures design was used incorporating a wait-list control group. A questionnaire was developed and administered at baseline (T1), immediately post program (T2) and 6 months post completion (T3) for participants allocated to the intervention group, while wait -list controls completed it 10 weeks prior to program commencement (T1) and just before program commencement (T2). The questionnaire measured: participants' confidence to cook, the frequency of cooking from basic ingredients, and consumption of vegetables, vegetables with the main meal, fruit, ready-made meals and takeaway. Analysis used a linear mixed model approach for repeated measures using all available data to determine mean differences within and between groups over time.

SUBJECTS

All adult participants (≥18 years) who registered and subsequently participated in the program in Ipswich, Queensland, between late November 2011- December 2013, were invited to participate.

RESULTS

In the intervention group: 694 completed T1, 383 completed T1 and T2 and 214 completed T1, T2 and T3 assessments. In the wait-list group: 237 completed T1 and 149 completed T1 and T2 assessments. Statistically significant increases within the intervention group (P<0.001) and significant group*time interaction effects (P<0.001) were found in all cooking confidence measures between T1 and T2 as well as cooking from basic ingredients, frequency of eating vegetables with the main meal and daily vegetable intake (0.52 serves/day increase). Statistically significant increases at T2 were sustained at 6 months post program in the intervention group.

CONCLUSIONS

Jamie's Ministry of Food Program, Australia improved individuals' cooking confidence and cooking/eating behaviours contributing to a healthier diet and is a promising community-based strategy to influence diet quality.

摘要

目的

评估澳大利亚首个杰米食品部计划对个人烹饪信心以及积极烹饪/饮食行为的即时和持续效果。

方法

采用准实验重复测量设计,并纳入一个候补对照组。为干预组参与者编制了一份问卷,并在基线期(T1)、课程结束后立即(T2)以及课程结束后6个月(T3)进行施测,而候补对照组在课程开始前10周(T1)和课程即将开始前(T2)完成问卷。该问卷测量了:参与者的烹饪信心、使用基本食材烹饪的频率,以及蔬菜、与主餐搭配的蔬菜、水果、即食餐和外卖食品的摄入量。分析采用线性混合模型方法对重复测量数据进行分析,利用所有可用数据确定组内和组间随时间的平均差异。

研究对象

邀请了2011年11月下旬至2013年12月期间在昆士兰州伊普斯威奇注册并随后参加该计划的所有成年参与者(≥18岁)。

结果

干预组中,694人完成了T1评估,383人完成了T1和T2评估,214人完成了T1、T2和T3评估。候补对照组中,237人完成了T1评估,149人完成了T1和T2评估。在干预组中,T1和T2之间所有烹饪信心指标以及使用基本食材烹饪、与主餐搭配食用蔬菜的频率和每日蔬菜摄入量(每天增加0.52份)均有统计学显著增加(P<0.001),且存在显著的组*时间交互效应(P<0.001)。干预组在课程结束后6个月时,T2时的统计学显著增加得以持续。

结论

澳大利亚的杰米食品部计划提高了个人的烹饪信心和烹饪/饮食行为,有助于形成更健康的饮食,是一项有前景的基于社区的影响饮食质量的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ec/4267737/429ede0bb86f/pone.0114673.g001.jpg

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