Maliszewski Genevieve, Enriquez Maithe, Cheng An-Lin, Logan Pamela, Watts Jennifer
Division of Behavioral Health, Children's Hospital & Medical Center, Omaha, NE, USA.
Sinclair School of Nursing, University of Missouri, Columbia, MO, USA.
Public Health Nurs. 2017 Jul;34(4):343-347. doi: 10.1111/phn.12322. Epub 2017 Mar 21.
Research on health initiatives for rural batey communities in the Dominican Republic is needed.
This study utilized a pretest-posttest design to examine the feasibility and acceptability of a nutritional intervention targeting rural migrant sugarcane families. Participants (N = 310) were primarily female (61%) and ranged in age from 13 to 64 years (M = 25.9; SD = 10.4). A convenience sample was recruited from six rural bateyes in the southern region of the Dominican Republic.
The intervention was developed for the target population in partnership with a grass-roots organization. The intervention consisted of a short video in the participant's preferred language (Spanish or Creole) describing the importance of consuming a diverse diet. Participants then completed an interactive meal-planning activity to enhance skills learned in the video. The main outcome variable was knowledge and a secondary outcome was participants' performance on the interactive activity.
Results showed that the intervention was well received by the target population and participants demonstrated a significant increase in nutrition knowledge (p < .001). Higher postintervention knowledge scores were positively correlated with higher activity skills scores.
This novel intervention may have promise as a practical program to enhance the nutritional status of a vulnerable population of migrant sugarcane workers.
需要对多米尼加共和国农村甘蔗种植社区的健康倡议进行研究。
本研究采用前后测设计，以检验针对农村甘蔗种植移民家庭的营养干预措施的可行性和可接受性。参与者（N = 310）主要为女性（61%），年龄在13至64岁之间（M = 25.9；SD = 10.4）。从多米尼加共和国南部地区的六个农村甘蔗种植社区招募了一个便利样本。
与一个基层组织合作，为目标人群制定了干预措施。干预措施包括一段以参与者首选语言（西班牙语或克里奥尔语）制作的短视频，描述了多样化饮食的重要性。参与者随后完成了一项互动式膳食计划活动，以提高从视频中学到的技能。主要结果变量是知识，次要结果是参与者在互动活动中的表现。
结果表明，该干预措施受到了目标人群的欢迎，参与者的营养知识显著增加（p <.001）。干预后较高的知识得分与较高的活动技能得分呈正相关。
这种新颖的干预措施有望成为一项切实可行的计划，以改善甘蔗种植移民这一弱势群体的营养状况。
