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慢下来计划:一项基于正念的压力管理和营养教育计划对母亲的混合方法试点研究。

The Slow Down Program: A mixed methods pilot study of a mindfulness-based stress management and nutrition education program for mothers.

机构信息

Department of Human Nutrition, Foods and Exercise, 330 Wallace Hall, 295 West Campus Drive, Blacksburg, VA, 24061, United States.

Virginia Cooperative Extension's Family Nutrition Program, Department of Human Nutrition, Foods & Exercise, 333 Wallace Hall, Virginia Tech, Blacksburg, VA, 24061, United States.

出版信息

Complement Ther Med. 2018 Jun;38:1-6. doi: 10.1016/j.ctim.2018.03.008. Epub 2018 Mar 26.

Abstract

OBJECTIVE

Stress levels have been associated with a broad range of adverse health outcomes, particularly for mothers and subsequently, their children. Mindfulness-based stress management is a tool that has effectively been utilized in several disciplines and has potential applications to eating behaviors. This paper describes the effects of an exploratory mindfulness-based stress management and nutrition education program, the Slow Down Program, on mothers' perceived stress, eating behavior, and self-efficacy.

DESIGN & SETTING: This study used a mixed methods quasi-experimental design. Nineteen mothers with young children (five or younger) participated in the study. The SDP consisted of four consecutive weekly 1.5 h sessions focused on experiential learning and facilitated discussion.

MAIN OUTCOME MEASURES

Quantitative data were collected pre- and post-intervention and included: the Perceived Stress Scale; Mindfulness Self-Efficacy Scale; and the Three-Factor Eating Questionnaire Revised-18. Qualitative data included a focus group post-intervention and an individual interview 4-6 weeks post-intervention.

RESULTS

The SDP showed significant improvements in participants' perceived stress (p = .04), uncontrolled eating (p < 0.01), cognitive restraint (p < 0.01), and mindfulness self-efficacy (p < 0.01). Qualitatively, participants also reported changes in self-efficacy and eating behaviors - specifically improvements in mindful eating, and sensory and satiety awareness.

CONCLUSIONS

The results of this pilot study demonstrate that nutrition programs incorporated with mindfulness strategies may offer positive, short-term impacts on stress reduction and eating behaviors. Additional studies are warranted across a variety of populations with more rigorous study designs to assess long-term effects.

摘要

目的

压力水平与广泛的不良健康结果有关,尤其是对母亲及其子女而言。基于正念的应激管理是一种已在多个学科中有效利用的工具,并且可能对饮食行为具有应用潜力。本文描述了一项探索性的基于正念的应激管理和营养教育计划,即“慢下来计划”,对母亲的感知压力、饮食行为和自我效能感的影响。

设计与设置

本研究采用混合方法准实验设计。19 名有年幼子女(五岁或以下)的母亲参加了这项研究。SDP 由四个连续的每周 1.5 小时的课程组成,侧重于体验式学习和促进讨论。

主要结果测量

在干预前后收集了定量数据,包括:感知压力量表;正念自我效能感量表;以及三因素饮食问卷修订版 18。定性数据包括干预后的焦点小组和干预后 4-6 周的个人访谈。

结果

SDP 显示参与者的感知压力(p=0.04)、失控性进食(p<0.01)、认知约束(p<0.01)和正念自我效能感(p<0.01)显著改善。从定性上看,参与者还报告了自我效能感和饮食行为的变化——特别是在正念进食、感官和饱腹感意识方面有所改善。

结论

这项初步研究的结果表明,将正念策略融入营养计划可能会对减轻压力和改善饮食行为产生积极的短期影响。需要在更多具有严格研究设计的不同人群中开展更多研究,以评估长期效果。

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