Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO.
Department of Crop and Soil Sciences, University of Georgia, Athens, GA.
J Nutr Educ Behav. 2019 Oct;51(9):1099-1106. doi: 10.1016/j.jneb.2019.06.018. Epub 2019 Jul 23.
To explore the experiences of safety-net clinic patients who engaged in a 12-week supplemental produce and eLearning nutrition education program.
This mixed-method study employed a nonrandomized comparison study design. Participants (intervention [n = 20] and comparison control [n = 6]) had diet-related chronic diseases. Data collection included pre- and post-intervention, focus group interviews, 24-hour diet recalls, and clinical and anthropometric outcome assessments. Interviews were recorded, transcribed, and coded using the constant comparison method. Nonparametric data analyses were conducted for quantitative data.
Three primary themes emerged: (1) program benefits, (2) challenges to achieving health benefits and optimal engagement of the program, and (3) recommendations for program improvement. Quantitative data analysis did not show significant differences in pre- and post-clinical and anthropometric measures between the intervention and comparison groups.
Findings suggest a unique Supplemental Nutrition Assistance Program Education dissemination model that may decrease barriers to healthful eating and increase engagement in eLearning nutrition education.
探索参与为期 12 周的补充农产品和电子学习营养教育计划的安全网诊所患者的体验。
本混合方法研究采用非随机比较研究设计。参与者（干预组 [n=20] 和对照组 [n=6]）患有与饮食相关的慢性疾病。数据收集包括干预前和干预后、焦点小组访谈、24 小时饮食回忆以及临床和人体测量学结果评估。使用恒比法对访谈进行记录、转录和编码。对定量数据进行非参数数据分析。
出现了三个主要主题：（1）计划效益，（2）实现健康效益和优化参与计划的挑战，以及（3）计划改进建议。定量数据分析显示，干预组和对照组在临床和人体测量学测量的干预前后没有显著差异。
研究结果表明，一种独特的补充营养援助计划教育传播模式可能会减少健康饮食的障碍，并增加对电子学习营养教育的参与。
