Robles Brenda, Wright Tanishia G, Caldwell Julia, Kuo Tony
Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, CA, USA.
Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Prev Med Rep. 2019 Aug 1;16:100963. doi: 10.1016/j.pmedr.2019.100963. eCollection 2019 Dec.
The Los Angeles County Department of Public Health (DPH) launched the Nutrition Education and Obesity Prevention (NEOP) Project in fall 2013. As the local arm of the Supplemental Nutrition Assistance Program Education (SNAP-Ed), this project partnered with faith-based organizations (FBOs) in Los Angeles County to implement policy, systems, and environmental change interventions (PSEs) at selected church sites, alongside the usual delivery of health education. A 2-part programmatic assessment was conducted to better understand how the NEOP Faith Based Project at one of the FBOs was implemented during the 2013-2016 SNAP-Ed funding cycle. A qualitative component (key informant interviews) sought to understand and describe the PSE implementation process at each of the participating church sites, whereas the quantitative component (surveys) focused on assessing congregant perceptions about their awareness of the PSEs, their knowledge and beliefs about health, and their self-reported health behaviors after exposure to onsite changes. Among congregants who participated in the survey, 52% expressed desire for more health education classes. However, only 37% reported being aware of them at church sites that hosted them. When asked to compare their behaviors for "today" versus 6 months ago, more than half reported greater interest in eating more fruits and vegetables (66%), choosing water over soda (69%), and becoming more physically active (59%). Results from the NEOP Project have implications for how local health departments could partner with FBOs to outreach and promote health among congregants, particularly for those who are at high-risk of diet-related diseases due to poor nutrition and obesity.
洛杉矶县公共卫生部（DPH）于2013年秋季启动了营养教育与肥胖预防（NEOP）项目。作为补充营养援助计划教育（SNAP-Ed）的地方分支机构，该项目与洛杉矶县的基于信仰的组织（FBOs）合作，在选定的教堂场所实施政策、系统和环境变化干预措施（PSEs），同时照常开展健康教育。进行了一项分为两部分的项目评估，以更好地了解在2013 - 2016年SNAP-Ed资助周期内，其中一个FBO的基于信仰的NEOP项目是如何实施的。定性部分（关键 informant 访谈）旨在了解和描述每个参与教堂场所的PSE实施过程，而定性部分（调查）则侧重于评估会众对PSEs的认识、他们对健康的知识和信念，以及在接触现场变化后他们自我报告的健康行为。在参与调查的会众中，52%表示希望有更多的健康教育课程。然而，在举办这些课程的教堂场所，只有37%的人报告知道有这些课程。当被要求比较他们“现在”与6个月前的行为时，超过一半的人报告对多吃水果和蔬菜（66%）、选择喝水而不是苏打水（69%）以及增加身体活动（59%）有更大的兴趣。NEOP项目的结果对地方卫生部门如何与FBOs合作以接触会众并促进他们的健康具有启示意义,特别是对于那些因营养不良和肥胖而有患饮食相关疾病高风险的人。
