Nabors Laura, Murphy Meredith J, Lusky Catherine, Young Courtney-Jo, Sanger Kayley
University of Cincinnati, Cincinnati, OH, USA.
Glob Pediatr Health. 2020 Sep 10;7:2333794X20954673. doi: 10.1177/2333794X20954673. eCollection 2020.
: Children have benefited from participation in obesity prevention programs. : The objectives of this study were to evaluate the impact of a healthy eating intervention for children in after-school programs and to use photovoice to document change in eating behavior. : Forty-two children in three after-school programs participated. Children participated in lessons from an existing program to learn about healthy eating. A mixed methods study was conducted, using surveys to assess parent and child perceptions, and photovoice to capture children's perceptions of how they and their family changed eating habits. Member-checking was used to verify themes in the data. Twenty parents completed surveys evaluating the program. : Findings indicated that children learned program information, were interested in eating healthier (more fruits and vegetables), and quantitative data revealed there was a pre-post trend for eating more fruits at home. They reported that using the photovoice method helped them to monitor their behavior and helped them improve personal and family eating habits. Member checking confirmed themes. A majority of parents were satisfied with the program and reported that their children were discussing what they learned at home. : Findings suggested that the photovoice methodology helped children to change in a positive way, increasing their agency in improving their own health and that of their family. Assessing longitudinal change in attitudes about healthy eating and eating behaviors will provide information about whether children maintain gains in knowledge and healthy eating over time.
儿童已从参与肥胖预防项目中受益。本研究的目的是评估针对课后项目中儿童的健康饮食干预措施的影响，并使用照片声音法记录饮食行为的变化。三个课后项目中的42名儿童参与了研究。儿童参加了一个现有项目的课程，学习健康饮食知识。开展了一项混合方法研究，通过调查评估家长和儿童的看法，并使用照片声音法捕捉儿童对他们自己及其家庭饮食习惯变化的看法。采用成员核对法来验证数据中的主题。20名家长完成了对该项目的调查评估。研究结果表明，儿童学到了项目信息，对更健康饮食（多吃水果和蔬菜）感兴趣，定量数据显示在家吃更多水果存在前后变化趋势。他们报告称，使用照片声音法有助于他们监测自己的行为，并有助于改善个人和家庭的饮食习惯。成员核对证实了这些主题。大多数家长对该项目感到满意，并报告说他们的孩子在家中会讨论所学内容。研究结果表明，照片声音法有助于儿童以积极的方式改变，增强他们改善自身及家人健康的能力。评估对健康饮食态度和饮食行为的纵向变化将提供有关儿童是否能随着时间推移保持在知识和健康饮食方面所取得进步的信息。
