School of Nursing, University of Minnesota, 5-140 Weaver Densford Hall, Minneapolis, MN, 55414, USA.
East Side Table, M Health Fairview, 1690 University Avenue West, Suite 250, Saint Paul, MN, 55104, USA.
Appetite. 2021 May 1;160:105087. doi: 10.1016/j.appet.2020.105087. Epub 2020 Dec 24.
Drawing from marketing literature, shopper solutions and food bundles (that group items to be used together) can promote purchase intention, efficacy, and related outcomes. Similarly, meal kits boxes (food bundles with step-by-step instructions to prepare home-cooked meals) have potential to be an accessible intervention to facilitate healthy, at-home food preparation and intake. This manuscript describes the feasibility, acceptability, and preliminary outcomes of a community-designed and -led program promoting healthy food skills, accessibility, and intake through meal kits. This pilot study was designed using community-based participatory research principles and 60 participants enrolled in the study. Participating families received a free meal kit weekly during the 10-week program. Meal-kit boxes also included language-appropriate recipe cards, step-by-step instructions, and supplemental educational material including links to videos with related food preparation tips and fact sheets about the meal. Data were collected at baseline, post-program, and follow-up (3 months post-program). Specifically, validated measures were used to assess food insecurity, food availability, cooking preparation techniques, self-efficacy, and fruit/vegetable intake. Process data were also collected. Descriptive statistics, paired t-tests, and Wilcoxon sign-ranked tests were used to describe data and evaluate outcomes. Content analysis was used to code open-ended survey responses into categories. Study findings indicated retention rates were high (≥90%); 83% made eight or more meal kits. At post-program, significant increases were observed in cooking/meal preparation self-efficacy, cooking techniques, and healthy food availability. At follow-up, only healthy food availability remained significantly higher. Findings suggest that meal-kit programs are feasible and acceptable, and there is a potential for these programs to influence factors important to increasing healthy home-cooked meals and dietary intake. Future research should use more rigorous designs and explore meal-kit dosage.
从营销文献、购物解决方案和食品捆绑包（将一起使用的物品组合在一起）中可以看出，它们可以促进购买意愿、效果和相关结果。同样，餐盒（带有在家准备家常饭菜的分步说明的食品捆绑包）有可能成为一种易于实施的干预措施，以促进健康的家庭食品准备和摄入。本文档描述了一个社区设计和领导的项目，通过餐盒促进健康食品技能、可及性和摄入的可行性、可接受性和初步结果。该试点研究采用基于社区的参与式研究原则，有 60 名参与者参加了该研究。参与家庭在 10 周的项目期间每周免费获得一个餐盒。餐盒还包括适合语言的食谱卡、分步说明以及补充教育材料，包括与相关食品准备技巧相关的视频链接和关于膳食的信息表。数据在基线、项目后和随访（项目后 3 个月）时收集。具体来说，使用经过验证的措施评估食品不安全、食品供应、烹饪准备技术、自我效能感和水果/蔬菜摄入量。还收集了过程数据。使用描述性统计、配对 t 检验和 Wilcoxon 符号秩检验来描述数据和评估结果。使用内容分析将开放式调查回复编码为类别。研究结果表明，保留率很高（≥90%）；83%的人制作了八个或更多餐盒。在项目后，烹饪/膳食准备自我效能感、烹饪技巧和健康食品供应方面显著增加。在随访时，只有健康食品供应仍然显著更高。研究结果表明，餐盒计划是可行且可接受的，这些计划有可能影响增加健康家庭烹饪和饮食摄入的重要因素。未来的研究应该使用更严格的设计，并探索餐盒剂量。
