Division of Human Nutrition, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 7500, South Africa.
Digital Medic South Africa, Stanford Center for Health Education, Cape Town 8000, South Africa.
Nutrients. 2022 Jun 29;14(13):2705. doi: 10.3390/nu14132705.
In this paper we report on the development and field-testing of proposed food-based dietary guideline (FBDG) messages among Tanzanian consumers. The messages were tested for cultural appropriateness, consumer understanding, acceptability, and feasibility. In addition, comprehension of the messages was assessed using culturally representative images for low literacy audiences. Focus group discussions were used as method for data collection. Results indicate that the core meaning of the proposed FBDG messages and images were understood and acceptable to the general population. However, participants felt that nutrition education would be required for improved comprehension. Feasibility was affected by some cultural differences, lack of nutrition knowledge, time constraints, and poverty. Suggestions were made for some rewording of certain messages and editing of certain images. It is recommended that the field-tested messages and images, incorporating the suggested changes, should be adopted. Once adopted, the FBDGs can be used to inform and engage various stakeholders, including parents, caregivers, healthcare providers and educators on appropriate nutritional practices for children and adults. They can also be used to guide implementation of relevant policies and programmes to contribute towards the achievement of sustainable healthy diets and healthy dietary patterns.
本文报告了坦桑尼亚消费者对拟议的基于食物的膳食指南（FBDG）信息进行的开发和现场测试。这些信息经过了文化适宜性、消费者理解、可接受性和可行性测试。此外，还使用具有文化代表性的低识字人群图像来评估信息的理解程度。焦点小组讨论被用作数据收集的方法。结果表明，拟议的 FBDG 信息和图像的核心含义被广大民众理解和接受。然而，参与者认为需要进行营养教育才能提高理解能力。可行性受到一些文化差异、缺乏营养知识、时间限制和贫困的影响。建议对某些信息进行重新措辞，并对某些图像进行编辑。建议采用经过现场测试的信息和图像，并纳入建议的更改。一旦被采用，FBDG 可用于告知和吸引包括父母、照顾者、医疗保健提供者和教育工作者在内的各种利益相关者，使他们了解适合儿童和成人的适当营养做法。它们还可以用于指导相关政策和方案的实施，以促进可持续的健康饮食和健康饮食模式的实现。
