The College of Social Work, The Ohio State University, Columbus, OH 43210, USA.
Beaver College of Health Sciences, Appalachian State University, Boone, NC 28608, USA.
Int J Environ Res Public Health. 2022 Jul 22;19(15):8935. doi: 10.3390/ijerph19158935.
The COVID-19 pandemic has made accessing nutritious foods difficult for older adults and children living in low-income households. The evidence-based preschool nutrition education curriculum (WISE) can be used to encourage children to try healthy foods. Written as a single generation curriculum, inviting older adult community members to WISE programming for an intergenerational experience may provide further supports and mutual benefits as participants cooperate towards a common goal. While creators have evaluated implementation of WISE, research has yet to explore factors that influence WISE adoption within an intergenerational setting. We conducted a pilot study using the implementation evaluation framework to explore WISE implementation within single generation and intergenerational settings by measuring five implementation outcomes (fidelity, acceptability, appropriateness, feasibility, and sustainability) through three methods: (1) direct assessment of program fidelity via video coding; (2) indirect assessment of stakeholders' perceptions of WISE implementation, and (3) a directed qualitative content analysis on annual interview data. Fidelity scores were comparable between the two settings and stakeholder ratings of appropriateness, acceptability, and feasibility of WISE were high. Qualitative data revealed that aspects of WISE are less appropriate for older participants and reiterated known logistical barriers of intergenerational programming that may challenge program sustainability.
COVID-19 大流行使得生活在低收入家庭的老年人和儿童难以获得营养食品。基于证据的学前营养教育课程（WISE）可用于鼓励儿童尝试健康食品。WISE 课程作为单一代际课程编写，邀请老年社区成员参与 WISE 项目，体验代际互动，这可能为参与者朝着共同目标合作提供进一步的支持和互惠互利。虽然课程的创建者已经评估了 WISE 的实施情况，但还没有研究探索代际环境中影响 WISE 采用的因素。我们使用实施评估框架进行了一项试点研究，通过三种方法（1）通过视频编码直接评估计划的一致性；（2）间接评估利益相关者对 WISE 实施的看法；（3）对年度访谈数据进行有针对性的定性内容分析，来探索单一代际和代际环境中的 WISE 实施情况。这两种设置下的保真度得分相当，利益相关者对 WISE 的适当性、可接受性和可行性的评价很高。定性数据显示，WISE 的某些方面对年长参与者不太适用，并再次强调了代际编程的已知后勤障碍，这可能会挑战计划的可持续性。
