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评估一个在线营养教育计划,以改善接受 SNAP 和 WIC 的家庭的用餐实践。

Assessment of an Online Nutrition Education Program to Improve Mealtime Practices Among Families Receiving SNAP and WIC.

机构信息

Center for Obesity Research and Education, Temple University, Philadelphia, PA, USA.

Kids Eat in Color, College Park, MD, USA.

出版信息

Am J Health Promot. 2023 Jul;37(6):830-834. doi: 10.1177/08901171231154885. Epub 2023 Feb 25.

Abstract

PURPOSE

This study examines if participation in an online nutrition education program holds promise for improving mealtime practices in families using SNAP and WIC.

DESIGN

Pre-post self-report surveys.

SETTING

Digital program delivered online, nationally in the United States.

SAMPLE

Two hundred fifty-seven parents receiving SNAP and/or WIC.

INTERVENTION

Parents signed up to participate in , an online self-guided 30-day meal plan, developed by culturally diverse dietitians, aligned with the Dietary Guidelines, and linked with social media support.

MEASURES

Overall program utilization and acceptability were assessed along with parent meal preparation practices, diet quality of meals served to children, self-efficacy, mealtime stress, grocery spending, and food insecurity.

ANALYSIS

Paired t-tests (continuous variables) and McNemar's tests (categorical variables).

RESULTS

Overall program utilization and acceptability were high. Participants reported improvements in meal preparation practices (t(255) = 6.6, < .001), diet quality of meals served to children (t(245) = 4.0, < .001), and self-efficacy (t(251) = 10.0, < .001), and decreases in grocery spending (t(175) = -4.3, < .001), mealtime stress (t(256) = -8.8, < .001) and food insecurity (26.8% vs 10.9%, < .001).

CONCLUSION

is an acceptable, cost-effective, and easily disseminatable program that holds promise for improving parent self-efficacy to prepare and serve healthy meals to children and increase diet quality in families receiving SNAP and WIC. Engaging online nutrition education programs that can be used by a variety of health professionals, especially in settings where direct nutrition education services are not feasible or cost prohibitive, are needed.

摘要

目的

本研究旨在探讨参与在线营养教育计划是否有助于改善使用 SNAP 和 WIC 的家庭的用餐习惯。

设计

前后自我报告调查。

地点

在美国全国范围内在线提供的数字计划。

样本

257 名接受 SNAP 和/或 WIC 的父母。

干预措施

父母报名参加了由文化多元化营养师开发的在线自我指导的 30 天膳食计划,该计划与饮食指南一致,并与社交媒体支持相链接。

措施

评估总体计划利用率和可接受性,以及父母的膳食准备实践、提供给孩子的膳食的饮食质量、自我效能感、用餐压力、杂货支出和粮食不安全状况。

分析

配对 t 检验(连续变量)和 McNemar 检验(分类变量)。

结果

总体计划利用率和可接受性很高。参与者报告在膳食准备实践方面有所改善(t(255)=6.6,<0.001)、提供给孩子的膳食饮食质量(t(245)=4.0,<0.001)和自我效能感(t(251)=10.0,<0.001),杂货支出减少(t(175)=-4.3,<0.001)、用餐压力(t(256)=-8.8,<0.001)和粮食不安全(26.8%对 10.9%,<0.001)。

结论

该计划是一种可接受、具有成本效益且易于传播的计划,有望提高父母为孩子准备和提供健康膳食的自我效能感,并提高接受 SNAP 和 WIC 的家庭的饮食质量。需要开发能够由各种健康专业人员使用的在线营养教育计划,特别是在直接营养教育服务不可行或成本过高的情况下。

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