马里兰州巴尔的摩市糖尿病预防计划参与者日常生活中食物代理的复杂、多样和变化的表现。
Complex, Varied and Evolving Manifestations of Food Agency in Daily Life Among Diabetes Prevention Program Participants in Baltimore, Maryland.
机构信息
Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD; Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD; Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI.
Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
出版信息
J Nutr Educ Behav. 2023 Jun;55(6):404-418. doi: 10.1016/j.jneb.2023.02.010. Epub 2023 Apr 25.
OBJECTIVE
To characterize food agency (one's capacity to procure and prepare food in particular contexts) among Diabetes Prevention Program (DPP) participants and gather perspectives about experiences with DPP.
DESIGN
Photograph-elicitation in-depth interviews and survey measures.
SETTING
Baltimore, Maryland (June-August 2021).
PARTICIPANTS
Black women (n = 13) who participated in DPP.
PHENOMENON OF INTEREST
Food agency and strategies used to procure and prepare food and the influence of DPP on daily food behaviors. Surveys measured food agency using the Cooking and Food Provisioning Action Scale and cooking behaviors.
ANALYSIS
Thematic analysis of qualitative in-depth interviews and descriptive statistics for quantitative measures.
RESULTS
As quantitative and qualitative data revealed, participants were frequent and confident cooks with high food agency. Participants viewed cooking as a key strategy for healthy eating and desired more hands-on cooking instruction within DPP to develop new healthy cooking skills. The primary barriers identified were related to lack of time or energy. Food procurement and preparation practices shifted over time, and DPP was a key influence on current behaviors.
CONCLUSIONS AND IMPLICATIONS
Food agency is complex and manifests heterogeneously in daily life. A life course, contextual, and food agency-based approach could be considered for future diabetes prevention interventions.
目的
描述糖尿病预防计划（DPP）参与者的食物获取能力（即在特定情境下获取和准备食物的能力），并收集参与者对 DPP 体验的看法。
设计
采用照片启发式深入访谈和调查措施。
地点
马里兰州巴尔的摩（2021 年 6 月至 8 月）。
参与者
参与 DPP 的黑人女性（n=13）。
研究现象
食物获取能力以及获取和准备食物的策略，以及 DPP 对日常食物行为的影响。调查使用烹饪和食物供应行为量表来衡量食物获取能力和烹饪行为。
分析
对定性深入访谈进行主题分析和对定量测量进行描述性统计分析。
结果
正如定量和定性数据所揭示的，参与者是经常做饭且自信的厨师，具有较高的食物获取能力。参与者认为烹饪是健康饮食的关键策略，并希望在 DPP 中获得更多的实践烹饪指导，以发展新的健康烹饪技能。确定的主要障碍与缺乏时间或精力有关。随着时间的推移，食物的采购和准备实践发生了变化，DPP 对当前的行为产生了重要影响。
结论和意义
食物获取能力是复杂的，在日常生活中表现出异质性。对于未来的糖尿病预防干预措施，可以考虑采用生命历程、情境和食物获取能力为基础的方法。
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