National Center on Health, Physical Activity and Disability, 3810 Ridgeway Dr., Birmingham, AL, 35209, USA; Dean's Office, School of Health Professions, University of Alabama at Birmingham, 3810 Ridgeway Dr., Birmingham, AL, 35209, USA.
National Center on Health, Physical Activity and Disability, 3810 Ridgeway Dr., Birmingham, AL, 35209, USA; Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, 1675 University Blvd., Birmingham, AL, 35233, USA.
Disabil Health J. 2024 Apr;17(2):101577. doi: 10.1016/j.dhjo.2023.101577. Epub 2023 Dec 27.
The Centers for Disease Control and Prevention (CDC) funds a quality improvement (QI) health promotion telewellness program for adults with physical disabilities.
The nutrition component of the parent program, Mindfulness, Exercise, and Nutrition to Optimize Resilience (MENTOR) program, from 2020 to 2021, was evaluated to assess changes in nutrition knowledge of people with physical disabilities.
This was a quasi-experimental program evaluation by pre-post survey of participating adults with physical disabilities. Participants attended weekly nutrition classes for eight weeks with optional one-on-one counseling with a Registered Dietitian. Participants completed pre-post General Nutrition Knowledge Questionnaire Revised (GNKQ-R) that were analyzed using paired t-tests. Participants were grouped into quartiles by pre-program GNKQ-R scores for additional comparisons. Program attendance and post-program feedback were also evaluated.
A total of 286 participants completed the MENTOR program, and 31% (n = 89) completed pre-post questionnaires for data analysis. Mean pre-program GNKQ-R scores were 58.4 ± 15.1 and post scores were 64.4 ± 11.3, which demonstrated a statistically significant improvement in nutrition knowledge (p < .001). Ancillary analysis revealed that participants with the lowest quartile of pre-program nutrition knowledge had the greatest improvements in their post-GNKQ-R scores (Mean change 16.4 ± 13.9). Questionnaire data revealed participants' subjective knowledge changes and their feedback on the nutrition component of the program.
The eight-week MENTOR program effectively improved nutrition knowledge among people with physical disabilities. This demonstrates the impact the program can have on individual knowledge levels. Additionally, these results support the implementation of the program to the broader population of people with disabilities.
疾病控制与预防中心（CDC）为身体残疾的成年人提供一项质量改进（QI）健康促进远程健康计划，其中包括营养成分。
从 2020 年到 2021 年，对母体计划“正念、运动和营养以优化韧性（MENTOR）”的营养部分进行评估，以评估身体残疾人士营养知识的变化。
这是一项针对身体残疾成年人的准实验性方案评估，通过参与成年人的预-后调查进行。参与者每周参加八周的营养课程，并可选择与注册营养师进行一对一咨询。参与者在参加完每周一次的营养课程后，完成预-后修订版一般营养知识问卷（GNKQ-R），使用配对 t 检验进行分析。参与者按预方案 GNKQ-R 得分分为四组进行进一步比较。还评估了课程出勤率和课后反馈。
共有 286 名参与者完成了 MENTOR 计划，其中 31%（n=89）完成了预-后问卷调查以进行数据分析。平均预方案 GNKQ-R 分数为 58.4±15.1，后测分数为 64.4±11.3，表明营养知识有显著提高（p<0.001）。辅助分析显示，预方案营养知识最低四分位数的参与者在 GNKQ-R 后测分数方面的提高最大（平均变化 16.4±13.9）。问卷数据显示了参与者的主观知识变化以及他们对计划营养部分的反馈。
为期八周的 MENTOR 计划有效地提高了身体残疾人士的营养知识。这表明该计划对个人知识水平的影响。此外，这些结果支持将该计划推广到更广泛的残疾人群体。
