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一项针对“营养良好”(WELLfed)的社区成人教育干预措施的试点评估。

A Pilot Evaluation of WELLfed, a Community-Based Adult Education Intervention.

作者信息

Dey Kahurangi Jean, Dewan Kankshita, Murray Kim, Hiroki Donna, Jeffreys Mona

机构信息

Te Hikuwai Rangahau Hauora|Health Services Research Centre, Te Herenga Waka-Victoria University of Wellington, Wellington 6011, New Zealand.

Te Kura Tātai Hauora|School of Health, Te Herenga Waka-Victoria University of Wellington, Wellington 6011, New Zealand.

出版信息

Int J Environ Res Public Health. 2025 Mar 30;22(4):526. doi: 10.3390/ijerph22040526.

Abstract

INTRODUCTION

WELLfed is a community-based adult education programme focused on improving food literacy, with a stated aim to "nourish communities through food and connections", in a low-income community in Aotearoa New Zealand. Adult learners are taught food preparation and cooking skills in weekly interactive sessions. Here, we describe two pilot phases of a three-phase evaluation.

METHODS

Our overall aim is to evaluate the effectiveness of the WELLfed programme. Phase 1, in keeping with the co-design approach of WELLfed, co-designed outcome measures through five focus groups ( = 20) involving a wide range of stakeholders. Phase 2 developed and refined a survey based on these co-designed measures. The survey was administered to WELLfed learners at baseline ( = 15) and again towards the end of their programme (follow-up = 12). Wilcoxon rank sum tests of significance were performed, restricted to participants with both baseline and follow-up data.

RESULTS

Five domains of importance identified in Phase 1 were as follows: (i) engagement support, (ii) food knowledge and skills, (iii) personal development, (iv) relationship transformation, and (v) community flourishing. Phase 2 findings include increased comfort level at engagement ( = 0.063). Food knowledge and preparation skills improved on a range of factors. All metrics of self-confidence and self-efficacy increased, with the greatest change being the ability to find support in times of crisis. Self-reported excellent or very good health increased ( = 0.050). Fewer people reported food running out due to a lack of money ( = 0.016) or eating less because of a lack of money ( = 0.008).

CONCLUSIONS

The pilot study shows the effectiveness of the WELLfed programme for improving food knowledge and skills, reducing food insecurity, and improving health outcomes. Further research with a larger sample size is required to confirm these pilot results.

摘要

引言

“吃得好”是一项基于社区的成人教育项目,专注于提高食物素养,其既定目标是在新西兰奥特亚罗瓦的一个低收入社区“通过食物和联系滋养社区”。成年学习者在每周的互动课程中学习食物准备和烹饪技能。在此,我们描述了一个三阶段评估中的两个试点阶段。

方法

我们的总体目标是评估“吃得好”项目的有效性。第一阶段,按照“吃得好”的共同设计方法,通过五个焦点小组(n = 20)共同设计了结果测量指标,这些焦点小组涉及广泛的利益相关者。第二阶段基于这些共同设计的指标开发并完善了一项调查。该调查在基线时(n = 15)对“吃得好”项目的学习者进行了施测,并在项目结束时再次施测(随访,n = 12)。进行了Wilcoxon秩和显著性检验,仅限于有基线和随访数据的参与者。

结果

第一阶段确定的五个重要领域如下:(i)参与支持,(ii)食物知识和技能,(iii)个人发展,(iv)关系转变,以及(v)社区繁荣。第二阶段的结果包括参与时的舒适度提高(P = 0.063)。食物知识和准备技能在一系列因素上有所改善。所有自信和自我效能指标均有所提高,最大的变化是在危机时刻寻求支持的能力。自我报告的健康状况为优秀或非常好的人数增加(P = 0.050)。报告因缺钱而食物耗尽的人数减少(P = 0.016),或因缺钱而吃得更少的人数减少(P = 0.008)。

结论

试点研究表明“吃得好”项目在提高食物知识和技能、减少食物不安全以及改善健康结果方面是有效的。需要进行更大样本量的进一步研究来证实这些试点结果。

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