In this study, we aimed to determine the influence of aesthetics and color of printed nutrition education materials on perceived credibility of the material content.
A randomized 2 x 2 (aesthetics ...and color) factorial experimental design was completed on a university campus. Undergraduate and graduate students (N=204) were randomly assigned one of 4 types of flyers (high aesthetic-color, high aesthetic-black-and-white, low aesthetic-color, and low aesthetic-black-and-white). Perceptions on the flyer content (accurate, believable, biased, valuable, and trustworthy), perceptions of overall flyer quality (attractive, pleasant, confusing, and interesting), and knowledge of the content within the flyer were assessed via a survey after reading the flyer.
A statistically significant main effect of aesthetics was observed for perceived "trustworthiness" of the flyer information (p = .048). Flyers with high aesthetics, regardless of print color, had a higher mean score of "trustworthiness" (M = 6.01) than flyers with low aesthetics (M = 5.71). An interaction effect was seen for perception of the flyer being "confusing" (p = .02). The high aesthetic-black-and-white flyer had the highest mean score for "confusing" (M = 1.66) with the low aesthetic flyer printed in color having the second highest mean score for "confusing" (M = 1.56).
The aesthetics of nutrition education materials appear to influence perceived trustworthiness of those materials.
Background: Nutritional anemia is a major nutritional problem in the world, including in Indonesia, which is caused by iron deficiency. Iron deficiency anemia has infected more than 600 million ...people worldwide and in developing countries the prevalence reaches 51%. In Indonesia, the prevalence of anemia in adolescent girls is 22.7%. The effects of anemia can cause ongoing stress and complications from fatigue. The influencing factor is the lack of knowledge of young women about anemia. Efforts to increase knowledge of young women on anemia health problems can be done through nutrition education. The purpose of this study was to determine the effect of nutrition education through posters and videos on knowledge of anemia in adolescent girls.Methods: The research design used was quasy experimental with a pre-post test group design, which was carried out in April 2021. The research subjects were young women aged 12-18 years consisting of two groups, namely the poster media group and video media, with a total of 40 respondents. Data analysis used paired sample t-test.Results: Based on the results of the Paired Sample T-Test, it showed that knowledge increased after education, both in the poster and video groups. There were differences in respondents' knowledge of the effect of using nutrition education media through posters (p = 0,021) and videos (p = 0,001).Conclusion: Nutrition education has an effect on knowledge of anemia in adolescent girls, as well as more effective education through video media.
In Southwestern Nigeria, studies have shown that only 6–12% of adolescents met the recommended minimum daily intake of fruits and vegetables. Poor knowledge of the nutritional and health benefits of ...fruits and vegetables is a major contributor to low consumption of fruits and vegetables. Insufficient intake of fruits and vegetables may be an underlying factor in the high prevalence of micronutrient deficiencies among adolescents. This study aimed to improve knowledge on the benefits of fruits and vegetables among in-school adolescents in Ibadan, Nigeria, through a game-based approach.
This quasi-experimental study was conducted among 40 students of the International School, Ibadan, Nigeria. Data on the knowledge of the benefits of fruits and vegetables of the students was collected pre-and post-intervention, via a semi-structured, self-administered questionnaire. The intervention group (n = 20) was exposed to a gamified nutrition intervention “Nutripoly” while the control group (n = 20) received no intervention. “Nutripoly” is a fruit- and vegetable-themed board game similar to Monopoly, in which players aim to win by becoming the wealthiest based on their knowledge of the benefits of fruits and vegetables to human health. Data were analyzed using descriptive statistics and McNemar’s test.
The mean age of respondents was 14.9 ± 0.6 years. The study showed that most participants preferred fruits to vegetables. In the experimental group, the proportion of the students with adequate knowledge increased significantly from 30% at baseline, to 95% after the intervention (p = 0.000). In the control group, the change in the proportion of students with adequate knowledge (from 35% at baseline to 40% post-intervention) was not significant (p = 0.250). Preference and love of the participants for fruits and vegetables improved remarkably in the intervention group, as compared to the control group in which there was minimal improvement.
A game-based nutrition education intervention is capable of improving the knowledge of in-school adolescents on the nutritional benefits of fruits and vegetables. Further investigations should be conducted to determine if the game-based intervention can increase the intake of fruits and vegetables among the adolescents.
The research was self-funded.
This study assessed the influence of a participatory video nutrition education intervention on Ghanaian adolescent girls’ critical nutrition literacy (CNL), food knowledge, and dietary behaviours.
A ...2018–19 cluster randomized control trial (ClinicalTrials.gov NCT03704649) selected 20 schools (10 intervention, 10 control) in one Ghanaian rural district and enrolled 351 girls, 13–16 years of age. All schools received a nutrition curriculum for their girls’ clubs. The intervention schools also received two participatory video workshops where adolescents identified the most pressing challenges they faced to getting (i) a balanced diet and (ii) iron-rich foods. The adolescents devised solutions to each challenge and then planned, acted, filmed, and screened an educational video on each topic with their classmates. Participants completed baseline and endline surveys that measured English literacy, nutrition and health literacy, food purchasing habits, and dietary intake through a food frequency questionnaire. Critical nutrition literacy, the capability to critically analyze and apply nutrition information to influence personal behaviours and environment was the primary outcome. An intent-to-treat analysis assessed the intervention effect on CNL and the secondary outcomes using general linear mixed models with cluster-level random effects (CIETmap 2.2 software).
Exposure to the participatory video nutrition education program led to a 4-fold increase in CNL (aOR = 4.39; 95% CI: 2.22, 8.70). There was a significant increase in food knowledge (OR = 6.62; 95% CI: 6.59, 6.66) and in adolescent food purchases for themselves. Exposure to the intervention led to 12-fold increase in intervention participants choosing iron-rich foods (beans, cocoyam leaf, and animal foods) when buying a meal for themselves. Dietary intakes measured with the FFQ showed no change.
A participatory video intervention promoted critical nutrition literacy among low literacy adolescents. It improved food knowledge and food choices.
The Canadian Queen Elizabeth II Diamond Jubilee Scholarships (QES) is managed through a unique partnership of Universities Canada, RHF, CFC, and Canadian universities. The QES-AS is made possible with financial support from IDRC and SSHRC.
Secondary cities (SC) link rural food production with urban populations. SC are rapidly growing, lack of infrastructure and face changes in dietary patterns. Across women of reproductive age (WRA) ...all forms of malnutrition have been identified. SC offer an opportunity for food systems transformation. We argue to uncover the demand-related determinants of purchasing, preparing, consuming, and feeding practices among WRA with low socioeconomic status living SC in Rwanda to identify possible interventions to enhance the demand of agroecological produced food.
Thematic analysis is conducted among WRA with low socioeconomic status living in SC -Rubavu, and Rusizi- in Rwanda. Eighteen face-to-face, in-home observations were conducted in the manner of compact ethnographic research. These observations covered the participants’ way of living, home environment, shopping and cooking observation, a pantry/kitchen audit. Transcripts from the interviews are being coded with NVIVO software. Ethical consent was provided by the Rwanda National Ethics Committee.
Preliminary findings show that most WRA involved in the interviews prepare two meals per day. The most commonly food items consumed are irish potatoes, bananas, rice, and flour, with women indicating little to no intention of trying out new dishes or new preparation type. The most common cooking method is boiling, salt and garlic being the primary spieces used. WRA do not consume special food items based on their current life stage (pregnancy or lactation). The household budget for purchasing food is provided and decided mainly by men; however, women make the purchase and cooking decisions. The purchase of foods is determined by price, owing to minimal purchase power. Health care professionals and social workers are the trusted source of information. Final results will be available by May 2022.
Our findings will help design a social marketing campaign to promote the purchasing, consumption, and cooking practices of locally produced agroecological foods that is specifically targeted to WRA of low socioeconomic status living in those SC.
The NICE project is supported by the Swiss Agency for Development and Cooperation and implemented by the Swiss Tropical and Public Health Institute, ETH Zürich, Sight and Life, and the Syngenta Foundation for Sustainable Agriculture.
Program evaluation is an important step in understanding factors that strengthen the quality of the program and improve outcomes for future interventions. Program participation, as defined by number ...of educational sessions attended, was investigated for its association with weight and blood pressure changes in African Americans that enrolled in Weight Matters.
Weight Matters, a community-based chronic disease intervention targeting African Americans enrolled 499 participants (88.6% female, 51.5 ± 12.7 years, BMI: 36.7 ± 8.0) aimed at reducing risk factors of prevalent chronic disease in African Americans. The intervention consisted of bi-weekly educational sessions focusing on health, fitness, and nutrition during an 18-week period with scheduled follow ups and post-intervention at 12 months. During these follow up study visits, data, including weight and blood pressure (BP), was collected.
57% of participants attended all educational sessions (10). ANOVA was used to compare the attendance of educational sessions by participant weight loss and BP changes. There was no significant difference in the amount of educational sessions attended in the participants that lowered their BP at post intervention compared to those that had no change or raised (F(3,219) = 0.431, p = 0.73). Similarly, there were no differences observed in the number of attended sessions between participants that achieved normal BP values compared to those with elevated BP or hypertension at post-intervention (F(3,298) = 1.41, p = 0.24) or 12-months (p = 0.63). There was no difference in the number of attended sessions in participants that had 3 5% weight loss compared to those with < 5% weight loss or gained weight at post-intervention (F(2,276) = 0.187, p = 0.83) or 12 months (p = 0.39).
Findings suggest that attendance to educational sessions was not associated with changes in blood pressure or weight loss at post intervention and 12-month post. There were limitations to this study as there was a high dropout rate (40%) of participants that did not complete the program. In addition, some class sizes were determined to be too large and may have contributed to an ineffective knowledge transfer.
This project was supported by funding from the Centers for Medicare & Medicaid Services (CMS) (DHHS Grant # 1102017000118).
The objective of this study was to evaluate a parent-focused eHealth intervention aimed at improving fruit and vegetable intake and active play among toddlers in West Texas.
A randomized controlled ...trial was conducted among 73 parents with toddlers between August and December 2021. Intervention group participants (n = 37) completed weekly videos and biweekly online cooking activities through the Healthy Online Parental Education (HOPE) website for a total of 8 weeks. The HOPE intervention curriculum was informed by the Social Cognitive Theory. Control group participants (n = 36) received printed materials about dietary recommendations for children. The primary outcomes were fruit and vegetable intake and physical activity among children. Secondarily, parents completed an assessment in nutritional knowledge, self-efficacy, and feeding practices. There were two data collection points at baseline and post-intervention. A linear mixed model was performed to compare intervention with control group effects over time on study outcomes.
More than half of the children were male (56%) with a mean age of 27 months. Children in the intervention group showed a small but significant increase in vegetable intake by 0.75 servings (P < 0.05) than in the control group. There was a significant increase in active playtime by 19.88 minutes in the intervention group (P < 0.05). Parents in the intervention group significantly increased their scores in nutritional knowledge (p = 0.01), self-efficacy around feeding (p = 0.02), and healthy modeling practices (P < 0.05) at post-intervention. There was no significant difference in child fruit intake between the intervention and control group at post-intervention.
The HOPE program was successful in improving vegetable intake and active playtime among toddlers, but not fruit intake at post-intervention. Parent-focused eHealth interventions may have the potential to address child health disparities in areas where the communities are underserved. The HOPE trial was registered at clinicaltrials.gov as NCT05085041.
This study was partially funded by the Graduate School at Texas Tech University.
We used an online survey fielded in 2021 data to examine occasions, locations, and reasons for consuming SSB.
We used the Ipsos G&A Omnibus survey, a nationally representative panel of US adults (n = ...1013). Descriptive statistics and chi-square analyses were used to calculate percentage of adults consuming SSB, occasions, locations, and reasons for consuming SSB. Associations between these domains and sociodemographic variables among SSB consumers were assessed using multiple logistic regression analyses to calculate adjusted odds ratios (OR).
Nearly 7 out of 10 adults reported consuming SSB (37.5% ≥1 time/day and 31.2% >0 to <1 time/day) during the past 7 days. Overall, occasions for SSB intake were highest at mealtime (43%), followed by between meals/when snacking (28.6%), social settings/when others are drinking SSB (25.6%), and at the beginning of the day (20.0%). Locations where SSB were consumed most were at home (70.4%), followed by restaurants/bars (39.6%), work (23.5%), and car (23.0%). The most common reasons for drinking SSB were enjoying the taste (56.4%), satisfying cravings for something sweet (28.4%), liking the carbonation (20.8%), and satisfying thirst (20.3%). Younger adults had higher odds of consuming SSB in social settings (18–34 years, OR = 2.1) than older adults (≥50 years); Hispanic adults had lower odds of consuming SSB in the beginning of the day (OR = 0.3) than non-Hispanic (NH)-White adults. Younger and middle-aged adults (18–34 years; 35–49 years) had higher odds of consuming SSB in restaurants (OR = 1.9; OR = 2.3), work (OR = 2.9; OR = 2.7), and cars (OR = 2.0; OR = 3.1) than older adults (≥ 50 years). Women were less likely to consume SSB at work (OR = 0.6) than men. Hispanic adults were less likely to consume SSB in cars (OR = 0.3) than NH-White adults, while those earning $50K–< $100K were more likely to consume SSB in cars (OR = 2.3) than those earning ≥$100K. Younger adults and middle-aged adults had over double the odds of consuming SSB due to cravings (OR = 2.8; OR = 2.8) and because they like the carbonation (OR = 2.4; OR = 2.1) than older adults.
Findings provide insights on specific populations to tailor messaging and adapt interventions to help reduce SSB intake.
Solely for author’s time from their institutions.
To determine the effectiveness of dietary education delivered by digital health interventions for improving dietary intake and clinical outcomes in chronic conditions.
CINAHL, Cochrane CENTRAL, ...Embase and MEDLINE databases were systematically searched. Controlled trials involving dietary education delivered via digital health interventions (mobile or electronic health technology) to adults with chronic conditions were included. The dietary intervention component must have been developed or delivered by health professionals, or in line with best practice guidelines. Data was meta-analyzed by a random effects model for diet quality, fruit and vegetable consumption, dietary intake of fat, sodium, protein, fibre and energy, and various clinical outcomes. Screening, data extraction and quality assessment were completed in duplicate.
Thirty-eight studies compromising 7,303 participants met the inclusion criteria. Digital health interventions included: mobile phone apps and messaging systems (n = 16), internet-based (n = 16), electronic software (n = 1) or a combination of these methods (n = 5). Studies showed digital health was effective at improving Mediterranean diet adherence score standardized mean difference: 0.79; 95% confidence interval (CI): 0.18, 1.40 and overall fruit and vegetable intake mean difference (MD): 0.58 serves per day; 95% CI: 0.01, 1.14. However, no significant effects were found for other measures of diet quality, single food group intake, nutrients and energy intake. Digital health interventions significantly reduced waist circumference MD: –2.34 cm; 95% CI: –4.29, –0.38cm), body weight MD: –1.88; 95% CI: –2.60, –1.16 kg) and hemoglobin A1c levels MD: –0.18%; 95% CI: –0.30, –0.05%). Overall the studies were rated as poor quality.
Dietary education delivered via digital health interventions significantly improved Mediterranean diet adherence, overall fruit and vegetable intake, waist circumference, weight and hemoglobin A1c levels. However, given the relatively poor quality of the studies, additional robust trials are needed to the guide implementation and scale-up of these interventions in health services.
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