Journal of Nutrition Education and Behavior最新文献

{"title":"Eleventh and 12th-Grade Students from an Economically Disadvantaged Charter School Express High Interest in Food/Cooking Education.","authors":"Margaret Raber, Maria Vazquez, Cassandra Duran, Sanghamitra Misra","doi":"10.1016/j.jneb.2026.04.002","DOIUrl":"https://doi.org/10.1016/j.jneb.2026.04.002","url":null,"abstract":"<p><strong>Objective: </strong>The goal of this study was to examine needs and preferences for food and cooking skills education among older adolescents and to identify differences in cooking skills, dietary intake, and willingness to participate in interventions between those with and without food insecurity.</p><p><strong>Methods: </strong>This mixed-methods study examined food security status, dietary intake, cooking self-efficacy, and preferences for intervention among 11-12th graders (n = 82 students). A subsample of respondents participated in follow-up interviews (n = 15 students) that explored current eating patterns, cooking experience, and interest in interventions in greater detail. Descriptive statistics and comparisons between groups were examined. Interview transcripts were analyzed using a semistructured hybrid coding approach.</p><p><strong>Results: </strong>Students noted overall high interest in participating in education related to food (86.6% report they are somewhat or extremely interested in learning more about food) and cooking (93.9% report they are somewhat or extremely interested in learning to cook). Students experiencing food insecurity reported no differences in diet or willingness to participate compared with peers with food security, but had lower overall cooking self-efficacy scores (3.3 ± 0.67 vs 3.6 ± 0.44, P = 0.02). Barriers to participation in classes included other responsibilities and transportation.</p><p><strong>Conclusions and implications: </strong>There is an opportunity to support healthy eating among older adolescents through food and cooking skills education, in particular programs that are in-person or hybrid. Barriers to participation, including time and transportation, may be overcome with hybrid programming. The findings from this study offer formative insight that may be used for future development of cooking and food education programs for older adolescents.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investment in Telehealth Is Associated with Cost Savings for Some WIC Nutrition Education and Breastfeeding Support Services.","authors":"Parke Wilde, Erin Hennessy, Catherine Wright, Alan Barnosky, Lauren E Au, Qi Zhang, Olga Khavjou","doi":"10.1016/j.jneb.2026.02.015","DOIUrl":"https://doi.org/10.1016/j.jneb.2026.02.015","url":null,"abstract":"<p><strong>Objective: </strong>Estimate startup costs, ongoing service delivery cost savings, and payback period (time to recoup startup costs) of telehealth interventions in the Telehealth Intervention Strategies for Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) project.</p><p><strong>Design: </strong>A return on investment analysis compared pre/post changes in startup costs and ongoing cost savings for interventions that varied by state (1 group-randomized control trial, 4 quasi-experimental matched comparison designs, 1 prepost design).</p><p><strong>Setting: </strong>Local WIC agencies in 6 states (Georgia, Michigan, Wisconsin, North Carolina, South Carolina, and District of Columbia) between February 2022 and September 2023.</p><p><strong>Participants: </strong>Local WIC agencies (n = 31 intervention, n = 25 comparison).</p><p><strong>Intervention(s): </strong>Telehealth interventions varied by state, including enhanced video conferencing and virtual services via customized online platforms.</p><p><strong>Variables measured: </strong>Startup and ongoing service delivery costs, and payback period.</p><p><strong>Analysis: </strong>Difference-in-difference comparison of costs and return on investment analysis.</p><p><strong>Results: </strong>Startup costs ranged from $147,659 for an existing solution to $1,547,592 for a state agency with many local clinics that received grant-in-aid. Ongoing cost savings in 4/6 (Georgia, Michigan, North Carolina, and District of Columbia) states had a payback period from 1 to 21 months, undiscounted, and < 1 month longer when future savings were discounted.</p><p><strong>Conclusions and implications: </strong>Savings in ongoing service delivery costs and comparatively short payback period in 4 out of 6 states suggest that telehealth is financially viable for WIC agencies and could provide additional flexibilities and convenience, although a financing source was needed for the original investment in startup costs.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food Security Outcomes and Postintervention Experiences in a Produce Prescription Pilot: A Mixed-Methods Study.","authors":"Caroline E Owens, Miranda Cook, Tammy Reasoner, Aleta McLean, Amy Elsasser, Ciara Long, Amy Webb Girard","doi":"10.1016/j.jneb.2026.04.001","DOIUrl":"https://doi.org/10.1016/j.jneb.2026.04.001","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impacts of a multisite produce prescription intervention on food security and explore participants' experiences 1-3 months postintervention.</p><p><strong>Methods: </strong>Prepost pilot study without a control group (n = 100) using an explanatory sequential mixed-methods design with interviews among 23 participants. The 6-month intervention was designed for patients living with cardiometabolic conditions and included 6 weeks of Cooking Matters curriculum, along with weekly fruit and vegetable boxes valued at approximately $25 and provided at no cost to participants. Repeated measures were collected at baseline, 6 weeks, and 6 months. Data were analyzed using mixed-effects regression and thematic analysis.</p><p><strong>Results: </strong>At baseline, 40% of participants were food insecure; modest improvements (1.37 [0.61-3.05]) were observed at 6 months but not sustained postintervention among a subsample of interviewees. Qualitative findings revealed key themes related to social connection, improvements in well-being, challenges in maintaining food security, and recommendations for future programs.</p><p><strong>Conclusions and implications: </strong>Findings from this pilot study suggest a need for further research to assess the effectiveness of produce prescription interventions in improving psychosocial well-being and to identify the resources needed to sustain outcomes.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bringing WISE Home: Feasibility and Effectiveness of a Preschool Nutrition Curriculum in Rural Home Visits.","authors":"Taren Massey-Swindle, Lorraine McKelvey, Emily Waller, Madison Waymire, Alecia Hamilton, Dong Zhang","doi":"10.1016/j.jneb.2026.03.008","DOIUrl":"https://doi.org/10.1016/j.jneb.2026.03.008","url":null,"abstract":"<p><strong>Objective: </strong>To pilot Together, We Inspire Smart Eating⁸ (WISE) curriculum in home visiting METHODS: We conducted a nonrandomized pilot trial with baseline and 6-month follow-up in Parents as Teachers programs in 2 rural counties. Eleven home visitors and 46 families with children aged 3-5 years participated. Intervention visitors delivered 6 monthly WISE lessons; controls received standard services. Outcomes included implementation measures, home visitor confidence, and parent and child fruit and vegetable intake via Veggie Meter. Linear regression tested intervention effects, controlling for baseline.</p><p><strong>Results: </strong>Home visitors reported positive acceptability (3.56), feasibility (3.25), and appropriateness (3.22). Fidelity was moderate to high, with hands-on exposure observed in all lessons. The intervention was associated with child Veggie Meter scores (β = 0.43, P = 0.007), yielding an 18.2% increase vs no change in controls; no effect was observed for parents (β = 0.21, P = 0.20).</p><p><strong>Conclusions and implications: </strong>Together, We Inspire Smart Eating was feasible and acceptable in home visiting with promising effects.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Happy Healthy Homes Virtual Intervention Improved Rural Family Child Care Home Provider Mealtimes: Partial and Sustained Effects","authors":"Divya Patel PhD ,&nbsp;Dipti A. Dev PhD ,&nbsp;Steven Pan MS ,&nbsp;Bethany Williams PhD ,&nbsp;Alicia L. Salvatore DrPH, MPH ,&nbsp;Susan B. Sisson PhD, RDN, CHES","doi":"10.1016/j.jneb.2026.01.001","DOIUrl":"10.1016/j.jneb.2026.01.001","url":null,"abstract":"<div><h3>Objective</h3><div>Family Child Care homes (FCCH) are home-based child care settings that often care for children in their households, operating with limited resources, and are a common choice for children from low-income families. The purpose of this study was to examine changes in FCCH provider feeding practices after a virtual intervention.</div></div><div><h3>Design</h3><div>Randomized controlled clinical trial.</div></div><div><h3>Setting</h3><div>Rural Oklahoma FCCHs.</div></div><div><h3>Participants</h3><div>Thirty-six (intervention = 15; control = 21) FCCH providers participated at baseline.</div></div><div><h3>Intervention</h3><div>A virtual 20-minute module on implementing responsive feeding practices delivered by Extension educators.</div></div><div><h3>Main Outcome Measures</h3><div>Feeding practice scores at baseline, 3, and 12 months.</div></div><div><h3>Analysis</h3><div>The Kruskal-Wallis and paired t tests were used to detect between-group and within-group differences, respectively.</div></div><div><h3>Results</h3><div>Meal service style significantly improved over time (<em>P</em> = 0.05), intervention providers’ meal service style (2.1 points; <em>P</em> = 0.05), role modeling (4.0 points; <em>P</em> = 0.007), and mealtime quality (11.3 points; <em>P</em> = 0.04) improved from baseline to 12 months. Intervention providers scored significantly lower than the control group for self-regulation at 12 months (9.6 ± 0.8 vs 8.5 ± 1.4; <em>P</em> = 0.02).</div></div><div><h3>Conclusions and Implications</h3><div>Although the meal service style score improved over time, the scores remained low, indicating a need to improve implementation. Although self-regulation use decreased in the intervention group, it is an ambiguous and complex construct needing further exploration. Future studies must examine the implementation effectiveness of feeding practices and explore newer mealtime constructs such as sensory exploration of foods, peer modeling, and nonverbal cues to support rural FCCH providers’ ability to implement optimal practices.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"58 5","pages":"Pages 407-415"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"College-Level Nutrition Course Improves Factors Related to Food Security","authors":"Emily Sklar PhD ,&nbsp;Rachel E. Scherr PhD ,&nbsp;Cassandra J. Nguyen PhD ,&nbsp;Marcela D. Radtke PhD ,&nbsp;Deborah S. Fetter PhD","doi":"10.1016/j.jneb.2026.01.009","DOIUrl":"10.1016/j.jneb.2026.01.009","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the impact of a college-level nutrition course on factors related to food agency.</div></div><div><h3>Design</h3><div>Pre-post study.</div></div><div><h3>Setting</h3><div>Four-year, large, public, land-grant university.</div></div><div><h3>Participants</h3><div>Students enrolled in Nutrition 10, an introductory nutrition course (n = 1,873), and a comparison group of students not taking the course (n = 1,125) who completed both the pre- and post-surveys over an academic quarter (3 quarters total).</div></div><div><h3>Variables measured</h3><div>The 92-item questionnaire included the Money Expenditure Scale, Coping Strategy Scale, nutrition knowledge, and the 10-item US Department of Agriculture’s Adult Food Security Survey Module.</div></div><div><h3>Analysis</h3><div>Wilcoxon ranksum tests, ttests, and regression models examined associations between nutrition knowledge and key variables. Structural equation modeling assessed bidirectional relationships.</div></div><div><h3>Results</h3><div>Students who took the class improved nutrition knowledge (+2.23 ± 5.14 points) compared with a decline in the comparison group (−0.42 points ± 3.55; <em>P</em> &lt; 0.001). Structural equation modeling indicated increased nutrition knowledge was associated with lower Money Expenditure Scale (β = −0.03, <em>P</em> = 0.04) and Coping Strategy Scale (β = −0.17, <em>P</em> &lt; 0.001) scores.</div></div><div><h3>Conclusion and Implications</h3><div>Existing nutrition courses could help improve nutrition knowledge and factors related to food agency. Future research is needed to identify how improvements in nutrition knowledge translate into sustained behavioral changes that enhance food security in higher education.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"58 5","pages":"Pages 427-437"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing Food Insecurity Among College Athletes: Strategies to Overcome Barriers to Food Access","authors":"Grace Bodian ,&nbsp;Brooke Starkoff PhD, RDN, LD ,&nbsp;Elizabeth Lenz PhD","doi":"10.1016/j.jneb.2026.01.013","DOIUrl":"10.1016/j.jneb.2026.01.013","url":null,"abstract":"<div><div>Food insecurity affects 23% of college athletes, limiting access to nutritious food and hindering performance. This report examines barriers to resource use, including stigma, lack of awareness, and limited availability of culturally appropriate or performance-supportive foods, and explores strategies to overcome them. Despite existing programs such as food pantries and meal swipe programs, usage remains low. Solutions include leveraging mobile applications and social media, building coalitions, fostering community partnerships, and advocating for inclusive policies. Increasing awareness and access to preferred foods may improve nutrition and well-being. Findings support targeted, athlete-centered interventions to address food insecurity in collegiate settings.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"58 5","pages":"Pages 494-500"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Call for Using Behavioral Science Theory for Design and Evaluation of Food Is Medicine Interventions: A Perspective Using a Case Study Approach","authors":"Shreela Sharma PhD, RD, LD ,&nbsp;Naomi Tice MPH ,&nbsp;Maha Almohamad PhD, MS ,&nbsp;Deanna M. Hoelscher PhD, RDN, LD, CNS, FISBNPA ,&nbsp;Lorena Macias-Navarro MS ,&nbsp;Wesley Gibson MPH ,&nbsp;Maria De La Cruz MPH ,&nbsp;Azar Gaminian MPH, CHES ,&nbsp;Mike Pomeroy MPH ,&nbsp;Esperanza Galvan PhD, MS, CVRN-BC, CDCES ,&nbsp;Melissa Melshenker Ackerman ,&nbsp;Ru-Jye Chuang DrPH, MS ,&nbsp;Marcia C de Oliveira Otto PhD ,&nbsp;Alexandra E van den Berg PhD, MPH ,&nbsp;Christine Markham PhD ,&nbsp;Morgan Bily MPH, RDN, CSP, LD ,&nbsp;Efua Bonnie Leke MD, MPH ,&nbsp;Pamela D. Berens MD ,&nbsp;Nailini Ranjit PhD","doi":"10.1016/j.jneb.2026.01.015","DOIUrl":"10.1016/j.jneb.2026.01.015","url":null,"abstract":"<div><div>Food Is Medicine (FIM) programs are nutrition interventions integrated with the health care system to address food insecurity, improve diet quality, and prevent and manage diet-related conditions. However, few FIM programs use behavioral science frameworks to ground their intervention strategies. This article presents a case study of an FIM program for high-risk pregnant mothers. Grounded in Social Cognitive Theory, the intervention provides home-delivered produce, nutrition education, and community health worker support to improve food security, dietary behaviors, and pregnancy outcomes. This article demonstrates how using a behavioral science framework can structure intervention components, clarify mechanisms of change, and strengthen implementation outcomes.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"58 5","pages":"Pages 501-506"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Stress Is Inversely Associated With Sugar Intake in Preschool-Aged Girls","authors":"Anisha Mahajan PhD, RD ,&nbsp;Valerie Hruska PhD ,&nbsp;Jessica Yu MSc ,&nbsp;Rahbika Ashraf MSc ,&nbsp;Flora Zhang MPH, RD ,&nbsp;Sabrina Douglas PhD ,&nbsp;Michael Prashad MSc ,&nbsp;Alison M. Duncan PhD, RD ,&nbsp;Gerarda Darlington PhD ,&nbsp;Andrea C. Buchholz PhD, RD ,&nbsp;Jess Haines PhD, RD ,&nbsp;David W.L. Ma PhD ,&nbsp;Guelph Family Health Study","doi":"10.1016/j.jneb.2025.12.018","DOIUrl":"10.1016/j.jneb.2025.12.018","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the associations between family stress and sugar (total, free and added) intake among preschool-aged children.</div></div><div><h3>Methods</h3><div>Data were collected from 210 families, 267 children (138 girls, 129 boys); mean age of 3.6 ± 1.2 years enrolled in the Guelph Family Health Study. Family stress was assessed using measures of household chaos and family dysfunction. Sugar intake was measured using an Automated Self-Administered 24-hour Dietary Assessment Tool. Linear regression models with generalized estimating equations were used to estimate associations between family stress and energy-adjusted sugar intakes (g/1,000 kcal).</div></div><div><h3>Results</h3><div>There was an inverse association between family dysfunction and girls’ intakes of total (β = −3.8, <em>P =</em> 0.03), free (β = −8.6, <em>P</em> = 0.005), and added (β = −7.6, <em>P</em> = 0.005) sugars, when controlling for age, ethnicity, and household income. No significant associations in boys were noted.</div></div><div><h3>Conclusions and Implications</h3><div>Results suggest that the association between family stress and sugar intake may differ by child sex.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"58 5","pages":"Pages 458-464"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Board/Board of Directors","authors":"","doi":"10.1016/S1499-4046(26)00080-1","DOIUrl":"10.1016/S1499-4046(26)00080-1","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"58 5","pages":"Page A3"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147828134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}