Julie A. Wagner PhD , Angela Bermúdez-Millán PhD, MPH , S. Megan Berthold PhD, LCSW , Thomas E. Buckley MPH, RPh , Orfeu M. Buxton PhD , Richard S. Feinn PhD , Sengly Kong PhD , Theanvy Kuoch MA, LPC , Mary F. Scully APRN
{"title":"Culturally Specific Trauma History is Associated with Dietary Intake Outcomes of a Healthy Eating Intervention Among Cambodian American Refugees: A Retrospective Cohort Study","authors":"Julie A. Wagner PhD , Angela Bermúdez-Millán PhD, MPH , S. Megan Berthold PhD, LCSW , Thomas E. Buckley MPH, RPh , Orfeu M. Buxton PhD , Richard S. Feinn PhD , Sengly Kong PhD , Theanvy Kuoch MA, LPC , Mary F. Scully APRN","doi":"10.1016/j.jneb.2025.06.006","DOIUrl":"10.1016/j.jneb.2025.06.006","url":null,"abstract":"<div><h3>Objective</h3><div><span>In a retrospective cohort study, we examined associations between trauma indicators and changes to dietary intake among Cambodian Americans who received the culturally-derived </span><em>Eat, Walk, Sleep</em> intervention.</div></div><div><h3>Methods</h3><div><span>Participants had depression and a high risk of developing type 2 diabetes (n = 135). Trauma indicators included experiences under the Pol Pot regime and current symptoms of posttraumatic stress and </span><em>baksbat</em><span>, a culture-bound syndrome of distress. Measurement of dietary intake at baseline, 12 months, and 15 months included self-reported brown rice, white rice, sweetened drinks, sodium, and fat.</span></div></div><div><h3>Results</h3><div>Longer exposure to Pol Pot was associated with a greater increase (improvement) in brown rice; longer exposure to Pol Pot and higher <em>baksbat</em> were associated with greater effort to reduce fat.</div></div><div><h3>Conclusions and Implications</h3><div><em>Eat, Walk, Sleep</em> was most beneficial for those with certain trauma characteristics. Future work includes investigation of potential mechanisms of action of <em>Eat, Walk, Sleep</em>, such as self-efficacy and peer support.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 10","pages":"Pages 962-971"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568089","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(25)00411-7","DOIUrl":"10.1016/S1499-4046(25)00411-7","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 10","pages":"Page A3"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145227736","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":"Feasibility of an Online Grocery Intervention Pilot to Improve Fruit and Vegetable Purchase and Food Security Among Adults With Children Eligible for SNAP","authors":"Angela C.B. Trude PhD , Zoya Naaz Rehman , Stefani Wiloejo MS, RDN, CDN, CNSC , Kellie McLean MPH, RDN, CDCES, BC-ADM, CDN , Laura Catalina Velasco Daza MPH , Pasquale Rummo MPH, PhD","doi":"10.1016/j.jneb.2025.07.003","DOIUrl":"10.1016/j.jneb.2025.07.003","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the feasibility of an online grocery pilot aimed at supporting healthy food purchases for caregivers of individuals with low income.</div></div><div><h3>Methods</h3><div>A pretest-posttest pilot study was conducted among 59 primary household food shopper caregivers living ≤ 130% of the poverty line. The 8-week randomized pilot had 4 groups: (1) free delivery-only, (2) trust-targeting SMS, (3) matching credit for online healthy purchases, and (4) grocery list recommendations. The groups received the program concomitantly from October to December, 2022. Feasibility was assessed through the setup of an online grocery account and receipt of the intervention materials via text. Acceptability was assessed via postintervention interviews and participants’ ratings of the intervention.</div></div><div><h3>Results</h3><div>Feasibility was medium-high: 47% created an online grocery account, 61% watched the program tutorial. Acceptability was high: 90% found the tutorial helpful, all received text messages, 82% deemed them useful.</div></div><div><h3>Conclusions and Implications</h3><div>The promising feasibility and acceptability suggest a potential for a fully powered trial behavioral intervention to support online healthy food shopping.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 10","pages":"Pages 989-998"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976867","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}
Jacqueline Genovesi PhD , Jennifer Jovanovic BA , Toni A. May PhD , Kristin L.K. Koskey PhD , Kaitlyn DelDuca BA , Kathleen Provinzano PhD , Casey Hanna MA
{"title":"Evaluation of a Preschool Nutrition and Gardening Education Program Among Teachers and Their Students","authors":"Jacqueline Genovesi PhD , Jennifer Jovanovic BA , Toni A. May PhD , Kristin L.K. Koskey PhD , Kaitlyn DelDuca BA , Kathleen Provinzano PhD , Casey Hanna MA","doi":"10.1016/j.jneb.2025.06.013","DOIUrl":"10.1016/j.jneb.2025.06.013","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 10","pages":"Pages 999-1005"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621029","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":"Systematic Review of Human Milk Feeding Practices and Policies in Infant and Young Child Feeding Trainings for Early Care and Education Providers","authors":"Kathryn Wouk PhD, MS, IBCLC , Jessica Bridgman MPH, RDN, LDN , Daina Huntley MPH, CHES , Cinya Brand MPH, CHES , Natsumi Koyama MPH , Stacy Torian MLIS, MA , Aunchalee E.L. Palmquist PhD, IBCLC","doi":"10.1016/j.jneb.2025.05.198","DOIUrl":"10.1016/j.jneb.2025.05.198","url":null,"abstract":"<div><h3>Introduction</h3><div>Early care and education (ECE) providers play a critical role in supporting infant and young child feeding (IYCF) practices for US children. This systematic review synthesizes literature on IYCF interventions and curricula for training ECE providers.</div></div><div><h3>Method</h3><div>Searches were conducted across 5 databases. Eligible studies were published in the US in English through April 2024. Studies addressed infant feeding in ECE and policies, practices, or training related to breastfeeding practices in ECE.</div></div><div><h3>Results</h3><div>Fourteen studies were identified. Most IYCF training was in the context of obesity prevention. Training approaches included multimodal education, online platforms, opportunities for peer learning and support, ongoing technical assistance, and external motivators to encourage and sustain practices.</div></div><div><h3>Discussion</h3><div>Effective training approaches embedded ongoing external supports and motivators (e.g., the availability of technical support or refresher training and direct support and coaching via phone calls, emails, and on-site visits). A barrier was ECE providers’ perception of human milk feeding training as irrelevant outside the context of infant care. Research limitations included a lack of comparison groups in testing interventions and vague dose exposure and assessment definitions.</div></div><div><h3>Conclusions and Implications</h3><div>A centralized repository could advance national scale-up. Findings suggest external stakeholders with authority, acting as champions, increase implementation of supportive human milk feeding practices in IYCF training.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 10","pages":"Pages 943-961"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745860","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":"Building Healthier Communities Through Online Nutrition Education","authors":"Lauren Haldeman PhD (Editor in Chief)","doi":"10.1016/j.jneb.2025.09.001","DOIUrl":"10.1016/j.jneb.2025.09.001","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 10","pages":"Page 901"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145227790","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}
Stephanie L. Silveira PhD , Sarah E. Deemer PhD , EvaClaire Synkowski MS
{"title":"Feasibility, Acceptability, and Preliminary Efficacy of an Online Diet Intervention for Promoting Fruit and Vegetable Intake Among Persons With Multiple Sclerosis","authors":"Stephanie L. Silveira PhD , Sarah E. Deemer PhD , EvaClaire Synkowski MS","doi":"10.1016/j.jneb.2025.06.009","DOIUrl":"10.1016/j.jneb.2025.06.009","url":null,"abstract":"<div><h3>Objective</h3><div>Test an intervention promoting fruit and vegetable (F&V) intake among persons with multiple sclerosis.</div></div><div><h3>Methods</h3><div><span>The study was a prepost single group clinical trial in which weeks 1–4 included daily logging into an application to report attainment of 800 g F&V goal, F&V variety, and reading of educational content. In weeks 4–8, participants only logged F&V goals and variety (NCT05712408). Primary measures included feasibility, acceptability, and change in diet behavior measured using Healthy Eating Index scores, metabolic health biomarkers, body composition, cognition, and multiple sclerosis symptoms. A paired sample </span>t test<span> and Wilcoxon signed rank test were conducted to assess efficacy outcomes of interest.</span></div></div><div><h3>Results</h3><div>Fourteen participants completed the study, and all rated the overall program as excellent or good. Analyses indicated significant positive changes in Healthy Eating Index Total (<em>P</em> = 0.001), vegetable (<em>P</em> = 0.04), fruit (<em>P</em> = 0.004), and whole fruit (<em>P</em><span> = 0.01) component scores, blood glucose (</span><em>P</em><span> = 0.04), and mental health-related quality of life (</span><em>P</em> = 0.03).</div></div><div><h3>Conclusions and Implications</h3><div>This study provides evidence regarding the feasibility, acceptability, and preliminary efficacy of an online diet program promoting F&V intake among persons with multiple sclerosis.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 10","pages":"Pages 980-988"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621030","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}
Natalie Vallone RD , Nia I. Bodrick MD , Jasmine H. Kaidbey MS , Mariana F. Grilo MPH , Shaleen Arora BS , Adam Dawer BS , Natasha Kumar BS , Jaiden Bluth , Natalie Lueders MPH , Jennifer M. Sacheck PhD , William H. Dietz PhD , Karen A. McDonnell PhD , William D. Evans PhD , Allison C. Sylvetsky PhD
{"title":"Formative Research to Develop DC-SIPS: A Multilevel Intervention to Reduce Sugary Drink Intake and Promote Water Intake Among Black Youth in Washington, DC","authors":"Natalie Vallone RD , Nia I. Bodrick MD , Jasmine H. Kaidbey MS , Mariana F. Grilo MPH , Shaleen Arora BS , Adam Dawer BS , Natasha Kumar BS , Jaiden Bluth , Natalie Lueders MPH , Jennifer M. Sacheck PhD , William H. Dietz PhD , Karen A. McDonnell PhD , William D. Evans PhD , Allison C. Sylvetsky PhD","doi":"10.1016/j.jneb.2025.06.014","DOIUrl":"10.1016/j.jneb.2025.06.014","url":null,"abstract":"<div><h3>Objective</h3><div>Develop a multilevel intervention to reduce sugary drink intake and increase water intake among African American children in Washington, DC.</div></div><div><h3>Design</h3><div>Qualitative interviews and surveys with pediatricians, children, and their parents. Three key phases of intervention development guided the research: (1) pediatrician (n = 6) feedback on the \"Decreasing Children’s Sugar Intake through Pediatricians and Social Marketing\" intervention concept, (2) initial feedback from children (n = 10) and parents (n = 7) on intervention concept, branding and messaging content, and (3) additional feedback from children (n = 7) and parents (n = 6) on the revised branding and messaging content.</div></div><div><h3>Setting</h3><div>Pediatric primary care clinic in an underresourced area of Washington, DC.</div></div><div><h3>Participants</h3><div>Pediatricians, children aged 11–14 years seen at the clinic, and their parents.</div></div><div><h3>Main Outcome Measures</h3><div>Feedback on the intervention concept and prototype content.</div></div><div><h3>Analysis</h3><div>Thematic analysis for qualitative data and descriptive statistics for survey responses.</div></div><div><h3>Results</h3><div>All 3 key informant groups expressed enthusiasm for the intervention concept. Key suggestions included incorporating incentive-based challenges and suggestions for alternative beverages. Feedback on branding and messaging was primarily related to enhancing aesthetics and improving the relatability of the content.</div></div><div><h3>Conclusions and Implications</h3><div>Formative research informed the development of a \"Decreasing Children’s Sugar Intake through Pediatricians and Social Marketing\" intervention plan, which will be pilot-tested for feasibility and acceptability.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 10","pages":"Pages 909-922"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745859","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}
Eliza Short PhD, RDN , Ji Li MS , James P. Selig PhD , Kelsey Bounds BS , Alexandra Diaz-Cruz MD , Brett Rowland MA , Holly C. Felix PhD, MPA , Krista Langston MBA , Pearl A. McElfish PhD, MBA, MS , Christopher R. Long PhD
{"title":"Diet Quality Among Community Members With Diabetes and Food Insecurity in Northwest Arkansas: Comparison Across 3 Racial/Ethnic Groups","authors":"Eliza Short PhD, RDN , Ji Li MS , James P. Selig PhD , Kelsey Bounds BS , Alexandra Diaz-Cruz MD , Brett Rowland MA , Holly C. Felix PhD, MPA , Krista Langston MBA , Pearl A. McElfish PhD, MBA, MS , Christopher R. Long PhD","doi":"10.1016/j.jneb.2025.06.017","DOIUrl":"10.1016/j.jneb.2025.06.017","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluated differences in diet quality across multiple racial/ethnic groups with type 2 diabetes (T2D) experiencing food insecurity.</div></div><div><h3>Design</h3><div>Cross-sectional. Bilingual (English/Spanish, English/Marshallese) community health workers used a multiple-pass approach to collect 3 24-hour dietary recalls via phone.</div></div><div><h3>Setting</h3><div>Food pantries in Arkansas.</div></div><div><h3>Participants</h3><div>Eighty-three adult food pantry clients with T2D (hemoglobin A1c ≥ 7.0%) experiencing food insecurity and self-identified race/ethnicity of Hispanic (39%), Marshallese Pacific Islander (i.e., Marshallese) (35%), or White (26%).</div></div><div><h3>Main Outcome Measure</h3><div>Diet quality (Healthy Eating Index [HEI]-2015).</div></div><div><h3>Analysis</h3><div>Differences in diet quality scores by race/ethnicity were evaluated using one-way analysis of variance; Turkey-Kramer tests for pairwise comparisons assessed diet quality differences among Hispanic, Marshallese, and White participants. A food-level analysis identified top food categories contributing to diet quality.</div></div><div><h3>Results</h3><div>Diet quality was 71.7 ± 12.7 (mean ± standard deviation) among Hispanic, 56.9 ± 14.1 among Marshallese, and 45.9 ± 14.1 among White participants. Hispanic participants had a significantly higher HEI-2015 score than Marshallese (mean difference, 14.9 [95% confidence interval (CI), 6.6–23.2]; <em>P</em> < 0.001) and White (mean difference, 25.9 [95% CI, 16.9–34.8]; <em>P</em> < 0.001) participants. Marshallese participants had a significantly higher HEI-2015 score than White participants (mean difference, 11.0 [95% CI, 1.8–20.1]; <em>P</em> = 0.01).</div></div><div><h3>Conclusions and Implications</h3><div>Designers of nutrition-focused interventions may consider tailoring food and education around high and low diet quality component scores that vary across racial/ethnic groups (e.g., including culturally appropriate fruits/vegetables) to improve T2D management.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 10","pages":"Pages 932-942"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856843","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}