Journal of Nutrition Education and Behavior最新文献

{"title":"Black Parents’ eLearning Preferences and Expectations of an Online Beverage Program to Improve Healthy Beverage Consumption Among Young Children","authors":"Chisom B. Okoli PhD, MS ,&nbsp;Sina Gallo PhD, RD ,&nbsp;Jung S. Lee PhD, RDN ,&nbsp;Jennifer J. Thompson PhD ,&nbsp;Janani R. Thapa PhD ,&nbsp;Sun J. (Grace) Ahn PhD ,&nbsp;Caree J. Cotwright PhD, RDN","doi":"10.1016/j.jneb.2025.02.009","DOIUrl":"10.1016/j.jneb.2025.02.009","url":null,"abstract":"<div><h3>Objective</h3><div>To conduct a needs assessment to understand the expectations and eLearning preferences of Black parents of young children to inform the development of a healthy beverage education program.</div></div><div><h3>Methods</h3><div>A convenience sample of Black parents (n = 64) completed a survey on eLearning format preferences. Individual interviews (n = 20) with survey respondents explored program expectations and motivations for participation. Descriptive statistics and qualitative content analyses were used for data analysis.</div></div><div><h3>Results</h3><div>Videos were the preferred eLearning format. Participants’ expectations of the eLearning program included representations using cultural identifiers (e.g., hair and skin color) reflective of Black culture. They also wanted videos to be engaging, concise, and short (5–10 minutes). The learning topics of interest included the sugar content of beverages, label reading, health consequences of sugar-sweetened beverages, and easy-to-make healthy beverage recipes.</div></div><div><h3>Conclusion and Implications</h3><div>The findings of this study may inform the development of healthy beverage education programs for Black families of young children. Future studies should examine the impact of these interventions on health behaviors and outcomes.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 7","pages":"Pages 656-663"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634811","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":"WISE Babies: Nutrition Promotion for Infants and Toddlers in the Early Care and Education Setting","authors":"Taren Massey-Swindle PhD ,&nbsp;Breanna Morris BA ,&nbsp;Rikki Turner EdD ,&nbsp;Alecia Hamilton MA ,&nbsp;Payton Modica BS ,&nbsp;Julie M. Rutledge PhD","doi":"10.1016/j.jneb.2025.04.002","DOIUrl":"10.1016/j.jneb.2025.04.002","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 7","pages":"Pages 690-695"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059562","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":"Impact of a Community-based Intervention Program on Nutritional Status of Children Aged Under 5 Years With Undernutrition in Western Rural Nepal","authors":"Rajan Paudel MPH, MPhil ,&nbsp;Yogendra Bahadur Gurung PhD ,&nbsp;Bijay Khatri MPH ,&nbsp;Amod Kumar Poudyal PhD ,&nbsp;Dilaram Acharya PhD ,&nbsp;Dipak Prasad Upadhyaya MPH ,&nbsp;Jitendra Kumar Singh PhD ,&nbsp;Mohan Paudel PhD ,&nbsp;Ramswarth Sah MIT ,&nbsp;Kwan Lee PhD ,&nbsp;Min Raj Adhikari MPhil ,&nbsp;Ranjan Sapkota MCh ,&nbsp;Shreedhar Paudel MD","doi":"10.1016/j.jneb.2025.03.003","DOIUrl":"10.1016/j.jneb.2025.03.003","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the impact of community-based nutritional intervention among children with undernutrition in Nepal.</div></div><div><h3>Design</h3><div>Quasi-experimental time series.</div></div><div><h3>Setting</h3><div>Three villages in the rural Terai region with a majority marginalized ethnic population.</div></div><div><h3>Participants</h3><div>Seventy-five children with undernutrition between 6 and 59 months.</div></div><div><h3>Interventions</h3><div>Community-based package included super flour, milk, growth monitoring, nutrition education, and counseling conducted from September, 2016 to March, 2017.</div></div><div><h3>Main Outcome</h3><div>Change in nutritional status.</div></div><div><h3>Analysis</h3><div>We compared differences in pretest and posttest measurements using paired t test and repeated-measures analysis of various identified changes in z-scores. We applied random-effects panel data regression to evaluate the effect of intervention and exposure time.</div></div><div><h3>Results</h3><div>The mean z-scores of weight-for-age (underweight) and weight-for-height (wasting) continued to increase until 6 months of intervention, except for the height-for-age (stunting). On average, every month of the nutritional intervention led to an improvement in weight-for-age z-scores by 0.49 units (coefficient, 0.49 [95% coefficient intervals (CI), 0.47–0.50]), weight-for-height z-scores by 0.41 units (coefficient, 0.41 [95% CI, 0.38–0.44]) and height-for-age z-scores by 0.31 units (coefficient, 0.31 [95% CI, 0.29–0.33]) after adjusting the sociodemographic and health-related variables.</div></div><div><h3>Conclusions and Implications</h3><div>Community-based nutrition interventions that use local resources effectively reduce undernutrition. Similar interventions can be promoted in low-resource settings.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 7","pages":"Pages 602-613"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006208","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":"Emerging Adults Report Internal, External, and Social/Environmental Motivations for Weight-Related Self-Monitoring Application Use","authors":"Samantha L. Hahn PhD, MPH, RD ,&nbsp;C. Blair Burnette PhD ,&nbsp;Caroline Bornstein MPH ,&nbsp;Jason M. Nagata MD, MSc ,&nbsp;Katie A. Loth PhD, MPH, RDN, LD ,&nbsp;Dianne Neumark-Sztainer PhD, MPH, RD","doi":"10.1016/j.jneb.2025.03.006","DOIUrl":"10.1016/j.jneb.2025.03.006","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the factors that motivate emerging adults to engage in weight-related self-monitoring (WRSM) and to determine the age of initiating WRSM.</div></div><div><h3>Design</h3><div>Mixed-methods cross-sectional study, including quantitative survey and semi-structured interviews.</div></div><div><h3>Participants</h3><div>Tracking-EAT participants came from the population-based sample of Project EAT (Eating and Activity over Time); 138 participants (mean age=26.5 years; range 22–29) completed a survey, 25 of which also completed a semi-structured interview.</div></div><div><h3>Main Outcome Measure</h3><div>Internal and external motivations for WRSM and the age when participants began WRSM were assessed quantitatively. Semi-structured interviews assessed how participants were introduced to and why they used WRSM.</div></div><div><h3>Analysis</h3><div>Descriptive statistics for quantitative measures. Inductive thematic analysis for qualitative analyses.</div></div><div><h3>Results</h3><div>Participants reported internal (e.g., trying to lose weight, change body shape), external (e.g., advice from health professionals, friends/or family), and social/environmental motivations (e.g., WRSM being ubiquitous in our culture). A sense of moral obligation to strive for health contributed to participants’ motivation to engage in WRSM. Participants reported self-monitoring dietary intake and weight as young as 8 years old and exercise as young as 9 years old.</div></div><div><h3>Conclusions and Implications</h3><div>Numerous factors converge to normalize and encourage WRSM, including internal, external, and social/environmental motivations. Future research could explore how the age of introduction and motivation for use affect the health impacts of WRSM.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 7","pages":"Pages 588-601"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774358","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":"Early Childhood Nutrition-Related Policy, System, and Environmental-Focused Evaluation: A Qualitative Study Exploring Knowledge, Barriers, and Opportunities","authors":"Elder Garcia Varela PhD, MS, CPH, CHES ,&nbsp;Alaina M. Mitchell BS ,&nbsp;Isabella Bolivar BS ,&nbsp;Megan A. McVay PhD ,&nbsp;Karla P. Shelnutt PhD, RD ,&nbsp;David Miller PhD ,&nbsp;Amy R. Mobley PhD, RD, FAND","doi":"10.1016/j.jneb.2025.02.006","DOIUrl":"10.1016/j.jneb.2025.02.006","url":null,"abstract":"<div><h3>Objective</h3><div>To explore stakeholders’ perceptions of the barriers, facilitators, and existing needs associated with evaluating policy, system, and environmental (PSE) strategies focused on early childhood nutrition within <em>Supplemental Nutrition Assistance Program-Education</em> (SNAP-Ed) programming using the Capabilities, Opportunities, and Motivations of Behavior Model.</div></div><div><h3>Methods</h3><div>Stakeholders (n = 32) implementing and evaluating SNAP-Ed-approved PSE nutrition-related strategies across the US participated in virtual semistructured interviews. Audio transcripts were deidentified, coded, and analyzed manually by 2 research assistants using thematic analysis with a hybrid deductive and inductive coding approach.</div></div><div><h3>Results</h3><div>Participants described existing evaluation tools as primarily descriptive, focusing on the PSE change process, implementation details, and reach. While recognizing the value and efficacy of current tools, participants highlighted the need for new metrics to assess the medium- and long-term behavioral impacts and sustainability of these PSE strategies.</div></div><div><h3>Conclusions and Implications</h3><div>There is a need to develop and validate a feasible nutrition-related PSE change evaluation tool that measures behavioral outcomes and sustainability to fully understand the effectiveness of PSE change strategies in SNAP-Ed programs affecting young children.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 7","pages":"Pages 643-655"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587934","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":"Effectiveness of School-based Nutrition Education Programs that Include Environmental Sustainability Components, on Fruit and Vegetable Consumption of 5–12YearOld Children: A Systematic Review","authors":"Fay Karpouzis PhD ,&nbsp;Kim Anastasiou PhD ,&nbsp;Rebecca Lindberg PhD ,&nbsp;Adam Walsh PhD ,&nbsp;Smita Shah MBChB ,&nbsp;Kylie Ball PhD","doi":"10.1016/j.jneb.2025.02.008","DOIUrl":"10.1016/j.jneb.2025.02.008","url":null,"abstract":"<div><h3>Introduction</h3><div>This systematic review examined the effectiveness of interventions of school-based nutrition education programs that included environmental sustainability components in addressing fruit and vegetable (F&amp;V) consumption and/or variety among children (aged 5–12 years).</div></div><div><h3>Methods</h3><div>The systematic search included MEDLINE, CINAHL, ERIC, Global Health, PsychINFO, EMBASE, the Cochrane Library, and 3 clinical trial registries. Searches between January 1, 1987, and February 22, 2022, found 18 eligible studies. The Evidence Project risk-of-bias (RoB) tool was used for quality assessment.</div></div><div><h3>Results</h3><div>Sixteen studies had moderate-to-high RoB, and 2 had low RoB. Eight studies reported significant increases in F&amp;V consumption and/or variety. Programs that included environmental sustainability experiential components (i.e., gardening, tasting F&amp;Vs, and cooking activities) and were underpinned by a theoretical framework were more likely to report significant outcomes than studies that reported no effects.</div></div><div><h3>Conclusions and Implications</h3><div>This review underscores the benefits of school-based nutrition education programs that incorporate experiential components of environmental sustainability. These findings could support future researchers in designing strategies to improve children's F&amp;V consumption by incorporating the experiential components of environmental sustainability into nutrition programs. In addition, conducting process evaluations to gather teachers’ input to overcome common implementation barriers, performing long-term follow-up assessments to monitor behavioral changes over time, and implementing school policies to support these programs could also be beneficial. This review was registered with the International Prospective Register of Systematic Reviews (CRD42020184727).</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 7","pages":"Pages 627-642"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755588","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":"Incorporating Weight-Inclusive Approaches in Higher Education Curriculum for Future Nutrition and Dietetics Professionals","authors":"Dawn Clifford PhD, RD ,&nbsp;Emma Laing PhD, RD ,&nbsp;Cristen Harris PhD, RDN, CEDS, CSSD, ACSM-CEP, FAND ,&nbsp;Nicholas Slagel PhD, RD ,&nbsp;Jordan Levinson PhD ,&nbsp;Nikole Squires MS, CHES, NB-HWC, ATC ,&nbsp;Jeffrey Hunger PhD","doi":"10.1016/j.jneb.2025.03.011","DOIUrl":"10.1016/j.jneb.2025.03.011","url":null,"abstract":"<div><div>While weight-inclusive approaches are becoming more widely accepted and used in nutrition and dietetics, educators and professionals often lack adequate training. The purpose of this paper is to provide faculty and preceptors with strategies to incorporate weight-inclusive approaches into nutrition and dietetics curricula. We present a framework for demonstrating how students can meet knowledge and competency requirements embedded in courses in nationally accredited nutrition and dietetics programs using a variety of weight-inclusive concepts and learning activities. Providing weight-inclusive approaches is essential for equipping nutrition professionals to offer patient-centered care that minimizes weight stigma and disordered eating.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 7","pages":"Pages 680-689"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038564","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":"Pilot Trial of Nutri, a Digital Intervention for Personalized Dietary Management of Diabetes in Safety-Net Primary Care","authors":"Marissa Burgermaster PhD ,&nbsp;Madalyn Rosenthal BS ,&nbsp;Brandon S. Altillo MD, MPH ,&nbsp;Mariana Rendon Flores MS, RD ,&nbsp;Eesha Nayak BS ,&nbsp;Dagny N. Larson MS, RD ,&nbsp;James Custer MS ,&nbsp;Lola Okunade MD ,&nbsp;William M. Tierney MD ,&nbsp;Steven Andrews PhD ,&nbsp;Grant Daniels BS ,&nbsp;Paul J. Rathouz PhD","doi":"10.1016/j.jneb.2025.03.015","DOIUrl":"10.1016/j.jneb.2025.03.015","url":null,"abstract":"<div><h3>Objective</h3><div>Feasibility evaluation of Nutri, a clinical decision support software for brief diet counseling by primary care providers (PCPs).</div></div><div><h3>Design</h3><div>Cluster-randomized controlled trial.</div></div><div><h3>Setting</h3><div>Primary care practices in a large network of federally qualified health centers.</div></div><div><h3>Participants</h3><div>Sixteen PCPs block randomized to Nutri (n = 8) or control (n =8) and 30 of their adult diabetes/prediabetes patients (Nutri, n = 17; control, n=13).</div></div><div><h3>Intervention(s)</h3><div>After patients completed the automated self-administered 24-hour dietary assessment tool, Nutri synthesized diet data to prioritize dietary problems and guide PCPs through collaborative diet goal setting during a regularly scheduled appointment. Control PCPs provided usual care.</div></div><div><h3>Main Outcome Measure(s)</h3><div>Completion rates (trial feasibility); Nutri usage, usability (intervention feasibility); patient-reported goal setting, self-efficacy, diet quality; PCP-reported diet counseling self-efficacy, attitudes, and competence.</div></div><div><h3>Analysis</h3><div>Summary of trial and intervention feasibility; intent-to-treat comparisons with Bayesian mixed effects models (patient outcomes accounting for PCP-level clustering), ordinary least squares regression (PCP outcomes).</div></div><div><h3>Results</h3><div>All PCPs and patients matriculated into the trial were followed through posttest. Nutri PCPs used Nutri in all study appointments; 81% of Nutri patients reported goal setting, and 57% initiated their goal. PCP-reported diet counseling self-efficacy and competence improved.</div></div><div><h3>Conclusions and Implications</h3><div>Nutri was useful to PCPs for collaborative diet goal setting with the potential to improve diabetes management in safety-net clinics.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 7","pages":"Pages 614-626"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144225","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":"Letter to the Editor in Response to “Weight-Inclusive Approaches to Nutrition and Dietetics: A Needed Paradigm Shift”","authors":"Colleen Tewksbury PhD, RD, CSOWM,&nbsp;Melissa Majumdar MS, RD, CSOWM,&nbsp;Janet Peterson DrPH, RDN, FACSM,&nbsp;Mary Gray Hixson MPH, RD, CSOWM,&nbsp;Mikel Bryant MS RDN, CSOWM,&nbsp;Kellene A. Isom PhD, RD, CAGS","doi":"10.1016/j.jneb.2025.05.195","DOIUrl":"10.1016/j.jneb.2025.05.195","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 7","pages":"Pages 696-697"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217337","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":"Erratum to ‘The DRAGON Project: A Multilevel Peer-Led Intervention for High School Students’ [Journal of Nutrition Education and Behavior 57/4 (2025) 363-370]","authors":"Kusuma K. Schofield MSEd, MPH ,&nbsp;Judith Ensslin MS, RDN, LDN ,&nbsp;Michael Bruneau Jr PhD, FACSM, ACSMEP-C, NASMCPT ,&nbsp;Jennifer J. Quinlan PhD","doi":"10.1016/j.jneb.2025.05.004","DOIUrl":"10.1016/j.jneb.2025.05.004","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 7","pages":"Page 700"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121388","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}