Journal of Nutrition Education and Behavior最新文献

{"title":"A Mixed-Methods Study of Nutrition Interventions Implemented in Autistic Children by Caregivers From a Facebook Support Group","authors":"","doi":"10.1016/j.jneb.2024.05.033","DOIUrl":"10.1016/j.jneb.2024.05.033","url":null,"abstract":"<div><h3>Background</h3><p>Caregivers of autistic children (CACs) use nutrition interventions to improve autism-related symptoms. However, the efficacy of most interventions lacks evidence. By sharing on social media personal experiences with nutrition interventions in their children, CACs could be disseminating ineffective or harmful interventions to others.</p></div><div><h3>Objective</h3><p>To examine nutrition interventions implemented in autistic children by caregivers, including caregivers’ expectations and claimed effects of those interventions.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Researchers extracted nutrition intervention-related threads posted from January to December 2022 on a publicly-available Facebook page for CACs. Participants were CACs who posted and/or commented on an extracted thread.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Researchers coded each post and comment for participant identification, nutrition intervention implementation, expectation, and claimed effect. Analysts deductively categorized each intervention, expectation, and claimed effect. Researchers calculated nutrition intervention frequency as well as expectation and claimed effect frequency within each intervention.</p></div><div><h3>Results</h3><p>Of the 2677 participants, 32.4% implemented at least one nutrition intervention in their child. Of the 308 implemented interventions, CACs most frequently reported using vitamins, laxatives, and melatonin to treat their child's autistic-related symptoms. Other less common interventions included cannabinoids, restricting food dyes, the Nemechek protocol, and the GAPS diet. Of the 867 CACs implementing at least one intervention, 29.4% and 15.5% expected the intervention to improve their child's physiological and/or behavioral symptoms, respectively. While the vast majority of CACs’ claimed effects aligned with their intervention expectations, 6% stated the intervention had no effect and 4.3% stated the intervention caused negative effects.</p></div><div><h3>Conclusions</h3><p>Caregivers reported using over 300 different nutrition interventions, including some not previously found in the literature. Little to no evidence exists about the safety and efficacy of most of these interventions. Additional research is needed to create evidence-based recommendations for nutrition intervention implementation in autistic children. Furthermore, healthcare providers can encourage CACs to discuss nutrition intervention implementation with them to help identify unevaluated interventions and allow practitioners to provide evidence-based alternatives.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953474","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":"Improving College Students’ Breastfeeding Knowledge, Attitude, and Intention Through Smartphone Breastfeeding App in Nigeria","authors":"","doi":"10.1016/j.jneb.2024.05.102","DOIUrl":"10.1016/j.jneb.2024.05.102","url":null,"abstract":"<div><h3>Background</h3><p>Suboptimal breastfeeding practices contribute to child malnutrition in developing countries like Nigeria. Deficits in adolescents and young adults’ knowledge, attitude, and intention towards breastfeeding significantly influence suboptimal breastfeeding practices, which impacts child health outcomes.</p></div><div><h3>Objective</h3><p>To assess the effectiveness of a smartphone application (BF101) in improving breastfeeding knowledge, attitude, and intention among college students.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A quasi-experimental study was conducted among final-year students at Emmanuel Alayande College of Education, Oyo, Nigeria. Participants were allocated to the intervention (n = 210) and control (n = 210) groups. The intervention group received access to BF101 app on their phone, featuring six modules covering various aspects of breastfeeding.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Pre- and post-intervention assessments of the breastfeeding knowledge, intention, and attitude of the participants were assessed using validated breastfeeding knowledge, attitude and intention questionnaire. Responses were scored and categorized as either adequate or inadequate for knowledge and intention, and positive or negative for the attitude.</p></div><div><h3>Results</h3><p>The study revealed that the intervention group showed significant improvements in breastfeeding knowledge, attitude and intention; the overall proportion of participants with adequate knowledge increased from 1.9% to 71.4%. Additionally, 42.8% of participants who initially lacked adequate breastfeeding knowledge transitioned to having sufficient knowledge after the intervention. Significant increase was reported in participants’ positive attitude towards breastfeeding, from 11% to 65.2%; 28.4% were identified to have transitioned from having negative at baseline to positive attitude after the intervention. Similarly, participants with the overall intention to breastfeed improved from 20.9% to 51.9%, although only 5% transitioned from lacking the intention to breastfeed to expressing future breastfeeding intention. However, no significant improvements were observed in the breastfeeding knowledge, attitude and intention of participants in the control group.</p></div><div><h3>Conclusions</h3><p>The findings underscore the effectiveness of a Smartphone-based breastfeeding education in improving breastfeeding knowledge, attitude, and intention among college students in Nigeria. Smartphone-based interventions could be an effective targeted approach to addressing gaps in breastfeeding education and avenue to prepare young adults for parenthood.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953489","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":"Herbs, Spices, and Flavoring Ingredients Owned Among People With Limited Financial Resources From Five Race and Ethnic Groups","authors":"","doi":"10.1016/j.jneb.2024.05.010","DOIUrl":"10.1016/j.jneb.2024.05.010","url":null,"abstract":"<div><h3>Background</h3><p>Nutrition educators commonly use cooking demonstrations to elicit positive dietary quality and food resource management behavior changes. When developing these recipes, it is recommended for programs geared towards audiences with limited financial resources to select ingredients that are low-priced, accessible, and culturally appropriate. A large percentage of adult audiences served by these programs in the United States identify as being Hispanic, and in New Jersey, a majority of Hispanics from low-income environments identify as being Puerto Rican, Mexican, or Dominican.</p></div><div><h3>Objective</h3><p>To identify and compare culinary seasonings owned by 3 Hispanic and 2 non-Hispanic, adult groups from low-income environments.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Descriptive; observations, literature review, and semi-structured interviews. 12 stores located within low-income Hispanic neighborhoods (observations) and Zoom and in-person interviews at community agencies. Puerto Ricans (n=30), Mexicans (n=33), Dominicans (n=45), non-Hispanic Blacks (n=25), and non-Hispanic Whites (n=39) from low-income environments living in New Jersey, who spoke English or Spanish, and reported being the primarily food purchaser and cook in their homes.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Specific culinary seasonings owned. Descriptive statistics for all data, stratified by race/ethnicity and Analysis of Variance (ANOVAs) on seasonings owned by group.</p></div><div><h3>Results</h3><p>Overall, participants owned between 4 and 101 culinary seasonings (mean = 32.5+16.7). Similarities and differences among groups’ seasoning ownership were detected. Fresh garlic, ground cinnamon, and table salt were identified as being “usually” or “always” owned by at least 67% of participants from each group. Seventeen seasonings were “rarely” or “never” owned by at least 67% of participants from each group. A statistically significant (P&lt;.05) difference existed between Mexicans and non-Mexicans, due to Mexicans’ ownership of numerous hot peppers.</p></div><div><h3>Conclusions</h3><p>Educators working with both single and multi-cultural audiences should be aware of cultural variations in culinary seasoning ownership, and when working with Hispanic audiences, differentiate among the heritage of those served. Future research should obtain similar data from groups living outside of New Jersey and compare this study's findings.</p></div><div><h3>Funding</h3><p>Expanded Food and Nutrition Education Program</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953589","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":"The Relationship Between Health Belief Model Constructs and Elementary Teachers' Use of Food Rewards","authors":"","doi":"10.1016/j.jneb.2024.05.054","DOIUrl":"10.1016/j.jneb.2024.05.054","url":null,"abstract":"<div><h3>Background</h3><p>Teachers’ actions can influence student health and eating preferences. However, few school policies adequately address classroom food practices. Despite recommendations to the contrary, food rewards are often used to manage student behavior and recognize academic success.</p></div><div><h3>Objective</h3><p>To examine the association between elementary teacher use of food rewards and constructs of the Health Belief Model (HBM).</p></div><div><h3>Study Design, Settings, Participants</h3><p>Elementary school teachers (n=256) from schools located within the midwestern region of the United States completed an online survey which included demographic questions and rating scales to measure a) the types and frequency of classroom food rewards, b) perceived health and wellbeing threats associated with the use of food rewards, c) perceived barriers to de-implementing the use of food rewards, and d) awareness of food policy cues relating to classroom food rewards.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Pearson correlation coefficients were used to measure the association between food reward frequency and scores for each of the HBM constructs. Multiple regression analysis was used to predict food reward frequency and scores for perceived threat, perceived barriers to de-implementing the use of food rewards, and school food policy cues.</p></div><div><h3>Results</h3><p>Candy was the most frequently used food reward and only 14% (n=35) reported that food rewards were never used. In the univariant analysis, food reward frequency was negatively correlated with school food policy cues (r=-.22, p&lt;.01) and positively correlated with barriers to de-implementing food rewards (r=.47, p&lt;.01). The multiple regression analysis predicted food reward frequency [R2=22, F (3,247) 23.62, p&lt;.001], but only barriers to de-implementing food rewards (β=.45; p&lt;.001) contributed significantly to the prediction.</p></div><div><h3>Conclusions</h3><p>Teachers do not understand the risks associated with the use of food rewards. Barriers to de-implementation, but not perceived threats or school food policy cues to action, influenced the frequency of food rewards in this sample of elementary school classrooms. The findings of this study have future implications for efficacious policy and training for the discontinuation of the use of food rewards in classrooms.</p></div><div><h3>Funding</h3><p>Kansas State University Health and Human Sciences Graduate Student Research Award, Kansas State University Arts, Humanities, and Social Sciences Small Grant</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953772","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":"Understanding Mothers’ Lived Experiences Providing Safe and Nutritious Foods for Their Families in Nigeria","authors":"","doi":"10.1016/j.jneb.2024.05.031","DOIUrl":"10.1016/j.jneb.2024.05.031","url":null,"abstract":"<div><h3>Background</h3><p>Household-level food safety, which is underrepresented in research on food safety, represents a significant economic and public health concern in Nigeria. Exposure to unsafe food in the household creates a vicious cycle of diarrhea and other foodborne illnesses and threatens the nutritional status of the most vulnerable, especially infants and young children.</p></div><div><h3>Objective</h3><p>Our objective was to document mothers’ lived experiences in providing safe and nutritious foods for their families using a participatory and qualitative approach.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Mothers of children &lt;5 years (n=55) were recruited from 5 local government areas in Ibadan Metropolis, Nigeria. Mothers took photos and recorded written or audio narratives using the Our Voice Discovery Tool App, following prompts about food safety vulnerability over 5 days.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>In follow-up discussions, mothers shared their photos and discussed potential solutions.</p></div><div><h3>Results</h3><p>Lack of access to resources, equipment and basic amenities; presence of pests; lack of control over food safety in eating out occasions; environmental conditions; shared kitchen and toilet facilities were identified as threats to food safety in the household. Mothers shared many of their strategies to mitigate threats and proposed solutions to improve conditions.</p></div><div><h3>Conclusions</h3><p>Mothers identified various factors at multiple levels of the socio-ecological model that contributed to or detracted from their household's food safety. These findings will be shared with key stakeholders and policymakers to identify and implement sustainable solutions.</p></div><div><h3>Funding</h3><p>USAID</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953466","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":"Comparative Analysis of Federal Food Programs","authors":"","doi":"10.1016/j.jneb.2024.05.065","DOIUrl":"10.1016/j.jneb.2024.05.065","url":null,"abstract":"<div><h3>Objective</h3><p>This report examines the U.S. Department of Agriculture's Food and Nutrition Service (FNS) programs’ landscape; highlighting considerable shifts in participation rates, expenditure trends, and strategic policy adjustments over the 2023 fiscal year (FY).</p></div><div><h3>Results</h3><p>In FY 2023, the FNS programs witnessed a notable decrease in total expenditure to $152.9B, down from $183.0B in the previous FY, potentially signaling tapering of pandemic-induced emergency support measures. Participation in the Supplemental Nutrition Assistance Program (SNAP) experienced a slight increase, by 1.1 million/ month on average compared to FY 2022. However, the total SNAP expenditure dropped by 6.6B; hypothetically indicating the fading impact of emergency allotments. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), experienced a slight increase in participation rate of almost 6.4 million from 6.3 million as well in total expenditure to $6.7B from $5.7B in FY 2022. In continuation from the previous year, the comprehensive support provided in FY 2023, through the NSLP (National School Lunch Program), SBP (School Breakfast Program), CACFP (Child and Adult Care Food Program), and SFSP (Summer Food Service Program) programs, reported a combined total expenditure of $28.43B. However, this indicates a decline from $33.6B in FY 2022. The reduction in Pandemic Electronic Benefit Transfer (P-EBT) program expenditure to $13.69B from $17.9B in FY 2022, further illustrates potential transition towards pre-pandemic operational levels and diminishing reliance on emergency interventions.</p></div><div><h3>Conclusions</h3><p>This report could be the result of adaptive strategies employed by USDA in FY 2023 to navigate the evolving economic landscape. The detailed analysis provides insights into the shifting dynamics of food and nutrition assistance programs, marking a critical step towards recovery, resilience, and strategic realignment of resources in the post-pandemic era.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953529","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":"Development of a Survey to Assess Student Interest in a Campus-Based Community Garden","authors":"","doi":"10.1016/j.jneb.2024.05.007","DOIUrl":"10.1016/j.jneb.2024.05.007","url":null,"abstract":"<div><h3>Background</h3><p>Food insecurity is a significant problem on college campuses. Community gardens are a potential solution and have additional benefits such as the promotion of sustainable thoughts and actions, improvement of mental wellness, and even increased academic performance, without the same level of stigma associated with other interventions such as food pantries.</p></div><div><h3>Objective</h3><p>To develop an instrument to assess behavioral capability, expectations, value expectancies, self-efficacy, collective efficacy, and likelihood to volunteer among students regarding a campus-based, community garden.</p></div><div><h3>Study Design, Settings, Participants</h3><p>This cross-sectional study was conducted at a Mid-western, private university using a convenience sampling of students. Instrument items were developed using the Social Cognitive Theory, and the survey was administered online.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Internal consistency of the subscales was analyzed using Cronbach's alpha. Descriptive statistics were used to report demographics and interest level of participants.</p></div><div><h3>Results</h3><p>Of the 209 respondents, 60% were women and ages ranged 18-43 years (M= 20.46 + 2.67). The internal consistency reliability of the subscales for behavioral capability, expectations, expectancies, and likelihood to volunteer were excellent (ɑ= .90, .90, .93, .92, respectively). Self-efficacy and collective efficacy were only 1 item each so reliability was not analyzed. Of respondents, 70% (n=190) felt confident in their ability to contribute to the garden, and 85% (n=190) felt confident students could work together to contribute. Seventy percent (n=189) also reported they would be likely to volunteer in the garden, and 75% (n=188) would be likely to use the produce grown.</p></div><div><h3>Conclusions</h3><p>This instrument was determined to be reliable among this population. Other institutions may also find this survey useful to determine interest in a campus-based community garden.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953481","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":"Restaurant Corporate Social Responsibility Commitments Are Not Associated With Nutritional Changes to Menu Offerings","authors":"","doi":"10.1016/j.jneb.2024.05.080","DOIUrl":"10.1016/j.jneb.2024.05.080","url":null,"abstract":"<div><h3>Background</h3><p>Restaurants’ public commitments to health, including corporate social responsibility (CSR), have implications for menu offerings, diet, and chronic disease risk.</p></div><div><h3>Objective</h3><p>To evaluate associations between CSR commitments and the nutritional quality of menu offerings in 66 top-selling restaurant chains from 2012 to 2018.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Data on restaurant CSR commitments and the nutrition content of menu offerings were abstracted from the Internet Archive database of restaurant websites and the MenuStat database.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Outcomes of interest included the nutritional quality scores of restaurant menu offerings (via a modified Nutrition Environment Measures Study-Restaurants, NEMS-R, tool) and the nutrition content of menu items (kcal, total fat, saturated fat, sugar, fiber). Generalized linear mixed models with a random effect for restaurant were used to evaluate differences in the NEMS-R score and nutrition content menu offerings between restaurants with (n=22) and without CSR (n=44) commitments, overall and by year. Sensitivity analyses were conducted using health-related CSR commitments identified by qualitative coding in a random subsample of web text sections (n=4,096) versus by keywords (health and non-health-related) in all the web text sections (n=10,615).</p></div><div><h3>Results</h3><p>There were no differences in the NEMS-R score or the nutrition content of menu items in restaurants with versus without CSR commitments. Sensitivity analyses suggest modest changes in the nutrition content of menu items at restaurants with CSR commitments both overall and by year. Specifically, there was a modest decline in per-item calories offered each year (-3.4 kcals per year 95%CI: -7.0, -0.4) but a slightly higher amount of total fat and saturated fat overall by restaurants with CSR commitments vs. those without (0.09 g of fat 95%CI: 0.0, 2.1 and 0.4 g saturated fat 95%CI: 0.0, 1.1, respectively). There were small declines in saturated fat over time (-0.1 g saturated fat per year 95%CI: -0.2, 0.0) in restaurants with CSR commitments vs. those without.</p></div><div><h3>Conclusions</h3><p>CSR commitments did not translate into nutritional changes to restaurant menus that would meaningfully impact health.</p></div><div><h3>Funding</h3><p>American Heart Association</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949843","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":"Associations of Parent Feeding Practice Profiles With Feeding Styles, Child Diet Quality, and the Home Food Environment","authors":"","doi":"10.1016/j.jneb.2024.05.087","DOIUrl":"10.1016/j.jneb.2024.05.087","url":null,"abstract":"<div><h3>Background</h3><p>The Comprehensive Feeding Practices Questionnaire (CFPQ) is a validated measure of 12 aspects of parent feeding that have been associated with child dietary intake and health outcomes.</p></div><div><h3>Objective</h3><p>To investigate latent profiles of CFPQ subscales (ie, patterns of individual responses) and test relationships with parental feeding styles (ie, authoritative, authoritarian, indulgent, uninvolved), child adherence to dietary guidelines, and the home food environment.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Secondary analysis of data from 118 maternal-child dyads in North Carolina assessed at child ages 3 and 5 years.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Profiles of the 12 CFPQ subscales were examined using Latent Profile Analysis. Multinomial regression estimated associations of CFPQ latent profiles with feeding styles measured by the Caregiver Feeding Styles Questionnaire (CFSQ). Linear regression examined associations of profile membership with child Healthy Eating Index 2020 (HEI) overall and separately for adequacy (eg, fruit, vegetables, whole grains, HEI-adq) and moderation (eg, refined grains, sodium, HEI-mod) components. Associations of the Home Food Inventory obesogenic score (HFI-OB) and fruit/vegetable score (HFI-FV) with CFPQ latent profiles were estimated using ANOVA. Significance was set at p&lt;0.05.</p></div><div><h3>Results</h3><p>Fit indices (BIC and ICL) supported a three-profile model: 1 high supportive and low controlling practices, 2 high controlling and high supportive practices, and 3 moderate controlling and low supportive practices. CFSQ feeding styles did not predict CFPQ latent profile membership. Total HEI, HEI-adq and HEI-mod were lower in profile 1 than profile 3 (Total HEI β=-5.85, p=0.05; HEI-adq β=-3.65, p=0.06; HEI-mod β=-2.19, p=0.11). HFI-OB was lower in profile 1 than profile 2 (mean difference= -4.85, 95%CI= -9.00 - 0.70) and profile 3 (mean difference= -4.68, 95%CI= -8.40 - -0.97). HFI-FV was higher for profile 1 than profile 3 (mean difference= 3.30, 95%CI= 0.10-6.49).</p></div><div><h3>Conclusions</h3><p>Profiles of parents who have high supportive and low controlling feeding practices were associated with improved diet quality and home food environment compared to parents who had high controlling and high supportive or moderate controlling and low supportive practices.</p></div><div><h3>Funding</h3><p>NIH</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949828","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":"Registered Dietitian (RDN) Lack Knowledge and Experience Working With Human Trafficked Individuals: A Call for Interprofessional Team Education","authors":"","doi":"10.1016/j.jneb.2024.05.028","DOIUrl":"10.1016/j.jneb.2024.05.028","url":null,"abstract":"<div><h3>Background</h3><p>Human trafficking (HT) is the forcible recruitment and retention of individuals for forced labor, sex or other types of service. HT victims may suffer from malnutrition, dehydration, low food security, and infections, leading to poor health outcomes. HT victims are normally treated with interprofessional team care (IPT). Although RDNs are trained to deliver MNT for these conditions, they may lack knowledge, self-efficacy, and opportunities to assist HT individuals on IPT.</p></div><div><h3>Objective</h3><p>To explore Registered Dietitian cli(RDN) knowledge, self-efficacy, barriers and need for training to assist HT individuals.</p></div><div><h3>Study Design, Settings, Participants</h3><p>This cross-sectional study involved a 43-question e-mail survey completed by (n=241; response rate 25%) members of the Indiana Academy of Nutrition and Dietetics (63% of responses), the Academy of Nutrition and Dietetics’ Women's Health Dietetic Practice Group (23%), and Ball State University dietetic preceptors (14%).</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Descriptive statistics, Chi-Square analyses, and ANOVA were used to determine RDNs’ overall knowledge of, self-efficacy for, experience working with and barriers to assisting HT individuals on IPT.</p></div><div><h3>Results</h3><p>Participants were largely female (97%), white (97%), and had 10+ years of practice (54%). Two-thirds of participants indicated they were “not at all” confident in identifying and caring for HT individuals. RDNs between ages 30-44 and had 3-5 years of practice had the highest mean scores for HT knowledge. RDNs indicated that barriers to working with HT individuals included a lack of: education and professional development on how to serve this population; known cases in the workplace; and reliance on incomplete patient histories. RDNs indicated that they desire more education on assisting HT individuals through continuing education, preferably through webinars.</p></div><div><h3>Conclusions</h3><p>No studies to date have explored RDNs’ knowledge of, experience with, or educational needs for raising their ability to assist HT individuals in a variety of settings. RDNs face barriers to working on IPT serving HT individuals. Education, particularly continuing education, may help facilitate RDNs’ ability to make impactful improvements in HT individuals’ health and well-being.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953521","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}