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":"Aygul Akhmadullina MS,&nbsp;Laila A. Allam,&nbsp;Sydney D. Johnson,&nbsp;L. Suzanne Goodell PhD, RDN","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":"56 8","pages":"Pages S13-S14"},"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":"Development of a Survey to Assess Student Interest in a Campus-Based Community Garden","authors":"Rebecca Allgeier,&nbsp;Teresa Drake PhD, RDN, MCHES","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":"56 8","pages":"Pages S1-S2"},"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":"Improving College Students’ Breastfeeding Knowledge, Attitude, and Intention Through Smartphone Breastfeeding App in Nigeria","authors":"Oluwatosin Leshi PhD,&nbsp;Isibhakhomen Ejoh PhD,&nbsp;Tawede Adewale MS, RD,&nbsp;Imosioluwa Oyesola MS","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":"56 8","pages":"Pages S43-S44"},"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":"Is Parent Diet Quality Related to Child Diet Quality? A Cross-Sectional Pilot Study Among Low-Income Families from Indiana","authors":"Analí Morales-Juárez MS, BS,&nbsp;Mwiza A. Uwashimimana BS,&nbsp;Regan Bailey PhD, MPH, RD, CPH,&nbsp;Bruce A. Craig PhD, MS, BS,&nbsp;Janet Tooze PhD, MPH,&nbsp;Blake Connolly MPH,&nbsp;Wanda Stevens BA,&nbsp;Heather A. Eicher-Miller PhD, MS, BA","doi":"10.1016/j.jneb.2024.05.103","DOIUrl":"10.1016/j.jneb.2024.05.103","url":null,"abstract":"<div><h3>Background</h3><p>Evidence has shown inconclusive relationships between parent and child diets, including diet quality, despite an expected link.</p></div><div><h3>Objective</h3><p>The objective of this pilot study was to determine whether parent diet quality predicts child diet quality among low-income families in Indiana, United States.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Baseline data collected from April 2023 to January 2024 from 49 paired parents 26-75 years and their children 5-17 years (one parent and one child) from low-income households throughout Indiana was utilized for this secondary analysis.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>The parent completed the U.S. Household Food Security Survey Module and parent and child each completed one to four 24-hour dietary recalls. The Healthy Eating Index (HEI-2015) for both parent and child were derived using the simple method for individuals. Their associations were assessed via Pearson correlation (unadjusted) as well as multiple linear regression models with child HEI as the dependent variable, adjusted for food security status; child's sex, ethnicity, and age; and parent's age and smoking status.</p></div><div><h3>Results</h3><p>The HEI-2015 total scores indicated poor dietary quality for parents and children (50.9±11.6 and 51.5±12.1, respectively). The parent-child correlations for HEI-2015 that were statistically significant (p &lt; 0.05) were weak to moderate (r=0.4 for total HEI, total fruits, greens and beans, and saturated fats; r=0.3 for whole fruits, total vegetables, and fatty acids; and r=0.5 for whole grains). When controlling for covariates, parent diet quality was not significantly related to child diet quality for the total HEI-2015 score but was significantly related for components such that an increase in one HEI point in the parent score, on average, was related to a small increase of 0.4 points for greens and beans (p=0.01), whole grains (p=0.004), and saturated fats (p=0.01); and 0.3 points for fatty acids (p=0.02) in the child scores.</p></div><div><h3>Conclusions</h3><p>A weak-moderate relationship existed between parent-child diets for several dietary quality components. Factors other than parental dietary quality may potentially play a role in child dietary quality among low-income households.</p></div><div><h3>Funding</h3><p>NIFA</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Pages S44-S45"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953493","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":"Christen Cupples Cooper EdD, RDN,&nbsp;Lydia McRoberts MS, RDN","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":"56 8","pages":"Page S11"},"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}

{"title":"Comparative Analysis of Federal Food Programs","authors":"Komal Jethmalani MS, CDE","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":"56 8","pages":"Page S26"},"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":"Herbs, Spices, and Flavoring Ingredients Owned Among People With Limited Financial Resources From Five Race and Ethnic Groups","authors":"Ricardo Kairios MS,&nbsp;Debra Palmer-Keenan PhD, MEd,&nbsp;Graham Bastian PhD, RDN","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":"56 8","pages":"Page S3"},"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":"Elizabeth Daniels LD, RDN,&nbsp;Janelle Elmore,&nbsp;Kevin Sauer PhD, RDN, LD, FAND,&nbsp;Kelly Whitehair PhD, LD, RD,&nbsp;Jennifer Hanson PhD, LD, RD","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":"56 8","pages":"Page S22"},"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":"The Role of the Registered Dietitian (RDN) in the Charitable Food System Response During COVID-19: A Qualitative Exploration","authors":"Marissa McElrone PhD, RDN, CPH,&nbsp;Elizabeth Anderson Steeves PhD, RDN","doi":"10.1016/j.jneb.2024.05.083","DOIUrl":"10.1016/j.jneb.2024.05.083","url":null,"abstract":"<div><h3>Background</h3><p>Despite the various pandemic-related food system challenges, national food security (FS) rates were largely unchanged during COVID-19. The charitable food system (CFS) played a vital role to address FS during the pandemic by adapting and innovating methods to feed communities.</p></div><div><h3>Objective</h3><p>This study explored the role of registered dietitian nutritionists (RDNs) in the CFS pandemic response.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Semi-structured phone and Zoom interviews were conducted with staff, volunteers, partners, and neighbors (n=56) from 6 CFS programs/organizations across the USA between May and August 2022 as part of a cross-case analysis exploring innovative COVID-19 response.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Two coders used a data-driven analysis process to independently apply codes to transcripts within NVivo 12. Thematic analysis was used to explore codes related to roles and nutrition expertise in the CFS response among a subsample (n=11) of interviewees who identified as RDNs and/or nutrition experts.</p></div><div><h3>Results</h3><p>Over 90% of participants were RDNs (n=10), while the other nutrition expert (n=1) held a doctorate in nutrition. The integration of three key RDN scope of practice areas including foodservice systems management (eg, logistics, food safety), community nutrition (eg, needs/strengths assessment, community/client-centered approaches), and clinical dietetics (eg, tailoring for health/wellness/cultural preferences) emerged from interviews as vital strengths in the CFS pandemic response.</p></div><div><h3>Conclusions</h3><p>RDNs indicated that their broad training uniquely situated them to strengthen the CFS efforts during COVID-19. With the recent emphasis on Food is Medicine initiatives, examining the roles and responsibilities of RDNs working in the CFS can inform nutrition security initiatives beyond the pandemic.</p></div><div><h3>Funding</h3><p>Academy of Nutrition and Dietetics Foundation Accelerating Food Security: Supply Chain Innovation Fellowship</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Pages S34-S35"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953786","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(24)00370-1","DOIUrl":"10.1016/S1499-4046(24)00370-1","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page A3"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499404624003701/pdfft?md5=bc53148ba7ad32bbd742975e6015aabc&pid=1-s2.0-S1499404624003701-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141960015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}