Heather A. Davis PhD, Sarah Misyak PhD, MPH, Elena L. Serrano PhD
{"title":"Promoting Comprehensive Approaches and Wrap-Around Services to Address Stigma and Shame Among Nutrition Education Participants","authors":"Heather A. Davis PhD, Sarah Misyak PhD, MPH, Elena L. Serrano PhD","doi":"10.1016/j.jneb.2024.12.006","DOIUrl":"10.1016/j.jneb.2024.12.006","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 3","pages":"Pages 258-259"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980707","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":"Nutrition Knowledge Among Students in an Historically Black College and University (HBCU) Is Inadequate and Associated With Residence","authors":"Janet Antwi PhD, RPh, RD, LD, Yetunde Olawuyi PhD, Modupe Ifafore MS, Innocent Opara MS","doi":"10.1016/j.jneb.2024.10.013","DOIUrl":"10.1016/j.jneb.2024.10.013","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined the nutrition knowledge and dietary habits of students at an Historically Black College and University.</div></div><div><h3>Methods</h3><div>A cross-sectional survey with 297 participants was conducted online using Qualtrics. An adapted questionnaire was used to obtain general nutrition knowledge. Descriptive analyses and binary logistic regression were conducted.</div></div><div><h3>Results</h3><div>The average nutrition knowledge score was 55.0% ± 46.9%, indicating inadequacy, and was significantly associated with dietary habits (<em>P</em> = 0.017). Nutrition knowledge was significantly associated with age, ethnicity, marital status, work status, and residence (<em>P</em> < 0.05). Consumer and dietary habits scored 3.1 ± 1.6 out of 5, with the lowest score for choosing fat-free or low-fat milk. Residence significantly predicted nutrition knowledge; students living with family exhibited higher odds (odds ratio, 7.21; 95% confidence interval, 2.13–24.39) of adequate knowledge compared with those in the campus residence hall.</div></div><div><h3>Conclusion and Implications</h3><div>These findings can guide nutrition interventions for college students, with future research needed to explore how residence impacts nutrition knowledge and habits.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 3","pages":"Pages 225-231"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848028","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}
Caitlyn B. Faul MPH, RD, LDN, CDCES , Stephanie Jilcott Pitts PhD , Eric E. Calloway PhD, RD , Hilary K. Seligman MD, MAS , Heidi Reis MLIS, AHIP , Cheryl Webb Cherry MAc , Irene E. Hatsu PhD, RDN , Oyinlola Toyin Babatunde PhD, MPH, RDN , Alexandra L. MacMillan Uribe PhD, RDN , Jared T. McGuirt PhD, MPH , Rebecca A. Seguin-Fowler PhD, RD, LD, CSCS
{"title":"A Meta-Ethnography to Determine Critical Constructs of Nutrition Security","authors":"Caitlyn B. Faul MPH, RD, LDN, CDCES , Stephanie Jilcott Pitts PhD , Eric E. Calloway PhD, RD , Hilary K. Seligman MD, MAS , Heidi Reis MLIS, AHIP , Cheryl Webb Cherry MAc , Irene E. Hatsu PhD, RDN , Oyinlola Toyin Babatunde PhD, MPH, RDN , Alexandra L. MacMillan Uribe PhD, RDN , Jared T. McGuirt PhD, MPH , Rebecca A. Seguin-Fowler PhD, RD, LD, CSCS","doi":"10.1016/j.jneb.2024.11.004","DOIUrl":"10.1016/j.jneb.2024.11.004","url":null,"abstract":"<div><h3>Objective</h3><div>This meta-ethnography aimed to examine and thematically analyze relevant qualitative studies to create a nutrition security conceptual framework.</div></div><div><h3>Design</h3><div>Following the 7-step process for a meta-ethnography, we screened 6,831 studies and included eligible papers relating to nutrition security.</div></div><div><h3>Setting</h3><div>US-based studies.</div></div><div><h3>Participants</h3><div>2,709 participants in 58 qualitative papers reviewed.</div></div><div><h3>Phenomenon of Interest</h3><div>Nutrition security.</div></div><div><h3>Intervention</h3><div>Not applicable.</div></div><div><h3>Analysis</h3><div>Two researchers independently read and extracted data from each paper. This information was then combined, and 2 investigators generated themes to determine critical constructs of nutrition security. Constructs were then combined into a conceptual model.</div></div><div><h3>Results</h3><div>The final conceptual framework includes 2 primary constructs (environmental circumstances and psychosocial functioning), 16 secondary constructs, and 51 tertiary constructs of nutrition security.</div></div><div><h3>Conclusions and Implications</h3><div>This is the first meta-ethnography to focus on concepts related to nutrition security rather than food security. There is an overlap between our findings and the existing framework for food security, including the 6 pillars of food security and the 5 domains of food access. An improved understanding of nutrition security and the proposed conceptual framework established will help guide the development of improved nutrition security measures and interventions to improve diet quality and overall health.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 3","pages":"Pages 167-184"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550404","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}
{"title":"Strengthening Policy, Systems and Environmental Strategies in Nutrition Education for Lasting Impact","authors":"Lauren Haldeman PhD","doi":"10.1016/j.jneb.2024.12.003","DOIUrl":"10.1016/j.jneb.2024.12.003","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 2","pages":"Page 85"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143165837","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}
Brett Wayne MDA, Kelsey Mueller Davis BS, Sarah G. Bellini PhD, RDN, CD, Emily V. Patten PhD, RDN, CD
{"title":"Mental Health and Well-Being of Didactic Program in Dietetics Students","authors":"Brett Wayne MDA, Kelsey Mueller Davis BS, Sarah G. Bellini PhD, RDN, CD, Emily V. Patten PhD, RDN, CD","doi":"10.1016/j.jneb.2024.10.008","DOIUrl":"10.1016/j.jneb.2024.10.008","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the levels of depression, anxiety, stress, and loneliness of Didactic Program in Dietetics (DPD) students in the spring of 2022.</div></div><div><h3>Methods</h3><div>An electronic survey was distributed to DPD students throughout the US, including the Depression Anxiety Stress Scales, stressor measure, University of California, Los Angeles 3-item loneliness measure, and an open-ended item exploring if and which mental health resources students used.</div></div><div><h3>Results</h3><div>Of respondents (n = 341), many were classified as having levels of depression (47%), anxiety (56%), and stress (52%) above the general population mean. Half (50.2%) met the criteria for experiencing loneliness. The most significant sources of stress/concern were postgraduation plans, including dietetic internships, managing time, self-imposed expectations, dietetics courses, and finances. Of responses to an open-ended item (n = 264), 141 reported using some form of mental health resources in the past year.</div></div><div><h3>Conclusions and Implications</h3><div>About half of DPD students were experiencing depression, anxiety, stress, and loneliness during the coronavirus disease 2019 pandemic. Dietetics educators may share resources DPD students have used to manage their mental health and connect students to supportive resources on campus and in their communities.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 2","pages":"Pages 132-140"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787012","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 2022 Minnesota Statewide Food Shelf Survey: Reported Availability of Healthy Foods and Importance of Culturally-specific Foods by Participant Demographic Characteristics","authors":"Francine Overcash PhD, MPH , Patrick Brady PhD , Abby Gold PhD, MPH, RD , Beth Labenz MPH , Marla Reicks PhD, RDN, LN , Susannah West MPH","doi":"10.1016/j.jneb.2024.08.006","DOIUrl":"10.1016/j.jneb.2024.08.006","url":null,"abstract":"<div><h3>Objective</h3><div>To determine whether shopper-reported availability of foods from Minnesota food shelves and the importance of cultural foods/cooking items differed by demographic characteristics.</div></div><div><h3>Methods</h3><div>Cross-sectional survey of food pantry shoppers (n = 4,680) who visited more than or equal monthly with choice over food selection.</div></div><div><h3>Results</h3><div>Hispanic and Black shoppers had higher odds of reporting produce, eggs, and cooking items were always available than White shoppers (odds ratio [OR] > 1.35; <em>P</em> < 0.001–0.02). The odds of Asian participants reporting that meat, poultry, and fish were always available were lower than White participants (OR, 0.55; <em>P</em> = 0.002). Asian, Black, Hispanic, and male shoppers had higher odds of indicating the importance of culturally-specific food and cooking item availability than their counterparts (White, females, respectively) (OR, 1.7–6.1; <em>P</em> <0.001).</div></div><div><h3>Conclusions and Implications</h3><div>Inequities exist in the availability of healthy and culturally-specific foods in food pantries that could be addressed via food-sourcing policies/strategies and food bank distribution efforts.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 2","pages":"Pages 148-155"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631322","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}
Alison Johnston BS , Morgan Voulo BS , Gail C. D'Souza DrPH , Olivia Lawler MS , Michael Flanagan MD , Penny M. Kris-Etherton PhD , Kristen Grine DO , Travis D. Masterson PhD
{"title":"Nutrition Education in Primary Care: Comparing Video vs Handout Interventions","authors":"Alison Johnston BS , Morgan Voulo BS , Gail C. D'Souza DrPH , Olivia Lawler MS , Michael Flanagan MD , Penny M. Kris-Etherton PhD , Kristen Grine DO , Travis D. Masterson PhD","doi":"10.1016/j.jneb.2024.09.008","DOIUrl":"10.1016/j.jneb.2024.09.008","url":null,"abstract":"<div><h3>Objective</h3><div>Compare the effectiveness of instructional videos with print handouts when educating family medicine patients about the use of herbs and spices to reduce sodium, saturated fat, and added sugars during meal preparation.</div></div><div><h3>Design</h3><div>Enrollees were randomized to either view 5 short videos or read 3 handouts. The intervention was implemented while patients waited for their provider to begin their appointment. Postintervention surveys were completed on the patient's smartphone.</div></div><div><h3>Setting</h3><div>Penn State Health family medicine clinics.</div></div><div><h3>Participants</h3><div>Patients who attended in-person appointments between September 2022 and August 2023 (n = 102).</div></div><div><h3>Main Outcome Measure(s)</h3><div>The impact of video and handout intervention on participants’ interest, confidence, knowledge, and intention to use herbs and spices and their perceptions of the intervention.</div></div><div><h3>Analysis</h3><div>Descriptive statistics summarized sample characteristics; t tests compared video and handout groups.</div></div><div><h3>Results</h3><div>The video group had higher scores for interest, confidence, and intention to use herbs and spices. Participants perceived the videos as clearer (<em>P</em> = 0.001) and more appropriately complex (<em>P</em> = 0.02) than the handout materials.</div></div><div><h3>Conclusions and Implications</h3><div>Videos were superior to handouts in promoting interest, confidence, and intention to use herbs and spices for healthier cooking. Videos may improve patient engagement and preventive health care practices in clinical settings.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 2","pages":"Pages 141-147"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631307","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}
{"title":"Editorial Board/Board of Directors","authors":"","doi":"10.1016/S1499-4046(24)00539-6","DOIUrl":"10.1016/S1499-4046(24)00539-6","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 2","pages":"Page A3"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143165840","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}
Elyvine Ingabire-Gasana BS, Mary Murimi PhD, RD, LDN
{"title":"Impact of Harvest Lentil Vegetable Blend and Nutrition Education on Child Growth, Caregivers’ Nutrition Knowledge, and WASH Practices","authors":"Elyvine Ingabire-Gasana BS, Mary Murimi PhD, RD, LDN","doi":"10.1016/j.jneb.2024.09.009","DOIUrl":"10.1016/j.jneb.2024.09.009","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the changes in child nutrition status, caregivers’ knowledge, and water, sanitation, and hygiene (WASH) practices following the provision of Harvest Lentil Vegetable Blend to children and a nutrition education intervention to their caregivers.</div></div><div><h3>Design</h3><div>Three-week pretest-posttest study.</div></div><div><h3>Setting</h3><div>Turkana, Kenya.</div></div><div><h3>Participants</h3><div>Children aged 6–59 months (n = 162) and their caregivers (n = 127) completed the intervention, representing > 70% retention.</div></div><div><h3>Interventions</h3><div>Provision of Harvest Lentil Vegetable Blend to children and nutrition education intervention for caregivers on child feeding and WASH practices.</div></div><div><h3>Main Outcomes Measures</h3><div>Children's anthropometric measurements, caregivers’ nutrition knowledge, and WASH practices.</div></div><div><h3>Analysis</h3><div>Wilcoxon signed rank and McNemar tests.</div></div><div><h3>Results</h3><div>At baseline, 19%, 24%, and 35% of children were stunted, underweight, and wasted, respectively. At the endpoint, the weight-for-age z-scores increased by 0.61 (<em>P</em> = 0.04) for children 6–12 months and by 0.31 (<em>P</em> = 0.03) for children 13–47 months. Weight-for-height z-scores increased by 0.84 (<em>P</em> = 0.04) among children 6–12 months and by 0.42 (<em>P</em> = 0.04) among children 13–47 months. The proportion of caregivers who reported washing hands after defecation and before cooking increased by 37% and 26%, respectively (<em>P</em> = 0.001).</div></div><div><h3>Conclusions and Implications</h3><div>An on-site feeding program that used nutrient-dense supplemental food was associated with positive changes in children's nutrition status within a short duration. Nutrition education intervention increased the proportion of caregivers who practiced some key WASH practices.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 2","pages":"Pages 111-119"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631206","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}
Cheng Li PhD , Garry Auld PhD , Scott E. Crouter PhD , Debra M. Palmer-Keenan PhD, MEd
{"title":"Validation of a Brief Physical Activity Assessment Tool for Adults With Limited Resources","authors":"Cheng Li PhD , Garry Auld PhD , Scott E. Crouter PhD , Debra M. Palmer-Keenan PhD, MEd","doi":"10.1016/j.jneb.2024.10.011","DOIUrl":"10.1016/j.jneb.2024.10.011","url":null,"abstract":"<div><h3>Objective</h3><div>To validate a Brief Physical Activity Assessment Tool for the <em>Expanded Food and Nutrition Program</em> (EFNEP).</div></div><div><h3>Design</h3><div>Phase 1: test-retest reliability based on 2 survey administrations; Phase 2: concurrent validity triangulated with accelerometer data; Phase 3: sensitivity to change and responsiveness and secondary analysis of EFNEP national dataset.</div></div><div><h3>Setting</h3><div>Community centers and/or EFNEP classes across the US.</div></div><div><h3>Participants</h3><div>Phase 1: 75 adults; Phase 2: 106 adults; and Phase 3: 53,393 adults.</div></div><div><h3>Main Outcome Measures</h3><div>Test-retest reliability, concurrent validity, and sensitivity to change and responsiveness.</div></div><div><h3>Analysis</h3><div>Test-retest reliability: intraclass correlation, κ, and Spearman correlation coefficient (SCC); concurrent validity: SCC; sensitivity to change: standardized response mean, effect size, and paired t tests; responsiveness: minimal important difference.</div></div><div><h3>Results</h3><div>The Brief Physical Activity Assessment Tool's test-retest results were moderate (intraclass correlation = 0.77–0.84; κ = 0.55–0.61; SCC = 0.59–0.84). Concurrent validity differed by questions but was highest for the muscle-strengthening question (SCC = 0.87). All questions demonstrated moderate sensitivity to change and responsiveness. Patterns between non-Hispanics and Hispanics were similar.</div></div><div><h3>Conclusions and Implications</h3><div>The study resulted in a brief, validated, nationally tested questionnaire for evaluating physical activity changes for non-Hispanic adults with limited resources, which could be included in short surveys. It could be further validated among other populations.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 2","pages":"Pages 86-98"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830607","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}