Journal of Nutrition Education and Behavior最新文献

{"title":"Tacit Knowledge in Cooking: A Key to Teaching and Integrating Cooking as a Practice","authors":"Nicole Farmer MD ,&nbsp;Rachel Hingst MPH, OTR/L","doi":"10.1016/j.jneb.2025.03.010","DOIUrl":"10.1016/j.jneb.2025.03.010","url":null,"abstract":"<div><div>Cooking is a dietary behavior linked to the optimization of dietary intake in both nonintervention and intervention settings. Incorporation of cooking into daily life to benefit diet requires the acquisition and transfer of knowledge and skills, which can then influence cooking self-efficacy and agency. Utilization of and awareness of tacit (embodied or unspoken) knowledge with transfer to explicit knowledge (spoken, written) may facilitate cooking as a practice. This perspective article will explore the use of tacit knowledge in cooking in the building and transfer of skills, provide a framework for understanding knowledge development and transfer, and provide implications for practice and research.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Pages 787-797"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152665","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":"All About Arkansas Foods: Locally Grown Nutrition Education","authors":"Amber Hairston MS,&nbsp;Tristin Bolton MS,&nbsp;Katie Holland MS, RD,&nbsp;Amy McClelland MS, RD,&nbsp;Sarah David MBA, MM,&nbsp;Teresa Henson PhD","doi":"10.1016/j.jneb.2025.05.094","DOIUrl":"10.1016/j.jneb.2025.05.094","url":null,"abstract":"<div><h3>Objective</h3><div>Implement a nutrition education program focusing on locally grown foods.</div></div><div><h3>Use of Theory or Research</h3><div>Studies show nutrition education interventions have potential to improve children’s diet quality and are associated with more positive food choices.</div></div><div><h3>Target Audience</h3><div>Kindergarten through 5th grade students in two SNAP-Ed eligible elementary schools.</div></div><div><h3>Program Description</h3><div>The University of Arkansas Division of Agriculture Cooperative Extension Service (UADA CES) SNAP-Ed Program partnered with two schools in Ashley County, Arkansas to implement a nutrition education program focusing on Arkansas-grown foods. Throughout the 2023-24 school year, the Agent utilized the Arkansas Foods curriculum to connect with 219 youth. Lessons covered how each food is grown, the nutrition benefits of the food, and how the food may be consumed. Students learned about and sampled greens, winter squash, chicken, nuts, hard and soft cheese, oats, and strawberries. A majority of students tasted the food offerings during the lessons. Parents received newsletters with educational information about the locally grown foods following the in-person youth education.</div></div><div><h3>Evaluation Methods</h3><div>Student were surveyed using a QR code survey. Parents were surveyed utilizing a QR code on newsletters sent home following youth in-person education. Teachers were surveyed at the conclusion of the program using an email link to an electronic survey.</div></div><div><h3>Results</h3><div>Among student respondents, 94% indicated they liked the food tasting they received as part of the lesson. Of the parents who completed the newsletter QR code survey, 31% indicated they prepared the recipe included in the newsletter at home and 88% indicated they liked the featured food. Teacher survey results showed that 100% of teachers found the program valuable, 86% of teachers said students mentioned changing how they eat at home, and 100% of teachers were motivated to eat healthier as a result of the program.</div></div><div><h3>Conclusions</h3><div>Students demonstrated greater acceptance of locally grown foods and gained a deeper understanding of how these foods are grown. Parents reported using recipes from the curriculum at home with their families, and teachers observed students discussing positive dietary changes and embracing healthier eating habits themselves.</div></div><div><h3>Funding</h3><div>SNAP-Ed</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Page S43"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771262","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":"An Interdisciplinary Education Program Delivered to Families with Low Income Improved Caregivers' Cooking Self-Efficacy Regardless of Food Security Status","authors":"Miranda Badolato PhD,&nbsp;David Diehl PhD,&nbsp;Vicki Freedman n/a,&nbsp;Karla Shelnutt PhD, RD,&nbsp;Jenee Duncan PhD,&nbsp;Jennifer Wise MA,&nbsp;Alicia Papanek MS, CHES,&nbsp;Anne Mathews PhD, RDN","doi":"10.1016/j.jneb.2025.05.096","DOIUrl":"10.1016/j.jneb.2025.05.096","url":null,"abstract":"<div><h3>Background</h3><div>For families with low income, improving diet quality (DQ) requires support beyond nutrition education. Addressing families’ cooking self-efficacy (CSE) may help improve DQ; however, few studies have investigated whether interdisciplinary family education programs that incorporate home-based cooking opportunities may improve CSE regardless of food security status (FSS). The University of Florida’s Books &amp; Cooks nutrition, literacy, and parenting education program aimed to improve the nutrition status of families with low income by providing nutrition lessons and meal kits. Investigating this program’s impact on CSE across FSS may elucidate how multidimensional educational interventions can support families with low income, especially since CSE and DQ may be lower in populations experiencing food insecurity.</div></div><div><h3>Objective</h3><div>To determine the effectiveness of a six-week interdisciplinary education intervention on CSE across levels of FSS.</div></div><div><h3>Study Design, Settings, Participants</h3><div>Across six counties in Florida, families with at least one child in grades kindergarten through fifth completed a six-week interdisciplinary education intervention that included in-class educational sessions and take-home activities including a meal kit with ingredients and recipes for three meals per week.</div></div><div><h3>Measurable Outcome/Analysis</h3><div>Of the 146 participating families, 110 caregivers completed baseline and post assessments, including the 13-item Cooking and Food Provisioning Action Scale self-efficacy subscale and the USDA Adult Food Security Survey Module. CSE scores were summed and a paired samples t-test determined timepoint differences. A general linear model assessed changes in CSE across FSS levels.</div></div><div><h3>Results</h3><div>Most participants were White (53%), non-Hispanic (64%), and female (95%) and reported experiencing very low (19%), low (31%) marginal (30%) or high FSS (20%). At post, mean CSE (72.64±12.64) was significantly higher (p&lt; 0.001) than at baseline (65.79±14.29). There were no differences in the magnitude of change in CSE across levels of FSS (p=0.529).</div></div><div><h3>Conclusions</h3><div>These results demonstrate that a short interdisciplinary education program with at-home cooking opportunities using meal kits may improve CSE regardless of FSS. Future education programs aiming to improve the DQ of families with low-income should consider creating home-based cooking opportunities, especially when interdisciplinary learning outcomes are targeted.</div></div><div><h3>Funding</h3><div>University of Florida Lastinger Center</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Page S44"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771264","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":"An Outcome Evaluation of a Subsidized Community-Supported Agriculture Program at an Urban Food Pantry: A Quasi-Experimental Pilot Study","authors":"Ruyu Liu MS, RD,&nbsp;Roger Figueroa PhD, MPH, MSc,&nbsp;Daniel Harwood BA,&nbsp;Ora Kemp MPH,&nbsp;Alyson Rosenthal MS, RD","doi":"10.1016/j.jneb.2025.05.097","DOIUrl":"10.1016/j.jneb.2025.05.097","url":null,"abstract":"<div><h3>Background</h3><div>Participation in subsidized community-supported agriculture (CSA) is associated with increased food security, fruit and vegetable (FV) intake, and skin carotenoids among individuals with low income. However, its impact in the food pantry setting remains understudied.</div></div><div><h3>Objective</h3><div>To examine the preliminary effectiveness of “Farm Share” participation on food security and dietary behaviors.</div></div><div><h3>Study Design, Settings, Participants</h3><div>This pilot study used a quasi-experimental, 3-month pre-post design to evaluate the “Farm Share” program, a subsidized CSA program led by a food pantry in New York, NY. The program provided biweekly distributions of approximately 25 pounds of fresh produce for $5 per bag, with educational flyers and workshops available. Adult participants fluent in English or Spanish were recruited from the Farm Share program and a control group from another similar-sized food pantry without a CSA.</div></div><div><h3>Measurable Outcome/Analysis</h3><div>The outcome variables included food security, FV intake, diet quality, and skin carotenoids (a proxy for FV intake). The changes in outcome variables between groups were examined using generalized estimating equations and mixed-effect regression models.</div></div><div><h3>Results</h3><div>A total of 123 participants were enrolled at baseline (Farm Share n = 54, control n = 69). The sample predominantly consisted of individuals who identified as Hispanic/Latino, Black or African American, foreign-born, single, middle-aged (ranging 18 – 86 years), female, and had a high school education or lower. Retention rate was 65.0% at follow-up (Farm Share n = 33, control n = 47). Compared to the control group, the skin carotenoids significantly increased in the Farm Share group (p = 0.002), even after adjusting for smoking status, age, sex, and birthplace (p = 0.005). Improvements in food security (p = 0.187) and FV intake (p = 0.184) were observed but were not statistically significant.</div></div><div><h3>Conclusions</h3><div>Findings demonstrated the preliminary effectiveness of the Farm Share program on improving skin carotenoids. Future studies should continue examining the effectiveness of subsidized CSA in food pantries, with larger sample sizes and longer follow-up.</div></div><div><h3>Funding</h3><div>Cornell University</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Pages S44-S45"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771265","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":"Assessing Perceived Helpfulness of Take-home Nutrition Activities in the Books & Cooks Literacy and Nutrition Education Program","authors":"Miranda Badolato PhD,&nbsp;Sean Tzoucalis n/a,&nbsp;David Diehl PhD,&nbsp;Alicia Papanek MS, CHES,&nbsp;Karla Shelnutt PhD, RD,&nbsp;Anne Mathews PhD, RDN,&nbsp;Jenee Duncan PhD,&nbsp;Jennifer Wise MA","doi":"10.1016/j.jneb.2025.05.098","DOIUrl":"10.1016/j.jneb.2025.05.098","url":null,"abstract":"<div><h3>Background</h3><div>The University of Florida Institute of Food and Agricultural Sciences Extension Books &amp; Cooks (B&amp;C) program is a six-week nutrition, literacy, and parenting education program designed to improve family nutrition status, including children’s engagement in the kitchen, and the home literacy environment. This family program includes in-class lessons and take-home workbook activities for children and caregivers to complete together that reinforce class objectives, as previous studies have demonstrated that reinforcement activities promote lasting change. Whether the workbook helped families engage their children in the kitchen required investigation.</div></div><div><h3>Objective</h3><div>To assess perceived helpfulness of the take-home workbook nutrition-related activities in helping families engage their children in meal preparation.</div></div><div><h3>Study Design, Settings, Participants</h3><div>Families (n=146) with at least one child in kindergarten through fifth grade across six Florida counties participated. Each week, families completed take-home nutrition activities focusing on food safety, MyPlate, fruits/vegetables, protein/dairy, whole grains, and hydration. Activities included hands-on food preparation, replacing unhealthy food items, and tracking foods consumed.</div></div><div><h3>Measurable Outcome/Analysis</h3><div>One caregiver from each family completed a demographic eligibility screener and weekly surveys to assess family participation in take-home activities and child engagement in meal preparation.</div></div><div><h3>Results</h3><div>Most participants were White (53%), non-Hispanic (64%), and female (95%). Completion rates of weekly surveys ranged from 66% (Week 3) to 14% (Week 6). Participants reported that Week 3 fruits/vegetables) and Week 6 (hydration) activities “helped a great deal” regarding increasing their child’s engagement in meal preparation (70% and 74%, respectively). Participants (48%) reported that Week 5 (whole grains) activity was the least helpful.</div></div><div><h3>Conclusions</h3><div>The results suggest that tracking activities, such as Week 3 (fruits/vegetables) and Week 6 (hydration) helped families engage their children in the kitchen the most. Alternatively, replacement tasks, such as Week 5 (whole Grains) had the lowest helpfulness. These findings suggest that expanding tracking challenges while refining replacement tasks could be most helpful to families, ultimately promoting children’s engagement in meal preparation which previous studies have demonstrated is associated with improved nutrition status.</div></div><div><h3>Funding</h3><div>University of Florida Lastinger Center</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Page S45"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771266","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":"Bridging the Gap in Diabetes Management: Evaluating the NC State Pilot of the Health Extension for Diabetes (HED) Program","authors":"Basheerah Enahora PhD, RDN, LDN,&nbsp;Christy O'Connor MS, RD, LDN,&nbsp;Virginia Stage PhD, RDN,&nbsp;Sara Foreman RDN, LDN, CDCES,&nbsp;Michelle Parisi PhD, RDN,&nbsp;Windsor Sherril PhD, MHA, MBA,&nbsp;Danielle McFall MS, CHES,&nbsp;Samantha Kanny PhD,&nbsp;EB Odom RD, LDN,&nbsp;Elizabeth Baker BS, CHES, RHED,&nbsp;Qu'Asia Wilson BS","doi":"10.1016/j.jneb.2025.05.028","DOIUrl":"10.1016/j.jneb.2025.05.028","url":null,"abstract":"<div><h3>Objective</h3><div>Examine the effectiveness of Heath Extension for Diabetes (HED) on the diabetes knowledge self-care self-efficacy, dietary intake and physical activity, and A1C (glucose control indicator) of adults with type 2 diabetes living in rural North Carolina (NC).</div></div><div><h3>Use of Theory or Research</h3><div>NC State Extension partnered with Clemson Extension and a community-based clinical partner to expand HED to three rural underserved counties.</div></div><div><h3>Target Audience</h3><div>Adults (18-64 years) with type 2 diabetes living in Bertie, Hertford, or Northampton County in NC</div></div><div><h3>Program Description</h3><div>HED is a 4-month community-based, non-clinical diabetes self-management support (DSMS) program delivered by trained Extension Agents. HED intervention consisted of eight biweekly group sessions with personalized follow-up between sessions to address participant goals and challenges. Clemson provided a 2-day onsite, intensive training to NC State faculty, staff, and Agents focused on program materials and implementation. NC Agents were provided ongoing training support through a 4-month virtual shadowing program, educational webinars, and monthly meetings.</div></div><div><h3>Evaluation Methods</h3><div>Data were collected at baseline (T1) and post-intervention (T2). Participants reported demographics, height/weight, diabetes knowledge and self-efficacy, nutrition, and physical activity behaviors. Clinical partners measured A1C (blood draw).</div></div><div><h3>Results</h3><div>A total of 22 individuals enrolled in four cohorts; 19 completed the program (86% retention). Participants were female, 61.05 years (SD 19.02), Black/African American (72.7%), and Non-Hispanic/Latina (68.2%). Knowledge (p&lt; 0.01) and self-efficacy (p&lt; 0.05) significantly improved. Participants’ reduced daily consumption of sweetened beverages (T1=18.2%, T2=9.1%, p&lt; 0.03) and increased weekly physical activity (T1=4.5%, T2=18.2%, p&lt; 0.03). BMI decreased by 2.63 (T1-BMI= 37.22 (SD 8.53); T2-BMI 192.82 lbs (SD 62.14), p&lt; 0.001). A1C levels decreased but were not significant (T1=7.27% (SD=1.63); T2=6.21% (SD 2.25),p&lt; 0.138).</div></div><div><h3>Conclusions</h3><div>Findings support the scalability of the HED program for providing effective, accessible, community-based diabetes education and support in rural underserved communities.</div></div><div><h3>Funding</h3><div>CDC</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Pages S11-S12"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772029","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":"Enhancing Undergraduate Students’ Quantitative Literacy and Attitudes Towards Research Through a Scaffolded Food Choice Research Project","authors":"Lori Klos PhD, RDN","doi":"10.1016/j.jneb.2025.05.034","DOIUrl":"10.1016/j.jneb.2025.05.034","url":null,"abstract":"<div><h3>Objective</h3><div>To determine if a Food Choice Research Project (FCRP) improves undergraduates’ quantitative literacy skills and attitudes toward conducting original research.</div></div><div><h3>Use of Theory or Research</h3><div>The FCRP is a project-based learning assignment, challenging students to identify dietary-related opportunities for improvement in the undergraduate population. Aligned with Vygotsky’s Zone of Proximal Development, activities were strategically scaffolded.</div></div><div><h3>Target Audience</h3><div>Undergraduate students (n=50) at a public university enrolled in a 200-level general education course exploring influences on food choice and eating behavior, structured using the McLeroy Social Ecological Model.</div></div><div><h3>Course/Curriculum Description</h3><div>Students develop a proposal for a cross-sectional survey using a nationally-representative survey as their foundation [i.e., International Food Information Council’s Food and Health Survey (FaHS)]. Students choose a theme and replicate relevant FaHS questions and responses for their survey. Following their recruitment and survey administration plan, they survey 20 students, analyze and summarize their results, and propose possible interventions in a final report. Throughout the multi-week assignment, the instructor models complex steps and provides practice opportunities with feedback. In-class workshops with engaging process-oriented activities (e.g., BINGO worksheet for project tasks) and structured report templates aid progress.</div></div><div><h3>Evaluation Methods</h3><div>Thematic analysis of pre- and post-FCRP reflection responses assessed shifts in research attitudes. Students rated their ability to quantitatively examine food choice/eating behavior. A standardized rubric measured students’ demonstration of quantitative literacy skills on the final report.</div></div><div><h3>Results</h3><div>Initially, students reported anxiety about research, citing past stressful experiences. However, 97% agreed/strongly agreed that the FCRP enhanced their quantitative research skills and 85% earned ³ C on the final report. Students expressed a positive shift in perceptions towards research, noting improved understanding of research tasks. While acknowledging challenges (e.g., data analysis, procrastination), they reported increased research-related confidence and appreciation.</div></div><div><h3>Conclusions</h3><div>Scaffolded survey research enhances undergraduate quantitative literacy by leveraging existing food and nutrition surveys. This approach enables sustainable data collection on diet-related behaviors and fosters data-informed, student-driven intervention ideas that can be expanded upon in future courses or internships.</div></div><div><h3>Funding</h3><div>None</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Pages S14-S15"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772064","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 Transition in Arab/Palestinian Youth Living in Nazareth and East Jerusalem","authors":"Raghda Barakat MSc, RD,&nbsp;Liora Gvion PhD,&nbsp;Aliza Stark PhD RD","doi":"10.1016/j.jneb.2025.05.084","DOIUrl":"10.1016/j.jneb.2025.05.084","url":null,"abstract":"<div><h3>Background</h3><div>Health inequities exist in Israel and the Arab population is at higher risk of increased mortality and morbidity. In adolescents, high rates of obesity and sedentary behavior have been documented.</div></div><div><h3>Objective</h3><div>To assess Arab youths' knowledge, attitudes, and practices regarding the Traditional Palestinian Diet (TPD) and identify possible strategies to improve dietary intake and preserve cultural heritage.</div></div><div><h3>Study Design, Settings, Participants</h3><div>A cross-sectional study was conducted in schools in East Jerusalem and Nazareth among Arab adolescents using purposive sampling. Structured questionnaires focusing on the TPD were administered.</div></div><div><h3>Measurable Outcome/Analysis</h3><div>Determination of current eating patterns in Arab youth were described. Data was analyzed by sex, location and age using either a t-test or Chi-Square test.</div></div><div><h3>Results</h3><div>Students (N&amp;#3f522) completed the survey, with half from each city. Mean age was 15 ± 1.2 years, 70% female, and 97% Muslim. Only 28.7% ate traditional meals daily, typically at home or with immediate family. The self-reported ability to prepare traditional meals was low; 29% in females and 24% males (p &lt; 0.004). Knowledge of ingredients and nutrition was also limited. Traditional eating practices; such as bread served with the main meal and using hands instead of cutlery were relatively common while sharing a central plate was less prevalent. Weekly fast food consumption was high at 67% and 85% reported drinking sweetened beverages. An association between fast food intake and following the TPD fell short of statistical significance at P=0.18. Additional advanced analyses did not provide significant results.</div></div><div><h3>Conclusions</h3><div>Arab youth are abandoning the TPD, which may contribute to widespread obesity and other health disparities. Despite distinctly different socio-political environments, location had little impact on results. Nutrition education focused on the Palestinian “Heritage Diet” and empowering youth, may be an effective strategy to improve eating behaviors and health inequities in this population.</div></div><div><h3>Funding</h3><div>None</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Page S38"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772492","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":"Point-of-Care Technology Supports Implementation of 5As Framework for Dietary Behavior Change","authors":"Madalyn Rosenthal BS,&nbsp;John Lueck BS,&nbsp;Pete Rochat BSA,&nbsp;Raaj Pyada BS,&nbsp;Dagny Larson MS, RD,&nbsp;Elham Almahmound MS,&nbsp;Marissa Burgermaster PhD","doi":"10.1016/j.jneb.2025.05.044","DOIUrl":"10.1016/j.jneb.2025.05.044","url":null,"abstract":"<div><h3>Background</h3><div>Practice guidelines recommend physicians discuss diet with patients using the 5As framework: Assess behavior, Advise personalized behavior change recommendations, Agree on goals, Assist by addressing barriers/securing support, and Arrange follow-up. We developed Nutri, a point-of-care software that synthesizes diet data collected before the appointment (Assess), provides evidence-based recommendations (Advise), guides patients and providers to select one diet goal (Agree), tailors take-home materials to support goal attainment (Assist), and facilitates follow-up via automated clinical note (Arrange).</div></div><div><h3>Objective</h3><div>Evaluate differences in diet counseling among physicians with and without access to Nutri during a simulated appointment.</div></div><div><h3>Study Design, Settings, Participants</h3><div>We randomized primary care resident physicians to discuss nutrition during a simulated diabetes appointment with a patient actor. Control physicians (n=13) were prompted to discuss diet with the patient. Nutri physicians (n=11) were oriented to Nutri and prompted to use it in the simulation. Simulations were videorecorded.</div></div><div><h3>Measurable Outcome/Analysis</h3><div>Time in simulation. Deductive coding of recordings using U.S. Preventive Services Task Force 5As definitions.</div></div><div><h3>Results</h3><div>Control simulations were ∼3 minutes longer than Nutri (Mean±SD = 9.23±3.87 vs. 6.01±1.35). Control physicians assessed by asking patients to recall a typical eating day; Nutri physicians highlighted successes and potential areas for improvement, referring to Nutri's automated assessment. Control physicians advised on many topics, differing from Nutri physicians who advised on 1-2 high-impact areas. Nutri physicians and patients agreed on one goal after considering patient self-efficacy, whereas Control physicians gave physician-led recommendations. Both groups assisted by giving food examples to address the patient’s knowledge barrier. Nutri physicians asked how these foods could be incorporated into the patient’s diet and provided goal-focused take-home materials. Alternatively, Control physicians offered various ideas, but no post-appointment support. Control physicians arranged by mentioning they would discuss diet at the next visit, whereas Nutri physicians planned to discuss goal progress.</div></div><div><h3>Conclusions</h3><div>While Control aligned with the 5As framework, Nutri sessions were less variable, more goal-focused, and patient-led. Nutri enables feasible 5As implementation that aligns with behavior change theory, which is likely to increase successful patient dietary management.</div></div><div><h3>Funding</h3><div>None</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Page S19"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772874","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":"Ripe for Revival: A Mobile Produce Market Pilot in Rural Northeastern North Carolina","authors":"Shonna Smith MS,&nbsp;Basheerah Enahora PhD, RDN, LDN,&nbsp;Kennae Rawlings MPH,&nbsp;Brenna Kirk PhD, MPH,&nbsp;Pauline Grist PhD,&nbsp;Stephanie Jilcott Pitts PhD","doi":"10.1016/j.jneb.2025.05.047","DOIUrl":"10.1016/j.jneb.2025.05.047","url":null,"abstract":"<div><h3>Background</h3><div>Rural, lower-resourced communities face systemic barriers to accessing affordable, healthy food. Mobile markets utilizing nutrition incentive programs, such as vouchers, may provide a sustainable solution, yet little is known about their use in rural areas.</div></div><div><h3>Objective</h3><div>This pilot study explores the appeal of expanding the Ripe for Revival mobile produce market with vouchers among rural residents in northeastern North Carolina (NC).</div></div><div><h3>Study Design, Settings, Participants</h3><div>From November 2024 to January 2025, researchers used a customer intercept design to survey Ripe for Revival mobile market adult customers (19 years and older), each receiving a $5 voucher.</div></div><div><h3>Measurable Outcome/Analysis</h3><div>Survey data were collected on customer sociodemographics, food security status (USDA 6-item screener), mobile market satisfaction, and use of $5 vouchers. Univariate statistics described sample demographics and assessed market appeal. Pounds of produce distributed were tracked via Excel.</div></div><div><h3>Results</h3><div>Among surveyed customers (n=36; 57.1% response rate), most were non-Hispanic Black (63.9%) or non-Hispanic White (30.6%), with an average age of 58.3 years old (SD=12.6). Nearly half (41.7%) were enrolled in federal nutrition assistance and reported low to very low food security (44.4%). Most (66.7%) used the $5 vouchers, and of those, 83.3% reported vouchers helped them buy more fresh produce than usual. All (100.0%) customers were satisfied with the produce variety, and almost all (97.2%) indicated they would return. The market distributed 310 pounds of fresh produce to 63 customers.</div></div><div><h3>Conclusions</h3><div>This pilot study suggests a mobile produce market appeals to rural northeastern NC residents. Results indicate vouchers enhance access to fresh produce among lower-resourced, food-insecure adults, with high satisfaction and intent to return. Further research on the impact of mobile markets on food insecurity and fruit and vegetable intake in a larger sample is warranted.</div></div><div><h3>Funding</h3><div>CDC</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Pages S20-S21"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772890","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}