年轻人在家庭主导的干预中减少钠摄入量的策略：一项照片启发研究，告知贡献者可接受性和采用性。

IF 3.8 2区医学 Q1 BEHAVIORAL SCIENCES

Appetite Pub Date : 2026-05-01 Epub Date: 2026-01-16 DOI:10.1016/j.appet.2026.108465

Kimberly Mei Yi Low, Felicia Jia Hui Chan, Mary Foong-Fong Chong, Cindy Mei Jun Chan, Shahmir H. Ali

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引用次数: 0

摘要

背景：以家庭为基础的方法越来越多地被强调用于非传染性疾病预防，但家庭动态如何影响东南亚家庭减少钠摄入量的做法仍未得到充分探讨。目的：研究新加坡年轻人如何在家庭中发起减钠策略，以及关系和背景因素如何影响这些策略的采用和可接受性。方法：在以家庭为主导的减钠干预后，年轻人和家庭成员完成了干预后实践的照片激发研究。参与者提交了1到2张共同用餐或减少钠摄入量的照片，随后是在线半结构化访谈或家庭小组讨论。数据被记录、转录并进行主题分析，计划行为理论为解释提供信息。研究结果：该研究包括来自11个家庭的22名参与者（11名年轻人；11名家庭成员，包括父母、配偶和兄弟姐妹）。年轻人描述了实用的、关系敏感的策略，包括替代低钠产品，使用天然增味剂，以及在烹饪过程中提供实时反馈。方法和沟通因关系和家庭角色而异，与长辈的交流更恭敬，与兄弟姐妹的交流更直接，与伴侣的合作更努力。共同进餐、情感亲密和支持性的家庭氛围支持了收养和接受，而根深蒂固的习惯、熟悉的口味偏好和对冲突的担忧则对收养和接受提出了挑战。结论：参与者描述了干预后家庭饮食习惯的切实变化，并强调了这些变化是如何通过日常家庭生活中的战略性、关系敏感的谈判实现的。可以根据家庭的作用和交流方式提供支助，加强干预措施，以提高采用和接受程度。

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Strategies young adults use to reduce sodium consumption in a family-led intervention: A photo elicitation study to inform contributors to acceptability and adoption

Background

Family-based approaches are increasingly emphasized for non-communicable disease prevention, yet how family dynamics shape the uptake of sodium-reduction practices remains underexplored in Southeast Asian households.

Purpose

To examine how Singaporean young adults initiated sodium-reduction strategies within their families and how relational and contextual factors influenced adoption and acceptability of these strategies.

Method

Following a family-led sodium-reduction intervention, young adults and family members completed a photoelicitation study of post-intervention practices. Participants submitted 1 to 2 photographs of shared meals or sodium-reduction efforts, followed by online semi-structured interviews or family group discussions. Data were recorded, transcribed, and thematically analyzed, with the Theory of Planned Behavior informing interpretation.

Findings

The study included 22 participants from 11 families (11 young adults; 11 family members including parents, spouses, and siblings). Young adults described practical, relationship-sensitive strategies, including substituting lower-sodium products, using natural flavour enhancers, and providing real-time feedback during cooking. Approach and communication varied by relationship and household role, with more deferential messaging with elders, more direct exchanges with siblings, and more collaborative efforts with partners. Adoption and acceptability were supported by shared meals, emotional closeness, and supportive family climates, and challenged by entrenched habits, familiar taste preferences, and concerns about conflict.

Conclusions

Participants described tangible post-intervention changes in household food practices and highlighted how these changes were achieved through strategic, relationship-sensitive negotiation within everyday family life. Interventions may be strengthened by tailoring support to household roles and communication patterns to enhance adoption and acceptability.

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来源期刊

Appetite 医学-行为科学

CiteScore

9.10

自引率

11.10%

发文量

566

审稿时长

13.4 weeks

期刊介绍： Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.