Creating Healthful Home Food Environments: Results of a Study with Participants in the Expanded Food and Nutrition Education Program

Autor/inn/en	Cullen, Karen Weber; Smalling, Agueda Lara; Thompson, Debbe; Watson, Kathleen B.; Reed, Debra; Konzelmann, Karen
Titel	Creating Healthful Home Food Environments: Results of a Study with Participants in the Expanded Food and Nutrition Education Program
Quelle	In: Journal of Nutrition Education and Behavior, 41 (2009) 6, S.380-388 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1499-4046
DOI	10.1016/j.jneb.2008.12.007
Schlagwörter	Obesity; Body Composition; Intervention; Parenting Skills; Nutrition Instruction; Family Environment; Eating Habits; Dietetics; Health Promotion; Child Rearing; Prevention; Films; Goal Orientation; Problem Solving; Discussion (Teaching Technique); Psychological Patterns; Social Influences; Comparative Analysis; Hispanic Americans; Females; Program Effectiveness; Texas + Suchen Sie Ihr Suchwort? Adipositas; Nutrition education; Ernährungserziehung; Familienmilieu; Ernährungsgewohnheit; Essgewohnheit; Ernährungslehre; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Kindererziehung; Prävention; Vorbeugung; Film; Zielorientierung; Zielvorstellung; Problemlösen; Sozialer Einfluss; Hispanic; Hispanoamerikaner; Weibliches Geschlecht
Abstract	Objective: To evaluate a modified curriculum for the 6-session Texas Expanded Food and Nutrition Education Program (EFNEP) promoting healthful home food environments and parenting skills related to obesity prevention. Design: Two-group randomized control trial; intervention versus usual EFNEP curriculum. Setting: Texas EFNEP classes. Participants: 1,104 EFNEP clients in 100 classes. Intervention: Six short videos, with goal setting, problem solving, guided discussion, and handouts, incorporated into existing EFNEP classes. Main Outcome Measures: Body mass index (BMI), diet, psychosocial variables with baseline measurements, immediately post, and 4 months later. Analysis: Mixed-model repeated measures analysis of variance. Results: 100 classes were randomized (54 intervention/46 comparison), with 1,006 participants at baseline (582 intervention, 424 comparison, 97% women, 89% Hispanic). Significant improvements over time were found for both groups' consumption of most food items and nutrients, and nearly all psychosocial variables, regardless of study group. Only the intervention group had a significant BMI decrease at post. Fidelity to the intervention class session structure was high, and comments from intervention staff and clients were positive. Conclusion and Implications: Existing EFNEP programs in local communities could have a significant impact on family dietary behaviors for populations at risk of obesity. Replication with similar populations is warranted. (Contains 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10