Eat the Rainbow: Development and Formative Assessment of a Preschool Fruit and Vegetable Nutrition Education Outreach Program

2015 ◽  
Vol 47 (4) ◽  
pp. S21-S22
Author(s):  
Kristi Wilkerson ◽  
S. Wilden ◽  
J. Fowler ◽  
V. Carraway-Stage
2006 ◽  
Vol 20 (4) ◽  
Author(s):  
Mary Katherine Hoy ◽  
Barbara Berry ◽  
Linda Brugler ◽  
Elizabeth Pivonka

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Beth Comerford ◽  
Kimberly Doughty ◽  
Valentine Njike ◽  
Rockiy Ayettey ◽  
Audra Weisel ◽  
...  

Abstract Objectives Community- and clinic-based fruit and vegetable “prescription” (FVRx) programs, which include nutrition education and subsidies to reduce the cost of fruits and vegetables have improved dietary intake and some clinical outcomes, such as hemoglobin A1c (HbA1c) and blood pressure. However, few if any studies have investigated the impact of an FVRx program in a worksite setting. The purpose of this study was to determine the effects of a worksite FVRx program on diet quality, body mass index (BMI), waist circumference, blood lipid concentrations, hemoglobin A1c (HbA1c), and blood pressure. Methods In the first of two planned cohorts, we randomized healthy adults employed at a community hospital in southern Connecticut to receive either the FVRx program for 10 weeks (n = 20) or standard worksite wellness offerings (n = 20). Each week, intervention participants received a 45-minute cooking and nutrition education session held during the workday and a voucher valuing $15–25, depending on household size, that could be redeemed for fruit and vegetable purchases at a local grocery store. Outcome measures were assessed at baseline and at the end of the intervention. Results Compared to the control group, participants in the FVRx group significantly increased their HEI-2010 score for vegetable intake (0.91 ± 1.41 vs. 0.02 ± 1.18, P < 0.05) and reduced their HE-2010 score for empty calories (−4.61 ± 4.82 vs. −0.75 ± 3.20, P < 0.01). There were no between-group differences in other HEI-2010 components, body composition, HbA1c blood lipids, or blood pressure. However, the FVRx group did improve their overall HEI-2010 score from baseline (7.85 ± 10.82, P < 0.05) whereas the control group did not (3.57 ± 9.51, P > 0.05). Conclusions In this interim analysis, we demonstrated potential benefits of a worksite FVRx program on intake of vegetables and empty calories. Changes in anthropometric or biochemical measures were not observed immediately post-intervention, but this may be due to enrollment of a low-risk population or length of time needed to influence those measures. That the intervention nevertheless improved dietary intake suggests that it may be valuable for prevention of diet-related disease in healthy adults. Funding Sources Centers for Disease Control and Prevention, Prevention Research Centers Program grant.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sanjoy Saha ◽  
Wilna Oldewage-Theron

Abstract Objectives To assess the effectiveness of a behavior-specific nutrition education intervention (NEI) to promote dietary behavior factors related to fruit and vegetable (F&V) consumption. Methods A pre-post design was used. The developed and implemented six-week NEI curriculum was informed by the social cognitive theory and comprised of class-based nutrition education (25 minutes once a week), and cooking demonstrations (20 minutes once a week) for children, and weekly nutrition handout for parents. Applying purposive sampling, 115 children (in grade 3rd -5th) were recruited from four elementary schools (where at least 40% of children were eligible to obtain free lunch) in the South Plains of Texas. Assessments included nutrition knowledge, F&V preference, F&V consumption and cooking self-efficacy questionnaires during pre- and post-intervention surveys. Wilcoxon signed-rank test was used with level of significance at <0.05. Results Preliminary results show that the study variables (gender, grade, nutritional status, nutrition knowledge, F&V preference, self-efficacy of F&V consumption, and cooking) did not differ significantly during the pre-intervention survey, except for ethnicity (P < 0.001) among the participated elementary schools. Nutrition knowledge score (change mean score 7.61 ± 3.70), F&V preference (change mean score 5.63 ± 10.84), F&V consumption self-efficacy (change mean score 2.16 ± 3.05), and cooking self-efficacy (change mean score 5.34 ± 7.08) improved significantly (P < 0.05) after the intervention. There was no significant school variation in the changes of study parameters after the intervention. Conclusions Theory-informed and behavior-specific NEI may improve the children's knowledge and F&V preference and dietary behavior related to F&V consumption and cooking self-efficacy. Future research is needed to evaluate the retention of the nutrition knowledge and F&V consumption related behavior factors. Funding Sources Texas Tech University.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Yan Li ◽  
Rienna Russo ◽  
Stella Yi

Abstract Objectives Public health practitioners and policymakers often need to determine which strategies are most effective prior to investing in implementation. This is particularly important in urban neighborhoods where public health initiatives may have a significant impact on the health of a large population. This study aims to use an innovative agent-based model to evaluate and compare the potential impact of three food policies and programs on the consumption of fruits and vegetables in an urban neighborhood. Methods We developed an agent-based model that takes into account individual and neighborhood-level factors (e.g., age, gender, education, food environment) to predict fruit and vegetable consumption at the neighborhood level. Model parameters were estimated from the Food Attitudes and Behaviors Survey, United States Census data, and previous studies. We simulated three hypothetical interventions, including implementing a mass media and nutrition education campaign to alter healthy social norms, increasing the number of fruit and vegetable vendors, and reducing the price of fruits and vegetables. We predicted the impact of these interventions on the consumption of fruits and vegetables in the East Harlem neighborhood in New York City. Results The simulation results suggested that a mass media and nutrition education campaign could increase the consumption of fruits and vegetables by 5.5%. In comparison, a program that increases the number of fruit and vegetable vendors by 10% and the one that reduces the price of fruits and vegetables by 10% could increase the consumption of fruits and vegetables by 1.6% and 1.2%, respectively. Conclusions A mass media and nutrition education campaign may be more effective than increasing the access to or reducing the price of fruits and vegetables in East Harlem. A well-designed, validated agent-based model has the potential to provide insights on the impact of food policies and programs in a complex urban environment and aid policymakers and public health officials in making informed decisions for priority setting and program implementation. Funding Sources This study was supported by an R01 grant from the National Heart, Lung, and Blood Institute of the National Institutes of Health.


2018 ◽  
Vol 13 (3) ◽  
pp. 235-238
Author(s):  
Jinan Banna

Rates of obesity and associated chronic disease are high in Hispanics in the United States. Nutrition education interventions promoting dietary change in underserved populations have been shown to have positive effects on behaviors such as fruit and vegetable (FV) intake, thereby reducing the chronic disease burden. Evaluation tools in the Spanish language to assess the dietary behavior changes made in response to the intervention are important in determining the success of such efforts. Currently, there are no Spanish-language tools focused exclusively on FV intake and behaviors that include features to enhance readability for use in low-literacy participants of US Department of Agriculture (USDA) food assistance and education programs. There is a need for such tools to determine the degree to which programs are able to promote behavior change. In designing these tools, researchers should take into account potential issues that may arise when administered. For example, respondents may have difficulty estimating consumption for mixed dishes and vegetables added to food. To address such issues, researchers should employ strategies to assist respondents to understand what constitutes FV and appropriately identify amount consumed. Addition of images to tools or development of accompanying instruction guides may be helpful. Once developed and tested, such scales may be used with Spanish-speaking participants of USDA food assistance and education programs aimed at improving FV behaviors and ultimately, intake.


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