The Impact of a Household Food Garden Intervention on Food Security in Lesotho

Food insecurity is a challenge in the developing world, where many are finding healthy food inaccessible due to poverty. A pre-test, post-test design was applied to determine the impact of a vegetable gardening intervention in 25 experimental and 25 control households in Lesotho. Information about sociodemographic conditions and indicators of food security was collected by trained fieldworkers. As evidenced by the Living Poverty Index of 2.5, the sample was characterized by high levels of poverty. Although almost no households were scored very low or low using the Months of Adequate Household Food Provisioning (MAHFP) tool, less than half of households were categorized as food-secure. Household Dietary Diversity (HDD) showed infrequent intake of vegetables and fruits and regular intake of fats and sugar. After intervention, the percentage of households with a low HDD score improved significantly in the intervention group (12%) compared to the control group (40%) (95% CI (2.5%; 50.7%)). Despite this, the percentage of households that consumed vegetables during the previous day was still below 30%. Food gardens have the potential to improve availability of food and frequency of vegetable consumption, but harsh environmental conditions need to be considered.

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The European School Fruit Scheme: impact on children’s fruit and vegetable consumption in North Rhine-Westphalia, Germany

Public Health Nutrition ◽

10.1017/s1368980016002652 ◽

2016 ◽

Vol 20 (3) ◽

pp. 542-548 ◽

Cited By ~ 3

Author(s):

Sarah Methner ◽

Gesa Maschkowski ◽

Monika Hartmann

Keyword(s):

Primary Schools ◽

Vegetable Consumption ◽

Intervention Group ◽

Primary School Children ◽

Control Group ◽

Fruit And Vegetable ◽

European School ◽

Consumption Frequency ◽

Post Test ◽

The Impact

AbstractObjectiveTo assess the impact of the European School Fruit Scheme (SFS) in North Rhine-Westphalia, Germany, on children’s fruit and vegetable (F&V) consumption, in particular frequency.DesignThe study consisted of a pre-test/post-test design with an intervention (eight primary schools) and a control group (two primary schools). Children’s F&V consumption frequency was measured prior to the introduction of the SFS in 2010 and after one year’s delivery of F&V (2011).SettingTen primary schools in North Rhine-Westphalia, Germany.SubjectsIn total, 499 primary-school children aged 6–11 years, 390 in the intervention and 109 in the control schools.ResultsChildren highly appreciated the SFS. More than 90 % evaluated the programme positively. Children in the intervention group showed a significant increase in F&V intake frequency from baseline to follow-up, from on average 1·26 (sd1·37) to 2·02 (sd1·33) times/d (P=0·000). The intervention variable had a highly significant impact on children’s F&V consumption frequency, even after controlling for gender, age and stay at school for lunch (β=0·773; 95 % CI 0·59, 0·96). The SFS did not induce a reduction of F&V consumption at home. In the control group a non-significant decline in F&V consumption frequency from 1·31 (sd1·26) to 1·18 (sd1·34) times/d (P=0·325) was observed.ConclusionOne year after the programme’s implementation, the SFS led to a significant short-term increase in children’s F&V consumption.

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PENGARUH KONSELING GIZI DENGAN MEDIA BOOKLET TERHADAP KONSUMSI SAYUR BUAH DAN FAST FOOD PADA REMAJA OBESITAS

JURNAL RISET GIZI ◽

10.31983/jrg.v7i2.5150 ◽

2019 ◽

Vol 7 (2) ◽

pp. 115-119

Author(s):

Neldawati Ningrum ◽

Ria Ambarwati ◽

Enik Sulistyowati

Keyword(s):

Fast Food ◽

Vegetable Consumption ◽

Control Group ◽

Nutrition Counseling ◽

Research Subjects ◽

Control Group Design ◽

Fast Food Consumption ◽

Post Test ◽

Vegetables And Fruits ◽

The Impact

Background: Several factors cause obesity in adolescence are the lack of consumption of vegetables, fruits and excessive consumption of fast food. Nutrition counseling about benefits of vegetables, fruits and the impact of fast food on obesity is an effort that would be increase consumption of vegetables, fruits and reduce consumption of fast food.Objective: To determine the effect of counseling with booklet media on consumption of vegetables, fruits and fast food in obese adolescents at SMP N 40 Semarang.Method: The type of research is a true experiment with randomized pre and post test control group design. The research subjects consisted of 15 intervention samples who took nutrition counseling treatment with booklet media and 15 control samples were only given booklet media without nutritional counseling. The data was analysed by Independent T Test and Mann Whitney.Results: Nutrition counseling with booklet increased vegetable consumption (0,37 portion) and decreased fast food consumption (1,09 portion) but the result were not significant in the statistical test (p 0.05). However, nutrition counseling with booklet significantly (p 0.05) increased fruit consumption (0,63 portion).Conclusion: Nutrition counseling with booklet increased consumption of vegetables and fruits, and also reduce consumption of fast food.

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Healthy Planet, Healthy Youth: A Food Systems Education and Promotion Intervention to Improve Adolescent Diet Quality and Reduce Food Waste

Nutrients ◽

10.3390/nu11081869 ◽

2019 ◽

Vol 11 (8) ◽

pp. 1869 ◽

Cited By ~ 8

Author(s):

Melissa Pflugh Prescott ◽

Xanna Burg ◽

Jessica Jarick Metcalfe ◽

Alexander E. Lipka ◽

Cameron Herritt ◽

...

Keyword(s):

Science Teachers ◽

Food Waste ◽

Food Systems ◽

Vegetable Consumption ◽

Intervention Group ◽

Control Group ◽

Sustainable Food Systems ◽

Sustainable Food ◽

Plate Waste ◽

The Impact

Emerging evidence suggests a link between young people’s interest in alternative food production practices and dietary quality. The primary purpose of this study was to examine the impact of a student-driven sustainable food systems education and promotion intervention on adolescent school lunch selection, consumption, and waste behaviors. Sixth grade science teachers at two middle schools (n = 268 students) implemented a standards-based curriculum on sustainable food systems, addressing the environmental impacts of food choices and food waste. The cumulating curriculum activity required the 6th grade students to share their food systems knowledge with their 7th and 8th grade counterparts (n = 426) through a cafeteria promotional campaign to discourage food waste. School-wide monthly plate waste assessments were used to evaluate changes in vegetable consumption and overall plate waste using a previously validated digital photography method. At baseline, the intervention students consumed significantly less vegetables relative to the control group (47.1% and 71.8% of vegetables selected, respectively (p = 0.006). This disparity was eliminated after the intervention with the intervention group consuming 69.4% and the control consuming 68.1% of selected vegetables (p = 0.848). At five months follow up, the intervention group wasted significantly less salad bar vegetables compared to the control group (24.2 g and 50.1 g respectively (p = 0.029). These findings suggest that food systems education can be used to promote improved dietary behaviors among adolescent youth.

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Nutrition information system (SISFORNUTRIMIL) application With Online Food Record for Indonesia Pregnant Women: Protocol for Randomized Controlled Trial

10.21203/rs.3.rs-634069/v1 ◽

2021 ◽

Author(s):

Mira Trisyani Koeryaman ◽

Saseendran Pallikadavath ◽

Isobel Ryder ◽

Ngianga Kandala

Keyword(s):

Randomized Controlled Trial ◽

Pregnant Women ◽

Dietary Diversity ◽

Controlled Trial ◽

Intervention Group ◽

Eating Behaviour ◽

Control Group ◽

Food Record ◽

Randomized Controlled ◽

The Impact

Abstract Background: The pregnant women and family may not have the necessary knowledge and skills to estimate nutrient value in food in line with dietary targets and the guidelines, i.e. they do not know whether or not they are consuming the right amount of nutrition needed during pregnancy. The aims of this randomized controlled trial (RCT) is to examine the impact of SISFORNUTRIMIL application on maternal eating behaviour and associated maternal factors such as weight gain, blood pressure, biochemical measurement, and pregnancy outcome.Methods: The study recruits 112 participants with eligible criteria during December 2019 to January 2020. The allocation of participants is 1:1 to the SISFORNUTRIMIL application user and non-user application, with criteria: singleton pregnancy (22-26 weeks), mother age between 20-35 years), have monthly income and literate. Both groups will receive 12-week standard health services from health professionals and received information about dietary diversity and food record. Particularly, intervention group could be access the SISFORNUTRIMIL on their devices, which provide necessary information about nutrition in pregnancy, food record and food choice includes total serving size calculation. In contrast, the control group only receive food information and food intake record by paper-based, and they should record and calculate the nutrition intake by traditionally. Discussion: This is the first randomized controlled trial to examine the SISFORNUTIMIL application. This mandate reflects keen interest and motivation for the proposed research study. This is in addition to the researcher’s personal efforts to reduce morbidity and mortality rate as well as a general focus on pregnancy complication prevention than nutrition treatment. Thus, an investigation of eating behaviour and associated maternal needed to address this issue. Firstly, the results could extend the scope of knowledge about nutrition intervention to include the Indonesia pregnant women context as well as the Indonesia health ministry context. Secondly, this research could help to change individual health behaviour and activity undertaken by an individual who believes her-self to be healthy.Trial registration: ISRCTN Registry: ISRCTN42690828. Date of registration: 22 October 2019.

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Scaled-Up Nutrition Education on Pulse-Cereal Complementary Food Practice in Ethiopia: A Cluster-Randomized Trial

10.21203/rs.2.23631/v2 ◽

2020 ◽

Author(s):

Getenesh Berhanu Teshome ◽

Susan J. Whiting ◽

Timothy J. Green ◽

Demelash Mulualem ◽

Carol J. Henry

Keyword(s):

Nutritional Status ◽

Nutrition Education ◽

Weight Status ◽

Dietary Diversity ◽

Intervention Group ◽

Complementary Food ◽

Control Group ◽

Dietary Diversity Score ◽

Cluster Randomized ◽

The Impact

Abstract Background: Improving children's weight status through nutrition education (NE) for mothers about using pulses in complementary feeding has been demonstrated in pilot studies, but no effect on stunting was reported. The aim of the study was to assess the impact of a 9-month pulse-nutrition education program on improving mothers' knowledge, attitude, and practices (KAP) towards pulses, as well as its effect on children's diet diversity, and nutritional status. The NE was delivered by Health Extension Workers (HEWs). Methods: A cluster randomized study was employed for the community-based interventional study. Twelve randomly selected villages in Sidama Zone, Southern Ethiopia were included in the study. A total of 772 mother-child pairs involved in the study; where 386 mother-child pairs in the intervention group received additional messages about pulse-cereal complementary food, and 386 pairs (the control) received only routine health education for 9 months. A survey on mothers’ KAP and anthropometric measurements of the children were taken at baseline, midline, and endline. ANOVA and descriptive statistics were used to analyzed data. Results: At baseline and endline, maternal KAP and the dietary diversity score of the children (mean age at endline 18.8 ± 2.9 mo) were assessed. Intervention mothers’ KAP improved (p<0.001) at midline and endline compared to that of the control group, as did frequency of pulse consumption and Dietary Diversity Score (DDS) among children. At 9 months, the prevalence of stunting, wasting, and underweight was significantly reduced in the intervention group compared to the control group (p=0.001). Conclusions: NE delivered by HEWs improved KAP of mothers regarding pulse consumption and dietary diversity of children led to improved nutritional status of the children. Training HEWs on the use of pulses for complementary food may be an effective way to improve the health of children in Ethiopian communities. Trial Registration: Clinicaltrials.gov #NCT02638571

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DAMPAK IMPLEMENTASI MODEL PRAKTIK KEPERAWATAN PROFESIONAL TERHADAP MUTU ASUHAN KEPERAWATAN DI RUMAH SAKIT

Jurnal Keperawatan Indonesia ◽

10.7454/jki.v7i2.132 ◽

2014 ◽

Vol 7 (2) ◽

pp. 41-47

Author(s):

Ratna Sitorus

Keyword(s):

Nursing Care ◽

Care Delivery ◽

Intervention Group ◽

Family Satisfaction ◽

Control Group ◽

Chi Square ◽

Post Test ◽

The Impact ◽

Quality Of Nursing

AbstrakPeningkatkan mutu asuhan keperawatan di rumah sakit memerlukan restructuring, reengineering, dan redesigning sistem pemberian asuhan keperawatan melalui implementasi Model Praktik Keperawatan Profesional (MPKP). Tujuan penelitian ini ialah untuk menilai dampak implementasi MPKP terhadap mutu asuhan keperawatan di rumah sakit. Disain penelitian adalah kuasi eksperimen dalam bentuk pre and post test with control group. Uji statistik yang digunakan adalah uji Chi-square dan uji t. Hasil penelitian menunjukkan bahwa pada kelompok intervensi (MPKP) terdapat peningkatan kepuasan klien dan keluarga (OR=114,24) yang lebih besar dibandingkan dengan peningkatan kepuasan klien dan keluarga pada kelompok kontrol (OR=3,78). Demikian juga terdapat peningkatan kepatuhan perawat terhadap standar yang lebih tinggi pada kelompok intervensi (OR=235,5) dibandingkan dengan kelompok kontrol (OR=0). Lama hari rawat lebih pendek pada kelompok intervensi. Angka infeksi nosokomial juga lebih rendah pada kelompok intervensi dibandingkan dengan kelompok kontrol. Penelitian ini menyimpulkan bahwa implementasi MPKP dapat meningkatkan mutu asuhan keperawatan di rumah sakit. Berdasarkan hasil tersebut, untuk memicu implementasi MPKP di berbagai rumah sakit, disarankan agar implementasi MPKP menjadi salah satu kriteria penilaian pada akreditasi rumah sakit khususnya pelayanan keperawatan AbstractIn order to improve the quality of nursing care in the hospital, nursing care delivery system need restructuring, reengineering, and redesigning through the implementation of Professional Nursing Practice Model (PNPM). The study was aimed to evaluate the impact of the PNPM on the quality of nursing care in the hospital. The design used was quasi experiment in pre and post test with control group. The statistic used are Chi-square and t-test. The result showed that in the intervention group, the improvement of client/family satisfaction with nursing care (OR = 114,28) was higher than the improvement in the control group (OR = 3,78). It was founded there was an improvement of the compliance of nurses to the standard was higher in the intervention group (OR = 235,5) compare to control group (OR = 0). The length of stay shorter in the intervention group, and also the nosocomial infection rate is lower in the intervention group compare to control group. The study concluded that the implementation of the PNPM could improve the quality of nursing care in the hospital. Based on this result, in order to challenge the implementation of PNPM in the hospital it was suggested that the implementation of PNPM becomes an evaluation criteria for hospital accreditation specifically for nursing service.

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Scaled-up nutrition education on pulse-cereal complementary food practice in Ethiopia: a cluster-randomized trial

BMC Public Health ◽

10.1186/s12889-020-09262-8 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Getenesh Berhanu Teshome ◽

Susan J. Whiting ◽

Timothy J. Green ◽

Demmelash Mulualem ◽

Carol J. Henry

Keyword(s):

Nutritional Status ◽

Nutrition Education ◽

Dietary Diversity ◽

Intervention Group ◽

Complementary Food ◽

Control Group ◽

Dietary Diversity Score ◽

End Point ◽

Cluster Randomized ◽

The Impact

Abstract Background Improving children’s weight status through nutrition education (NE) for mothers about using pulses in complementary feeding has been demonstrated in pilot studies, but no effect on stunting was reported. The aim of the study was to assess the impact of a 9-month pulse-nutrition education program on improving mothers’ knowledge, attitude, and practices (KAP) towards pulses, as well as its effect on children’s diet diversity, and nutritional status. The NE was delivered by Health Extension Workers (HEWs). Methods A cluster randomized study was employed for the community-based interventional study. Twelve randomly selected villages in Sidama Zone, Southern Ethiopia were included in the study. A total of 772 mother-child pairs involved in the study; where 386 mother-child pairs in the intervention group received additional messages about pulse-cereal complementary food, and 386 pairs (the control) received only routine health education for 9 months. A survey on mothers’ KAP and anthropometric measurements of the children were taken at baseline, midpoint, and end point. ANOVA and descriptive statistics were used to analyzed data. Results At baseline and end point, maternal KAP and the dietary diversity score of the children (mean age at end point 18.8 ± 2.9 mo) were assessed. Intervention mothers’ KAP improved (p < 0.001) at midpoint and end point compared to that of the control group, as did frequency of pulse consumption and Dietary Diversity Score (DDS) among children. At 9 months, the prevalence of stunting, wasting, and underweight was significantly reduced in the intervention group compared to the control group (p = 0.001). Conclusions NE delivered by HEWs improved KAP of mothers regarding pulse consumption and dietary diversity of children led to improved nutritional status of the children. Training HEWs on the use of pulses for complementary food may be an effective way to improve the health of children in Ethiopian communities. Trial registration Clinicaltrials.gov #NCT02638571. Date of registration: 12/18/2015. Prospectively registered.

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Impact of permagarden intervention on improving fruit and vegetable intake among vulnerable groups. A quasi-experimental study conducted in seven cities of Ethiopia

10.1101/563965 ◽

2019 ◽

Author(s):

Fikralem Alemu ◽

Medhanit Mecha ◽

Girmaye Medhin

Keyword(s):

Experimental Study ◽

Nutrient Intake ◽

Vegetable Consumption ◽

Intervention Group ◽

Control Group ◽

Control Groups ◽

Percentage Difference ◽

Vulnerable Families ◽

Quasi Experimental ◽

The Impact

AbstractBackgroundIncreasing nutrient intake through home gardening is a sustainable strategy that can address multiple micronutrient deficiencies in developing countries. This study investigated the impact of permagarden intervention in increasing the frequency and diversity of vegetable and fruit consumption among vulnerable families.MethodA quasi-experimental study was conducted from August 10 to September 30, 2015. A total of 884 care givers (427 from intervention and 457 control) participated in the study. Data was collected through face to face interview with caregivers of highly vulnerable children. Propensity score matching (PSM) was conducted using STATA software, and the program impact on the frequency and diversity of household’s vegetable consumption between intervention and control groups was assessed using chi square test.ResultIntervention participants had a 13% greater increase frequency of one-week vegetables and fruits consumption compared with control participants (p<0.01). The diversity (consumption of 2 and more groups of vegetable and fruit) is higher among intervention groups than control groups (percentage difference=9, p-value<0.05). A significant higher percentage of participants in the intervention group reported getting the one-week vegetable and fruits mainly from their own garden (percentage difference 58.3, p<0.05). A significantly larger proportion of participants in the intervention group compared to the control group reported “high likelihood” on intention to grow vegetable in the future (percentage difference = 30%, and P<0.01). Perceived importance to include vegetables in every day meal is higher among intervention groups than control groups (percentage difference = 11.5%, P<0.01).ConclusionsThe observed higher frequency and diversity of household vegetable consumption among intervention group compared to control group suggests that nutrition and health programs need to promote household vegetable gardening as the means for address improve micro nutrient intake for vulnerable societies in least and middle developed countries.

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Nutrition Education Impact on Nutrition Knowledge, Attitude and Practice of Schoolchildren: A Pilot Study in Ghana

Current Developments in Nutrition ◽

10.1093/cdn/nzaa059_004 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 1287-1287

Author(s):

Janet Antwi

Keyword(s):

Nutrition Education ◽

Dietary Diversity ◽

Intervention Group ◽

Nutrition Knowledge ◽

Sub Saharan Africa ◽

Health Concern ◽

Nutrition Status ◽

Control Group ◽

Positive Effects ◽

The Impact

Abstract Objectives Malnutrition among children, and adolescents remains a crucial public health concern in sub-Saharan Africa. Nutrition education contributes to acquisition of nutrition knowledge, attitude, and practices (KAP) which may lead to improved nutrition status and health, and brings greatest benefits to the poor and the most vulnerable particularly school-age children (SAC). We evaluated the impact of a 6-week nutrition education intervention on nutrition KAP, and nutrition status of SAC. The effect of nutrition education training on the knowledge of teachers and caregivers was also evaluated. Methods Pretest-posttest controlled design was used in elementary schools in Ghana. A total of 325 SAC 6–12 years old, 6 teachers and 99 caregivers completed the study. Nutrition KAP were estimated using a standardized questionnaire. Nutrition status was calculated using height and weight measurements. Results Schoolchildren in the intervention group had significantly higher knowledge scores (8.8 ± 2.0 vs. 5.9 ± 2.1, P < 0.0001) compared to controls in lower elementary level. The attitude of children in learning about food and nutrition issues was a higher proportion in the intervention group as compared to control group (88% vs. 77%, P = 0.031). Dietary diversity score did not differ significantly between intervention and control groups (4.8 ± 2.0 vs. 5.1 ± 1.4, P = 0.184). Intervention group had a marginally lower proportion of stunted SAC at the end of the study period as compared to control group (3.6% vs. 8.2%, P = 0.080). The nutrition knowledge of teachers, and caregivers significantly improved (12.5 ± 1.87 vs. 9.2 ± 2.1; P = 0.031) and (5.85 ± 0.73 to 6.29 ± 1.02, P = 0.009), respectively. Conclusions Nutrition education could have positive effects for passing on nutrition knowledge, and attitudes to elementary school children which are essential to developing healthy behaviors, and managing nutrition status. Funding Sources This study was funded by the Institute of International Education with award of the Carnegie African Diaspora Fellowship Program.

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Awakening Compassion in Managers—a New Emotional Skills Intervention to Improve Managerial Compassion

Journal of Business and Psychology ◽

10.1007/s10869-020-09723-2 ◽

2020 ◽

Author(s):

Miia Paakkanen ◽

Frank Martela ◽

Jari Hakanen ◽

Lotta Uusitalo ◽

Anne Pessi

Keyword(s):

Leadership Behaviors ◽

Controlled Trial ◽

Intervention Group ◽

Well Being ◽

Control Group ◽

Organizational Research ◽

Emotional Skills ◽

Randomized Controlled ◽

Post Test ◽

The Impact

Abstract Compassion is in high demand within organizational research, with important implications for leadership, well-being, and productivity. However, thus far only meditation-based interventions have been implemented to increase compassion in organizations. Our aim was to explore whether compassion could be increased among managers through improving their emotional skills. We implemented a quasi-randomized controlled trial with pre-test and post-test design of a new emotional skills cultivation training among managers, measuring the treatment group (N = 68), the control group (N = 90), and their followers (N = 85 and N = 72). Compared to the control group, the managers exhibited significantly increased sense of emotional skills, with some evidence for an improved sense of compassion. We also found that emotional skills mediated the impact of participating in the intervention group and compassion. Additionally, servant leadership behaviors in the intervention group improved following the intervention. These results demonstrate that instead of being something innate, compassion is a skill that can be increased through training emotional skills, with observable benefits for the organization.

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