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1.
Limin Buchanan Heather Yeatman Bridget Kelly Kishan Kariippanon 《Journal of nutrition education and behavior》2018,50(9):888-895
Objective
To examine whether digital marketing strategies are more strongly associated with energy drink use than other marketing and whether Theory of Planned Behavior (TPB) constructs mediated the effects of digital marketing on energy drink use.Design
A cross-sectional online survey using the TPB was administered in 2016.Setting
Illawarra region of New South Wales, Australia.Participants
A total of 359 young adults aged 18–24 years completed the survey. Participants were mainly students.Main Outcome Measures
Relative impacts of digital and other marketing on energy drink use and the mediating effects of TPB constructs: attitudes, subjective norm, and perceived behavioral control.Analysis
Stepwise regression analysis was employed to compare the effects on energy drink use from digital and other marketing. Mediation analysis was used to examine the mediating effects of the TPB constructs.Results
Digital marketing was more strongly associated than other marketing with young adults’ energy drink use. Attitudes, subjective norms, and perceived behavioral control mediated the effects of digital marketing on energy drink use.Conclusions and Implications
The marketing of unhealthy food and beverages such as energy drink products on the Internet requires greater scrutiny. Future interventions may focus on strategies to attenuate young adults’ attitudes toward energy drinks, denormalize energy drink use, and strengthening self-efficacy to reject energy drinks among this age group. 相似文献2.
Jessica L. Thomson Melissa H. Goodman Alicia S. Landry Annie Donoghue Audrey Chandler Rachel Bilderback 《Journal of nutrition education and behavior》2018,50(9):868-875
Objective
Determination of feasibility of online nutrition education in the federal workplace.Design
Pretest–posttest pilot study with data collection occurring from September to December, 2016.Setting
Two US Department of Agriculture workplaces.Participants
Convenience sample of 26 federal government employees. Posttest response rate was 85% (22 of 26 employees).Intervention
A 12-week online nutrition education program designed and taught by registered dietitian nutritionists.Variables Measured
Program component satisfaction, use, and understanding ratings and clinical measures including body composition, blood pressure, and skin carotenoid level (biomarker for fruit and vegetable intake).Analysis
Paired t tests to determine whether significant changes occurred after the intervention.Results
Mean number of class videos viewed and program components used were 7 and 5 (out of 12 for both). Mean program component ratings ranged from 4.0 to 4.7 (n?=?12, maximum score of 5) for the surveyitems motivated/helped me to eat healthier. Statistically significant decreases were observed in body mass index, percent body fat, and visceral fat level.Conclusions and Implications
Online nutrition education in the federal workplace is feasible for some employees as evidenced by the program components’ high satisfaction and understanding ratings and high retention rate. Limited evidence was apparent for the intervention's positive impact on health outcomes. 相似文献3.
Erin R. Hager Hee-Jung Song Hannah G. Lane Hallene H. Guo Lea H. Jaspers Megan A. Lopes 《Journal of nutrition education and behavior》2018,50(8):765-775
Objective
To develop and pilot-test Wellness Champions for Change (WCC) to enhance local wellness policy (LWP) implementation by forming wellness teams.Design
Randomized, controlled school-level pilot study.Setting
Five Maryland school districts.Participants
A total of 63 elementary, middle, or high schools.Intervention(s)
Developed from stakeholder interviews, focus groups, and existing programs. Schools were randomized within district to (1) WCC training (6-hour, single-day teacher training), (2) WCC training plus technical assistance (TA), or (3) delayed training (control).Main Outcome Measure(s)
Online teacher/administrator survey pre-post (spring, 1 year apart) that examined the direct effect of the intervention on active wellness team formation (postintervention, 8-item sum score) and LWP implementation (29 items, not implemented to fully implemented)/indirect effect of intervention on LWP implementation via active wellness team formation.Analysis
Adjusted linear or logistic regression and mediation modeling.Results
Postintervention, WCC plus TA and WCC had more active wellness teams (vs control, β?=?1.49, P?=?.02 and β?=?1.42, P?=?.03, respectively). No direct effect of intervention on LWP implementation was found. Formation of active wellness teams mediated the association between both WCC plus TA and WCC and LWP implementation (WCC plus TA confidence interval [CI], 1.22–16.25; WCC CI, 10.98–15.61 [CI was significant without 0]).Conclusions and Implications
The WCC intervention approaches indirectly affected LWP implementation through the formation of active wellness teams. These results support building and school-level wellness teams. 相似文献4.
5.
Holly A. Harris Elena Jansen Kimberley M. Mallan Lynne Daniels Karen Thorpe 《Journal of nutrition education and behavior》2018,50(8):757-764
Objective
To examine the role of parent concern in explaining nonresponsive feeding practices in response to child fussy eating in socioeconomically disadvantaged families.Design
Mediation analysis of cross-sectional survey data.Setting
Socioeconomically disadvantaged urban community in Queensland, Australia.Participants
Cohabiting mother–father pairs (n?=?208) with children aged 2–5 years.Main Outcome Measure(s)
Two validated measures of nonresponsive feeding: persuasive feeding and reward for eating.Analysis
Mediation analysis tested concern as a mediator of the relationship between child food fussiness (independent variable) and parent nonresponsive feeding practices (dependent variables), adjusted for significant covariates and modeled separately for mothers and fathers.Results
Maternal concern fully mediated the relationship between child food fussiness and persuasive feeding (indirect effect: B [SE]?=?0.10 [0.05]; 95% confidence interval [CI], 0.01–0.20). Concern also fully mediated the relationship between child food fussiness and reward for eating for mothers (indirect effect: B [SE]?=?0.17 [0.07]; CI, 0.04–0.31) and fathers (indirect effect: B [SE]?=?0.14 [0.05]; CI, 0.04–0.24)Conclusions and Implications
Concern for fussy eating behaviors may explain mothers’ and fathers’ nonresponsive feeding practices. In addition to providing education and behavioral support, health professionals working with socioeconomically disadvantaged families can incorporate strategies that aim to alleviate parents’ concerns about fussy eating. 相似文献6.
7.
Gicheol Jeong 《Health Policy and Technology》2018,7(4):358-364
Aims
This study analyzes public preferences for the adoption of personal genomic testing (PGT) to determine the important attributes for PGT adoption and to qualitatively compare their relative importance.Methods
The best–worst scaling method is used for the analysis by using 13 attributes related to adoption of PGT. A web-based survey was conducted to collect data from 604 respondents in South Korea in November 2017.Results
The results show that accuracy of test is the most important attribute with the following order of importance: accuracy of test > risk of disease > aim of test, insurance reimbursement/coverage, price, burden of disease, testable items > privacy protection > method of collecting sample, person explaining the results, medical intervention availability, test accessibility > time required for completing test.Conclusions
From a consumer perspective, the findings suggest that it is important how PGT can accurately provide information on various high-risk, high-burden diseases, even though there are no known preventive or treatment measures. Further, the price of PGT is burdensome, and therefore, insurance coverage is important. If accurate and reliable information is provided, how to request PGT and who explains the result are not important. 相似文献8.
Cheng Li Garry Auld Karen D&#x;Alonzo Debra Palmer-Keenan 《Journal of nutrition education and behavior》2018,50(10):984-992
Objective
This investigation sought to identify the physical activity (PA) terms and concepts that are best understood by low-income adults.Design
This was a cross-sectional study using semistructured cognitive interviews that employed retrospective verbal probing techniques.Setting
Interviews were conducted in Expanded Food and Nutrition Education Program (EFNEP) sites in New Jersey, Tennessee, and Washington.Participants
A convenience sample of 57 adults participating in or eligible for participation in EFNEP.Phenomenon of Interest
Participants’ interpretations and conceptualizations of PA concepts and terms.Analysis
Template and constant comparative analysis.Results
Participants interpreted many PA terms and concepts in unintended ways. Exercise was the term that came closest to conveying moderate to vigorous PA. Terms used to describe muscle-strengthening activities were mostly understood. Intentional engagement in extra activities was difficult for participants to conceptualize despite multiple tested wordings; making small changes to be active came closest to conveying this concept. Participants’ comprehension of the PA terms differed by their PA and literacy levels.Conclusions and Implications
Nutrition educators should be mindful of the terminologies they used in communicating messages and assessing PA behaviors to EFNEP participants or similar populations. 相似文献9.
Aislin R. Mushquash Allison M. Rasquinha Alinda Friedman Geoff D.C. Ball 《Journal of nutrition education and behavior》2018,50(9):918-923
Objective
To determine parents’ (1) accuracy in using portion size estimation aids (PSEAs) to estimate portion sizes and (2) use of PSEAs at home.Methods
Parents (n?=?37) of children in a pediatric weight management clinic were recruited, enrolled in a parallel-design, randomized, controlled trial, and assigned to receive a 2-dimensional (2D) or 3D PSEA. Percent absolute estimation accuracy was examined across groups and food types. Survey responses were organized according to frequencies and percentages were calculated.Results
Main effects of group, food type, and group?×?food type interaction were significant (all P < .05). The 2D PSEAs yielded more accurate estimates of portion sizes for amorphous foods. Overall, parents’ estimation accuracy was poor. Participants were satisfied and found the PSEAs to be useful.Conclusions and Implications
The 2D PSEAs led to greater accuracy in estimating portions of amorphous foods. Parents showed poor accuracy in estimating portion sizes. This study highlights the role of dietitians and nutrition educators in enhancing portion estimation accuracy. 相似文献10.
Petra J. Porte Jill D.M. Meijs Lisanne M. Verweij Martine C. de Bruijne Cees P.M. van der Vleuten Cordula Wagner 《Health Policy and Technology》2018,7(2):166-172
Objectives
To gain insight into the current implementation of national guidelines on training, examination and registration of proficiencies for the safe use of medical devices and to explore the barriers and facilitators faced during the implementation of these national guidelines.Methods
A questionnaire was sent to all Dutch hospitals and interviews were held with staff at six hospitals.Results
There are differences between hospitals in the implementation stage, but also within hospitals. The questionnaire showed differences between training and examination for devices used by nurses and those used by medical specialists. The interviews showed that most barriers and facilitators for implementation of the national guidelines can be found in organizational factors.Conclusions
According to the hospitals, implementation of national guidelines for the safe use of medical devices is a complex process that involves all departments. Furthermore, the staff do not always feel a sense of urgency to improve the safe use of medical devices. To facilitate implementation, more national guidance could be helpful. 相似文献11.
Objective
To investigate (1) how perceived parental control, perceived parental modeling, and parent–teen co–decision making are associated with teenagers’ consumption of fruits and vegetables as well as sugary drinks and less healthful food; and (2) whether self-efficacy mediates this relationship.Design
Cross-sectional survey.Participants
A total of 1,657 adolescents aged 12–17years.Main Outcome Measure(s)
Perceived parental control, perceived parental modeling, parent–teen co–decision making, self-efficacy, and consumption of fruits and vegetables as well as sugary drinks and less healthful food.Analysis
Ordinary least-squares regressions and mediation analyses.Results
After controlling for teenagers’ self-efficacy, perceived parental control was not significantly associated with teenagers’ fruit and vegetable consumption but it was negatively related to teenagers’ consumption of sugary drinks and less nutrient-dense food. Perceived parental modeling had a positive correlation to teenagers’ fruit and vegetable consumption and a negative relationship to their consumption of sugary drinks and less healthful food. Parent–teen co–decision making regarding teenagers’ food consumption emerged as a positive predictor for teenagers’ fruit and vegetable consumption but not for that of sugary drinks and foods with little nutritional value after controlling for self-efficacy.Conclusions and Implications
Findings from this study demonstrated that perceived parental behaviors were related to teenagers’ nutrition intakes. Not exerting too much control and having teenagers participate in the decision-making process could help teenagers eat more healthily. Furthermore, providing a positive role model for teenagers can be an effective strategy to encourage teenagers to eat better. 相似文献12.
Nutrition Label Use and Its Association With Dietary Quality Among Latinos: The Roles of Poverty and Acculturation 总被引：1，自引：0，他引：1
Machelle D. Wilson A. Susana Ramírez Joanne E. Arsenault Lisa M. Soederberg Miller 《Journal of nutrition education and behavior》2018,50(9):876-887
Objective
To investigate how acculturation and poverty are independently and jointly associated with the use of the Nutrition Facts panel (nutrition label) and to examine the extent to which nutrition label use moderates the association of poverty and acculturation on dietary quality among Latinos.Design
Cross-sectional analysis of the 2007/2008 and 2009/2010 waves of the National Health and Nutrition Examination Survey.Participants
A total of 3,696 adults (aged >19 years) self-identified as Latino/Hispanic with food label use data from the most recent Consumer Behavior Phone Follow-Up Modules.Main Outcome Measure(s)
Nutrition label use and dietary quality.Analysis
Logistic regression.Results
Acculturation moderated the association of income on the likelihood of using nutrition labels, such that lower-income English-speaking Latinos were half as likely as higher-income English-speakers to use nutrition labels (P?=?.01, odds ratio [OR]?=?0.44, 95% confidence interval [CI], 0.24–0.81); however, Spanish speakers were equally likely to use nutrition labels across income levels (P?=?.99; OR?=?1.00; 95% CI, 0.77–1.31). Nutrition label use moderated the association of acculturation on diet. Among English-speaking Latinos, those who read nutrition labels had less than half the risk for poor diet (P =.001; OR?=?0.43; 95% CI, 0.26–0.69); however, label use was not significantly associated with the diet quality of Spanish speakers (P?=?.07; OR?=?0.82; 95% CI, 0.67–1.02). Nutrition label use decreased the risk for poor dietary quality regardless of poverty status.Conclusions and Implications
Overall, results demonstrated a positive association between the use of the Nutrition Facts panel for Latinos and dietary quality. An important nutrition education strategy among bicultural Latinos at risk for a poor diet as a result of acculturation may include label reading comprehension. This approach may also address the low rates of label use. The study provides evidence of segmented assimilation in which low-income, bicultural Latinos follow an underclass pattern of acculturation demonstrated by a lower likelihood of reading nutrition labels and higher-income, bicultural Latinos follow the more successful selective pattern. 相似文献13.
Ronel Suthers Michelle Broom Eleanor Beck 《Journal of nutrition education and behavior》2018,50(8):813-823
Objective
To identify characteristics of successful public health interventions aimed at increasing whole grain consumption.Methods
The Preferred Reporting Items for Systematic Reviews and Meta-analyses framework, guided by higher-quality interventions with greatest effect size, was adopted to conduct a systematic literature review.Results
Of 8,500 initial records, only 8 interventions with demonstrated reach (up to national populations) and effectiveness (increasing consumption 8–27 g/d) were eligible for synthesis. Their characteristics included multiple stakeholder involvement, specified target intakes in dietary guidelines, manufacturer codes of practice, product reformulation, evidence-based educational resources, social media, and community events with tasting and preparation opportunities. Empowerment of food service providers was also linked to success.Conclusions and Implications
Successful interventions require multifaceted strategies across multiple aspects of the food system, underpinned by multiple stakeholder partnerships. Uniform capture of interventions using an online, searchable, public domain resource may provide a strategy to enable health professionals globally to plan local interventions across cultural settings, drawing on best practice guidelines developed from interventions with demonstrated reach and effectiveness. 相似文献14.
Anne R. Lindsay Anthony J. Dyrek Jonathan L. Blitstein Teresa Byington Madeleine Sigman-Grant 《Journal of nutrition education and behavior》2018,50(10):1040-1045
Objective
To determine the interrater reliability of the Preschool Movement Assessment (PMA), a unique field-based assessment tool for use by early childhood professionals in preschool settings.Methods
A total of 123 preschool children, aged 3–5years, were assessed by 6 trained raters using the PMA tool in an intervention. Interrater agreement on individual items of the PMA was determined using the kappa (κ) and intraclass correlation coefficient statistics.Results
Weighted κ values were 0.82–0.96, indicating excellent agreement for all constructs of the PMA. The 95% confidence intervals indicated that all weighted κ’s were statistically significant. The intraclass correlation coefficient for the PMA total score was 0.97.Conclusions and Implications
After additional developmental research, the tool might serve to establish and support a minimum level of functional movements that should be attained before a child enters grade school. 相似文献15.
Objective
The current study aimed to examine the interplay between self-efficacy and perceived availabilities of fruits and vegetables (F&V) and energy-dense, low-nutrient foods and sugary drinks (EDLNF&SD) at home and in the school neighborhoods on adolescents’ eating behaviors.Design
The Family Life, Activity, Sun, Health, and Eating study, a cross-sectional, Internet-based survey was analyzed.Participants
Adolescent–parent dyads (n?=?1,657).Interventions
Self-efficacy for F&V intake and limiting EDLNF&SD consumption, perceived F&V and EDLNF&SD availabilities at home and in the school neighborhood, and F&V intake and EDLNF&SD consumption.Analysis
Multiple regression analyses.Results
Adolescents’ self-efficacy and perceived home and school neighborhood availability of F&V and EDLNF&SD had significant main effects on their F&V intake and EDLNF&SD consumption, respectively (all P < .01). The positive effect of self-efficacy on F&V intake was greater when home F&V availability was high (+1 SD; b?=?.29; P < .001) than when it was low (–1 SD; b?=?.07; P?=?.040). The effect of home F&V availability on F&V intake was significant when F&V were not available in the school neighborhood (b?=?.09; P?=?.006).Conclusions and Implications
Given the central role of home availability, it may be considered a fundamental unit of nutrition intervention for adolescents. Multiple contexts (eg, individual, home, school neighborhood) need to be considered to promote adolescents’ eating behaviors. 相似文献16.
Lucia L. Kaiser Banafsheh Sadeghi Iraklis E. Tseregounis Rosa D. Manzo Lisa Martinez Maria I. Rangel Rosa Gomez-Camacho Sara Schaefer Adela de la Torre 《Journal of nutrition education and behavior》2018,50(8):824-828
Objective
To examine factors related to attendance of Mexican-heritage parents at community-based nutrition classes to prevent childhood obesity.Methods
Starting in 2011, interviewers collected baseline data from Niños Sanos Familia Sana (Healthy Children, Healthy Families) participants in rural California. Educators maintained attendance logs from 2012 to 2014. Informed by the Theory of Planned Behavior, interviewers administered an exit survey in 2015 to collect data on attitudes, subjective norms, health motivations, and perceived control related to attendance. Multivariable ordinal logistic regression analysis examined the correlates of attendance (n?=?194, intervention group only).Results
Controlling for mother's age, marital status, acculturation, and employment, attitudes and subjective norms were significantly related to attendance (odds ratio?=?1.27; 95% confidence interval [CI], 1.18–1.37; P < .001).Conclusions and Implications
In these Mexican-heritage participants, attitudes and subjective norms were significant correlates of attendance. The Theory of Planned Behavior may shed light on attendance of high-risk groups but further testing of instruments is needed. 相似文献17.
Mohamad Sorani Sogand Tourani Hamid Reza Khankeh Sirous Panahi 《Health Policy and Technology》2018,7(4):374-378
Objectives
After implementing a health system reform plan in Iran, Helicopter Emergency Medical Services (HEMS) have been developed to provide critical care for time-sensitive critical patients. The current study aimed to explore the challenges experienced in providing and developing helicopter emergency medical services in Iran.Methods
A qualitative study was conducted by using a content analysis approach. Data were collected through interviews with 27 experienced persons.Results
Four main challenges facing HEMS were explored including infrastructure deficiencies, safety concerns for staff, patients and public, insufficient resource management and the problems related to staff competencies.Conclusions
Based on the results, the development program of Iranian helicopter emergency medical services should be revised. It seems that developing national standards and regulations is prerequisite to improving the quality of services. Considering the safety concerns and high cost of HEMS in Iran, it is suggested that more commitment is needed for triage criteria. 相似文献18.
Kaipeng Wang Yoosun Chu Adolfo G. Cuevas Robert G. Hasson III Katherine L. Tucker Luis M. Falcón 《Journal of nutrition education and behavior》2018,50(8):829-835
Objective
To examine the associations among acculturation, food environment, and food insecurity among Puerto Ricans in Boston.Methods
The researchers used data from the second wave of the Boston Puerto Rican Health Study. The sample included 719 Puerto Rican adults in Boston. The researchers used logistic regression to examine the associations between psychological and language acculturation and food insecurity.Results
Individuals with medium psychological acculturation were more likely to be food insecure than were those with low or high psychological acculturation (P = .01). The association between language acculturation and food insecurity differed by distance of residence from primary shopping location (P = .02).Conclusions and Implications
This study extends the understanding of acculturation and food insecurity by investigating the impact of psychological and language acculturation. The findings highlight biculturalism, indicated by medium psychological acculturation, as a risk factor for food insecurity. People with low language acculturation who live far from food shopping locations had the highest prevalence of food insecurity. 相似文献19.
Objectives
Simulation-based nursing education has increased dramatically in the past decade. Simulation as a pedagogy is considered a more effective teaching and learning method, appropriate to the rapidly changing environment of nursing education. Many studies have explored the positive aspects of simulation; however, barriers still exist in the implementation of simulation-based education. This report focuses on the policy aspects related to the various problems.Methods
This review introduces the current status of simulation-based education, a major trend in the last decade, and focuses especially on the impact of policy changes within the education of health professionals with reference to the present situation in Korea.Results
As a result of policy changes in nursing education, the use of simulators as recognition elements for obtaining nursing education accreditation, as well as the benefits of specialized simulation-based education, have allowed for the repetition of difficult specialty nursing skills being applied to specific patients under the current situation of insufficient hospitals for practice and increasing awareness of patient rights. Further, the changes in policy have led to the development of simulation technology.Conclusion
Many barriers need to be resolved to further develop nursing simulation-based education. For this reason, standardized continuing education for professors and enhanced resources and an educational support system, especially in terms of policy improvement, should be provided. 相似文献20.
Ashley M. Kranz Sarah Dalton Cheryl Damberg Justin W. Timbie 《Joint Commission journal on quality and patient safety / Joint Commission Resources》2018,44(12):731-740