1
|
Tovar A, Fischbach SR, Miller ME, Guseman EH, Stage VC, Wentzell B, Benjamin-Neelon SE, Hoffman JA, Beltran M, Sisson SB. Height and Weight Measurement and Communication With Families in Head Start: Developing a Toolkit and Establishing Best Practices. Child Obes 2024. [PMID: 38573231 DOI: 10.1089/chi.2023.0166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/05/2024]
Abstract
Background: Head start (HS) programs are required to collect children's height and weight data. Programs also communicate these results to families. However, no standardized protocol exists to guide measurements or communicate results. The purpose of this article was to describe the development of a measurement toolkit and best practices for communication. Methods: HS programs contributed to the development and pilot testing of a toolkit for HS staff to guide child measurement. We used a three-phase iterative approach and qualitative methods to develop and test the toolkit, which included a video and handout. In addition, we convened an advisory group to draft best practices for communication. Results: HS program staff appreciated the toolkit materials for their simplicity and content. The advisory group highlighted the importance of weight stigma and the need to be cautious in the way that information is communicated to families. The group underscored the role of emphasizing health behavior change, instead of focusing solely on BMI. Best practices were organized into (1) Policies and procedures for communicating screening results, (2) training for HS program staff to improve communication related to screening and health behaviors, and (3) other best practices to promote health behaviors and coordinate data systems. Conclusions: Our toolkit can improve anthropometric measurements of HS to ensure that potential surveillance data are accurate. Advisory group best practices highlight opportunities for HS to develop and implement policies, procedures, and trainings across the country to improve communication with HS families. Future research should test the implementation of these best practices within HS.
Collapse
Affiliation(s)
- Alison Tovar
- Department of Behavioral and Social Sciences, Center for Health Promotion and Health Equity, School of Public Health, Brown University, Providence, RI, USA
| | - Sarah R Fischbach
- Department of Behavioral and Social Sciences, Center for Health Promotion and Health Equity, School of Public Health, Brown University, Providence, RI, USA
| | - M Elizabeth Miller
- Department of Kinesiology, Nutrition, & Health, Miami University, Oxford, OH, USA
| | - Emily Hill Guseman
- Diabetes Institute, Ohio University, Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA
| | - Virginia C Stage
- Department of Agricultural and Human Sciences, North Carolina State University, Raleigh, NC, USA
| | - Bryce Wentzell
- Department of Allied Health Sciences, University of Oklahoma, Oklahoma City, OK, USA
| | | | - Jessica A Hoffman
- Department of Applied Psychology, Northeastern University, Boston, MA, USA
| | - Marco Beltran
- Office of Head Start, Administration for Children and Families, Washington DC, USA
| | - Susan B Sisson
- Department of Allied Health Sciences, University of Oklahoma, Oklahoma City, OK, USA
| |
Collapse
|
2
|
Dixon J, Stage VC, Truesdale KP, Wu Q, Kolasa K, Haynes-Maslow L, McGuirt JT, Jilcott Pitts S. Associations between food and beverage purchases and skin carotenoids among diverse small food retail store customers. Public Health Nutr 2023; 26:2211-2217. [PMID: 37548230 DOI: 10.1017/s1368980023001581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/08/2023]
Abstract
OBJECTIVE To determine if customer purchases at small food stores are associated with healthfulness of the diet as approximated by skin carotenoids. DESIGN This is a cross-sectional survey of customers in small food stores regarding demographics and food purchases. Food and beverage purchases were classified as 'healthy' or 'non-healthy' and 'carotenoid' v. 'non-carotenoid' using a systematic classification scheme. Fruit and vegetable intake was objectively assessed using a non-invasive device to measure skin carotenoids. Associations between variables of interest were examined using Pearson's correlation coefficients, t tests and multiple linear regression analyses. SETTING Twenty-two small food retail stores in rural (n 7 stores) and urban (n 15) areas of North Carolina. PARTICIPANTS Customers of small food stores. RESULTS Of study participants (n 1086), 55·1 % were male, 60·0 % were African American/Black and 4·2 % were Hispanic, with a mean age of 43·5 years. Overall, 36 % purchased at least one healthy item, and 7·6 % of participants purchased a carotenoid-containing food/beverage. Healthy foods and beverages purchased included produce, lean meats, 100 % juices, plain popcorn, plain nuts, milk and yogurt. Unhealthy items included non-100 % juices, crackers, chips, candy, cakes and donuts. Purchase of a healthy or carotenoid-containing item was positively associated with skin carotenoid scores (P = 0·002 and 0·006, respectively). CONCLUSIONS A relatively small proportion of customers purchased any healthy or carotenoid-containing foods and beverages, and those who did purchase healthy options had higher skin carotenoid scores. Future research should confirm these findings in different populations.
Collapse
Affiliation(s)
- Jocelyn Dixon
- Departments of Nutrition Science and Public Health, East Carolina University, Greenville, USA
- North Carolina State University, Raleigh, NC, USA
| | | | | | - Qiang Wu
- Department of Public Health, ECU, Greenville27834, USA
| | | | | | | | | |
Collapse
|
3
|
Stage VC, Resor J, Dixon J, Hegde AV, Méndez LI, Lee T, Breinholt R, Goodell LS, McMillan VJ, Murphy Gilliam E. More PEAS Please! Teaching Teachers How to Integrate Food-based Learning Into Preschool Science. J Nutr Educ Behav 2023; 55:457-463. [PMID: 37019753 PMCID: PMC10257756 DOI: 10.1016/j.jneb.2023.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Revised: 02/15/2023] [Accepted: 02/20/2023] [Indexed: 06/11/2023]
Affiliation(s)
- Virginia C Stage
- Department of Agricultural and Human Sciences, College of Agriculture and Life Sciences, North Carolina State University, NC State Extension, Raleigh, NC.
| | - Jessica Resor
- The Food-based Early Education (FEEd) Lab, Department of Human Development and Family Sciences, College of Health and Human Performance, Greenville, NC
| | - Jocelyn Dixon
- The Food-based Early Education (FEEd) Lab, Department of Human Development and Family Sciences, College of Health and Human Performance, Greenville, NC
| | - Archana V Hegde
- Department of Human Development and Family Science, College of Health and Human Performance, Greenville, NC
| | - Lucía I Méndez
- Department of Communication Sciences and Disorders, School of Health and Human Sciences, University of North Carolina Greensboro, Greensboro, NC
| | - Tammy Lee
- Department of Science Education, College of Education, East Carolina University, Greenville, NC
| | - Raven Breinholt
- The Food-based Early Education (FEEd) Lab, Department of Human Development and Family Sciences, College of Health and Human Performance, Greenville, NC
| | - L Suzanne Goodell
- Department of Food, Bioprocessing, and Nutrition Sciences, College of Agriculture and Life Sciences, North Carolina State University, Raleigh, NC
| | - Valerie J McMillan
- Department of Family and Consumer Sciences, College of Agriculture and Environmental Sciences, North Carolina Agricultural and Technical State University, Greensboro, NC
| | | |
Collapse
|
4
|
Dixon J, Hegde AV, Goodell LS, Arnold NL, Swindle T, Dev DA, Méndez LI, McMillan VJ, Lee TD, Stage VC. Integration of Food-based Learning With Science in the Preschool Classroom: Implementation Gaps and Opportunities. J Nutr Educ Behav 2023; 55:266-284. [PMID: 37028898 PMCID: PMC10083887 DOI: 10.1016/j.jneb.2023.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 12/21/2022] [Accepted: 01/04/2023] [Indexed: 06/11/2023]
Abstract
OBJECTIVE To explore Head Start teachers' use and integration of food-based learning (FBL) with science learning in the Head Start classroom. DESIGN Phenomenological approach using in-depth semistructured telephone interviews. SETTING North Carolina Head Start preschools. PARTICIPANTS Thirty-five Head Start lead and assistant teachers. PHENOMENON OF INTEREST All interviews were transcribed verbatim. Authors coded interview data for emergent themes. ANALYSIS Eleven primary themes were identified during analysis and inductively organized using the Systems Thinking Iceberg Model. RESULTS Teachers described most frequently using FBL during mealtimes. Teachers stated they felt successful when children were engaged and willing to try a new food. However, they struggled to connect food to science concepts. Teachers reported several motivators (eg, improving health) and barriers (eg, food waste) to integrating FBL. Teachers prioritized preparing children for kindergarten, but most teachers did not see how FBL could help them achieve this goal. CONCLUSIONS AND IMPLICATIONS Head Start teacher professional development programs could impact all 4 levels of the Systems Thinking Model to improve teachers' perceptions, underlying structures, and mental models regarding integrative FBL. Additional research is warranted to investigate the adoption, implementation, and potential impact of FBL on academic outcomes.
Collapse
Affiliation(s)
- Jocelyn Dixon
- The Food-based Early Education (FEEd) Lab, Project Coordinator, East Carolina University, Greenville, NC
| | - Archana V Hegde
- Department of Human Development and Family Science, College of Health and Human Performance, East Carolina University, Greenville, NC
| | - Lora Suzanne Goodell
- Department of Food, Bioprocessing and Nutrition Sciences, North Carolina State University, Raleigh, NC
| | - Nicole L Arnold
- Ohio State University Extension, Family and Consumer Sciences, The Ohio State University, Columbus, OH
| | - Taren Swindle
- Department of Family and Preventative Medicine, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Dipti A Dev
- Childhood Health Behaviors Extension Specialist, University of Nebraska-Lincoln, Lincoln, NE
| | - Lucía I Méndez
- Department of Communication Sciences and Disorders, University of North Carolina Greensboro, Greensboro, NC
| | - Valerie J McMillan
- Department of Family and Consumer Sciences, North Carolina Agricultural and Technical State University, Greensboro, NC
| | - Tammy D Lee
- Department of Mathematics, Science, and Instructional Technology Education, College of Education, East Carolina University, Greenville, NC
| | - Virginia C Stage
- Department of Agricultural and Human Sciences, NC State Extension, North Carolina State University, Raleigh, NC.
| |
Collapse
|
5
|
Hasnin S, Dev DA, Swindle T, Sisson SB, Pitts SJ, Purkait T, Clifton SC, Dixon J, Stage VC. Systematic Review of Reflection Spectroscopy-Based Skin Carotenoid Assessment in Children. Nutrients 2023; 15:nu15061315. [PMID: 36986046 PMCID: PMC10055935 DOI: 10.3390/nu15061315] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 02/28/2023] [Accepted: 03/02/2023] [Indexed: 03/30/2023] Open
Abstract
Assessing children's skin carotenoid score (SCS) using reflection spectroscopy (RS) is a non-invasive, widely used method to approximate fruit and vegetable consumption (FVC). The aims for the current review were to (1) identify distributions of SCS across demographic groups, (2) identify potential non-dietary correlates for RS-based SCS, (3) summarize the validity and reliability of RS-based SCS assessment, and (4) conduct meta-analyses of studies examining the correlation between RS-based SCS with FVC. A literature search in eight databases in June 2021 resulted in 4880 citations and peer-reviewed publications written in English that investigated children's (2-10 years old) SCS using RS. We included 11 studies (intervention = 3, observational = 8). Potential covariates included weight status, ethnicity, seasonal variation, age, sex, and income. Studies reported criterion validity with children's FVC but not with plasma carotenoid. Additionally, no studies reported the reliability of RS-based SCS in children. Among the 726 children included in the meta-analysis, the correlation between RS-based SCS and FVC was r = 0.2 (p < 0.0001). RS-based SCS is a valid method to quantify skin carotenoids for children's FVC estimation with the potential for evaluating nutrition policies and interventions. However, future research should use standardized protocol for using RS and establish how RS-based SCS can translate to the amount of daily FVC in children.
Collapse
Affiliation(s)
- Saima Hasnin
- Department of Child, Youth and Family Studies, University of Nebraska-Lincoln, Lincoln, NE 68588, USA
| | - Dipti A Dev
- Department of Child, Youth and Family Studies, University of Nebraska-Lincoln, Lincoln, NE 68588, USA
| | - Taren Swindle
- Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Susan B Sisson
- Department of Allied Health Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73126, USA
| | - Stephanie Jilcott Pitts
- Department of Public Health at the Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA
| | - Tirna Purkait
- Department of Nutrition and Health Sciences, University of Nebraska-Lincoln, Lincoln, NE 68588, USA
| | - Shari C Clifton
- Robert M. Bird Health Sciences Library, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73126, USA
| | - Jocelyn Dixon
- Department of Human Development and Family Science, East Carolina University, Greenville, NC 27834, USA
| | - Virginia C Stage
- Department of Agricultural and Human Sciences, North Carolina State University, Raleigh, NC 27695, USA
| |
Collapse
|
6
|
Miller ME, Nicely S, Shefet D, Stage VC. Head Start Health and Nutrition Managers' Perceptions of the Process of Measuring BMI and Communicating Preschooler's Weight Status. Health Educ Behav 2023; 50:41-48. [PMID: 36314367 DOI: 10.1177/10901981221131264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Body mass index (BMI) screenings are conducted as part of Head Start's (HS) health and nutrition assessments. Weight status classifications, which rely on the accuracy of the BMI measurements, are communicated to caregivers to engage them in health behavior change. Limited qualitative research has been conducted on the procedures for BMI measurement and reporting in HS programs. Interviews (n=28) were conducted with HS health/nutrition managers in Ohio and North Carolina to understand the processes used to conduct BMI screenings and disseminate reports and identify related needs. Themes included Personnel, Equipment, and Training for BMI Measurements; Classifying and Communicating BMI and Referrals; Professional Development Opportunities; and Resource, Training/Policy Needs to Support BMI Practices. Programs need additional resources to implement BMI measurement training and improve data accuracy and entry. Clarification of the referral/follow-up process and training around communicating with caregivers is also needed to better support families in implementing behavior change.
Collapse
Affiliation(s)
| | | | - Dana Shefet
- East Carolina University, Greenville, NC, USA
| | | |
Collapse
|
7
|
Méndez LI, Lee TD, Hegde AV, McMillan VJ, Dixon JB, Goodell LS, Stage VC. Let's Talk: Linking Science and Language Learning in the Preschool Classroom. YC Young Child 2023; 78:66-72. [PMID: 37605783 PMCID: PMC10441200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Affiliation(s)
| | | | - Archana V Hegde
- Department of Human Development and Family Science at East Carolina University, North Carolina
| | - Valerie Jarvis McMillan
- Department of Family and Consumer Sciences at North Carolina A&T State University in Greensboro, North Carolina
| | - Jocelyn B Dixon
- National Institute of Health Science Education Partnership Award project
| | | | | |
Collapse
|
8
|
Shefet D, Miller ME, Nicely S, Powell SB, Stage VC. Communicating With Head Start Families About Children's Weight Status: A Phenomenological Approach. J Nutr Educ Behav 2022; 54:1076-1085. [PMID: 36496229 DOI: 10.1016/j.jneb.2022.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Revised: 09/01/2022] [Accepted: 09/06/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND To support the early identification of childhood obesity, Head Start (HS) implemented a body mass index screening program. This program provides opportunities for HS to communicate with families about children's weight status. Limited research is available describing the methods used to communicate this information. OBJECTIVE Explore common experiences of HS health/nutrition managers (HNM) when communicating information to families about children's weight status. STUDY DESIGN, SETTINGS, AND PARTICIPANTS Twenty-eight in-depth telephone interviews with HNM across North Carolina (n = 15) and Ohio (n = 13). STUDY DESIGN/ANALYSIS Phenomenology guided the study design and analysis. The themes focused on HNM's lived experiences with their body mass index screening program. Interviews were recorded and transcribed verbatim. RESULTS Four emergent themes identified: (1) strategies for communicating weight status to families; (2) family response to communication strategies; (3) educational, staff support, and counseling opportunities for families; and (4) challenges engaging families in childhood obesity prevention efforts. CONCLUSIONS AND IMPLICATIONS Head Start programs acknowledged the importance of communicating children's weight status; however, there are inconsistencies in methods used and information communicated across programs. Head Start programs have community partners who support obesity prevention efforts; however, these partnerships may be underused. More research is needed to explore effective and sensitive communication methods for HS families regarding children's weight status.
Collapse
Affiliation(s)
- Dana Shefet
- Department of Nutrition Science, East Carolina University Greenville, NC
| | - M Elizabeth Miller
- Department of Kinesiology, Nutrition, and Health, Miami University, Oxford, OH
| | | | | | - Virginia C Stage
- Department of Nutrition Science, East Carolina University Greenville, NC.
| |
Collapse
|
9
|
Poston JR, Watkins RE, Jilcott Pitts S, Stage VC, Lazorick S. Adaptation of a Modified Diet Quality Index to Quantify Healthfulness of Food-Related Toy Sets. Child Obes 2022; 18:433-436. [PMID: 35244468 PMCID: PMC9492788 DOI: 10.1089/chi.2021.0273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The objective of this cross-sectional study was to examine the construct validity of an adapted modified Diet Quality Index (aDQI) as a measure of the healthfulness of food-related toy sets for young children (3-8 years). A standardized online search was used to identify toy sets (n = 50) from 10 retailers. An aDQI score (aDQI score, range 0-50) was determined for each toy set, mean (standard deviation) = 28.7 (6.1). Regression analyses demonstrated a positive association between aDQI score and percentage of dairy, refined grains, protein, vegetables, and fruit and inverse association with percentage of desserts, sugar-sweetened beverages, and total number of servings. Sets contained more protein and fewer fruits than recommended. The aDQI score demonstrates construct validity to objectively assess the healthfulness of food-related toy sets. There is opportunity for toy manufacturers to make changes to improve the healthfulness in toy sets for young children, and future research can explore the impact of food-related toy sets on nutrition behaviors.
Collapse
Affiliation(s)
| | | | - Stephanie Jilcott Pitts
- Department of Public Health and Brody School of Medicine, East Carolina University, Greenville, NC, USA
| | - Virginia C. Stage
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC, USA
| | - Suzanne Lazorick
- Department of Public Health and Brody School of Medicine, East Carolina University, Greenville, NC, USA.,Department of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, NC, USA.,Address correspondence to: Suzanne Lazorick, MD, MPH, Brody School of Medicine, East Carolina University, 174 Warren Life Sciences Building, 600 Moye Boulevard, Greenville, NC 27834, USA
| |
Collapse
|
10
|
Dev DA, Padasas I, Hillburn C, Stage VC, Dzewaltowski DA. Ecological Approach to Family-Style, Multilevel Child Care Intervention: Formative Evaluation Using RE-AIM Framework. J Nutr Educ Behav 2022; 54:728-744. [PMID: 35768329 DOI: 10.1016/j.jneb.2022.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 03/09/2022] [Accepted: 03/14/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Conduct formative evaluation of Ecological Approach to Family-Style Dining (EAT) Intervention. DESIGN Qualitative semistructured interviews and demographic surveys. SETTING Early care and education (ECE) centers in Nebraska. PARTICIPANTS Cooperative Extension coaches (n = 9), ECE administrators (n = 8), and teachers (n = 17) caring for children aged 3-5 years. INTERVENTION The EAT intervention (a 16-week, 7-lesson, evidence-based online responsive feeding ECE model) uses a multilevel improvement system of 5 implementation strategies. Early care and education administrators and teachers completed 1 lesson/wk followed by a coaching session. MAIN OUTCOME MEASURES The Reach, Effectiveness, Adoption, Implementation, and Maintenance framework includes 5 evaluative dimensions. ANALYSIS Thematic analysis. RESULTS Overall, 77% of children aged 3-5 years (n = 216) participated from targeted Child and Adult Care Food Program ECEs (Reach). All perceived EAT improved children's nutritional and developmental outcomes and encouraged a positive mealtime environment (Effectiveness). Coaches found professional development incentives important, whereas administrators/teachers valued inservice hours (Adoption). Teachers reported successful implementation of responsive feeding, and administrators supported the teachers (Implementation). All reported they intended to continue using EAT, and administrators and teachers discussed incorporating EAT practices into the handbook/school policy (Maintenance). CONCLUSION AND IMPLICATIONS The EAT was valued by all stakeholders for its perceived effectiveness to positively impact children's nutritional outcomes. Furthermore, stakeholders valued the provided incentives and multilevel design with coaching, ECE administrators, and teachers. Future research is needed on how to use Extension coaches in ECE interventions.
Collapse
Affiliation(s)
- Dipti A Dev
- Department of Child Youth and Family Studies, University of Nebraska-Lincoln, Lincoln, NE.
| | - Irene Padasas
- Department of Child Youth and Family Studies, University of Nebraska-Lincoln, Lincoln, NE
| | - Carly Hillburn
- Department of Nutrition and Health Sciences, University of Nebraska-Lincoln, Lincoln, NE
| | - Virginia C Stage
- Department of Nutrition Science, East Carolina University, Greenville, NC
| | - David A Dzewaltowski
- Buffett Early Childhood Institute, Department of Health Promotion, University of Nebraska Medical Center, Omaha, NE
| |
Collapse
|
11
|
Tovar A, Miller ME, Stage VC, Hoffman JA, Guseman EH, Sisson S, Shefet D, Bejamin-Neelon SE, Swindle T, Hasnin S, Beltran M. BMI Data Collection and Communication Practices in a Multistate Sample of Head Start Programs. Child Obes 2022; 18:309-323. [PMID: 34874782 PMCID: PMC9464080 DOI: 10.1089/chi.2021.0199] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Background: Although there is a federal mandate to collect anthropometric data in Head Start (HS), little is currently known about the processes used to collect the height and weight measurements across programs and how the results are communicated to parents/guardians. The goal of this study was to understand anthropometric data collection and dissemination procedures in a sample of HS programs serving children 3-5 years. Methods: A convenience sample of HS Health or Nutrition managers were recruited via personal contacts and HS state directors to complete an electronic survey. Quantitative data were analyzed using descriptive statistics (means, standard deviations and frequencies). Open-ended questions were coded using thematic analysis. All protocols and procedures were approved by the Institutional Review Board at Miami University. Results: Approximately half of the programs reported that they have a protocol in place to guide measurements (57.1%) and those measurements are primarily taken by HS staff (64.5%). Most programs explain measurements to parents (82.3%) and report that collecting height/weight data is helpful in supporting children's health (76.0%). Most programs (80.3%) provide resources to parents of children with overweight or obesity. Four themes emerged from open-ended responses: (1) Role of Community Partners (e.g., providing information that conflicts with others); (2) Communicating Children's Weight Status with Families (e.g., using sensitive communication methods); (3) Challenges Measuring Children's Weight Status (e.g., accuracy of data, children's awareness); and (4) Family Reaction to Weight Status Communication (e.g., positive or negative experiences). Conclusion: Opportunities for quality improvement include wider use of standardized, written protocols and policies on data collection and enhanced communication practices to share information with parents.
Collapse
Affiliation(s)
- Alison Tovar
- Department of Nutrition and Food Sciences, University of Rhode Island, Kingston, RI, USA.,Address correspondence to: Alison Tovar, PhD, MPH, Department of Nutrition and Food Sciences, University of Rhode Island, 41 Lower College Road, Kingston, RI 02881, USA
| | - M. Elizabeth Miller
- Department of Kinesiology, Nutrition, and Health, Miami University, Oxford, OH, USA
| | - Virginia C. Stage
- Department of Nutrition Science, East Carolina University, Greenville, NC, USA
| | - Jessica A. Hoffman
- Department of Applied Psychology, Northeastern University, Boston, MA, USA
| | - Emily Hill Guseman
- Diabetes Institute, Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA.,Department of Primary Care, Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA
| | - Susan Sisson
- Department of Nutrition Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Dana Shefet
- Department of Nutrition Science, East Carolina University, Greenville, NC, USA
| | - Sara E. Bejamin-Neelon
- Division of Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Taren Swindle
- Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Saima Hasnin
- Department of Child, Youth and Family Studies, University of Nebraska-Lincoln, Lincoln, NE, USA
| | - Marco Beltran
- Office of Head Start, Administration for Children and Families, U.S. Department of Health and Human Services, Washington, DC, USA
| |
Collapse
|
12
|
Díaz Rios LK, Stage VC, Leak TM, Taylor CA, Reicks M. Collecting, Using, and Reporting Race and Ethnicity Information: Implications for Research in Nutrition Education, Practice, and Policy to Promote Health Equity. J Nutr Educ Behav 2022; 54:582-593. [PMID: 35351358 DOI: 10.1016/j.jneb.2022.01.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/13/2021] [Revised: 01/19/2022] [Accepted: 01/20/2022] [Indexed: 06/14/2023]
Abstract
This report will describe approaches for collecting, analyzing, and reporting race and ethnicity information in nutrition education and behavior research, practice, and policy to advance health equity. Race and ethnicity information is used to describe study participants and compare nutrition and health-related outcomes. Depending on the study design, race and ethnicity categories are often defined by the research question or other standardized approaches. Participant self-reported data are more acceptable than researcher adjudicated identification data, which can add bias and/or error. Valid methods to collect, use, and report race and ethnicity information are foundational to publication quality, findings of value, contribution to the knowledge base, and health equity.
Collapse
Affiliation(s)
- L Karina Díaz Rios
- Division of Agriculture and Natural Resources, University of California Merced, Merced, CA
| | - Virginia C Stage
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC
| | - Tashara M Leak
- Division of Nutritional Sciences, Cornell University, Ithaca, NY
| | | | - Marla Reicks
- Department of Food Science and Nutrition, University of Minnesota, St Paul, MN.
| |
Collapse
|
13
|
Elrakaiby M, Hasnin S, Stage VC, Dev DA. 'Read for Nutrition' programme improves preschool children's liking and consumption of target vegetable. Public Health Nutr 2021; 25:1-9. [PMID: 34955106 PMCID: PMC9991685 DOI: 10.1017/s1368980021004985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 12/19/2021] [Accepted: 12/21/2021] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To determine whether the 'Read for Nutrition' programme would increase liking and consumption of broccoli (a target vegetable) in preschool children and test acceptability and practicality of the programme. DESIGN Pilot pre-post intervention study, where childcare teachers received training and coaching followed by reading the book 'Monsters Don't Eat Broccoli' multiple times with the children during a three-week intervention. SETTING Five classrooms of Educare, Lincoln, Nebraska in 2018. PARTICIPANTS Sixty-nine (11 to 16 children per classroom) preschool-aged children and sixteen teachers (minimum, three per classroom). RESULTS Average total consumption of broccoli increased 35 % (0·14 ounces or 0·05th cup) after the 'Read for Nutrition' programme (t = 2·66; P = 0·01; 95 % CIs (0·035, 0·246)) for all children. Proportional consumption increased for children who received ≥ five exposures to the book (t46 = 2·77; P = 0·008). Exposures to the book predicted proportional consumption (β = 0·365; P = 0·002). Liking of broccoli increased (W69 = 2·2, P = 0·03) as well. Teachers rated the programme as acceptable, practical and enjoyable to children and to themselves. CONCLUSIONS Programmes such as 'Read for Nutrition' have the potential to improve children's vegetable liking and consumption in early care and education settings with only book readings and no exposure to a real vegetable.
Collapse
Affiliation(s)
- Maha Elrakaiby
- Department of Child, Youth and Family Studies, University of Nebraska-Lincoln, Lincoln68588-0364, USA
| | - Saima Hasnin
- Department of Child, Youth and Family Studies, University of Nebraska-Lincoln, Lincoln68588-0364, USA
| | - Virginia C Stage
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, USA
| | - Dipti A Dev
- Department of Child, Youth and Family Studies, University of Nebraska-Lincoln, Lincoln68588-0364, USA
| |
Collapse
|
14
|
Radtke MD, Poe M, Stookey J, Jilcott Pitts S, Moran NE, Landry MJ, Rubin LP, Stage VC, Scherr RE. Recommendations for the Use of the Veggie Meter® for Spectroscopy-Based Skin Carotenoid Measurements in the Research Setting. Curr Dev Nutr 2021; 5:nzab104. [PMID: 34476333 PMCID: PMC8405124 DOI: 10.1093/cdn/nzab104] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Revised: 07/18/2021] [Accepted: 07/22/2021] [Indexed: 12/20/2022] Open
Abstract
Carotenoids are a class of phytochemical compounds found in a variety of fruits and vegetables (F/V) and, therefore, are commonly used as a biomarker for F/V intake. The Veggie Meter® is a noninvasive research-grade instrument that detects and quantifies carotenoids in the skin. To determine current practices and examine variability among users, a survey was administered to researchers using the device (n = 19, response rate = 35.8%) and variation in anatomical site preparation, calibration, number of measurements, measurement site, and documentation was observed. A protocol was developed in partnership with Veggie Meter® users to outline the preparation, calibration, and data collection procedures for using this device for research purposes. Although many protocol conditions will benefit from additional validation, this standardized protocol supports the development of a universal data repository to establish usual observed ranges, with the ultimate goal of examining associations between skin carotenoid scores and diet-related health outcomes.
Collapse
Affiliation(s)
- Marcela D Radtke
- Department of Nutrition, University of California, Davis, Davis, CA, USA
- Center for Nutrition in Schools, University of California, Davis, Davis, CA, USA
| | - Mykaela Poe
- Department of Public Health Sciences, University of California, Davis, Davis, CA, USA
| | - Jodi Stookey
- San Francisco Department of Public Health, San Francisco, CA, USA
| | - Stephanie Jilcott Pitts
- Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC, USA
| | - Nancy E Moran
- USDA/Agricultural Research Service Children's Nutrition Research Center and Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
| | - Matthew J Landry
- Stanford Prevention Research Center, School of Medicine, Stanford University, Stanford, CA, USA
| | - Lewis P Rubin
- Department of Pediatrics, Georgetown University Medical Center, Washington, DC, USA
| | - Virginia C Stage
- Department of Nutrition Science, East Carolina University, Greenville, NC, USA
| | - Rachel E Scherr
- Department of Nutrition, University of California, Davis, Davis, CA, USA
- Center for Nutrition in Schools, University of California, Davis, Davis, CA, USA
| |
Collapse
|
15
|
Bayles J, Peterson AD, Jilcott Pitts S, Bian H, Goodell LS, Burkholder S, Hegde AV, Stage VC. Food-Based Science, Technology, Engineering, Arts, and Mathematics (STEAM) Learning Activities May Reduce Decline in Preschoolers' Skin Carotenoid Status. J Nutr Educ Behav 2021; 53:343-351. [PMID: 33349594 PMCID: PMC8044028 DOI: 10.1016/j.jneb.2020.10.017] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 10/20/2020] [Accepted: 10/24/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVE To assess the effectiveness of food-based science, technology, engineering, arts, and mathematics (STEAM) learning activities on preschoolers' liking of 9 target vegetables and objectively-assessed fruit and vegetable (FV) intake. METHODS Seven hands-on, food-based STEAM learning activities were implemented to expose children to 9 target vegetables in 3 Head Start preschools (11 classrooms) across North Carolina. Child-reported vegetable liking scores and skin carotenoid status (SCS) were dependent variables collected at baseline, midpoint, and posttest. Adjusted repeated-measures ANOVA was used to examine intervention impact. RESULTS A total of 113 children (intervention = 49; comparison = 64) participated. Children were an average age of 3.7 ± 0.57 years at baseline. Mean target vegetable liking scores for the intervention and comparison groups, respectively, were 3.2 ± 0.19 and 3.2 ± 0.17 at baseline, 2.9 ± 0.17 and 3.1 ± 0.15 at midpoint, and 2.8 ± 0.15 and 3.1 ± 0.13 at posttest. A time × group interaction was not significant for target vegetable liking scores. Mean SCS were 268.6 ± 13.24 and 270.9 ± 12.13 at baseline, 271.3 ± 12.50 and 275.6 ± 11.46 at midpoint, and 267.8 ± 11.26 and 229.6 ± 10.32 at posttest for the intervention and comparison groups, respectively. A time × group interaction was significant for SCS (F1,77 = 3.98; P = 0.02; r = 0.10). Both groups declined from baseline to posttest (intervention = 0.06%; comparison = 15.09%), which occurred after winter break, with a smaller decline observed in the intervention group (P = 0.02). CONCLUSIONS AND IMPLICATIONS Food-based STEAM learning activities may present a unique opportunity to affect FV intake while meeting academic standards. More research is needed to understand how liking for familiar FV changes over time and its relationship with consumption. In addition, more implementation research featuring larger sample sizes, teachers as the interventionist, and a longer study duration is needed to confirm the outcomes of food-based STEAM learning observed in the current study and the long-term impact this approach may have on children's' dietary quality.
Collapse
Affiliation(s)
- Jocelyn Bayles
- Food-based Early Education (FEEd) Lab, Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC
| | - Amanda D Peterson
- Food-based Early Education (FEEd) Lab, Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC
| | - Stephanie Jilcott Pitts
- Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC
| | - Hui Bian
- Office for Faculty Excellence, East Carolina University, Greenville, NC
| | - L Suzanne Goodell
- Department of Food, Bioprocessing, and Nutrition Sciences, North Carolina State University, Raleigh, NC
| | - Sarah Burkholder
- Food-based Early Education (FEEd) Lab, Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC
| | - Archana V Hegde
- Department of Human Development and Family Science, College of Health and Human Performance, East Carolina University, Greenville, NC
| | - Virginia C Stage
- Food-based Early Education (FEEd) Lab, Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC.
| |
Collapse
|
16
|
Burkholder S, Jilcott Pitts S, Wu Q, Bayles J, Baybutt R, Stage VC. Skin Carotenoid Status Over Time and Differences by Age and Sex Among Head Start Children (3-5 Years). J Nutr Educ Behav 2021; 53:103-109. [PMID: 33349596 PMCID: PMC8042778 DOI: 10.1016/j.jneb.2020.10.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 10/21/2020] [Accepted: 10/24/2020] [Indexed: 06/12/2023]
Abstract
OBJECTIVE Examine differences in skin carotenoid status (SCS) based on time, age, and sex of preschool-aged children enrolled in Head Start (HS) in North Carolina. DESIGN Data were collected using surveys from participating families. preschool-aged children's SCS were measured 3 times over a 6-month period. SETTING Three HS centers in North Carolina. PARTICIPANTS One hundred twelve children aged 3-5 years, enrolled in HS. MAIN OUTCOME MEASURE(S) Differences in SCS assessed using the Veggie Meter (Longevity Link, Salt Lake City, UT) based on time, sex, and age. ANALYSIS One-way ANOVA to assess SCS at time 1 between sex and age (n = 112). Repeated measures ANOVA with a Greenhouse-Geisser correction for assessment of SCS over time (n = 45) using Bonferroni correction. RESULTS On average, children were aged 4 years, African American (81.3%), male (57%), and had a mean SCS of 266 (SD = 82.9). Skin carotenoid status (Veggie Meter units) were significantly different over time (P < 0.001). Significant differences were observed between ages (P = 0.01) and sex (P < 0.01). CONCLUSIONS AND IMPLICATIONS The Veggie Meter is a promising tool to assess fruit and vegetable intake but needs to be validated in preschool-aged children as it has been in adults. Sex and age are potential confounders which should be assessed in future studies using the Veggie Meter.
Collapse
Affiliation(s)
- Sarah Burkholder
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC
| | - Stephanie Jilcott Pitts
- Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC
| | - Qiang Wu
- Department of Biostatistics, College of Allied Health Sciences, East Carolina University, Greenville, NC
| | - Jocelyn Bayles
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC
| | - Richard Baybutt
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC
| | - Virginia C Stage
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC.
| |
Collapse
|
17
|
Bauer KW, Chriqui JF, Andreyeva T, Kenney EL, Stage VC, Dev D, Lessard L, Cotwright CJ, Tovar A. A Safety Net Unraveling: Feeding Young Children During COVID-19. Am J Public Health 2021; 111:116-120. [PMID: 33211589 PMCID: PMC7750580 DOI: 10.2105/ajph.2020.305980] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The emergence of COVID-19 in the United States led most states to close or severely limit the capacity of their early child-care and education (ECE) programs. This loss affected millions of young children, including many of the 4.6 million low-income children who are provided free meals and snacks by their ECE programs through support from the federal Child and Adult Care Food Program (CACFP).Although Congress swiftly authorized waivers that would allow CACFP-participating ECE programs to continue distributing food to children, early evidence suggests that most ECE programs did not have the capacity to do so, leaving a fragmented system of federal, state, and local food programs to fill the gaps created by this loss.Critical steps are needed to repair our nation's fragile ECE system, including greater investment in CACFP, to ensure the nutrition, health, and development of young children during the COVID-19 pandemic and beyond.
Collapse
Affiliation(s)
- Katherine W Bauer
- Katherine W. Bauer is with the Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor. Jamie F. Chriqui is with the Division of Health Policy and Administration, School of Public Health, University of Illinois, Chicago. Tatiana Andreyeva is with the Department of Agricultural and Resource Economics, Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford. Erica L. Kenney is with the Departments of Nutrition and Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA. Virginia C. Stage is with the Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC. Dipti Dev is with the Department of Child, Youth and Family Studies, College of Education and Human Sciences, University of Nebraska, Lincoln. Laura Lessard is with the Department of Behavioral Health & Nutrition, University of Delaware, Newark. Caree J. Cotwright is with the Department of Foods and Nutrition, University of Georgia, Athens. Alison Tovar is with the Department of Nutrition and Food Sciences, University of Rhode Island, Kingston
| | - Jamie F Chriqui
- Katherine W. Bauer is with the Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor. Jamie F. Chriqui is with the Division of Health Policy and Administration, School of Public Health, University of Illinois, Chicago. Tatiana Andreyeva is with the Department of Agricultural and Resource Economics, Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford. Erica L. Kenney is with the Departments of Nutrition and Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA. Virginia C. Stage is with the Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC. Dipti Dev is with the Department of Child, Youth and Family Studies, College of Education and Human Sciences, University of Nebraska, Lincoln. Laura Lessard is with the Department of Behavioral Health & Nutrition, University of Delaware, Newark. Caree J. Cotwright is with the Department of Foods and Nutrition, University of Georgia, Athens. Alison Tovar is with the Department of Nutrition and Food Sciences, University of Rhode Island, Kingston
| | - Tatiana Andreyeva
- Katherine W. Bauer is with the Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor. Jamie F. Chriqui is with the Division of Health Policy and Administration, School of Public Health, University of Illinois, Chicago. Tatiana Andreyeva is with the Department of Agricultural and Resource Economics, Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford. Erica L. Kenney is with the Departments of Nutrition and Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA. Virginia C. Stage is with the Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC. Dipti Dev is with the Department of Child, Youth and Family Studies, College of Education and Human Sciences, University of Nebraska, Lincoln. Laura Lessard is with the Department of Behavioral Health & Nutrition, University of Delaware, Newark. Caree J. Cotwright is with the Department of Foods and Nutrition, University of Georgia, Athens. Alison Tovar is with the Department of Nutrition and Food Sciences, University of Rhode Island, Kingston
| | - Erica L Kenney
- Katherine W. Bauer is with the Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor. Jamie F. Chriqui is with the Division of Health Policy and Administration, School of Public Health, University of Illinois, Chicago. Tatiana Andreyeva is with the Department of Agricultural and Resource Economics, Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford. Erica L. Kenney is with the Departments of Nutrition and Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA. Virginia C. Stage is with the Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC. Dipti Dev is with the Department of Child, Youth and Family Studies, College of Education and Human Sciences, University of Nebraska, Lincoln. Laura Lessard is with the Department of Behavioral Health & Nutrition, University of Delaware, Newark. Caree J. Cotwright is with the Department of Foods and Nutrition, University of Georgia, Athens. Alison Tovar is with the Department of Nutrition and Food Sciences, University of Rhode Island, Kingston
| | - Virginia C Stage
- Katherine W. Bauer is with the Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor. Jamie F. Chriqui is with the Division of Health Policy and Administration, School of Public Health, University of Illinois, Chicago. Tatiana Andreyeva is with the Department of Agricultural and Resource Economics, Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford. Erica L. Kenney is with the Departments of Nutrition and Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA. Virginia C. Stage is with the Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC. Dipti Dev is with the Department of Child, Youth and Family Studies, College of Education and Human Sciences, University of Nebraska, Lincoln. Laura Lessard is with the Department of Behavioral Health & Nutrition, University of Delaware, Newark. Caree J. Cotwright is with the Department of Foods and Nutrition, University of Georgia, Athens. Alison Tovar is with the Department of Nutrition and Food Sciences, University of Rhode Island, Kingston
| | - Dipti Dev
- Katherine W. Bauer is with the Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor. Jamie F. Chriqui is with the Division of Health Policy and Administration, School of Public Health, University of Illinois, Chicago. Tatiana Andreyeva is with the Department of Agricultural and Resource Economics, Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford. Erica L. Kenney is with the Departments of Nutrition and Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA. Virginia C. Stage is with the Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC. Dipti Dev is with the Department of Child, Youth and Family Studies, College of Education and Human Sciences, University of Nebraska, Lincoln. Laura Lessard is with the Department of Behavioral Health & Nutrition, University of Delaware, Newark. Caree J. Cotwright is with the Department of Foods and Nutrition, University of Georgia, Athens. Alison Tovar is with the Department of Nutrition and Food Sciences, University of Rhode Island, Kingston
| | - Laura Lessard
- Katherine W. Bauer is with the Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor. Jamie F. Chriqui is with the Division of Health Policy and Administration, School of Public Health, University of Illinois, Chicago. Tatiana Andreyeva is with the Department of Agricultural and Resource Economics, Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford. Erica L. Kenney is with the Departments of Nutrition and Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA. Virginia C. Stage is with the Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC. Dipti Dev is with the Department of Child, Youth and Family Studies, College of Education and Human Sciences, University of Nebraska, Lincoln. Laura Lessard is with the Department of Behavioral Health & Nutrition, University of Delaware, Newark. Caree J. Cotwright is with the Department of Foods and Nutrition, University of Georgia, Athens. Alison Tovar is with the Department of Nutrition and Food Sciences, University of Rhode Island, Kingston
| | - Caree J Cotwright
- Katherine W. Bauer is with the Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor. Jamie F. Chriqui is with the Division of Health Policy and Administration, School of Public Health, University of Illinois, Chicago. Tatiana Andreyeva is with the Department of Agricultural and Resource Economics, Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford. Erica L. Kenney is with the Departments of Nutrition and Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA. Virginia C. Stage is with the Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC. Dipti Dev is with the Department of Child, Youth and Family Studies, College of Education and Human Sciences, University of Nebraska, Lincoln. Laura Lessard is with the Department of Behavioral Health & Nutrition, University of Delaware, Newark. Caree J. Cotwright is with the Department of Foods and Nutrition, University of Georgia, Athens. Alison Tovar is with the Department of Nutrition and Food Sciences, University of Rhode Island, Kingston
| | - Alison Tovar
- Katherine W. Bauer is with the Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor. Jamie F. Chriqui is with the Division of Health Policy and Administration, School of Public Health, University of Illinois, Chicago. Tatiana Andreyeva is with the Department of Agricultural and Resource Economics, Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford. Erica L. Kenney is with the Departments of Nutrition and Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA. Virginia C. Stage is with the Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC. Dipti Dev is with the Department of Child, Youth and Family Studies, College of Education and Human Sciences, University of Nebraska, Lincoln. Laura Lessard is with the Department of Behavioral Health & Nutrition, University of Delaware, Newark. Caree J. Cotwright is with the Department of Foods and Nutrition, University of Georgia, Athens. Alison Tovar is with the Department of Nutrition and Food Sciences, University of Rhode Island, Kingston
| |
Collapse
|
18
|
McGuirt JT, Cooke NK, Burgermaster M, Enahora B, Huebner G, Meng Y, Tripicchio G, Dyson O, Stage VC, Wong SS. Extended Reality Technologies in Nutrition Education and Behavior: Comprehensive Scoping Review and Future Directions. Nutrients 2020; 12:nu12092899. [PMID: 32971972 PMCID: PMC7551414 DOI: 10.3390/nu12092899] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 09/17/2020] [Accepted: 09/17/2020] [Indexed: 01/08/2023] Open
Abstract
The use of Extended Reality (XR) (i.e. Virtual and Augmented Reality) for nutrition education and behavior change has not been comprehensively reviewed. This paper presents findings from a scoping review of current published research. Articles (n = 92) were extracted from PubMed and Scopus using a structured search strategy and selection approach. Pertinent study information was extracted using a standardized data collection form. Each article was independently reviewed and coded by two members of the research team, who then met to resolve any coding discrepancies. There is an increasing trend in publication in this area, mostly regarding Virtual Reality. Most studies used developmental testing in a lab setting, employed descriptive or observational methods, and focused on momentary behavior change like food selection rather than education. The growth and diversity of XR studies suggest the potential of this approach. There is a need and opportunity for more XR technology focused on children and other foundational theoretical determinants of behavior change to be addressed within nutrition education. Our findings suggest that XR technology is a burgeoning approach in the field of nutrition, but important gaps remain, including inadequate methodological rigor, community application, and assessment of the impact on dietary behaviors.
Collapse
Affiliation(s)
- Jared T. McGuirt
- Department of Nutrition, School of Health and Human Sciences, University of North Carolina at Greensboro, Greensboro, NC 27412, USA; (B.E.); (G.H.)
- Correspondence: ; Tel.: 336-256-0322
| | - Natalie K. Cooke
- Department of Food, Bioprocessing and Nutrition Sciences, North Carolina State University, Raleigh, NC 27695, USA;
| | - Marissa Burgermaster
- Departments of Nutritional Sciences and Population Health, The University of Texas at Austin, Austin, TX 78712, USA;
| | - Basheerah Enahora
- Department of Nutrition, School of Health and Human Sciences, University of North Carolina at Greensboro, Greensboro, NC 27412, USA; (B.E.); (G.H.)
| | - Grace Huebner
- Department of Nutrition, School of Health and Human Sciences, University of North Carolina at Greensboro, Greensboro, NC 27412, USA; (B.E.); (G.H.)
| | - Yu Meng
- Imperial County Cooperative Extension, University of California Agriculture and Natural Resources, Holtville, CA 92250, USA;
| | - Gina Tripicchio
- Center for Obesity Research and Education, College of Public Health, Temple University, Philadelphia, PA 19140, USA;
| | - Omari Dyson
- Department of Peace and Conflict Studies, School of Health and Human Sciences, University of North Carolina at Greensboro, Greensboro, NC 27412, USA;
| | - Virginia C. Stage
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC 27858, USA;
| | - Siew Sun Wong
- College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA;
| |
Collapse
|
19
|
May K, Jilcott Pitts S, Stage VC, Kelley CJ, Burkholder S, Fang X, Zeng A, Lazorick S. Use of the Veggie Meter® as a tool to objectively approximate fruit and vegetable intake among youth for evaluation of preschool and school-based interventions. J Hum Nutr Diet 2020; 33:869-875. [PMID: 32281191 DOI: 10.1111/jhn.12755] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Revised: 03/13/2020] [Accepted: 03/15/2020] [Indexed: 12/31/2022]
Abstract
BACKGROUND Reflection spectroscopy is an emerging, non-invasive objective measure used to approximate fruit and vegetable intake. The present study aimed to use a reflection spectroscopy device (the Veggie Meter®, Longevity Link Corporation, Salt Lake City, UT, USA) to assess skin carotenoid status in preschool, middle- and high-school students and to examine associations between skin carotenoids and self-reported dietary intake. METHODS In Autumn 2018, we used the Veggie Meter® to assess skin carotenoids and age-appropriate validated dietary assessment measures to approximate fruit and vegetable (FV) intake. Preschool participants completed a previously validated pictorial liking tool using an iPad (Apple Inc., Cupertino, CA, USA). Middle-school participants completed selected questions from the validated School Physical Activity and Nutrition (SPAN) (Michael & Susan Dell Center for Healthy Living, University of Texas, Austin, TX, USA) questionnaire regarding frequency of their FV and beverage intake on the previous day, with additional questions about physical activity. High-school participants' FV intake was assessed using the Fruit and Vegetable Screener (National Cancer Institute, Bethesda, MD, USA). Spearman correlation coefficients were used to determine bivariate associations between measures of dietary intake and Veggie Meter®-assessed skin carotenoid levels. RESULTS Mean (SD) Veggie Meter® readings were 266 (82.9), 219 (68.1) and 216 (67.2) among preschool, middle- and high-school students. There was an inverse association between soda intake and Veggie Meter® readings (r = -0.22, P = 0.03) among middle-school students; and a positive association between daily fruit intake and Veggie Meter® readings (r = 0.25, P = 0.06) among high-school students. CONCLUSIONS The Veggie Meter® comprises a promising evaluation tool for preschool and school-based nutrition interventions.
Collapse
Affiliation(s)
- K May
- Brody School of Medicine at East Carolina University, Greenville, NC, USA
| | - S Jilcott Pitts
- Department of Public Health, East Carolina University, Greenville, NC, USA
| | - V C Stage
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC, USA
| | - C J Kelley
- Department of Public Health, East Carolina University, Greenville, NC, USA
| | - S Burkholder
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC, USA
| | - X Fang
- Department of Biostatistics, College of Allied Health Sciences, East Carolina University, Greenville, NC, USA
| | - A Zeng
- ECU Honors Medical Research Program, Greenville, NC, USA
| | - S Lazorick
- Departments of Pediatrics and Public Health, East Carolina University, Greenville, NC, USA
| |
Collapse
|
20
|
Bullard C, Sisson S, Stage VC. TraDiSHional Impact on the Health of Native American Children. J Nutr Educ Behav 2019; 51:647. [PMID: 31178006 DOI: 10.1016/j.jneb.2019.04.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Caitlin Bullard
- Lumbee Tribe of North Carolina; Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC
| | - Susan Sisson
- Department of Nutritional Sciences, College of Allied Health, University of Oklahoma Heath Sciences Center, Oklahoma City, OK
| | - Virginia C Stage
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC
| |
Collapse
|
21
|
Burgermaster M, Wong SS, Bateson W, Qamar Z, McGuirt J, Uribe AM, El-Kour T, Spielmaker A, C Stage V. DigiTech Division: Positioning SNEB to Lead the Way in Digital Technology for Nutrition Education and Behavior Change. J Nutr Educ Behav 2019; 51:265-266. [PMID: 30851838 DOI: 10.1016/j.jneb.2019.01.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
| | - Siew Sun Wong
- Oregon State University, DigiTech Division Chair-Elect, Corvallis, OR
| | | | | | - Jared McGuirt
- University of North Carolina at Greensboro, Greensboro, NC
| | | | | | | | | |
Collapse
|
22
|
Dunn CG, Burgermaster M, Adams A, Koch P, Adintori PA, Stage VC. A Systematic Review and Content Analysis of Classroom Teacher Professional Development in Nutrition Education Programs. Adv Nutr 2019; 10:351-359. [PMID: 30668616 PMCID: PMC6416037 DOI: 10.1093/advances/nmy075] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Revised: 03/23/2018] [Accepted: 10/03/2018] [Indexed: 11/14/2022] Open
Abstract
Many nutrition programs include classroom-based education. Schoolteachers are relied upon to deliver these programs despite gaps in nutrition education motivation, knowledge, and self-efficacy. Teacher professional development (PD) for these nutrition education programs has been identified as a strategy for improving program effectiveness, yet many interventions do not include a PD component and still fewer describe it. A literature search was conducted between January and February 2017; articles were collected from PubMed, ERIC, and EBSCOhost. Article inclusion criteria were as follows: 1) published in an English-language peer-reviewed or scholarly journal, 2) published after 2000, 3) empirical research, 4) research conducted in a K-12 classroom, 5) research included nutrition education component, and 6) program delivered by a classroom teacher. Twenty-seven interventions were identified. A team of 2 researchers performed content analysis based on an evidence-based set of 7 PD components to assess if and how these components were incorporated before, during, or after program implementation. Little information was provided that described the role of teacher PD in the course of delivering nutrition education in classroom-based programs. The most common elements of PD described in the literature were the time spent in PD and follow-up with instructors during or after program implementation. There was a notable lack of methodologic description of teacher PD, and this limited reporting may decrease researchers' ability to work with teachers in a consistent and effective manner.
Collapse
Affiliation(s)
- Caroline G Dunn
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC
- Department of Health Policy and Management, Harvard TH Chan School of Public Health, Boston, MA
| | - Marissa Burgermaster
- Nutritional Sciences, College of Natural Sciences, and
- Population Health, Dell Medical School, University of Texas at Austin, Austin, TX
| | - Alyson Adams
- School of Teaching and Learning, College of Education, University of Florida, Gainesville, FL
| | - Pamela Koch
- Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY
| | - Peter A Adintori
- Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY
| | - Virginia C Stage
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Gainesville, NC
| |
Collapse
|
23
|
Stage VC, Downing C, Hegde AV, Dev DA, Peterson AD, Goodell LS. Comparison of Parent and Child Ratings of Fruit and Vegetable Liking to Assess Parent Accuracy as Proxy Reporters. Ecol Food Nutr 2019; 58:166-186. [PMID: 30712385 DOI: 10.1080/03670244.2019.1572002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
This study examined the accuracy of parent-report child fruit/vegetable (FV) liking. Child/parent dyads (n = 24) were recruited from six Head Start preschools in North Carolina. Liking for 10 FVs was assessed using a validated pictorial tool for children; a similar scale was used for parents. Negative relationships were observed between parent/child for one fruit (grapes) and one vegetable (broccoli). Positive relationships were observed among oranges, grapes, and overall fruit rankings. Parents tended to rank children's liking of fruits higher than their children, while children ranked liking vegetables higher. Findings suggest parents may not be accurate respondents for preschool children's FV liking.
Collapse
Affiliation(s)
- Virginia C Stage
- a Department of Nutrition Science , East Carolina University , Greenville , North Carolina , USA
| | - Carrie Downing
- a Department of Nutrition Science , East Carolina University , Greenville , North Carolina , USA
| | - Archana V Hegde
- b Department of Human Development and Family Science , East Carolina University , Greenville , North Carolina , USA
| | - Dipti A Dev
- c Department of Child, Youth and Family Studies , University of Nebraska , Lincoln , Nebraska , USA
| | - Amanda D Peterson
- a Department of Nutrition Science , East Carolina University , Greenville , North Carolina , USA
| | - L Suzanne Goodell
- d Department of Food, Bioprocessing & Nutrition Sciences , North Carolina State University , Raleigh , North Carolina , USA
| |
Collapse
|
24
|
Garcia AS, Dev DA, Stage VC. Predictors of Parent Engagement Based on Child Care Providers' Perspectives. J Nutr Educ Behav 2018; 50:905-912. [PMID: 30135043 DOI: 10.1016/j.jneb.2018.06.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2018] [Revised: 06/15/2018] [Accepted: 06/21/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE Determine the predictors of child care providers' parent engagement regarding child nutrition in child care centers (CCCs) and family child care homes (FCCHs). DESIGN Cross-sectional. SETTING Child care centers and FCCHs. PARTICIPANTS Child care center directors (n = 337) and FCCH providers (n = 1,153) completed a self-administered survey. MAIN OUTCOME MEASURES Fifteen variables were examined as predictors for parent engagement: providers' perceived barriers to communication, participation in Go Nutrition and Physical Self- Assessment in Child Care, National Association for the Education of Young Children accreditation, participation in Quality Ratings and Improvement Systems, feeding practices, and professional development. ANALYSIS Structural equation modeling examined the relation between variables for CCCs and for FCCHs. RESULTS For CCCs, NAEYC accreditation, providers' perceived barriers regarding parents' cultural beliefs about food, parents not liking the taste of healthy foods, and parents prioritizing other food-related topics over healthy eating significantly predicted parent engagement. For FCCHs, participation in Go Nutrition and Physical Self- Assessment in Child Care, perceiving parents to be busy, not wanting to offend parents, and practicing family-style dining were significantly related to parent engagement. For both CCCs and FCCHs, professional development regarding child nutrition was related to parent engagement. CONCLUSIONS AND IMPLICATIONS Focusing professional development on child care contexts and addressing providers' perceived barriers may improve parent engagement.
Collapse
Affiliation(s)
- Aileen S Garcia
- Department of Child, Youth, and Family Studies, University of Nebraska-Lincoln, Lincoln, NE
| | - Dipti A Dev
- Department of Child, Youth, and Family Studies, University of Nebraska-Lincoln, Lincoln, NE.
| | - Virginia C Stage
- Department of Nutrition Science, East Carolina University, Greenville, NC
| |
Collapse
|
25
|
Stage VC, Coletta F. The Pregnancy/Birth-24 Months Project: Background and Importance. J Nutr Educ Behav 2018; 50:527. [PMID: 29886896 DOI: 10.1016/j.jneb.2018.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Virginia C Stage
- Food-based Early Education (FEEd) Lab, Department of Nutrition Science, College of Allied Health Sciences, Greenville, NC
| | | |
Collapse
|
26
|
Stage VC, Kolasa KM, Díaz SR, Duffrin MW. Exploring the Associations Among Nutrition, Science, and Mathematics Knowledge for an Integrative, Food-Based Curriculum. J Sch Health 2018; 88:15-22. [PMID: 29224221 PMCID: PMC5728171 DOI: 10.1111/josh.12576] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2016] [Revised: 03/14/2017] [Accepted: 09/19/2017] [Indexed: 06/07/2023]
Abstract
BACKGROUND Explore associations between nutrition, science, and mathematics knowledge to provide evidence that integrating food/nutrition education in the fourth-grade curriculum may support gains in academic knowledge. METHODS Secondary analysis of a quasi-experimental study. Sample included 438 students in 34 fourth-grade classrooms across North Carolina and Ohio; mean age 10 years old; gender (I = 53.2% female; C = 51.6% female). Dependent variable = post-test-nutrition knowledge; independent variables = baseline-nutrition knowledge, and post-test science and mathematics knowledge. Analyses included descriptive statistics and multiple linear regression. RESULTS The hypothesized model predicted post-nutrition knowledge (F(437) = 149.4, p < .001; Adjusted R = .51). All independent variables were significant predictors with positive association. CONCLUSIONS Science and mathematics knowledge were predictive of nutrition knowledge indicating use of an integrative science and mathematics curriculum to improve academic knowledge may also simultaneously improve nutrition knowledge among fourth-grade students. Teachers can benefit from integration by meeting multiple academic standards, efficiently using limited classroom time, and increasing nutrition education provided in the classroom.
Collapse
Affiliation(s)
- Virginia C Stage
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, 4310J Health Sciences Building, Greenville, NC 27858
| | - Kathryn M Kolasa
- Department of Family Medicine, Department of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, NC 27858
| | | | - Melani W Duffrin
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC 27858
| |
Collapse
|
27
|
Peterson AD, Goodell LS, Hegde A, Stage VC. Teacher Perceptions of Multilevel Policies and the Influence on Nutrition Education in North Carolina Head Start Preschools. J Nutr Educ Behav 2017; 49:387-396.e1. [PMID: 28274789 DOI: 10.1016/j.jneb.2017.01.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2016] [Revised: 12/02/2016] [Accepted: 01/04/2017] [Indexed: 06/06/2023]
Abstract
OBJECTIVE To develop a theory that explains the process of how teachers' perception of multilevel policies may influence nutrition education (NE) teaching strategies in Head Start preschools. DESIGN Semistructured telephone interviews. SETTING North Carolina Head Start preschools. PARTICIPANTS Thirty-two Head Start teachers. PHENOMENON OF INTEREST All interviews were transcribed verbatim. Following a grounded theory approach, authors coded interview data for emergent themes. ANALYSIS Two primary themes emerged during analysis, including teachers' policy perceptions and teacher-perceived influence of policy on NE. RESULTS A theoretical model was developed to explain how teachers' perceptions of policies influenced NE (eg, teaching strategies) in the classroom. Teachers discussed multiple policy areas governing their classrooms and limiting their ability to provide meaningful and consistent NE. How teachers perceived the level of regulation in the classroom (ie, high or low) influenced the frequency with which they used specific teaching strategies. CONCLUSION AND IMPLICATIONS Despite federal policies supporting the provision of NE, teachers face competing priorities in the classroom (eg, school readiness vs NE) and policies may conflict with standardized NE curricula. To understand how Head Start centers develop local policies, additional research should investigate how administrators interpret federal and state policies.
Collapse
Affiliation(s)
- Amanda D Peterson
- College of Allied Health Sciences, Department of Nutrition Science, East Carolina University, Greenville, NC
| | - L Suzanne Goodell
- Department of Food, Bioprocessing, and Nutrition Sciences, North Carolina State University, Raleigh, NC
| | - Archana Hegde
- Department of Human Development and Family Science, College of Health and Human Performance, East Carolina University, Greenville, NC
| | - Virginia C Stage
- College of Allied Health Sciences, Department of Nutrition Science, East Carolina University, Greenville, NC.
| |
Collapse
|
28
|
Hodges C, Roseno A, Duffrin MW, Stage VC. Middle school nutrition knowledge tool development and evaluation in North Carolina. ACTA ACUST UNITED AC 2017; 47:332-345. [PMID: 34290455 DOI: 10.1108/nfs-06-2016-0079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose – This study aims to develop and empirically assess an instrument for measuring nutrition knowledge aligned to the North Carolina (NC) Healthful Living Essential Standards for teaching nutrition. The instrument was critically evaluated and used to assess nutrition knowledge in Eastern NC students. Design/methodology/approach – Researchers evaluated 250 students in 16, eighth-grade classrooms using a 22-question researcher-developed nutrition knowledge questionnaire. Assessment questions were aligned with NC Healthful Living Essential Standards, which suggest students should be able to: apply tools to plan healthy nutrition, create strategies to improve dietary intake, create plans for lifelong health, and evaluate health information and products. Survey reliability and validity (face) were evaluated prior to study implementation. Descriptive statistics for individual items, total and individual standard scores were analyzed. Instrument efficacy was evaluated using item-difficulty and discrimination indexes. Findings – The survey displayed appropriate levels of item difficulty with three exceptions: two questions were identified as too difficult, and one as too easy. The majority of items also displayed acceptable (>0.20) or excellent (>0.40) discrimination (17 out of 20). Average total nutrition knowledge score was 11.82-3.26 (53.7 per cent). Within aligned standards, students scored highest in creating plans for lifelong health (79 per cent) and lowest in evaluating health information (37.6 per cent). Originality/value – Study findings suggest eighth-grade students may only possess half the nutrition knowledge standards expected in the eighth grade. More instrument development is needed to supply researchers with standard means of assessing nutrition knowledge.
Collapse
Affiliation(s)
- Caroline Hodges
- Department of Nutrition Science, East Carolina University, Greenville, North Carolina, USA
| | - Ashley Roseno
- Department of Nutrition Science, East Carolina University, Greenville, North Carolina, USA
| | - Melani W Duffrin
- Department of Nutrition Science, East Carolina University, Greenville, North Carolina, USA
| | - Virginia C Stage
- Department of Nutrition Science, East Carolina University, Greenville, North Carolina, USA
| |
Collapse
|
29
|
Lisson S, Goodell LS, Dev D, Wilkerson K, Hegde AV, Stage VC. Nutrition Education Resources in North Carolina-Based Head Start Preschool Programs: Administrator and Teacher Perceptions of Availability and Use. J Nutr Educ Behav 2016; 48:655-663.e1. [PMID: 27720107 DOI: 10.1016/j.jneb.2016.07.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Revised: 07/18/2016] [Accepted: 07/19/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVE The purpose of this study was to provide new insight into common barriers to the availability and use of nutrition education (NE) resources in Head Start preschool programs based on administrator and teacher perceptions. METHODS In-depth, semistructured phone interviews (n = 63) were conducted with administrators (n = 31) and teachers (n = 32) from North Carolina-based Head Start programs. Interviews were audio-recorded and transcribed verbatim. Data were analyzed qualitatively using content analysis to identify common themes. RESULTS Five emergent themes were identified within the areas of NE resource availability and use and barriers to NE resource availability and use. Participants expressed desire for greater organization of existing NE material resources, increased community support, and professional development opportunities for teachers specific to NE. Funding and time constraints were reported as affecting NE resources. CONCLUSIONS AND IMPLICATIONS Creative strategies for addressing NE resource availability and use and barriers (eg, NE integration with educational standards) in Head Start are needed.
Collapse
Affiliation(s)
- Sarah Lisson
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC
| | - L Suzanne Goodell
- Department of Food, Bioprocessing, and Nutrition Sciences, College of Agricultural and Life Sciences, North Carolina State University, Raleigh, NC
| | - Dipti Dev
- Department of Child, Youth, and Family Studies, University of Nebraska, Lincoln, Lincoln, NE
| | - Kristi Wilkerson
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC
| | - Archana V Hegde
- Department of Human Development and Family Science, College of Health and Human Performance, East Carolina University, Greenville, NC
| | - Virginia C Stage
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC.
| |
Collapse
|
30
|
Goodell LS, Stage VC, Cooke NK. Practical Qualitative Research Strategies: Training Interviewers and Coders. J Nutr Educ Behav 2016; 48:578-585.e1. [PMID: 27395426 DOI: 10.1016/j.jneb.2016.06.001] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Revised: 05/25/2016] [Accepted: 06/01/2016] [Indexed: 06/06/2023]
Abstract
The increased emphasis on incorporating qualitative methodologies into nutrition education development and evaluation underscores the importance of using rigorous protocols to enhance the trustworthiness of the findings. A 5-phase protocol for training qualitative research assistants (data collectors and coders) was developed as an approach to increase the consistency of the data produced. This training provides exposure to the core principles of qualitative research and then asks the research assistant to apply those principles through practice in a setting structured on critical reflection.
Collapse
Affiliation(s)
- L Suzanne Goodell
- Department of Food, Bioprocessing, and Nutrition Sciences, North Carolina State University, Raleigh, NC.
| | - Virginia C Stage
- Department of Nutrition Science, East Carolina University, Greenville, NC
| | - Natalie K Cooke
- Department of Food, Bioprocessing, and Nutrition Sciences, North Carolina State University, Raleigh, NC
| |
Collapse
|