The US Supplemental Nutrition Assistance Program - Education improves nutrition-related behaviors

Autor: Amy DeLisio, Omolola A. Adedokun, Karen Franck, Sondra Parmer, Suzanne Ryan-Ibarra, Christopher Sneed, Heejung Bang, Katie Funderburk, Jung Sun Lee, Vibha Bhargava
Rok vydání: 2020
Předmět:
Male
Endocrinology
Diabetes and Metabolism
Nutrition Education
Psychological intervention
Supplemental Nutrition Assistance Program
Nutrition education
Surveys and Questionnaires
and environmental changes
Child
Health Education
Nutrition and Dietetics
Middle Aged
Collective impact
Southeastern United States
[Nutrition education]
SNAP-Ed program evaluation
Policy
Child
Preschool
Aggregate data
Female
Food Assistance
Diet
Healthy
Psychology
Research Article
Adult
Adolescent
Clinical Trials and Supportive Activities
Policy
systems
and environmental changes
Young Adult
[SNAP-Ed program evaluation]
Clinical Research
Environmental health
Intervention (counseling)
Humans
Preschool
Aged
Nutrition
Healthy
Prevention
Infant
Newborn
Infant
Newborn
Confidence interval
Diet
Quality Education
Relative risk
systems
Food Science
Zdroj: Journal of Nutritional Science
Popis: The aim of this study was to measure whether participating in Supplemental Nutrition Assistance Program – Education (SNAP-Ed) interventions is associated with changes in meeting recommendations for healthy eating and food resource management behaviours, such as shopping, among low-income children, adolescents, and adults in eight states in the US Southeast. The study used a one-group pre-test post-test design, analysing aggregate data on nutrition and shopping behaviours collected during Federal Fiscal Year 17 from SNAP-Ed direct education in community settings. Twenty-five implementing agencies in Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee provided aggregated data on program participants. Because survey questions differed, agencies followed standard recoding guidelines. The number of participants varied depending on the indicator; the maximum number was n 43 303 pre-tests, n 43 256 post-test. Participants were significantly more likely to consume more than one kind of fruit (pooled relative risk (RR), 1⋅10; 95% confidence interval (CI), 1⋅09–1⋅11) and more than one kind of vegetable (pooled RR, 1⋅14; 95% CI, 1⋅12–1⋅15) after the intervention than before. On average, participants consumed 0⋅34 cups more of fruit per day (95% CI, 0⋅31–0⋅37), and 0⋅22 cups more of vegetables per day (95% CI, 0⋅19–0⋅25) after the intervention, compared to before. About 701 policy, systems, and environmental changes for nutrition supports were reported. This study suggests that SNAP-Ed direct education is associated with positive behaviour changes in the US Southeast. It provides a methodology that can inform data aggregation efforts across unique SNAP-Ed programs or other similar nutrition education programs to report on the collective impact.
Databáze: OpenAIRE
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