- Email: [email protected]
P37
Journal of Nutrition Education and Behavior ● Volume 39, Number 4, July/August 2007 Supplement
P36 (continued) tative data was collected as follows: 1) preliminary chart review for patient eligibility; 2) in-depth interview that included assessment of acculturation level, 24-hour dietary recall and a short socio-demographic and self-care behaviors survey; 3) medical chart review to assess biomedical indicators and 4) a second 24-hour dietary recall. After transcripts were coded to consensus by two individuals, primary barriers identified to self-management were diet adherence and family turmoil. In addition, participants in the unacceptably controlled group were more likely to be disabled (11 of 17). Facilitators to self-management were: friendliness of clinic staff, diabetes knowledge and ease of taking medication. Mexican versus Anglo orientation was depicted primarily via food choices such as fruits and salads in the acceptably controlled group and fast food and pork in the unacceptably controlled group. Therefore, health care provider and environment are important determinants of diabetes self-management in this population, and recommendations should be considerate of physical ability and healthy food choices.
P37 Increasing Vegetable Intake in Preschoolers: Evaluation of the Captain 5 A Day Program Valerie B. Duffy, PhD, RD, Department of Allied Health Sciences, University of Connecticut, Storrs, CT 06269, [email protected]; Elizabeth Kinsley, MS, RD, Department of Allied Health Sciences, [email protected]; Kittie Kneeland, MS, RD, Department of Allied Health Sciences, [email protected]; John D. Frassinelli, MS, RD, Department of Public Health, State of Connecticut, Hartford, CT, [email protected] Previously we reported short-term improvements in preschooler’s intake of vegetables with an intensive 5-week nutrition and physical activity curriculum. We aimed to assess the impact on vegetable intake of a less intensive dose of education delivered over 16-weeks. The Captain 5 A Day Program was implemented in preschool programs and addressed multiple Social Cognitive Theory concepts. Year one involved pilot testing in 850 preschoolers with subsequent improvements in curricular messages and parental outreach. Year two involved 1050 intervention and 250 control preschoolers. The impact on lunchtime vegetable intake was assessed via teacher weekly reports and intake of target vegetables (broccoli, carrots, green beans) via plate waste in select intervention sites. Classroom teachers implemented the Program with high fidelity under circumstances normal to preschool. Preschoolers in the intervention classrooms were significantly more likely to be categorized as “more than usual” vegetable intake across the Program than were control preschoolers (chi-square⫽23.273, p⬍0.01).
S119
Teachers’ reports of change in intake mirrored those derived from plate waste. In repeated measures ANOVA, consumption of carrots and broccoli increased in intervention classrooms from baseline to intervention (p⬍0.05) and baseline to post-intervention (p⬍0.001). Parent survey and interviews with teachers suggested success in reaching parents through take-home activities, parent letters with child-friendly recipes, newsletters, parent workshops, and website. In conclusion, a less intensive dose of nutrition education can improve preschoolers’ vegetable intake at school. An enriched parental component has the potential to expand curricular messages to the home. (USDA Food Stamp Nutrition Education Program and American Diabetes Association funded).
P38 Health Promotion for Children and Youth at Risk and Their Families Adina Friedman, MSc, Community Health Programs, Ashalim – The Association for Planning & Development of Services for Children and Youth at Risk & Their Families, JDC Hill, PO Box 3489, Jerusalem, Israel 91034, [email protected] A sensible and balanced diet incorporates the variety of ingredients a child needs for normal growth and development. Such a diet improves daily functioning and helps reduce exposure to risk and disease. Regular exercise has direct impact on the child’s health and – even more importantly – positive influence on the child’s general mood and emotional state. The basis for changing lifestyle and healthy habits in our children and youth is to raise awareness, train professionals, develop infrastructure and encourage parents to adopt a healthy lifestyle as well. This project aims to: 1. Promote the health of children and youth at risk. 2. Train educational-treatment staff. 3. Help at-risk families to adopt a healthy lifestyle. 4. Develop programs providing solutions for individuals lacking self-confidence in nutritional and general health issues. The program: 1. Influences children and families involved in the nutrition programs. 2. Cultivates a paradigm shift and a change in approach to healthy nutrition within Government services and institutions. 3. Raises awareness of the importance of correct nutrition amongst educational and welfare service professionals. The program helps approximately 10,000 children at risk in 10 Israeli cities every year. It has developed professional materials and study programs and is slated to expand to another 20 cities. Future plans include adapting the program for the Ethiopian population and developing other programs for youth, early childhood and children with special needs. This project was funded by AshalimJDC Israel.
P36 (continued) tative data was collected as follows: 1) preliminary chart review for patient eligibility; 2) in-depth interview that included assessment of acculturation level, 24-hour dietary recall and a short socio-demographic and self-care behaviors survey; 3) medical chart review to assess biomedical indicators and 4) a second 24-hour dietary recall. After transcripts were coded to consensus by two individuals, primary barriers identified to self-management were diet adherence and family turmoil. In addition, participants in the unacceptably controlled group were more likely to be disabled (11 of 17). Facilitators to self-management were: friendliness of clinic staff, diabetes knowledge and ease of taking medication. Mexican versus Anglo orientation was depicted primarily via food choices such as fruits and salads in the acceptably controlled group and fast food and pork in the unacceptably controlled group. Therefore, health care provider and environment are important determinants of diabetes self-management in this population, and recommendations should be considerate of physical ability and healthy food choices.
P37 Increasing Vegetable Intake in Preschoolers: Evaluation of the Captain 5 A Day Program Valerie B. Duffy, PhD, RD, Department of Allied Health Sciences, University of Connecticut, Storrs, CT 06269, [email protected]; Elizabeth Kinsley, MS, RD, Department of Allied Health Sciences, [email protected]; Kittie Kneeland, MS, RD, Department of Allied Health Sciences, [email protected]; John D. Frassinelli, MS, RD, Department of Public Health, State of Connecticut, Hartford, CT, [email protected] Previously we reported short-term improvements in preschooler’s intake of vegetables with an intensive 5-week nutrition and physical activity curriculum. We aimed to assess the impact on vegetable intake of a less intensive dose of education delivered over 16-weeks. The Captain 5 A Day Program was implemented in preschool programs and addressed multiple Social Cognitive Theory concepts. Year one involved pilot testing in 850 preschoolers with subsequent improvements in curricular messages and parental outreach. Year two involved 1050 intervention and 250 control preschoolers. The impact on lunchtime vegetable intake was assessed via teacher weekly reports and intake of target vegetables (broccoli, carrots, green beans) via plate waste in select intervention sites. Classroom teachers implemented the Program with high fidelity under circumstances normal to preschool. Preschoolers in the intervention classrooms were significantly more likely to be categorized as “more than usual” vegetable intake across the Program than were control preschoolers (chi-square⫽23.273, p⬍0.01).
S119
Teachers’ reports of change in intake mirrored those derived from plate waste. In repeated measures ANOVA, consumption of carrots and broccoli increased in intervention classrooms from baseline to intervention (p⬍0.05) and baseline to post-intervention (p⬍0.001). Parent survey and interviews with teachers suggested success in reaching parents through take-home activities, parent letters with child-friendly recipes, newsletters, parent workshops, and website. In conclusion, a less intensive dose of nutrition education can improve preschoolers’ vegetable intake at school. An enriched parental component has the potential to expand curricular messages to the home. (USDA Food Stamp Nutrition Education Program and American Diabetes Association funded).
P38 Health Promotion for Children and Youth at Risk and Their Families Adina Friedman, MSc, Community Health Programs, Ashalim – The Association for Planning & Development of Services for Children and Youth at Risk & Their Families, JDC Hill, PO Box 3489, Jerusalem, Israel 91034, [email protected] A sensible and balanced diet incorporates the variety of ingredients a child needs for normal growth and development. Such a diet improves daily functioning and helps reduce exposure to risk and disease. Regular exercise has direct impact on the child’s health and – even more importantly – positive influence on the child’s general mood and emotional state. The basis for changing lifestyle and healthy habits in our children and youth is to raise awareness, train professionals, develop infrastructure and encourage parents to adopt a healthy lifestyle as well. This project aims to: 1. Promote the health of children and youth at risk. 2. Train educational-treatment staff. 3. Help at-risk families to adopt a healthy lifestyle. 4. Develop programs providing solutions for individuals lacking self-confidence in nutritional and general health issues. The program: 1. Influences children and families involved in the nutrition programs. 2. Cultivates a paradigm shift and a change in approach to healthy nutrition within Government services and institutions. 3. Raises awareness of the importance of correct nutrition amongst educational and welfare service professionals. The program helps approximately 10,000 children at risk in 10 Israeli cities every year. It has developed professional materials and study programs and is slated to expand to another 20 cities. Future plans include adapting the program for the Ethiopian population and developing other programs for youth, early childhood and children with special needs. This project was funded by AshalimJDC Israel.