"In Defense of Food" Curriculum: A Mixed Methods Outcome Evaluation in Afterschool

Autor/inn/en	Luesse, Hiershenee B.; Luesse, Joseph E.; Lawson, Jordan; Koch, Pamela A.; Contento, Isobel R.
Titel	"In Defense of Food" Curriculum: A Mixed Methods Outcome Evaluation in Afterschool
Quelle	In: Health Education & Behavior, 46 (2019) 4, S.612-625 (14 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Luesse, Hiershenee B.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198119831750
Schlagwörter	Food; After School Education; Nutrition; Curriculum Development; Health Promotion; Instructional Effectiveness; Behavior Change; Urban Areas; Low Income Students; Middle School Students; Self Efficacy; Self Control; Early Adolescents; Eating Habits; Documentaries; Neighborhoods; Guidelines; New York (New York) + Suchen Sie Ihr Suchwort? Lebensmittel; After-school programs; After school programs; Out of school education; Out-of-school education; Außerschulische Jugendbildung; Ernährung; Curriculum; Development; Curriculumentwicklung; Lehrplan; Entwicklung; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Unterrichtserfolg; Urban area; Stadtregion; Middle school; Middle schools; Student; Students; Mittelschule; Mittelstufenschule; Schüler; Schülerin; Self-efficacy; Selbstwirksamkeit; Selbstbeherrschung; Ernährungsgewohnheit; Essgewohnheit; Documentary film; Documentary films; Dokumentarfilm; Neighbourhoods; Nachbarschaft; Richtlinien
Abstract	Background: Highly processed foods are inexpensive and abundant in our food supply, nutritionally poor, and disproportionately marketed to minority youth. This study is part of a curriculum development project to develop, implement, and evaluate the "In Defense of Food" (IDOF) curriculum designed to increase intake of whole/minimally processed foods and decrease intake of highly processed foods in youth. Aims: This pilot outcome evaluation was undertaken to assess initial effectiveness and to provide an in-depth understanding of changes in behavioral outcomes and psychosocial mediators. Methods: We used an explanatory mixed method approach, including a single-arm pretest-posttest of intervention effect, followed by a food rules assessment and in-depth interviews to describe participant responses to the intervention in more detail. The study was conducted in three afterschool classrooms in urban low-income neighborhoods with 32 multiethnic middle-school youth, receiving 10 weekly 2-hour sessions. Results: Two weeks postintervention, there was a large positive significant increase in whole/minimally processed food intake (p < 0.01; d = 0.59) and a small decrease in consumption of highly-processed foods (p = ns; d = 0.06), compared with baseline. Significant increases in psychosocial mediators: Self-efficacy and positive outcomes expectations were seen; others were not significant but changed in the desired direction. Qualitative assessments suggest that the intervention promoted skill building, but environmental barriers made these difficult to use. Discussion: The IDOF curriculum may be most effective for promoting consumption of fruits and vegetables, rather than decreasing intake of highly processed foods. In addition, in this young age-group, short actionable food rules may support self-regulation and behavior change. Conclusion: Among adolescent students in low-income urban neighborhoods, the IDOF afterschool curriculum may help promote self-efficacy and positive outcome expectancies and increase fruit and vegetable intake. Focusing on food processing and using "Food Rules" may be promising to elicit behavior change in youth; however, greater supports are needed to overcome social and environmental barriers. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01