Focus‐group evaluation of nutrition education displays by Hispanic adults who live in the USA

Health Education - 2009
Delores H.Chambers1, Alejandra M.Muñoz2
1Department of Human Nutrition, Kansas State University, Manhattan, Kansas, USA
2International Resources for Insights and Solutions (IRIS), LLC, Mountainside, New Jersey, USA

Tóm tắt

PurposeThe purpose of this paper is to examine the acceptability and effectiveness of visual displays of nutrition educational information for low‐income Hispanic adults in the USA and to determine whether this population have different perceptions of the same nutrition education displays or express different needs than low‐income Caucasian adults. Visual displays include information on calcium, folic acid, and fruits and vegetables.Design/methodology/approachSix 90‐minute focus groups are conducted with 47 Spanish‐speaking Hispanic adults living in the USA for less than one year.FindingsThe results indicate that displays of nutrition information are an effective means to present information to low‐income Hispanics and to teach basic nutritional concepts. Participants are excited about receiving the information and using it for their families' benefit. Positive key characteristics of the displays are: pictures, bright colours, simplicity, text's characteristics, information relevance, and accompanying handouts.Practical implicationsThe results show that displays of nutrition information such as the ones included in the study are effective means to present such information to low‐income Hispanics participating in food assistance programs. Although several changes are needed to make the displays more effective, the general format is well received, and participants' interest is stimulated enough that they request more information on nutrition. Participants want usable nutrition information and see it as a means to improve the health of their families.Originality/valueThese data suggest a need for interventions with respect to information about nutrition, particularly in low‐income demographics where knowledge may be minimal, and the need for effective use of available food resources is quite high.

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Tài liệu tham khảo

Berland, G.K., Elliott, M.N., Morales, L.S., Algazy, J.I., Kravitz, R.L., Broder, M.S., Kanouse, D.E., Munoz, J.A., Puyol, J.A., Lara, M., Watkins, K.E., Yang, H. and McGlynn, E.A. (2001), “Health information on the internet: accessibility, quality, and readability in English and Spanish”, Journal of the American Medical Association, Vol. 285 No. 20, pp. 2612‐21.

Borra, S.T., Earl, R. and Hogan, E.H. (1998), “Paucity of nutrition and food safety ‘news you can use’ reveals opportunity for dietetics practitioners”, Journal of the American Dietetic Association, Vol. 98 No. 2, pp. 190‐3.

Briefel, R., Ziegler, P., Novak, T. and Ponza, M. (2006), “Feeding infants and toddlers study: characteristics and usual nutrient intake of Hispanic and non‐Hispanic infants and toddlers”, Journal of the American Dietetic Association, Vol. 106 No. 1, p. S84.

Calderón, J.L. and Beltrán, R.A. (2004), “Pitfalls in health communication: healthcare policy, institution, structure, & process”, Medscape General Medicine™, Vol. 6 No. 1, p. e7, available at: www.medscape.com/viewarticle/466016 (accessed 27 February 2008).

Chambers, D.H., Higgins, M.M., Roeger, C. and Allison, A.A. (2004), “Nutrition education displays for young adults and older adults”, Health Education, Vol. 104 No. 1, pp. 45‐54.

Clark, K.L., AbuSabha, R., von Eye, A. and Achterberg, C. (1999), “Text and graphics: manipulating nutrition brochures to maximize recall”, Health Education Research, Vol. 14 No. 4, pp. 555‐64.

Colby, W.E. and Haldeman, L. (2007), “Peer‐led theater as a nutrition education strategy”, Journal of Nutrition Education and Behavior, Vol. 39 No. 1, pp. 48‐9.

Contento, I.R., Basch, C., Shea, S., Gutin, B., Zybert, P., Michela, J.L. and Rips, J. (1993), “Relationship of mothers' food choice criteria to food intake of preschool children: identification of family subgroups”, Health Education Quarterly, Vol. 20, pp. 243‐59.

Cullen, K.W., Baranowski, T., Rittenberry, L. and Olvera, N. (2000), “Social‐environmental influences on children's diets: results from focus groups with African‐Euro‐ and Mexican‐American children and their parents”, Health Education Research, Vol. 15, pp. 581‐90.

Gale, C.R., O'Callaghan, F.J., Godfrey, K.M., Law, C.M. and Martyn, C.N. (2004), “Critical periods of brain growth and cognitive function in children”, Brain, Vol. 127, pp. 321‐9.

Gans, K.M., Burkholder, G.J., Upegui, D.I., Risica, P.M., Lasater, T.M. and Fortunet, R. (2002), “Comparison of baseline fat‐related eating behaviors of Puerto Rican, Dominican, Colombian, and Guatemalan participants who joined a cholesterol education project”, Journal of Nutrition Education and Behavior, Vol. 34 No. 4, pp. 202‐10.

Gordon‐Larsen, P., Harris, K.M., Ward, D.S. and Popkin, B.M. (2003), “Acculturation and overweight‐related behaviors among Hispanic immigrants to the US: the National Longitudinal Study of Adolescent Health”, Social Science & Medicine, Vol. 57 No. 11, pp. 2023‐34.

Guthrie, J.F. and Smallwood, D.M. (2003), “Evaluating the effects of the dietary guidelines for Americans on consumer behavior and health: methodological challenges”, Journal of the American Dietetic Association, Vol. 103 Nos 12, Supplement 1, pp. 42‐9.

Hart, K., Bishop, J. and Truby, H. (2003), “Changing children's diets: developing methods and messages”, Journal of Human Nutrition & Dietetics, Vol. 16 No. 5, pp. 365‐6.

Kansas Department of Social and Rehabilitation Services (2008), available at: www.srskansas.org/ (accessed 27 February 2008).

Lorenz, R.A., Bubb, J., Davis, D., Jacobson, A., Jannasch, K., Kramer, J., Lipps, J. and Schlundt, D. (1996), “Changing behavior. Practical lessons from the diabetes control and complications trial”, Diabetes Care, Vol. 19 No. 6, pp. 648‐52.

McClelland, J.W., Keenan, D.P., Lewis, J., Foerster, S., Sugerman, S., Mara, P., Wu, S., Lee, S., Keller, K., Hersey, J. and Lindquist, C. (2001), “Review of evaluation tools used to assess the impact of nutrition education on dietary intake and quality, weight management practices, and physical activity of low‐income audiences”, Journal of Nutrition Education and Behavior, Vol. 33, pp. S35‐S48.

Macario, E., Emmons, K.M., Sorensen, G., Hunt, M.K. and Rudd, R.E. (1998), “Factors influencing nutrition education for patients with low literacy skills”, Journal of the American Dietetic Association, Vol. 98 No. 5, pp. 559‐64.

Mazur, R.E., Marquis, G.S. and Jensen, H.H. (2003), “Diet and food insufficiency among Hispanic youths: acculturation and socioeconomic factors in the third National Health and Nutrition Examination Survey”, American Journal of Clinical Nutrition, Vol. 78 No. 6, pp. 1120‐7.

Murphy, S.P., Castillo, R.O., Martorell, R. and Mendoza, F. (1990), “An evaluation of food group intakes by Mexican‐American children”, Journal of the American Dietetic Association, Vol. 90 No. 3, pp. 388‐93.

Novelli, W.D. (1983), “Social marketing: issues for consideration”, Social Marketing Update, Vol. 3 No. 3, p. 3.

Palmeri, D., Auld, G.W., Taylor, T., Kendall, P. and Anderson, J. (1998), “Multiple perspectives on nutrition education needs of low‐income Hispanics”, Journal of Community Health, Vol. 23 No. 4, pp. 301‐16.

Patterson, B.H., Harlan, L.C., Block, G. and Kahle, L. (1995), “Food choices of whites, blacks, and Hispanics: data from the 1987 National Health Interview Survey”, Nutrition Cancer, Vol. 23 No. 2, pp. 105‐19.

Rivera, J.A., Hotz, C., Gonzalez‐Cossio, T., Neufeld, L. and Garcia‐Guerra, A. (2003), “The effect of micronutrient deficiencies on child growth: a review of results from community‐based supplementation trials”, Journal of Nutrition, Vol. 133, pp. 4010S‐20S.

Satia‐Abouta, J., Patterson, R.E., Neuhouser, M.L. and Elder, J. (2002), “Dietary acculturation: applications to nutrition research and dietetics”, Journal of the American Dietetic Association, Vol. 102 No. 8, pp. 1105‐18.

Serrano, E., Taylor, T., Kendall, P. and Anderson, J. (2000), “Training program preparing aduelas as nutrition educators”, Journal of Nutrition Education, Vol. 32 No. 4, pp. 225‐32.

Stewart, D.W., Shamdasani, P.N. and Rook, D.W. (1990), Focus Groups: Theory and Practice, Sage Publications, Newbury Park, CA.

Trenkner, L.L. and Achterberg, C.L. (1991), “Use of focus groups in evaluating nutrition education materials”, Journal of the American Dietetic Association, Vol. 91 No. 12, pp. 577‐881.

United States Census Bureau (n.d.), “Hispanic population of the United States”, available at: www.census.gov/population//www/socdemo/hispanic/hispanic_pop_presentation.html (accessed 29 February 2008).

United States Department of Agriculture (2004), “Food pyramid”, available at: www.health.gov/dietaryguidelines/dga2000/document/images/pyramidbig.jp (accessed 12 March 2004).

Wechsler, H. and Wernick, S.M. (1992), “A social marketing campaign to promote low‐fat milk consumption in an inner‐city Latino community”, Public Health Reports, Vol. 107 No. 2, pp. 202‐7.

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