Dulles Town Center, VA, United States
Dulles Town Center, VA, United States

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White A.H.,Food and Nutrition Service | Wilson J.F.,Food and Nutrition Service | Burns A.,Porter Novelli | Blum-Kemelor D.,Center for Nutrition Policy and Promotion | And 4 more authors.
Journal of Nutrition Education and Behavior | Year: 2011

Objective: To develop and test nutrition messages and supporting content with low-income mothers for use with theory-based interventions addressing fruit and vegetable consumption and child-feeding practices. Design: Six formative and 6 evaluative focus groups explored message concepts and tested messages, respectively. Setting: Research facilities in Maryland, Texas, California, Florida, North Carolina, New York, Alabama, and Illinois. Participants: Ninety-five low-income mothers of 2- to 5-year-old children; over half from households participating in a federal nutrition assistance program. Phenomenon of Interest: Preference for and comprehension of nutrition messages. Analysis: Qualitative data analysis procedures to generate common themes from transcripts and observers' notes. Results: Messages on role modeling, cooking and eating together, having patience when introducing new food items, and allowing children to serve themselves were well received. Mothers preferred messages that emphasized their role as a teacher and noted benefits such as their children becoming more independent and learning new skills. Mothers commonly doubted children's ability to accurately report when they are " full" and disliked messages encouraging mothers to allow children to " decide" whether and how much to eat. Conclusions and Implications: This study generated 7 audience-tested messages for incorporation into nutrition education interventions targeting low-income mothers of preschool-age children. © 2011.

Spahn J.M.,Center for Nutrition Policy and Promotion | Reeves R.S.,Center for Nutrition Policy and Promotion | Keim K.S.,Center for Nutrition Policy and Promotion | Laquatra I.,Center for Nutrition Policy and Promotion | And 3 more authors.
Journal of the American Dietetic Association | Year: 2010

Behavior change theories and models, validated within the field of dietetics, offer systematic explanations for nutrition-related behavior change. They are integral to the nutrition care process, guiding nutrition assessment, intervention, and outcome evaluation. The American Dietetic Association Evidence Analysis Library Nutrition Counseling Workgroup conducted a systematic review of peer-reviewed literature related to behavior change theories and strategies used in nutrition counseling. Two hundred fourteen articles were reviewed between July 2007 and March 2008, and 87 studies met the inclusion criteria. The workgroup systematically evaluated these articles and formulated conclusion statements and grades based upon the available evidence. Strong evidence exists to support the use of a combination of behavioral theory and cognitive behavioral theory, the foundation for cognitive behavioral therapy (CBT), in facilitating modification of targeted dietary habits, weight, and cardiovascular and diabetes risk factors. Evidence is particularly strong in patients with type 2 diabetes receiving intensive, intermediate-duration (6 to 12 months) CBT, and long-term (>12 months duration) CBT targeting prevention or delay in onset of type 2 diabetes and hypertension. Few studies have assessed the application of the transtheoretical model on nutrition-related behavior change. Little research was available documenting the effectiveness of nutrition counseling utilizing social cognitive theory. Motivational interviewing was shown to be a highly effective counseling strategy, particularly when combined with CBT. Strong evidence substantiates the effectiveness of self-monitoring and meal replacements and/or structured meal plans. Compelling evidence exists to demonstrate that financial reward strategies are not effective. Goal setting, problem solving, and social support are effective strategies, but additional research is needed in more diverse populations. Routine documentation and evaluation of the effectiveness of behavior change theories and models applied to nutrition care interventions are recommended. © 2010 American Dietetic Association.

Myers E.F.,American Dietetic Association | Spence L.A.,American Dietetic Association | Leslie B.,Emergency and Health Services Commission | Brauer P.M.,University of Guelph | And 2 more authors.
Topics in Clinical Nutrition | Year: 2010

The emerging area of telehealth has implications for dietetics and health initiatives. Dietitian telehealth centers in Canada provide access to registered dietitians for the public, professionals, and media, promoting knowledge and healthy behaviors and implementing government food and nutrition policy. A preliminary review of the expanding telehealth research demonstrates that telephone counseling by registered dietitians is effective in dietary behavior change and weight/diabetes management. Implications include considering the need for a systematic review of teledietetics, standards of practice and guidelines for teledietetics, use of the nutrition care process, and undergraduate and professional development opportunities to support the skills needed for telepractice. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.

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