Objective: To evaluate longitudinally the effectiveness of a cooking programme on self-reported confidence about cooking skills and food consumption patterns in parents of young children. Design: An evaluation of cooking programmes delivered by National Health Service (NHS) community food workers using a single group pre-test/post-test repeated measures design. A shortened version of a validated questionnaire at baseline, post intervention and 1-year follow-up determined confidence in cooking using basic ingredients, following a simple recipe, tasting new foods, preparing and cooking new foods on consumption of ready meals, vegetables and fruit. Setting: Deprived communities in Ayrshire and Arran, Scotland. Subjects: Parents of nursery age children, 97 % were female and ,45 years old. Results: One hundred and two participants had completed baseline and postintervention questionnaires. Forty-four participants contacted by telephone completed a follow-up questionnaire. In participants who completed all questionnaires (n 44), median confidence in four aspects of cooking increased significantly from baseline to post intervention (P , 0?001) but was retained at 1-year follow-up only for following a simple recipe and preparing and cooking new foods. Improved food consumption patterns were reported from baseline to post intervention (ready-meal consumption reduced from 2-4 times/week to 1 time/week, P , 0?001; vegetable consumption increased from 5-6 times/week to 1 time/d, P , 0?001; fruit consumption increased from 5-6 times/week to 1 time/d, P , 0?001) and remained at 1-year follow-up. Conclusions: The cooking programmes appeared to improve cooking confidence and food consumption patterns in the target group and some of these changes were retained after 1 year.
No abstract
In the West of Scotland, unhealthy eating and deprivation are major factors strongly associated with poor health (1) . Policies are needed to reduce social inequalities that contribute to eating behaviour. The Scottish Government has stated that those on "a low income in particular require more support, education and skills development to allow people to break through barriers of food affordability and availability, and lack of food skills" (2) . The development of health promotion materials to teach life skills and the promotion of healthier choices can all contribute to the uptake of a healthier diet (3) . Addressing a felt need, staff from the Health Improvement Nutrition Network (HINN) developed a cookery book as a tool to help both practitioners and the community promote healthy eating. To ensure the development of appropriate educational materials evaluation is necessary from the early stages of project planning, however this is often neglected due to lack of resources. Thus, the aim of this study was to contribute to the formative evaluation of the cookery book prior to its implementation.In a cross-sectional study, the suitability of recipes and layout of the book was assessed using simple questionnaires in a sample of 108 participants and all deliverers (n = 8) of cooking skills courses in Glasgow City and East Dunbartonshire Community Health Partnerships (all members of the HINN). Qualitative analysis of the health message content was carried out using an evidence-based approach (searching relevant and supporting documents via Pubmed, NHS, FSA, Department of Health, and British Nutrition Foundation). To suit the target audience (low literacy), book readability was assessed using SMOG and Fry Graph formula and suitability of recipes content and organisation was done using a guide focused on written nutrition materials (4) . Nutritional composition and cost was calculated from a subsample of recipes (n = 18) using Windiets. Feedback was given to the network at different stages of the study to be considered for implementation.Results from the questionnaires showed that 47 % of participants favoured a notebook style of layout for the final design. Commonly eaten meals were soup (76%), sandwiches (63%), Indian takeaways (28 %), pasta dishes (16 %), chocolate (14%), crisps (21 %), and soft drinks (34 %). Using suitable suggestions (e.g. soup, sandwiches, takeaways and pasta dishes), 70 recipes were adapted for the book alongside diet-orientated health messages which focused on standard recommendations (e.g. Eatwell plate and food labelling). Primary analysis showed high readability scores (Secondary 2 and 4 in Scottish education system). Lack of information about physical activity as a part of a healthy lifestyle was found in the health message analysis. Primary recipe analysis (n = 8) showed high levels of saturated fat and salt for 38 % of the tested recipes. Following these findings recommendations were suggested and a second analysis of all aspects of the book was carried out. Improvements in readability...
A prematuridade caracteriza-se como uma condição de risco para a manutenção da vida do recém-nascido, pois a estrutura e funcionalidade dos órgãos, a depender da idade gestacional em que se inicia a vida extrauterina, podem não ser compatíveis com essa. Neste sentido, quanto menor for a idade gestacional, maior serão os riscos e as necessidade de cuidados intensivos. Elaborou-se este estudo com o objetivo de fortalecer a disseminação do acolhimento profissional para mães de prematuros internados em Unidade de Terapia Intensiva Neonatal. O método adotado foi um relato de experiência de profissionais da saúde sobre o acolhimento profissional para mães de recém-nascidos prematuros assistido em UTIN durante o período de setembro de 2019 a outubro de 2020. As informações foram capturadas a partir da escuta e do diálogo com cinco mães. Os resultados encontrados expressam o medo da perda e a insegurança quanto ao desenvolvimento do recém-nascidos e destacam a enfermagem como fonte de segurança, esperança e apoio às mães, a partir do acolhimento. A equipe de enfermagem ganhou destaque nas ações de acolhimento, pois esteve presente e atuante nos diferentes níveis e unidades de cuidado com foco na humanização da atenção. Comunicou-se e primou pela execução dos procedimentos de assistência à saúde e controle e prevenção do coronavírus.
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