Comparison of a Web-Based vs In-Person Nutrition Education Program for Low-Income Adults

Neuenschwander, Lauren M.; Abbott, Angela; Mobley, Amy R.

doi:10.1016/j.jand.2012.07.034

Cited by 72 publications

(104 citation statements)

References 13 publications

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“…In addition to improving healthrelated knowledge, online courses can effectively improve community family educators' teaching skills and increase confidence in knowledge material as well as their ability to teach families [40]. Although the study reported here did not compare traditional in-person lessons to online virtual lessons, prior studies have found virtual health education to be just as effective as in-person education at influencing behavior change [41].…”

Section: Discussionmentioning

confidence: 87%

Evaluation of a Childhood Obesity Prevention Online Training Certificate Program for Community Family Educators

et al. 2016

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Community family educators have the opportunity to incorporate childhood obesity prevention concepts in their programming with families of young children, but often lack formal health and nutrition education. The purpose of this feasibility study was to create an online training certificate program for community family educators and assess the program's effectiveness at improving participant's knowledge, attitudes, and intended and actual behaviors related to healthy lifestyles. Community family educators (n = 68) completed an online pretest, viewed 13 brief videos (8-15 min) focused on childhood obesity related topics and took mini-knowledge self-checks after each video followed by an online posttest. At posttest, paired t tests showed participants' childhood obesity prevention related knowledge (i.e., nutrition, physical activity, screen time and sleep) improved significantly (p < 0.001). Participants' attitudes toward parenting behaviors related to feeding practices, family meals, physical activity, screen time control and parent modeling significantly (p < 0.05) improved. Improvements also were seen in participants' intentions to promote obesity prevention behaviors (i.e., age appropriate portions sizes, adequate physically active, and parental role modeling). Furthermore, changes in personal health behaviors at posttest revealed participants had significantly (p < 0.05) greater dietary restraint, improvements in sleep quality, and reductions of use of electronic devices during meals and snacks. Overall, participants were very satisfied with the training program, felt comfortable with skills acquired, and enjoyed the program. Findings suggest this online training program is a feasible and effective method for improving community family educators' knowledge, attitudes, and intentions for obesity-prevention related parenting practices.

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Section: Discussionmentioning

confidence: 87%

Evaluation of a Childhood Obesity Prevention Online Training Certificate Program for Community Family Educators

et al. 2016

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“…In this analysis, almost all users did review these tailored messages. Prior work also suggests that well-designed nutrition education delivered through the internet can be as effective as in-person education for improving knowledge [26,27]. The tailored educational messages are a noted benefit of Nutri-eSCREEN® and future evaluations should consider knowledge and attitudes changing as a result of use of the platform, as well as reported intentions to change their behaviour [6,21].…”

Section: Discussionmentioning

confidence: 99%

Nutri-eSCREEN®: descriptive analysis of a self-management site for older adults (50+ years)

Keller

2016

BMC Nutr

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Background: Older adults (50+ years of age) are a prime target for prevention programs and nutrition education that can improve their eating habits. Yet, most programs target specific disease groups or more vulnerable older adults. As well, the majority of nutrition education programs evaluated to date have been delivered in-person by a health provider. Self-management for upstream nutrition problems that lead to nutrition risk is needed. The internet has made possible the opportunity for the spread of credible nutrition education that can promote awareness and improve knowledge. The purpose of this paper is to describe an internet-based self-management site for older adults focused on nutrition behaviours and present descriptive results of users between 2012 and 2015. Methods: Nutri-eSCREEN® (http://www.nutritionscreen.ca/escreen/) is based on SCREENII, a valid and reliable nutrition screening tool for older adults. It was developed over an 18-month period, which included focus groups, key informant interviews and a usability analysis. Descriptive and bivariate analysis have subsequently been completed on over 15,000 Nutri-eSCREEN® users over the age of 50 years. Results: Most older adult users were between the ages of 50 and 74 years and were women (80.2 %). Nutrition risk was common and increased with age (e.g. 68 % of 85+ year olds were high risk). Several age and gender differences in prevalence of nutrition behaviours were noted. For example, swallowing problems were more likely to occur in the oldest age group (χ 2 = 511.8 p < 0.0001). Key nutrition behaviours were also associated with each other. For example, chewing problems were associated with lower intake of fruits and vegetables (χ 2 = 825.7 p < 0.0001).

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“…23,24 Neuenschwander and coworkers 23 demonstrated that Webbased nutrition education can lead to favorable and equivalent nutritionrelated changes when compared with in-person delivery in low-income populations. Harvey-Berino and colleagues 24 found that undergraduate students who volunteered or elected to enroll in a one-credit online behavioral weight management class had higher than usually reported attendance and lower dropout rates than other behavioral weight loss programs targeting that age group.…”

Section: Discussionmentioning

confidence: 99%

“…Participants attributed many positive behavior changes to the program, similar to what others have observed. 15,23 Of note were the changes in mindfulness, a key component of ESMMWL. Participants indicated that the program helped them to be more mindful of both healthy eating and physical activity.…”

Section: Discussionmentioning

confidence: 99%

Using Synchronous Distance-Education Technology to Deliver a Weight Management Intervention

Dunn

Whetstone

Kolasa

et al. 2014

Journal of Nutrition Education and Behavior

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Comparison of a Web-Based vs In-Person Nutrition Education Program for Low-Income Adults

Cited by 72 publications

References 13 publications

Evaluation of a Childhood Obesity Prevention Online Training Certificate Program for Community Family Educators

Evaluation of a Childhood Obesity Prevention Online Training Certificate Program for Community Family Educators

Nutri-eSCREEN®: descriptive analysis of a self-management site for older adults (50+ years)

Using Synchronous Distance-Education Technology to Deliver a Weight Management Intervention

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