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Considerations for Evaluation of Fruit and Vegetable Intake in Low-Literate Spanish-Speaking Participants in USDA Food and Nutrition Education Programs

机译:在美国农业部食品和营养教育方案中低文化西班牙语参与者水果和蔬菜摄入评估的思考

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摘要

Rates of obesity and associated chronic disease are high in Hispanics in the United States. Nutrition education interventions promoting dietary change in underserved populations have been shown to have positive effects on behaviors such as fruit and vegetable (FV) intake, thereby reducing the chronic disease burden. Evaluation tools in the Spanish language to assess the dietary behavior changes made in response to the intervention are important in determining the success of such efforts. Currently, there are no Spanish-language tools focused exclusively on FV intake and behaviors that include features to enhance readability for use in low-literacy participants of US Department of Agriculture (USDA) food assistance and education programs. There is a need for such tools to determine the degree to which programs are able to promote behavior change. In designing these tools, researchers should take into account potential issues that may arise when administered. For example, respondents may have difficulty estimating consumption for mixed dishes and vegetables added to food. To address such issues, researchers should employ strategies to assist respondents to understand what constitutes FV and appropriately identify amount consumed. Addition of images to tools or development of accompanying instruction guides may be helpful. Once developed and tested, such scales may be used with Spanish-speaking participants of USDA food assistance and education programs aimed at improving FV behaviors and ultimately, intake.
机译:美国西班牙裔美国人的肥胖和相关慢性病的率高。营养教育干预措施促进所营养的人群的饮食变化对水果和蔬菜(FV)摄入等行为产生积极影响,从而降低了慢性疾病负担。评估西班牙语中的评估工具评估饮食行为因响应干预而改变的变化对于确定此类努力的成功非常重要。目前,没有专注于FV摄入和行为的西班牙语工具,包括提高美国农业部(USDA)粮食援助和教育方案的低识字参与者的可读性。需要这样的工具来确定程序能够促进行为改变的程度。在设计这些工具时,研究人员应考虑在管理时可能出现的潜在问题。例如,受访者可能难以估算混合餐具和蔬菜的消费。为了解决这些问题,研究人员应采用战略,以协助受访者了解什么构成FV并适当识别消耗的金额。添加图像到工具或随附的指导指南的开发可能会有所帮助。一旦开发和测试,这种尺度可以与讲西班牙粮食援助和教育方案的西班牙语参与者一起使用,旨在改善Fv行为,最终进入。

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