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首页> 外文期刊>Maternal and child health journal >Healthy Eating and Harambee: curriculum development for a culturally-centered bio-medically oriented nutrition education program to reach African American women of childbearing age.
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Healthy Eating and Harambee: curriculum development for a culturally-centered bio-medically oriented nutrition education program to reach African American women of childbearing age.

机译：健康饮食和Harambee：针对以文化为中心的以生物医学为基础的营养教育计划的课程开发，以覆盖育龄妇女。

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The purpose was to develop, implement and evaluate a peer-led nutrition curriculum Healthy Eating and Harambee that addresses established objectives of maternal and infant health and to shift the stage for African American women of childbearing age in Genesee County toward healthier dietary patterns using a socio-cultural and biomedical orientation. The PEN-3 model, which frames culture in the context of health promotion interventions, was integrated with the Transtheoretical Model to guide this 13-week pre-test/post-test curriculum. Materials developed included soul food plate visuals, a micronutrient availability worksheet, a fruit stand, and gardening kits. Learning activities included affirmations, stories, case-scenarios, point-of-purchase product recognition, church health teams, and community health fairs. We investigated health-promoting dietary behaviors (consumption of more fruits and vegetables (F&V), serving more F&V to their families, and moderating dietary sodium and fat intakes), and biomedical behaviors (self-monitoring blood pressure and exercising) across five stages of change. Session attendance and program satisfaction were assessed. N = 102 women participated (mean age = 27.5 years). A majority (77%) reported adopting at least one healthy eating behavior (moderating sodium, serving more F&V to their families), 23% adopted at least two such behaviors (reading food labels for sodium; using culinary herbs/spices; serving more F&V to their families), and 45% adopted both dietary (moderating sodium; eating more fruits) and biomedical behaviors. Participants and facilitators favorably evaluated the curriculum and suggested improvements. A multi-conceptual approach coupled with cultural and biomedical tailoring has potential to promote young African American women's movement to more advanced stages of change and improve self-efficacy for fruit and vegetable intake, dietary sodium moderation, and self-monitoring blood pressure and physical activity.
机译：目的是开发，实施和评估由同行领导的营养课程“健康饮食和Harambee”，以解决孕产妇和婴儿健康的既定目标，并使Genesee县的育龄非洲裔美国妇女朝着更健康的饮食模式迈进。 -文化和生物医学方向。 PEN-3模型以健康促进干预为背景构建文化框架，并与跨理论模型相结合，以指导这一为期13周的测试前/测试后课程。开发的材料包括灵魂食物板的视觉效果，微量营养素可获得性工作表，水果摊和园艺套件。学习活动包括确认书，故事，案例方案，购买点产品认可，教会健康团队和社区健康博览会。我们调查了五个阶段中促进健康的饮食行为（食用更多的水果和蔬菜（F＆V），为家庭提供更多的F＆V，并调节饮食中钠和脂肪的摄入量）以及生物医学行为（自我监测血压和运动）。更改。评估会议出席率和计划满意度。 N = 102名妇女参加（平均年龄= 27.5岁）。多数（77％）报告采取了至少一种健康的饮食习惯（节制钠，为其家人提供更多的F＆V），23％采取了至少两种这种饮食习惯（阅读钠的食品标签;使用烹饪草药/香料;提供更多的F＆V （他们的家人），并且45％的人通过饮食（适度的钠盐;多吃水果）和生物医学行为。参与者和主持人对课程进行了积极评价，并提出了改进建议。一种多概念的方法以及文化和生物医学的适应方法，有可能促进年轻的非洲裔美国妇女向更高级的变化阶段发展，并提高水果和蔬菜摄入量的自我效能，饮食中的钠调节以及自我监测血压和身体活动。

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