Abstract
Do Right! Nutrition Train the Trainer is an 8-week series designed to educate participants on the importance of nutrition. The purpose of this study was to examine the effectiveness of program delivery in a community-based setting. Post-session evaluations were utilized to examine participant health knowledge and behaviors attained as a result of programming. Participants were African American residents who resided throughout the Greater Cincinnati Area. Post-session evaluations showed substantial knowledge/skill attainment. Program outcomes show Nutrition Train the Trainer to be an effective community-based model in delivering nutrition health education.
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American Cancer Society. (2019). Cancer facts & figures for African Americans 2019-2021. Atlanta: American Cancer Society.
Avery, K. N., Donovan, J. L., Horwood, J., & Lane, J. A. (2013). Behavior theory for dietary interventions for cancer prevention: a systematic review of utilization and effectiveness in creating behavior change. Cancer Causes & Control, 24, 409–420. https://doi.org/10.1007/s10552-012-9995-9.
Barosh, L., Friel, S., Engelhardt, K., & Chan, L. (2014). The cost of a healthy and sustainable diet - who can afford it? Australian and New Zealand Journal of Public Health, 38(1), 7–12. https://doi.org/10.1111/1753-6405.12158.
Benjamin, E. J., Blaha, M. J., Chiuve, S. E., et al. (2017). on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2017 update: a report from the American Heart Association. Circulation., 135, e229–e445.
Benjamin, E., Verani, S., et al. (2018). Heart disease and stroke statistics—2018 update: a report from the American Heart Association. Circulation, 137(12), e67–e492. https://doi.org/10.1161/cir.0000000000000573
Campbell, M. K., Hudson, M. A., Resnicow, K., Blakeney, N., Paxton, A., & Baskin, M. (2007). Church-based health promotion interventions: evidence and lessons learned. Annual Review of Public Health, 28(1), 213–234.
Campbell, M. K., Motsinger, B. M., Ingram, A., Jewell, D., Makarushka, C., Beatty, B., et al. (2000). The North Carolina Black Churches United for Better Health Project: intervention and process evaluation. Health Education & Behavior, 27(2), 241–253. https://doi.org/10.1177/109019810002700210.
Carson, J. A., Michalsky, L., Latson, B., Banks, K., Tong, L., Gimpel, N., . . . Dehaven, M. J. (2012). The cardiovascular health of urban African Americans: diet-related results from the Genes, Nutrition, Exercise, Wellness, and Spiritual Growth (GoodNEWS) Trial. Journal of the Academy of Nutrition and Dietetics,112(11), 1852–1858. https://doi.org/10.1016/j.jand.2012.06.357
Centers for Disease Control and Prevention, National Center for Health Statistics. Multiple Cause of Death 1999-2015 on CDC WONDER Online Database, released December 2016.
Centers for Disease Control and Prevention. (2017a). National Diabetes Statistics Report, 2017. Atlanta: Centers for Disease Control and Prevention, U.S. Dept of Health and Human Services.
Centers for Disease Control and Prevention (2017b). Overweight & obesity. Retrieved from https://www.cdc.gov/obesity/adult/defining.html.
Dehaven, M. J., Hunter, I. B., Wilder, L., Walton, J. W., & Berry, J. (2004). Health programs in faith-based organizations: are they effective? American Journal of Public Health, 94(6), 1030–1036. https://doi.org/10.2105/ajph.94.6.1030.
Drewnowski, A., & Darmon, N. (2005). The economics of obesity: dietary energy density and energy cost. The American Journal of Clinical Nutrition, 82(1). https://doi.org/10.1093/ajcn.82.1.265s
Dubowitz, T., Cohen, D. A., Huang, C. Y., Beckman, R. A., & Collins, R. L. (2015). Using a grocery list is associated with a healthier diet and lower BMI among very high-risk adults. Journal of Nutrition Education and Behavior, 47(3). https://doi.org/10.1016/j.jneb.2015.01.005.
Egalite, A. J., Kisida, B., & Winters, M. A. (2015). Representation in the classroom: the effect of own-race teachers on student achievement. Economics of Education Review, 45, 44–52. https://doi.org/10.1016/j.econedurev.2015.01.007.
Fish, C. A., Brown, J. R., & Quandt, S. A. (2015). African American and Latino low income families’ food shopping behaviors: promoting fruit and vegetable consumption and use of alternative healthy food options. Journal of Immigrant and Minority Health, 17(2), 498–505. https://doi.org/10.1007/s10903-013-9956-8.
Garcia, A. L., Reardon, R., Mcdonald, M., & Vargas-Garcia, E. J. (2016). Community interventions to improve cooking skills and their effects on confidence and eating behaviour. Current Nutrition Reports, 5(4), 315–322. https://doi.org/10.1007/s13668-016-0185-3.
Glanz, K., Rimer, B. K., Viswanath, K., & Orleans, C. T. (2008). Health behavior and health education: theory, research and practice. San Francisco: Jossey-Bass.
Graham, S., & Brookey, J. (2008). Do patients understand? The Permanente Journal, 12(3), 67–69. https://doi.org/10.7812/tpp/07-144.
Hales, C. M., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2017). Prevalence of obesity among adults and youth: United States, 2015–2016. NCHS data brief, no 288. Hyattsville: National Center for Health Statistics.
Hiza, H. A., Casavale, K. O., Guenther, P. M., & Davis, C. A. (2013). Diet quality of Americans differs by age, sex, race/ethnicity, income, and education level. Journal of the Academy of Nutrition and Dietetics, 113(2), 297–306. https://doi.org/10.1016/j.jand.2012.08.011.
James, D. (2004). Factors influencing food choices, dietary intake, and nutrition-related attitudes among African Americans: Application of a culturally sensitive model. Ethnicity & Health, 9(4), 349–367.
Kirkpatrick, S. I., Dodd, K. W., Reedy, J., & Krebs-Smith, S. M. (2012). Income and race/ethnicity are associated with adherence to food-based dietary guidance among US adults and children. Journal of the Academy of Nutrition and Dietetics, 112(5). https://doi.org/10.1016/j.jand.2011.11.012
Lancaster, K. J., Carter-Edwards, L., Grilo, S., Shen, C., & Schoenthaler, A. M. (2014). Obesity interventions in African American faith-based organizations: a systematic review. Obesity Reviews, 15, 159–176. https://doi.org/10.1111/obr.12207.
Mclaughlin, C., Tarasuk, V., & Kreiger, N. (2003). An examination of at-home food preparation activity among low-income, food-insecure women. Journal of the American Dietetic Association, 103(11), 1506–1512. https://doi.org/10.1016/j.jada.2003.08.022.
Mcrae, M. P. (2017). Health benefits of dietary whole grains: an umbrella review of meta-analyses. Journal of Chiropractic Medicine, 16(1), 10–18. https://doi.org/10.1016/j.jcm.2016.08.008.
Miller, L. M., & Cassady, D. L. (2015). The effects of nutrition knowledge on food label use. A review of the literature. Appetite, 92, 207–216. https://doi.org/10.1016/j.appet.2015.05.029.
Millet, C., Payne, D., Dwyer, C., et al. (2008). A culture of evidence: an evidence-centred approach to accountability for student learning outcomes. Princeton: Educational Testing Services.
Pawlak, R., & Colby, S. (2009). Benefits, barriers, self-efficacy and knowledge regarding healthy foods; perception of African Americans living in eastern North Carolina. Nutrition Research and Practice, 3(1), 56–63. https://doi.org/10.4162/nrp.2009.3.1.56.
Pi-Sunyer, F. X. (2000). Obesity: criteria and classification. Proceedings of the Nutrition Society, 59(4), 505–509. https://doi.org/10.1017/s0029665100000732.
Pooler, J. A., Morgan, R. E., Wong, K., Wilkin, M. K., & Blitstein, J. L. (2017). Cooking matters for adults improves food resource management skills and self-confidence among low-income participants. Journal of Nutrition Education and Behavior, 49(7). https://doi.org/10.1016/j.jneb.2017.04.008
Rehm, C. D., Peñalvo, J. L., Afshin, A., & Mozaffarian, D. (2016). Dietary intake among US adults, 1999-2012. Jama, 315(23), 2542. https://doi.org/10.1001/jama.2016.7491.
Resnicow, K., Campbell, M. K., Carr, C., Mccarty, F., Wang, T., Periasamy, S., . . . Stables, G. (2004). Body and soul. American Journal of Preventive Medicine, 27(2), 97–105. https://doi.org/10.1016/j.amepre.2004.04.009
Resnicow, K., Jackson, A., Blissett, D., Wang, T., Mccarty, F., Rahotep, S., & Periasamy, S. (2005). Results of the Healthy Body Healthy Spirit Trial. Health Psychology, 24(4), 339–348. https://doi.org/10.1037/0278-6133.24.4.339.
Resnicow, K., Jackson, A., Wang, T., De, A. K., Mccarty, F., Dudley, W. N., & Baranowski, T. (2001). A motivational interviewing intervention to increase fruit and vegetable intake through Black churches: results of the Eat for Life Trial. American Journal of Public Health, 91(10), 1686–1693. https://doi.org/10.2105/ajph.91.10.1686.
Rush, E., & Yan, M. (2017). Evolution not revolution: nutrition and obesity. Nutrients, 9(5), 519.
Soliah, L. A., Walter, J. M., & Jones, S. A. (2011). Benefits and barriers to healthful eating. American Journal of Lifestyle Medicine, 6(2), 152–158. https://doi.org/10.1177/1559827611426394.
Taillie, L. S. (2018). Who’s cooking? Trends in US home food preparation by gender, education, and race/ethnicity from 2003 to 2016. Nutrition Journal, 17(1), 41. https://doi.org/10.1186/s12937-018-0347-9.
U.S. Department of Health & Human Services, National Institute on Aging (2018). Heart health and aging. Retrieved from https://www.nia.nih.gov/health/heart-health-and-aging.
Vaidya, V., Partha, G., & Karmakar, M. (2012). Gender differences in utilization of preventive care services in the United States. Journal of Womens Health, 21(2), 140–145. https://doi.org/10.1089/jwh.2011.2876.
Walker, R. E., Keane, C. R., & Burke, J. G. (2010). Disparities and access to healthy food in the United States: a review of food deserts literature. Health & Place, 16(5), 876–884. https://doi.org/10.1016/j.healthplace.2010.04.013.
Wallerstein, N. B., & Duran, B. (2006). Using community-based participatory research to address health disparities. Health Promotion Practice, 7(3), 312–323. https://doi.org/10.1177/1524839906289376.
Wilcox, S., Laken, M., Parott, A. W., Condrasky, M., Saunders, R., Addy, C. L., et al. (2010). The Faith, Activity, and Nutrition (FAN) Program: design of a participatory research intervention to increase physical activity and improve dietary habits in African American churches. Contemporary Clinical Trials, 31(4), 323–335. https://doi.org/10.1016/j.cct.2010.03.011.
Wolfson, J. A., Bleich, S. N., Smith, K. C., & Frattaroli, S. (2016). What does cooking mean to you?: Perceptions of cooking and factors related to cooking behavior. Appetite, 97, 146–154. https://doi.org/10.1016/j.appet.2015.11.030.
Yang, Q., Tong, X., Schieb, L., et al. (2017). Vital signs: recent trends in stroke death rates — United States, 2000–2015. MMWR Morb Mortal Wkly Rep, 66, 933–939. https://doi.org/10.15585/mmwr.mm6635e1External.
Zong, G., Li, Y., Wanders, A. J., Alssema, M., Zock, P. L., Willett, W. C., et al. (2016). Intake of individual saturated fatty acids and risk of coronary heart disease in US men and women: two prospective longitudinal cohort studies. British Medical Journal, 355. https://doi.org/10.1136/bmj.i5796.
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Funding for this project was provided by the City of Cincinnati.
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Dowling, J., Mahafee-Harris, R. & McDade, R. Do Right! Nutrition Train the Trainer: an African American Community–Based Nutrition Education Initiative. J Afr Am St 24, 627–640 (2020). https://doi.org/10.1007/s12111-020-09507-1
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DOI: https://doi.org/10.1007/s12111-020-09507-1