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This project is the first stage of a health promotion campaign to shift social norms about marketing and feeding children ultra-processed foods. Embedded within a longitudinal ethnographic study using photo-elicitation techniques, mothers of preschool-age children will be randomly assigned to arts-based or traditional education about ultra-processed food.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional Nutrition Education | Active Comparator | Conventional nutrition education |
|
| Arts-based Nutrition Education | Experimental | Arts-based nutrition education video production |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional Ultra-processed Food Nutrition Education | Behavioral | The participants will receive a conventional nutrition education session with slides, flyers/handouts, and a lecture with discussion. |
| Measure | Description | Time Frame |
|---|---|---|
| Ultra-Processed Food Knowledge | Participants will classify pictures of foods as ultra-processed or whole foods (adapted from Sarmiento-Santos, cited below) and as healthy or unhealthy. on a Pre and post-ultra-processed food knowledge questionnaire. Both sets of questions are yes or no categorical questions. | 60 minutes |
| Environmental assessment of ultra-processed food | Participant photographs of the local food environment. At two time points (pre and post educational intervention) participants will take photographs of the local food environment including grocery stores, restaurant menus, etc. The purpose of this is to learn from participants about how they perceive the local kids' food environment and if they observe differences after the intervention. Photo elicitation techniques will be used during a series of focus groups for participants to discuss the photographs they took. These data will be analyzed using a layered analysis of the photographs (appraisal, discussion with participant who took the photo, cross-photo comparison, and interpretation) pre and post educational intervention, and thematic analysis of the focus group transcripts. | 6 months |
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Inclusion Criteria:
Head Start programming.
Exclusion Criteria:
Self-representation
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| Name | Affiliation | Role |
|---|---|---|
| Pamela Rothpletz-Puglia, EdD | Rutgers, The State University of New Jersey | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Leaguers Inc. Head Start | Newark | New Jersey | 07102 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35564081 | Background | Sarmiento-Santos J, Souza MBN, Araujo LS, Pion JMV, Carvalho RA, Vanin FM. Consumers' Understanding of Ultra-Processed Foods. Foods. 2022 May 7;11(9):1359. doi: 10.3390/foods11091359. | |
| 31850537 | Background | Andreassen P, Christensen MK, Moller JE. Focused ethnography as an approach in medical education research. Med Educ. 2020 Apr;54(4):296-302. doi: 10.1111/medu.14045. Epub 2020 Feb 16. |
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| ID | Term |
|---|---|
| D005518 | Food Preferences |
| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| D001519 | Behavior |
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Participants will be randomly assigned to a conventional nutrition education or an arts-based education group.
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| Arts-based Ultra-processed Food Nutrition Education | Behavioral | The participants will receive an arts-based nutrition education session with video, animation, music, and discussion. |
|
| 25326092 | Background | Braun V, Clarke V. What can "thematic analysis" offer health and wellbeing researchers? Int J Qual Stud Health Well-being. 2014 Oct 16;9:26152. doi: 10.3402/qhw.v9.26152. eCollection 2014. No abstract available. |