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Meal Time/Family Time : An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

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Page 1: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Meal Time/Family Time: An Evaluation of a Nutrition Education Program

Sondra M. Parmer, MS

Alabama Cooperative

Extension System

Auburn University

Page 2: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Purpose of Study To provide a profile of family eating

characteristics currently lacking in the literature of a limited-resource population.

To evaluate knowledge and behavior change of individuals participating in Meal Time/Family Time, a nutrition education program focused on creating and implementing the shared family meal.

Page 3: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Why is family meal time important? nutrition

– more balanced meals– better eating habits

family well-being– vocabulary building/communication– family cohesiveness

Page 4: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University
Page 5: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Method

Sample Curriculum Instrument Development Data Collection Data Analysis

Page 6: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Sample

Managing Your Food DollarC ontro ln = 52

Meal Time/Fam ily Tim eExperim enta l

n = 54

Lim ited-R esource Fem ale Parents

Page 7: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Curriculum

Meal Time/Family Time - Experimental– understanding value of family meal time– creating the shared family meal

Managing Your Food Dollar - Control– understanding money management skills

related to food buying– developing skills for maximizing food

dollars

Page 8: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Instrument Development

Pre- and post-assessment Based on curriculum content 2nd grade reading level 30 Likert-scale items

– 10 knowledge items = knowledge scale– 20 behavior items = behavior scale

Page 9: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Instrument Validity and Reliability

Content validity Reliability - Pilot Test

– .60 Cronbach alpha for knowledge scale– .79 Cronbach alpha for behavior scale

Reliability - Study– .67 Cronbach alpha for knowledge scale– .81 Cronbach alpha for behavior scale

Page 10: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Data Collection

Pre- and post-assessments Administered by Program Assistants Assessments read out loud

Page 11: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Data Analysis

Frequency tables Pearson chi-square Repeated-measures ANOVA Paired-samples t-test

Page 12: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Demographic Characteristics

Mean age - 37.3 years African-American - 67% Rural - 67% Education

– 41% not completed high school– 50% graduated from high school– 9% attended schooling beyond high school

Page 13: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Characteristics of Family Meal Time

Behavior

Page 14: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Occurrence of Family Meals

How often do you eat dinner with your kids?

eat dinner with children

everyday5-6 days3-4 days1-2 daysnever

Pe

rce

nt

60

50

40

30

20

10

0

Page 15: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Problem Areas

55% of respondents watched TV always or often during family meal times, an additional 28% watched TV sometimes during family meal times

48% of respondents were using meal time to solve problems

69% of respondents reported making their children eat as a way to have a healthy diet

Page 16: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Children’s Involvement

75% of respondent’s children were washing hands

HOWEVER, children were not involved in family meal events such as:– menu planning– food shopping– food preparation– dish washing

Page 17: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Knowledge and Behavior Change of Individuals Participating in

Meal Time/Family Time

Page 18: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Pre- and Post-Assessment Scores

Behavior Scale Knowledge Scale

Page 19: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Behavior Scale

One-way within-subjects ANOVA – independent variable = time of

assessments– dependent variable = pre- and post-

assessment scores on behavior scale Significant main effect for time

Page 20: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Behavior Scale: Post-Hoc Tests

No significant difference found between experimental and control groups at pre-assessment - groups are considered homogeneous at pre-assessment

Significant difference found between experimental and control groups at post-assessment

Page 21: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Behavior Scale: Additional Follow-Up Test Significant difference found for the

experimental group with means increasing over time

No significant difference found for the control group

Page 22: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Consistent with expectations, participants in the educational program, Meal Time/Family Time, positively changed their family meal behavior practices as compared to participants in the educational program, Managing Your Food Dollar.

Page 23: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Knowledge Scale

One-way within-subjects ANOVA– independent variable = time of

assessments– dependent variable = pre- and post-

assessment scores on knowledge scale Significant main effect for time

Page 24: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Knowledge Scale: Post-Hoc Tests

No significant difference found between experimental and control groups at pre-assessment - groups are considered homogeneous at pre-assessment

No significant difference found between experimental and control groups at post-assessment

Page 25: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Knowledge Scale: Additional Follow-Up Tests Significant difference found for the

experimental group with means increasing over time

Significant difference found for the control group with means increasing over time

Page 26: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

These findings for the knowledge scale were not consistent with expectations, however they were not entirely surprising. It was discovered that one of the ten items on the assessment was also included in the curriculum taught to the control group.

Page 27: Meal Time/Family Time: An Evaluation of a Nutrition Education Program Sondra M. Parmer, MS Alabama Cooperative Extension System Auburn University

Summary

2 objectives were met– Descriptive information was collected for a

limited-resource population concerning family meal time behavior and knowledge

– Meal Time/Family Time was found to be an effective educational program on the behavior dimension due to change found in experimental sample as compared to control group