Development and evaluation of an intervention to improve food and nutrition literacy among Iranian Kurdish primary school children: An application of intervention mapping approach

BackgroundFood and nutrition literacy (FNLIT) is a relatively new term that is used to define the knowledge, skills, and behaviors necessary to achieve a healthy diet. Improving food and nutritional literacy in children is a necessary solution to eliminate nutritional disorders in this age group. Th...

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Main Authors: Mohammad Ahmadpour, Nasrin Omidvar, Elham Shakibazadeh, Azam Doustmohammadian, Abbas Rahimiforoushani
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1059677/full
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author Mohammad Ahmadpour
Nasrin Omidvar
Elham Shakibazadeh
Azam Doustmohammadian
Abbas Rahimiforoushani
author_facet Mohammad Ahmadpour
Nasrin Omidvar
Elham Shakibazadeh
Azam Doustmohammadian
Abbas Rahimiforoushani
author_sort Mohammad Ahmadpour
collection DOAJ
description BackgroundFood and nutrition literacy (FNLIT) is a relatively new term that is used to define the knowledge, skills, and behaviors necessary to achieve a healthy diet. Improving food and nutritional literacy in children is a necessary solution to eliminate nutritional disorders in this age group. The purpose of this study was to design, implement and evaluate an intervention to improve food and nutrition literacy in children aged 10–12 years old based on an intervention mapping (IM) approach.MethodsThis experimental study was performed in three phases. Through the first phase, an intervention was developed using the (IM) approach. In the second phase, the intervention was implemented for 6 months, and in the third phase, the intervention outcomes were evaluated and compared with the control group through a randomized controlled trial among 300 participants (each control and intervention group = 150).ResultsBefore the intervention, there was no significant difference between the control and intervention groups in all subscales of FNLIT. After the intervention, there was a significant difference between the control and intervention groups in all subscales of FNLIT (P < 0/001). There were no differences between the two groups in terms of the FNLIT scores at baseline (P > 0.05). However, after 6 months of intervention, a significant difference was observed between the two groups (intra-group differences) (P < 0.001). Such a difference was not identified in the control group after 6 months also the results show the impact of socioeconomic factors and parental literacy on the average score of students' FNLIT and after the intervention, a significant difference was observed between the scores of control and intervention groups in all subscales of the FNLIT (P < 0.001).ConclusionsThe school-based intervention developed and evaluated in this study provides a basis for future programs targeting the improvement of FNLIT in children, especially in poor and deprived areas such as Kurdistan province.Clinical trial registrationIranian Clinical Trials Registry (IRCT) Code: 32094.
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spelling doaj.art-79f3898e830a4272b5902b40b31424212023-01-04T14:14:03ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-01-011010.3389/fpubh.2022.10596771059677Development and evaluation of an intervention to improve food and nutrition literacy among Iranian Kurdish primary school children: An application of intervention mapping approachMohammad Ahmadpour0Nasrin Omidvar1Elham Shakibazadeh2Azam Doustmohammadian3Abbas Rahimiforoushani4Department of Health Education and Promotion, School of Public Health, Maragheh University of Medical Sciences, Maragheh, IranDepartment of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, IranGastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, IranDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranBackgroundFood and nutrition literacy (FNLIT) is a relatively new term that is used to define the knowledge, skills, and behaviors necessary to achieve a healthy diet. Improving food and nutritional literacy in children is a necessary solution to eliminate nutritional disorders in this age group. The purpose of this study was to design, implement and evaluate an intervention to improve food and nutrition literacy in children aged 10–12 years old based on an intervention mapping (IM) approach.MethodsThis experimental study was performed in three phases. Through the first phase, an intervention was developed using the (IM) approach. In the second phase, the intervention was implemented for 6 months, and in the third phase, the intervention outcomes were evaluated and compared with the control group through a randomized controlled trial among 300 participants (each control and intervention group = 150).ResultsBefore the intervention, there was no significant difference between the control and intervention groups in all subscales of FNLIT. After the intervention, there was a significant difference between the control and intervention groups in all subscales of FNLIT (P < 0/001). There were no differences between the two groups in terms of the FNLIT scores at baseline (P > 0.05). However, after 6 months of intervention, a significant difference was observed between the two groups (intra-group differences) (P < 0.001). Such a difference was not identified in the control group after 6 months also the results show the impact of socioeconomic factors and parental literacy on the average score of students' FNLIT and after the intervention, a significant difference was observed between the scores of control and intervention groups in all subscales of the FNLIT (P < 0.001).ConclusionsThe school-based intervention developed and evaluated in this study provides a basis for future programs targeting the improvement of FNLIT in children, especially in poor and deprived areas such as Kurdistan province.Clinical trial registrationIranian Clinical Trials Registry (IRCT) Code: 32094.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1059677/fullinterventionfood and nutrition literacyIranKurdishprimary childrenintervention mapping
spellingShingle Mohammad Ahmadpour
Nasrin Omidvar
Elham Shakibazadeh
Azam Doustmohammadian
Abbas Rahimiforoushani
Development and evaluation of an intervention to improve food and nutrition literacy among Iranian Kurdish primary school children: An application of intervention mapping approach
Frontiers in Public Health
intervention
food and nutrition literacy
Iran
Kurdish
primary children
intervention mapping
title Development and evaluation of an intervention to improve food and nutrition literacy among Iranian Kurdish primary school children: An application of intervention mapping approach
title_full Development and evaluation of an intervention to improve food and nutrition literacy among Iranian Kurdish primary school children: An application of intervention mapping approach
title_fullStr Development and evaluation of an intervention to improve food and nutrition literacy among Iranian Kurdish primary school children: An application of intervention mapping approach
title_full_unstemmed Development and evaluation of an intervention to improve food and nutrition literacy among Iranian Kurdish primary school children: An application of intervention mapping approach
title_short Development and evaluation of an intervention to improve food and nutrition literacy among Iranian Kurdish primary school children: An application of intervention mapping approach
title_sort development and evaluation of an intervention to improve food and nutrition literacy among iranian kurdish primary school children an application of intervention mapping approach
topic intervention
food and nutrition literacy
Iran
Kurdish
primary children
intervention mapping
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1059677/full
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