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A Mixed-Methods Approach to Evaluate a Social Media Nutrition Education Program Integrated With Home Food Delivery for Low-Income Pregnant Women
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DOI：10.1177/08901171261470240.png)
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Abstract
En 中文
<jats:sec>
<jats:title>Purpose</jats:title>
<jats:p>To evaluate the feasibility and potential effects of a nutrition intervention in a private Facebook group and integrated with food delivery for urban low-income pregnant women.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Design</jats:title>
<jats:p>One-group pretest-posttest intervention design.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Setting</jats:title>
<jats:p>A private Facebook group was utilized to implement nutrition lessons along with home food delivery of cooking ingredients.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Sample</jats:title>
<jats:p>Twenty-six pregnant women enrolled in the study.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Intervention</jats:title>
<jats:p>Six weekly nutrition lessons with cooking videos and food delivery were implemented.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Measures</jats:title>
<jats:p>A mixed methods approach was used. Outcomes of the intervention were measured with Family Meal Questions, Food Behavior Checklist, and Perceptions of Meal Planning and Cooking Scale. Qualitative semi-structured interviews were also conducted.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Analysis</jats:title>
<jats:p>Descriptive statistics and independent samples t-tests were performed. Interview data were analyzed using thematic codes.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Results</jats:title>
<jats:p>
Sweetened beverage intake decreased (Δ = −0.5;
<jats:italic toggle="yes">P</jats:italic>
= 0.035); using food labels when food shopping increased (Δ = 0.7;
<jats:italic toggle="yes">P</jats:italic>
= 0.046); and overall eating habits improved (Δ = 1.6;
<jats:italic toggle="yes">P</jats:italic>
= 0.015). Perceptions of “meal planning” and “shopping and cooking” significantly improved (both Δ = 0.5;
<jats:italic toggle="yes">P</jats:italic>
< 0.05). Self-reported general health rating significantly improved (Δ = 0.7;
<jats:italic toggle="yes">P</jats:italic>
= 0.045). Participants provided positive feedback on the cooking demonstrations, social media format, and dietary behavior changes.
</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Conclusion</jats:title>
<jats:p>Implementing nutrition lessons on a private Facebook group was feasible. Further studies are needed to confirm its impact on dietary behaviors and health outcomes among urban low-income pregnant women.</jats:p>
</jats:sec>
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