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Behavioural Change provides a comprehensive overview of what is known about our ability to change behaviour of people across a wide range of domains including smoking, physical activity and exercise, eating and nutrition, sexual behaviour, drugs and alcohol use, sleep, crash and injury prevention, depression, gambling and self-management of chronic illness. It not only reviews the evidence concerning these issues but also provides original insights into how effective and sustainable intervention programs may be designed and delivered to address them. The main emphasis of the book is on linking research knowledge, i.e. the evidence base, and its translation into effective and sustainable programs. State of the art reviews are presented in an accessible but authoritative manner. The emphasis upon transfer to programs is very useful for practitioners and students. For all topics, the following questions are posed: What is the scope of the problem within the international communities? What approaches are typically used to prevent or treat it? What is the evidence as to the most effective approaches to prevention and treatment? What is the performance of these approaches in terms of prevention/diversion and full or partial recovery for the short and long term?
Despite significant progress due to public health campaigns and other policy efforts, smoking continues to be a serious health threat throughout the world. In addition, sedentary lifestyles, poor diet, and obesity continue to be major causes of chronic diseases. The Health Impact of Smoking and Obesity and What to Do about It synthesizes a vast quantity of recent data on the benefits and cost-effectiveness of both clinical and public health interventions in addressing the risk factors of smoking and obesity. A large proportion of chronic disease is preventable. The Health Impact of Smoking and Obesity and What to Do about It provides solid evidence and practical advice to health care planners, decision-makers, and frontline providers alike. The volume discusses various approaches to measuring disease burden and setting health care targets, and provides a summary of interventions of proven effectiveness. Taking into account the vital lessons learned from the experience of tobacco control over forty years, and focusing on the current state of the evidence for obesity control, the study stresses the importance of comprehensive strategies that deal with both individual behaviour changes and the need to encourage social contexts that enhance healthy choices and lifestyles.
Problem: Obesity among preschool-aged children is a major public health concern as obese children are more likely to be obese as adults, and obesity is a risk factor for many chronic diseases. Diets high in fruits and vegetables (FV) may decrease the risk of many chronic diseases as well as contribute to obesity prevention. However, many preschool-aged children in the US are not meeting recommended intakes of FV. Therefore, the purpose of this study is to examine previous interventions conducted to increase FV consumption among preschool-aged children. Methods: The search for published articles was conducted using PubMed through the Weill Cornell Medical College library. The search terms "fruit AND vegetable AND consumption AND intervention" with specific filters were used to find studies that had been conducted on preschool-aged children, had full-text versions available online, were published in English, and were of rigorous design. Results: Thirty-four articles resulted, but only 12 were eligible to be included and further examined in this paper. Conclusions: The studies showed promising results for interventions conducted among preschool-aged children to increase the consumption of FV at least in the short-term. One common theme of many of the interventions was repeated exposure to and tastes of FV. Increased fruit consumption was typically achieved through less rigorous strategies, which may be due to children's natural taste preference for sweet food items. Further, many of the interventions involved multiple components.
Mothers of young children play a significant role in shaping their young children's fruit and vegetable (FV) intake. Internet-based interventions are a convenient and accessible method for delivering health education. This pilot study assessed the following two research questions: 1) Is mobile technology a feasible and acceptable way to increase nutrition knowledge and cooking confidence among mothers of young children, and 2) Will increasing nutrition knowledge and cooking confidence increase the daily number of FV servings that mothers of young children consume? Findings indicated that mobile technology is a feasible and acceptable way to increase nutrition knowledge, cooking confidence, and FV consumption. Furthermore, a higher adherence for the text-messaging component than for the blog was observed. A significant association between increased cooking confidence and increased FV intake was also observed. Outcomes from this study can be utilized to develop larger interventions and be incorporated into existing nutrition programs involving mothers such as Healthy Child Care Georgia.
Several school-based interventions aimed at increasing fruit and vegetables (FV) intake among children have demonstrated success in short-term interventions. The Fit Game is a school-based intervention aimed at encouraging children to consume increasing amounts of FV during a game, which is a narrative. Just as children are being encouraged to eat FV at school, so is it equally important for them to eat FV at home. Parents strongly influence the amount of FV children consume at home. The aim of this thesis is to examine associations between factors that influence consumption of fruits and vegetables at and away from school among children who are participating in a schoolbased intervention, which has been shown to increase fruit and vegetable consumption at school. Associations between factors of the home environment and FV intake of children at and away from school are also explored. The study population was 37 parent-child pairs who participated in the Fit Game intervention conducted at one elementary school in 2013 (n = 252). This study showed that there was an increase in FV intake of children at school during the period they played the Fit Game; however there was no change in fruit and vegetable intake away from school during that same period of time. In addition, though parents and children0́9s intake of FV were correlated, parents did not change their FV intake during the period of time their child participated in the Fit Game at school. There was no significance between children0́9s intake and the factors in the home environment including family meals, FV accessibility and availability as well as parental knowledge. This study used rigorous methods to assess dietary intake. It is, however, important that this study is replicated with a larger sample that is more diverse.
Updated with the latest data in the field, Community and Public Health Nutrition, Fifth Edition explores the complex, multifaceted array of programs and services that exist in the United States today that are dedicated to bettering population and community health through improved nutrition. The Fifth Edition explores the subject by first considering how nutrition fits into public health practice and then by examining policymaking, assessment and intervention methods, special populations, food security, and program management.