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Development and Implementation of Food Literacy Workshops in the Community

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ClinicalTrials.gov Identifier: NCT03872752
Recruitment Status : Recruiting
First Posted : March 13, 2019
Last Update Posted : June 6, 2019
Sponsor:
Information provided by (Responsible Party):
Donna R Zwas, Hadassah Medical Organization

Brief Summary:

Nutritional factors are responsible for 10% of the global health burden. In Israel, 31% of Jewish women and 52% of Arab women are obese. It is predicted that this generation will see increased cardiovascular disease (CVD) and decreased life expectancy. Sustained lifestyle changes including small changes in nutrition behavior, can substantially reduce the risk of CVD.

Eating habits are affected by different abilities, circumstances, and skill sets, however, most nutrition programs focus on nutrition facts, and less on skills that can help translate knowledge to positive health behaviors and health outcomes. In the last decade a new field has emerged, Food literacy (FL), which acknowledges the importance of addressing skills such as nutrition knowledge, competencies, self-efficacy, literacy and health literacy, so as to enable positive change in nutrition behaviors. Food literacy, in summary, is the capability to make healthy food choices in different contexts, settings and situations.

The proposed program seeks to improve nutrition behaviors in disadvantaged communities via a train-the-trainers program, that will provide community leaders with the tools necessary to disseminate FL skills through the framework of existing community social-structures.


Condition or disease Intervention/treatment Phase
Lifestyle Risk Reduction Health Behavior Food Habits Behavioral: FL lay leader training and workshop implementation Not Applicable

Detailed Description:

Nutritional factors are responsible for 10% of the global health burden. In Israel, 31% of Jewish women and 52% of Arab women are obese. Diabetes rates are rising in accordance with the rise in obesity. Because of these factors, it is predicted that this generation will see increased cardiovascular disease (CVD) and decreased life expectancy. Sustained lifestyle changes including small changes in nutrition behavior, can substantially reduce the risk of CVD.

Eating habits are affected by different abilities, circumstances, and skill sets, however, most nutrition programs focus on nutrition facts, and less on skills that can help translate knowledge to positive health behaviors and health outcomes. In the last decade a new field has emerged, Food literacy (FL), which acknowledges the importance of addressing skills such as nutrition knowledge, competencies, self-efficacy, literacy and health literacy, so as to enable positive change in nutrition behaviors. FL, in summary, is the capability to make healthy food choices in different contexts, settings and situations.

The proposed program seeks to improve nutrition behaviors in disadvantaged communities via a train-the-trainers program, that will provide community leaders with the tools necessary to disseminate food literacy skills through the framework of existing community social-structures.

In stage I of the study, community lay leaders from pre-existing community frameworks of Belz Hasidic Haredi community and Arab lay leaders from East Jerusalem will undergo training in a manualized program that enables lay leaders to effectively disseminate FL skills through engaging visual and game-based tools.In stage II the lay leaders will implement the program in their communities.


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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 40 participants
Intervention Model: Single Group Assignment
Intervention Model Description: This study includes a pre/post study
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Development and Implementation of Food Literacy Workshops in the Community
Actual Study Start Date : May 15, 2019
Estimated Primary Completion Date : July 1, 2020
Estimated Study Completion Date : July 1, 2021

Arm Intervention/treatment
Experimental: Lay leader training in FL intervention
Community lay leaders from pre-existing community frameworks will undergo training in a manualized program that enables lay leaders to effectively disseminate food literacy skills through engaging visual and game-based tools in a food literacy workshop. Post training, lay leaders will implement the food literacy workshop in their communities.
Behavioral: FL lay leader training and workshop implementation
Intervention components will include a training course for community lay leaders, enabling them to acquire the skills to lead food literacy workshops. This includes raising their knowledge about nutrition recommendations and food labels, raisin self efficacy, and improving nutrition related organization and preparation skills.




Primary Outcome Measures :
  1. Change in Mediterranean Diet adherence [ Time Frame: At baseline and three months after intervention ]
    Women complete self report survey reporting on their eating habits, including consumption of sweets, sweet beverages, fruits and vegetables, whole grains, and legumes.


Secondary Outcome Measures :
  1. Change in the level of food literacy [ Time Frame: At baseline and three months after intervention ]
    Level of food literacy will be assessed by using a food literacy self report scale based on Poelman's Self-Perceived Food Literacy (SPFL) questionnaire (Poelman et al, 2018).

  2. Change in lay leaders' Self Efficacy: self report questionnaire [ Time Frame: At baseline and three months after intervention ]
    Self Efficacy will be assessed through self report questionnaires, assessing participants self-efficacy in facilitating the food literacy material to target populations among trainers.

  3. FL workshops in the community [ Time Frame: One year post intervention ]
    Each lay leader will have implemented a FL workshop in their community, within a year of graduating the FL-lay leader training course. This will be assessed through phone interviews with the participants and research staff supervision.

  4. Change in Attitude to diet [ Time Frame: At baseline and three months after intervention ]
    Attitude to diet will be assessed by using a self report scale based on C.Pettinger's Attitude to Diet questionnaire (Pettinger, Holdsworth, Gerber, 2004).



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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Women who are recognized leaders in the community
  • Participants for the Arab training program must speak and read Arabic
  • Participants for the Belz training program must speak and read Hebrew

Exclusion Criteria:

  • Arab women from East Jerusalem who do not meet leadership criteria
  • Belz women who are not established community group leaders

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03872752


Contacts
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Contact: Donna R Zwas, MD, MPH 011-972-2-677-9451 dannaz@hadassah.org.il
Contact: Keren L Greenberg, MPH 011-972-2-677-9451 kereng@hadassah.org.il

Locations
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Israel
Hadassah Medical Organization, Jerusalem, Israel Recruiting
Jerusalem, Israel, 91120
Contact: Donna R Zwas, PhD,MPH    011-972-2-6779451    dannaz@hadassah.org.il   
Contact: Hadas Lemberg, PhD    00 972 2 6777572    lhadas@hadassah.org.il   
Sponsors and Collaborators
Hadassah Medical Organization
Investigators
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Principal Investigator: Donna R Zwas, MD, MPH Hadassah Medical Organization

Publications:
Desjardins, E.

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Responsible Party: Donna R Zwas, Director of Linda Joy Pollin Cardiovascular Wellness Center for Women, Hadassah Medical Organization
ClinicalTrials.gov Identifier: NCT03872752     History of Changes
Other Study ID Numbers: FL-HMO-CTIL
First Posted: March 13, 2019    Key Record Dates
Last Update Posted: June 6, 2019
Last Verified: June 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No