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Emily R. Cena, PhD: University of California (UC) Amy Block Joy, PhD: UC Karrie Heneman, PhD: UC

Learner-centered nutrition education improves folate intake and food-related behaviors in non-pregnant, low-income women of childbearing age. Emily R. Cena, PhD: University of California (UC) Amy Block Joy, PhD: UC Karrie Heneman, PhD: UC Gloria Espinosa-Hall, MPH, RD: UC

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Emily R. Cena, PhD: University of California (UC) Amy Block Joy, PhD: UC Karrie Heneman, PhD: UC

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  1. Learner-centered nutrition education improves folate intake and food-related behaviors in non-pregnant, low-income women of childbearing age Emily R. Cena, PhD: University of California (UC) Amy Block Joy, PhD: UC Karrie Heneman, PhD: UC Gloria Espinosa-Hall, MPH, RD: UC Linda Garcia, MS: UC Connie Schneider, PhD, RD: UC Patti C Wooten Swanson, PhD: UC Mark Hudes, PhD: UC Sheri Zidenberg-Cherr, PhD: UC JOURNAL OF THEAMERICAN DIETETICASSOCIATION Cena, E, et al. J Am Diet Assoc. 108 (10), Oct. 2008

  2. Learner-centered nutrition education improves folate intake and food-related behaviors in non-pregnant, low-income women of childbearing age Background Recent studies suggest low-income women of childbearing age may be at risk of sub-optimal folic acid intake (Cena, et al. Calif Agricul. 61(2), 2007; CDC. MMWR. 57(1), 2008). JOURNAL OF THEAMERICAN DIETETICASSOCIATION Cena, E, et al. J Am Diet Assoc. 108 (10), Oct. 2008

  3. Learner-centered nutrition education improves folate intake and food-related behaviors in non-pregnant, low-income women of childbearing age Objective This study investigated the impact of a folate-focused, learner-centered nutrition lesson on folate intake and food-related behaviors in non-pregnant, low-income women of childbearing age (n=155). JOURNAL OF THEAMERICAN DIETETICASSOCIATION Cena, E, et al. J Am Diet Assoc. 108 (10), Oct. 2008

  4. Learner-centered nutrition education improves folate intake and food-related behaviors in non-pregnant, low-income women of childbearing age Study Design • Study participants were randomized by recruitment site to attend either a learner-centered, folate-focused nutrition lesson or a control lesson about resource management. • In addition to a demographic questionnaire, participants completed 1) the Block Dietary Folate Equivalents Screener and 2) a Food Behavior Checklist, first at baseline and then one month after attending the assigned lesson. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Cena, E, et al. J Am Diet Assoc. 108 (10), Oct. 2008

  5. Learner-centered nutrition education improves folate intake and food-related behaviors in non-pregnant, low-income women of childbearing age Results • Participants who attended the folate lesson had significantly greater improvements in natural food folate intake, total folate intake from all sources, and use of the Nutrition Facts label, compared to participants attending a control lesson about resource management (p<0.05). • The impact of the folate-focused lesson varied by ethnicity and by participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), thus highlighting the importance of targeted nutrition education interventions. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Cena, E, et al. J Am Diet Assoc. 108 (10), Oct. 2008

  6. Learner-centered nutrition education improves folate intake and food-related behaviors in non-pregnant, low-income women of childbearing age Baseline mean folate intakes, mean folate intakes at follow-up, and baseline-adjusted mean changes in folate intake for participants who received nutrition education about folate (intervention group) versus participants who received a control lesson about banking skills (control group) a P-value for difference between intervention and control groups. b DFE is dietary folate equivalents, a standard unit of folate intake that accounts for differences in bioavailability between natural food folate and synthetic folic acid. c Change in intake for each type of folate was calculated by subtracting baseline intake from follow-up intake. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Cena, E, et al. J Am Diet Assoc. 108 (10), Oct. 2008

  7. Learner-centered nutrition education improves folate intake and food-related behaviors in non-pregnant, low-income women of childbearing age Conclusions Future work comparing the learner-centered approach used in this study with traditional pedagogy would be useful. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Cena, E, et al. J Am Diet Assoc. 108 (10), Oct. 2008

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