Дисертації з теми "Caregivers Education Australia Evaluation"
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Hagen, Brad Francis. "Evaluation of education and support initiatives for family caregivers." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0025/NQ34265.pdf.
Повний текст джерелаBrenes, Mendieta Priscilla. "Evaluation of a printed newsletter tailored to grandparent caregivers in Kansas." Thesis, Kansas State University, 2017. http://hdl.handle.net/2097/35466.
Повний текст джерелаPublic Health Interdepartmental Program
Mark D. Haub
Millions of U.S. grandparents are responsible for providing parental care, in the absence of the biological parent, for at least one grandchild under the age of 18 years. These caregivers may base their wellness and nutrition practices with their grandchildren on outdated advice. In 2010, Kansas State University Human Nutrition Cooperative Extension Service faculty launched a theory-based newsletter, entitled Nourishing the Next Generation, that was mailed six times per year to low-income grandparent caregivers, and posted on a public website (at http://www.k-state.edu/humannutrition/newsletters/nourishing-the-next-generation/index.html). Each issue disseminated small amounts of practical, specific, “how-to” nutrition- and wellness-related information that addressed topics identified as being of concern to this population and that used recommended word choice, format, and design principles. After five years of Nourishing the Next Generation being in circulation, we surveyed readers who had received it from one to five years in order to assess the impact it had and to highlight its strengths. This study combined qualitative and quantitative approaches by using written surveys with both open- and closed-ended questions. Two different types of participants who had received the newsletter, grandparent caregivers and community educators, received surveys. A total of 54 valid surveys were returned from the 492 that were sent to grandparent caregivers, while 30 out of 175 community educators completed surveys. The newsletter was perceived by responding grandparent caregivers to be very effective in improving their awareness, knowledge, motivation, and confidence to follow recommendations about healthy eating and physical activity. Also, reading it led to many self-reported positive changes in various nutrition, physical activity, and other wellness practices among 91 percent of the responding grandparent caregivers and their families. In addition, 70 percent of responding community educators used its contents extensively to disseminate information to wider audiences. In conclusion, including grandparent caregivers in wellness-related educational programs could be a good approach to target healthy lifestyle practices of both older and younger generations. An appropriately designed newsletter can effectively improve the health of a large number of people, yet has limited costs, and thus, is an excellent public health method.
Rodriguez, Dawn H. "Caregivers' Highly Valued Factors for Enrolling Their Children in California ACSI Christian Schools." Thesis, Columbia International University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3644526.
Повний текст джерелаThis study investigated the caregivers' most highly valued factors for enrolling their children in Christian schools. Caregivers (N = 297) were included from more than 39 California Association of Christian Schools International (ACSI) schools. They responded to survey questions regarding their most highly valued factors for enrolling their children in Christian schools. The survey considered factors from five categories: (a) biblical values, (b) academics, (c) school culture, (d) student-centeredness, and (e) economic considerations. The study found their highest valued factors to be biblical values and care of the student. Quality academics, safe environment, and number of highly qualified teachers were also found to be highly valued factors. Factors that were found not likely to be important to caregivers were adherence to state standards, attention to special learning needs, technology in the classroom, fine arts, athletic programs, tuition and other school expenses, and distance from the home.
Saltmarsh, David L. W. (David Lloyd William). "National review of nursing education : student expectations of nursing education." Canberra, A.C.T. : Commonwealth Department of Education, Science and Training, 2001. http://www.dest.gov.au/highered/nursing/pubs/student_expect/1.htm.
Повний текст джерелаChan, Shuk-ling. "Development, implementation and evaluation of a structural stroke education program for informal caregivers of stroke patients." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B40720251.
Повний текст джерелаWilliamson, John. "Working with teachers : the implementation and evaluation of an innovative in-service programme." Thesis, University of Leicester, 1987. http://hdl.handle.net/2381/35687.
Повний текст джерела陳淑玲 and Shuk-ling Chan. "Development, implementation and evaluation of a structural stroke education program for informal caregivers of stroke patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40720251.
Повний текст джерелаSpyker, Geert M. "The upper secondary school mathematics curriculum in Western Australia from 1950-1998 : implementation and evaluation." Thesis, Curtin University, 1999. http://hdl.handle.net/20.500.11937/1269.
Повний текст джерелаReid, Bryan. "Implementing curriculum change within a state education department region : analysis and conceptualization." Murdoch University, 1986. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20060829.160229.
Повний текст джерелаFlorisson, Steven J. "In gear or coasting : a study of learner engagement during work placement." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2007. https://ro.ecu.edu.au/theses/286.
Повний текст джерелаFontaine, Samuel G. "An evaluation of the orientation program for newly appointed Catholic primary principals." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2001. https://ro.ecu.edu.au/theses/1054.
Повний текст джерелаThompson, Eileen. "The variables related to attrition and persistence of distance education students enrolled in the fourth year of the Bachelor of Education course." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/939.
Повний текст джерелаSpyker, Geert M. "The upper secondary school mathematics curriculum in Western Australia from 1950-1998 : implementation and evaluation." Curtin University of Technology, Science and Mathematics Education Centre, 1999. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=9514.
Повний текст джерелаmathematics teachers were also surveyed and interviewed in order to obtain the practitioners' views on new topics which were introduced, such as complex numbers and vectors. Five of Western Australia's most high profile mathematics educators who played significant roles during the period of this study were interviewed to determine their recollections of major points of discussion and concern in mathematics education at that time. Feedback from these interviews was used to compile a questionnaire for upper high school mathematics teachers to determine their opinion on such issues as the introduction and practicality of the new courses, teaching and learning strategies introduced, and the degree of support for the new curriculum.Ten teachers were interviewed one year after the survey to determine any changes in their perceptions about the new upper school mathematics courses. By means of a questionnaire, students' reasons for choosing specific mathematics subjects in either Year 11 or 12, and their perceived success in mathematics in general were sought. In order to determine the effectiveness of the new curriculum in terms of further studies, students' level of mathematical preparedness was investigated by means of a questionnaire for university mathematics staff. The results of this research indicate that the most recent curriculum change in the upper high school has been successfully introduced by the Education Department of Western Australia, although this has not always been the case with curriculum change in this State.Though initially daunted by the number of new topics which were to be taught, teachers were appreciative of the in-service courses available, the resources present and the general support they received from the Education Department. Traditional teaching strategies, such as 'drill-and-practice' and teacher-centred environments have been largely ++
replaced by a problem-solving and investigational approach to mathematics in a student-centred classroom environment. Clearly, the constructivist theory of learning has been a major influence on current teaching and learning strategies used in the upper school mathematics classroom. Teachers' opinions about the practicality of the new courses and approaches to teaching them were positive, though the view was held that previous traditional teaching methods should not be discarded.Specific weaknesses in the various mathematics courses introduced were identified (for example, inadequate attention paid to basic algebra and, in particular, to trigonometry), and many teachers were adamant that certain changes should be made for the benefit of the students (for example, reorganisation of parts of the course content). Improvements in the nature of the information provided to students at the time they make their upper school mathematics subject choice were strongly recommended. Information on influential factors regarding students' subject choices was obtained, and interviews with university mathematics staff showed that many first year students remain underprepared because of incorrect mathematics subject choices made in either Year 10 or 11.
Rowe, Karina Janece. "A framework for environmental education in South Australian secondary schools : the missing ingredient." Title page, contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09ENV/09envr878.pdf.
Повний текст джерелаHutton, Heidi C. "Evaluation of the outcomes for students undertaking an externally provided physical activity programme." University of Western Australia. School of Human Movement and Exercise Science, 2007. http://theses.library.uwa.edu.au/adt-WU2007.0166.
Повний текст джерелаCooper, Trudi. "Quality management in Australian higher education : A critical review." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2004. https://ro.ecu.edu.au/theses/842.
Повний текст джерелаBaume, Georges Jean Roger. "Tourism and hospitality management education in Australia : development of a conceptual framework and model for the 21st century." Title page, contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09PH/09phb3471.pdf.
Повний текст джерелаChiro, Giancarlo. "The activation and evaluation of Italian language and culture in a group of tertiary students of Italian ancestry in Australia /." Title page, abstract and table of contents only, 1998. http://web4.library.adelaide.edu.au/theses/09PH/09phc541.pdf.
Повний текст джерелаDempsey, Mairead. "Impacts of the changing nature of the Vocational Education and Training (VET) system on educators within the VET system in Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2013. https://ro.ecu.edu.au/theses/586.
Повний текст джерелаPalmer, Stuart Rohan, and mikewood@deakin edu au. "An evaluation of Australian undergraduate engineering management education for flexible delivery." Deakin University. School of Engineering and Technology, 2001. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050815.112159.
Повний текст джерелаStrikwerda-Brown, J. G. "Student and teacher perceptions of a season of sport education in a regional primary school." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1999. https://ro.ecu.edu.au/theses/1234.
Повний текст джерелаSantos, Isabel Ana Patalão Afonso dos. "Avaliação das necessidades educacionais dos cuidadores de pessoas com esquizofrenia: contribuição para a validação de um questionário." Master's thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2011. http://hdl.handle.net/10362/6618.
Повний текст джерелаWhelan, Jane. "Teaching visual arts through distance education : an evaluation of the program Anyone can draw." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1997. https://ro.ecu.edu.au/theses/908.
Повний текст джерелаSickel, Jamie L. "TPACK Development in Science Teacher Preparation: A Case Study in Queensland, Australia." Ohio University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1457379586.
Повний текст джерелаPrideaux, Lee-Ann, and n/a. "A Longitudinal Evaluation of a Theoretically Derived Adolescent Career Education Intervention." Griffith University. School of Applied Psychology, 2003. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20040701.093444.
Повний текст джерелаCox, Philip F. "The effect of assessment procedures on student learning outcomes in religious education in one Catholic secondary school in Western Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/938.
Повний текст джерелаPuhl, Les. "An evaluation of the procedures used to assess and remediate the perceived writing difficulties of undergraduate students in the Faculty of Education at Edith Cowan University." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1992. https://ro.ecu.edu.au/theses/1127.
Повний текст джерелаLyle, Jessica. "The reality of reform : teachers reflecting on curriculum reform in Western Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2013. https://ro.ecu.edu.au/theses/698.
Повний текст джерелаAlderman, Gwendolyn. "From policy borrowing to implementation : an illuminative evaluation of learning and teaching in higher education in Australia (2002 to 2008)." Thesis, Queensland University of Technology, 2014. https://eprints.qut.edu.au/75865/1/Gwendolyn_Alderman_Thesis.pdf.
Повний текст джерелаDornam, Louise Leanne. ""Reaching Out" : the conceptualisation, development, inplementation and evaluation of the bridging component of an adult re-entry program for mature age and teenage parenting women who wish to return to high school." Thesis, Queensland University of Technology, 1994. https://eprints.qut.edu.au/36478/1/36478_Dornan_1994.pdf.
Повний текст джерелаLowe, Geoffrey Masterton. "A study into year 8 student motivation to continue class music in Perth, Western Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2008. https://ro.ecu.edu.au/theses/1820.
Повний текст джерелаCruickshank, Mary T., of Western Sydney Hawkesbury University, and Faculty of Management. "Developing a quality culture within a school of nursing in higher education." THESIS_FMAN_XXX_Cruickshank_M.xml, 2000. http://handle.uws.edu.au:8081/1959.7/604.
Повний текст джерелаDoctor of Philosophy (PhD)
Jayatilaka, Jennifer A. "An investigation of family literacy practices of eight families with preprimary children and a family literacy program conducted in a low socio-economic area." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/991.
Повний текст джерелаMachado, Thais Helena. ""Eficácia de um programa de orientação para cuidadores de afásicos em população brasileira"." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/5/5160/tde-11082005-140614/.
Повний текст джерелаBackground: Caregivers can have important paper in aphasic's recuperation. Aim: To study the impact of educational actions in caregivers. Method: Ten aphasic patients were assessed and their caregivers questioned and observed about perceptions regarding the communication funcionality. The intervention was accomplished in group and was oriented to educatives' aspects, in 6 sessions. Results: There were caregiver's positive changes in the possibility of better capacity of comprehension and evaluation of laguage difficulties, although with little expression, if indicators proposed in the program are pondered
Thair, Micheal J. "The responsiveness of an Australian science teacher professional development program to the needs of local and developing country science educators." Thesis, Curtin University, 1999. http://hdl.handle.net/20.500.11937/1595.
Повний текст джерелаLeitao, Natalie C. "Teacher-student relationships in primary schools in Perth." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2008. https://ro.ecu.edu.au/theses/196.
Повний текст джерелаReinertsen, Nathanael. "The viability of simulated large-scale marking as professional development for preservice teachers." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2020. https://ro.ecu.edu.au/theses/2320.
Повний текст джерелаBrown, Natalie. "Issues in academic educational research: The impact of current issues on research activity." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2019. https://ro.ecu.edu.au/theses/2166.
Повний текст джерелаMcGowan, Wayne S. "An evaluation of a professional development model for primary school administrators." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1993. https://ro.ecu.edu.au/theses/1141.
Повний текст джерелаAngelico, Teresa 1956. "Can research influence policy decisions? : a project evaluation of a study of the role of the Catholic Church in higher education." Monash University, Dept. of Anthropology and Sociology, 1999. http://arrow.monash.edu.au/hdl/1959.1/7955.
Повний текст джерелаFlorisson, Steven J. "Aboriginal Students Perceptions Of The Effect Of Vocational Education And Training On Post School Experiences." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2000. https://ro.ecu.edu.au/theses/1547.
Повний текст джерелаThair, Micheal J. "The responsiveness of an Australian science teacher professional development program to the needs of local and developing country science educators." Curtin University of Technology, Science and Mathematics Education Centre, 1999. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=10398.
Повний текст джерелаparticipants from Australian and Indonesian who have completed a science education postgraduate program in Western Australia at the Science and Mathematics Education Centre (SMEC) located at Curtin University of Technology in Western Australia. These two groups were chosen because between 1988 and 1995 they were the predominant nationalities participating in SMEC programs. The research methodology and use of quantitative and qualitative research instruments was in keeping with the holistic conceptual framework adopted for the study and follows recent trends in teacher professional development research which have seen a broadening of research methodologies. The instruments used included a postal questionnaire, classroom observation schedule and structured interviews.The research findings indicated that the Indonesians have different needs to their Australian counterparts in terms of their professional, personal and social development. These differences included the Indonesians' strong beliefs in and use of didactic and formal teaching methodologies, limitations in Indonesian classrooms on the introduction of new teaching activities, a more centralised and formal education system in Indonesia in contrast to the increasing autonomy seen in Australia, and a more flexible teacher professional development approach in Australia focussing on personal development, as opposed to the curriculum and assessment focus seen in Indonesia. In addition, there are vast differences between the Indonesian and Australian education systems and these differences were seen to reinforce many of the different beliefs and practices between the Indonesian and Australian participants.The study suggests that the Australian participants are able to implement teaching approaches and theoretical frameworks included in their postgraduate studies at SMEC; however, the conclusions highlight the ++
limitations of expecting that this can occur for developing country participants. In examining approaches in overcoming these limitations, it was concluded that a range of minor interventions or modifications to program design and content would be insufficient and a number of key indicators were identified that point to the responsiveness of programs for developing country participants. These indicators included the need for host institutions to be fully conversant with the classrooms and social contexts of developing country participants, constructivist pedagogical approaches to program design, planning and implementation, and the necessary flexibility to maintain academic rigour in postgraduate science education programs while incorporating unfamiliar education notions and frameworks from developing countries.
Conway, Jane Frances. "Utopia unrealised: an evaluation of a consultancy to develop a national framework for police education and training to enhance frontline response to illicit drug problems in Australia." University of Southern Queensland, Faculty of Education, 2004. http://eprints.usq.edu.au/archive/00001418/.
Повний текст джерелаMunns, Ailsa M. "Young families' utilisation, self-perceived requirements, and satisfaction with child health services in the City of Belmont, Western Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/1426.
Повний текст джерелаBrown, Robert Maxwell. "Drivers of student satisfaction and student loyalty in an Australian university setting." University of Western Australia. Graduate School of Management, 2007. http://theses.library.uwa.edu.au/adt-WU2007.0060.
Повний текст джерелаFyson, Stephen J. "Understanding and Developing Transformational Community in Order to Prevent Alienation : a Longitudinal Study of Students Involved in a School Restructure." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2004. https://ro.ecu.edu.au/theses/1654.
Повний текст джерелаMedland, Andrew T. "A case study of two year six classes involved in a health-related fitness intervention." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1992. https://ro.ecu.edu.au/theses/1135.
Повний текст джерелаBentley-Williams, Robyn. "EXPLORING BIOGRAPHIES: THE EDUCATIONAL JOURNEY TOWARDS BECOMING INCLUSIVE EDUCATORS OF CHILDREN WITH DISABILITIES." University of Sydney, 2005. http://hdl.handle.net/2123/1855.
Повний текст джерелаThe current study explored the formative processes of twelve student teachers constructing role understandings in the context of their experiences and interactions with people with disabilities. In particular, it examined the participants’ changing notions of self-as-teacher and their unfolding perceptions of an inclusive educator’s role in teaching children with disabilities. The research aimed to investigate personal and professional forms of knowledge linked with the prior subjective life experiences of the student teachers and those arising from their interactions in situated learning experiences in community settings. The contextual framework of the study focused on the development of the student teachers’ unique understandings and awareness of people with disabilities through processes of biographical situated learning. The investigation examined participants’ voluntary out-ofcourse experiences with people with disabilities across three community settings for the ways in which these experiences facilitated the participants’ emerging role understandings. These settings included respite experiences in families’ homes of young children with disabilities receiving early intervention, an after-school recreational program for primary and secondary aged children and adolescents with disabilities, and an independent living centre providing post-school options and activities for adults with disabilities. ii Two groups participated in the current study, each consisted of six student teachers in the Bachelor of Education Course at the Bathurst campus of Charles Sturt University. Group One participants were in the second year compulsory inclusive education subject and Group Two participants were in the third year elective early intervention subject. The investigation examines the nature of reflexive and reflective processes of the student teachers from subjective, conflict realities in an attempt to link community experiences with real-life issues affecting inclusive educational practices. The voluntary community experiences engaged the research participants in multi-faceted interactions with people with disabilities, providing thought-provoking contexts for their reflections on observations, responses and reactions to situations, such as critical incidents. The participants engaged in reflexive and reflective processes in records made in learning journals and in semi-structured interviews conducted throughout the investigation. Results were analysed from a constructivist research paradigm to investigate their emerging role understandings. Prior to this study there had been few practical components in the compulsory undergraduate inclusive education subject which meant that previously student teachers gained theoretical knowledge without the opportunity to apply their learning. Many student teachers had expressed their feelings of anxiety and uneasiness about what they should do and say to a person with a disability. Thus, the community experiences were selected in order to give a specific context for student teachers’ learning and to provide participants with expanded opportunities to consider their professional identity, social awareness and acceptance of people with disabilities. iii An analysis of the data demonstrated the centrality of reflection within a situated teaching and learning framework. Understandings of prior experiences and motivation were shown to interact with the outcomes of the community experiences through an on-going process of reflection and reflexivity. This reconstructing process encouraged learners to reflect on past, present and projected future experiences and reframe actions from multiple perspectives as a way of exploring alternatives within broader contexts. The data reveal the participants’ engagement in the community experiences facilitated their awareness of wider socio-cultural educational issues, while focusing their attention on more appropriate inclusive teaching and learning strategies. The reflective inquiry process of identifying diverse issues led participants to consider other possible alternatives to current community practices for better ways to support their changing perspectives on ideal inclusive classroom practices. The dialogic nature of participants’ on-going deliberations contributed to the construction of their deeper understandings of an inclusive educator’s role. The findings of the study identified external environmental and internal personal factors as contributing biographical influences which shaped the student teachers’ emerging role understandings. The results emphasised the value of contextual influences in promoting desirable personal and professional qualities in student teachers. Importantly, situated learning enhanced participants’ unique interpretations of their prospective roles. As a result of analysing their insights from interactions in community contexts, the student teachers had increased their personal and professional understandings of individuals with disabilities and broadened their perceptions of their roles as inclusive educators. Thus, the study found that encouraging a biographical reflexive and reflective orientation in participants was conducive iv to facilitating changes in their understandings. Overall, the outcomes had benefits for student teachers and teacher educators in finding innovative ways for integrating biographical perspectives into situated teaching and learning approaches. The study showed that contextual influences facilitated deeper understanding of role identity and produced new ideas about the nature of reflexivity and reflection in guiding student teachers’ learning. (Note: Appendices not included in digital version of thesis)
Ochse, Catharina Elizabeth. "The implementation and evaluation of a nutrition education programme developed for caregivers." Thesis, 2016. http://hdl.handle.net/10352/313.
Повний текст джерелаBackground South Africa is one of the developing countries faced with the co-existence of undernutrition and overnutrition, often experienced within the same household. On the one hand, hunger, undernutrition and micronutrient deficiencies are linked to poverty and household food insecurity. Simultaneously, South Africans are exposed to ‘nutrition in transition’, where overweight and chronic diseases of lifestyle, such as diabetes mellitus, cardiovascular diseases and cancer are on the rise as part of the overnutrition profile. Sound nutrition is important throughout the lifecycle to combat under- and overnutrition and nutrition-related diseases. In urban areas, the grandmother or another senior female family member is often responsible for caring for the children in the household during the day. This includes physical, emotional and nutritional care. It is therefore essential for the caregiver to have good nutrition knowledge, to provide not only in her own needs, but also in those of the children. A nutrition education programme is one strategy for improving the nutrition knowledge of caregivers of children. Objective The primary objective in this study was to develop, tailor, implement and evaluate a nutrition education programme (NEP) for Sesotho-speaking females and caregivers of children in the Boipatong Township in the Vaal Region of South Africa and to test its impact in the short and longer term. Nutrition knowledge regarding four South African food-based dietary guidelines (FBDGs) was empirically tested before and after the intervention and then compared to a control group. In addition, dietary intake was assessed to detect any changes after the intervention in the medium term. Methodology In this both quantitative and qualitative methodologies were applied. Two frameworks, the United Nations Children’s Fund (UNICEF) Framework of Malnutrition (2004) and the Food and Agriculture Organisation (FAO) Framework for Nutrition Education (1997), gave structure to the planning, implementation and evaluation of the research project. This study’s nutrition education programme was based on a socio-ecological model to guide behavioural change in terms of healthy food choices. In the preparation phase, a situational analysis was performed by means of a cross-sectional analytical design using descriptive statistics. Socio-demographic and self-reported health information was obtained. Nutrition knowledge, based on the South African food-based dietary guidelines (FBDGs), was measured, and dietary intake was assessed and compared with the estimated average requirements (EARs) for their age categories. Phase two, the formulation phase, used an experimental design. The acceptability and understanding of the existing national nutrition education (NE) material for individuals with low living standards (LSM) was investigated in this phase of the nutrition education programme (NEP). A culturally tailored booklet was developed in English, translated into Sesotho, pilot tested and implemented as part of the nutrition education programme. Lesson plans were developed and pilot tested. A non-randomised control trial was used in the implementation and evaluation phases. The effect of the nutrition education programme on nutrition knowledge was quantitatively measured in a pre- and post-test design at each discussion session in the short term, using paired t-tests in the experimental group of caregivers. The evaluation phase tested the impact of the nutrition education in the longer term. Nutrition knowledge was measured quantitatively in a before-after intervention test design by means of a self-completed structured questionnaire, based on the four South African FDBGs included in the programme. A control group who was not subjected to any intervention was used to complete the same questionnaire before and after the intervention in the same time period as the experimental group. In the experimental group, dietary intake was assessed before and after the intervention to detect changes in dietary intake. No dietary intake was measured in the control group, as changes could be attributed to influences beyond the control of this study. Two randomly selected focus groups of the experimental group were run to provide deeper insight into their perceptions regarding the acceptability and understanding of the NEP and NE material. Results The situational analysis of the preparation phase revealed a poor community that displayed typical patterns of nutrition in transition, at risk of malnutrition. The median age of the sample of caregivers was 44 years (IQR 32-62). Income and consumption poverty was confirmed by 80.5 percent of households spending R300 or less on food, with 75 percent of households having between four and seven people living in the dwelling. Dietary results were indicative of food poverty and poor food choices, possibly due to monetary constraints. A low energy intake (median 5323 kJ/day; IQR 3369-7949), was observed. Only 13.9 percent reached the estimated energy requirement (EER) of 7855 kJ per day for their age category. The overall mean average requirements of the diet was 0.7 but the possiblity of micronutrient deficiencies could not be excluded with a MAR of 0.6 for vitamins and minerals respectively. The median nutrition knowledge was 50 percent (IQR 42-54%) The lowest score was obtained for the FBDG ‘Enjoy a variety of food’ (33.4%; 95% CI 1.1), followed by the FBDG on animal protein (40.3%; 95% CI 1.0). It was decided to augment these two FBDGs with the plant protein FBDG (54.3%; 95% CI 1.8). Despited a relatively good knowledge measured in the caregivers, none of the plant protein food items appeared in the top 20 food items most frequently consumed. The formulation phase included the testing of existing nutrition education material. Messages were well understood (60.5%). However, caregivers found the images contained in the pamphlets and the design of the pamphlets confusing. A definite need was identified for new, culturally acceptable NE material in the caregivers’ home language, Sesotho (74%). During the implementation phase the lectures were presented and the change in the short-term nutrition knowledge of the FBDGs was measured at every session by means of a pre-post-test design. The median age of the caregivers was 63 years (52-78). A significant change in nutrition knowledge was found for each FBDG in terms of the mean number of questions answered correctly by the participants between the results of each pre- and post-test. In the evaluation phase, the impact of the NEP was measured in the Boipatong experimental group and compared, regarding nutrition knowledge, to a control group in the longer term (three months after completion of the intervention). Median nutrition knowledge before the intervention was 49 percent (IQR 46-57) compared to 70 percent (IQR 68-73) after the intervention – an increase of 21 percent. In contrast, the control group showed an increase of only five percent. The results showed that the eating habits of many of the caregivers still fell substantially short of internationally recognised standards (estimated energy requirement (EER) and estimated average requirement (EAR)), and this could contribute to undernutrition as well as to an increased risk of diet-related chronic disease. A median kilojoule intake of 4788 kJ (IQR 3415-6596) per day before and 4651 kJ (IQR 3369-6664) per day after the intervention was registered. Carbohydrate foods remained an important source of energy. Calcium presented a major concern, as none of the participants reached the EAR despite a slight increase in the intake of milk (volume and frequency) after the intervention, as validated by the top 20 food lists and as measured by a nutrient average requirement (NAR) of 0.1 to 0.7 before and after the intervention respectively. The mean average requirements (MAR) remained relatively stable, at 0.7 (median) before the intervention and 0.6 after the intervention. The NEP thus had an insignificant positive effect on dietary intake, except for calcium, iodine and vitamin C intake, which showed significant increases. No relationships could be found between the MAR as an indicator of dietary quality and nutrition knowledge. However, this does not mean that an NEP is not a suitable strategy. Changes in food choices and dietary intake should be measured in the longer term, since lifestyle changes are challenging to adopt when people, especially those in deprived communities, do not have the financial means to make healthy food choices. Conclusion When planning nutrition education strategies to improve the health status of communities in deprived areas, one is faced with the difficulty of households with a low socio-economic status and poor dietary intake, which increases the risk of food and nutrition insecurity. The nutrition education programme, developed, tailored and implemented as an intervention strategy to address an identified need of caregivers, was effective in improving nutrition knowledge. Four of the South African dietary guidelines were used in the nutrition education programme tailored to the specific profile that emerged from the situational analysis and the development of supportive nutrition education material. Lesson plans and the Sesotho and English booklets are available for use in other nutrition education programmes. The study contributed to the understanding of food choices of the urban community of Boipatong as well as of the nutrient inadequacies observed. Nutrition knowledge alone is not enough to bring about changes in food choices when the means to do so are lacking. Poverty and nutrition are closely linked and thus difficult to separate.
Dowrick, Margaret, University of Western Sydney, of Arts Education and Social Sciences College, and School of Education. "A multi-attribute evaluation of education outcomes for students who attend three Australian special schools." 2004. http://handle.uws.edu.au:8081/1959.7/26696.
Повний текст джерелаDoctor of Education (D. Ed.)