Process evaluation of an environmental and educational nutrition intervention in residential drug-treatment facilities
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OBJECTIVE: To evaluate the implementation of a controlled, 6-week, environmental and educational intervention to improve dietary intake and body composition, and to study the association of implementation fidelity with diet and body composition outcomes. DESIGN: A process evaluation documented participation, dose of nutrition education delivered, participant satisfaction, fidelity and completeness of the food environment intervention implementation, and context through observations and interviews with staff and residents. Intervention sites were scored and categorized as high or low participation and implementation and compared on essential elements of the food environment and on diet and body composition outcomes. SETTING: Six urban residential drug-treatment facilities in Upstate New York. SUBJECTS: Fifty-five primarily black and white men in residential drug-treatment programmes. RESULTS: Participants were exposed to 94 % and 69 % of the educational and environmental elements, respectively. High implementation sites were significantly more likely to provide water and 100 % juice, offer fruit or vegetable salad, offer choices of fruits and vegetables, and limit fried foods. Mixed-model analysis of covariance revealed that participants in the high participation and implementation sites reported greater reductions in total energy, percentage of energy from sweets, daily servings of fats, oils and sweets, and BMI over the intervention period. Participants in low participation and implementation sites reported greater reductions in percentage of energy from fat. Differential implementation of environmental elements limited the intervention impact. CONCLUSIONS: These findings document the contribution of changes in eating environments to facilitate dietary behaviour change in community residential substance-abuse settings.
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Improved eating patterns and reductions in waist circumference have occurred following educational and environmental interventions in male residential treatment settings.
“Improved eating patterns and reductions in waist circumference have occurred following educational and environmental interventions in male residential treatment settings (209, 210).”
From A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and Gastrointestinal Health (2019) · cites this paper as [209]
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- Authors
- Cowan, J. A., & Devine, C. M.
- Affiliations
- Cornell University (US)
- Corresponding author
- Devine, Carol M
- Venue
- Public Health Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2012-04-04
- Volume
- 15
- Issue
- 7
- Pages
- 1159-1167
- ISSN
- 1368-9800 (ISSN-L)
- 1475-2727
- OpenAlex
- W2003966795
- Cited by
- 70
- References
- 42
- Citations by year
- 2025: 4 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 45 · 2019: 1 · 2018: 4 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 2 · 2013: 1 · 2012: 2
- FWCI
- 1.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Public Health Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- nutrition education, food environment, implementation fidelity, dietary intake, body composition, substance use disorders, dietary behavior change, intervention participation, energy intake
- MeSH terms
- Adult, Anthropometry, Body Composition, Energy Intake, Choice Behavior, Diet, Feeding Behavior, Fruit, Health Promotion, Humans, Male, Middle Aged, Nutritional Status, Socioeconomic Factors, Vegetables, Nutritional Sciences
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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