Food insecurity in Australia is increasing. Organisations within the charitable food sector aim to manage, and in some cases are implementing strategies to prevent, food insecurity, such as food literacy programmes. This pilot study describes the challenges and opportunities for evaluating the impact of a food literacy programme, FoodMate by SecondBite TM , which aims to reduce food insecurity amongst 'at risk' young people. Three community agencies working with 'at risk' young people delivered an 8-week food literacy programme in Melbourne, Australia. A pre-test/post-test design was used and outcome measures included: (i) food intake, (ii) diet quality, (iii) cooking confidence and (iv) food independence. These were assessed via questionnaires and 24-hour recalls at three time points: pre-programme (T1), post-programme (T2) and at 4 to 6-week follow-up (T3). Twenty-one young people aged 16-25 years participated in this pilot study. The response rate for the questionnaire and 24-hour recalls declined across the study: T1 (n = 21), T2 (n = 11) and T3 (n = 9). Some positive effects were associated with the programme but attrition rates were high and the majority of participants did not complete all measures. Although results were inconclusive, this study describes some common challenges of conducting a food literacy intervention with vulnerable young people and highlights the benefit of nutrition researchers and practitioners working together to conduct evaluation of such programmes.
Objectives: Food insecurity remains an issue for vulnerable populations in developed countries. The potential dietary and food security impacts of nutrition education programmes in Australia remain largely undocumented. This study investigated the impacts of an eight-session nutrition education programme delivered within community case management services for young people experiencing homelessness. Design and setting: A qualitative case study was undertaken in a community-based youth housing agency in Western Melbourne, Australia. Methods: Seven semi-structured interviews and two focus groups were conducted with a purposive sample of 10 past programme graduates and five youth service staff. Data were thematically analysed using a phenomenological lens. Results: The impacts of the programme were described by four themes: (1) the nutrition education programme created a platform for social engagement, (2) reduced reliance on emergency food relief for participants, (3) participants developed food-related knowledge and skills and (4) the programme was seen as a step towards food security for young people. These impacts were dependent on a myriad of personal and programme-related characteristics. Personal characteristics included participants’ intrinsic motivating factors to change their behaviours or a pre-existing interest in nutrition. Programme characteristics included the programme’s flexible structure and facilitation by caseworkers that were known to the young people. Conclusion: Study findings highlight the potential impacts of a nutrition education programme on dietary behaviours and food security status when embedded within community-based services.
It is the position of Dietitians Australia that to promote human and planetary health, a food system transformation is needed that enables the population to adopt healthy and sustainable diet‐related practices. A healthy and sustainable diet must (i) be nutritionally adequate, healthy and safe, (ii) have low environmental impact and be protective of natural resources and biodiversity, (iii) be culturally acceptable and (iv) be accessible, economically fair and affordable. Dietitians Australia acknowledges that it is critical to prioritise Indigenous knowledges in consultation, policy‐making and implementation processes to achieve these recommendations. In facilitating the uptake of healthy and sustainable diets, dietitians are contributing to the transformation of our current food system that is urgently required to nourish present and future generations within planetary boundaries. In developing this position statement, opportunities for future research have been identified including those to advance the professions' capacity to improve environmental sustainability outcomes across all areas of practice. To achieve a population‐level shift towards this diet, Dietitians Australia recommends: (i) the development of a National Food and Nutrition Strategy which honours Indigenous knowledges on food systems, (ii) the integration of sustainability principles in Australia's dietary guidelines, (iii) the reorientation of our food environment to prioritise access to healthy and sustainable foods, and (iv) investment in capacity building activities to equip the current and future nutrition and dietetics workforce.
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