International journal of environmental research and public health · 2025
A Pilot Evaluation of WELLfed, a Community-Based Adult Education Intervention.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Dey Kahurangi Jean, Dewan Kankshita, Murray Kim, Hiroki Donna, Jeffreys Mona
Аннотация
INTRODUCTION: WELLfed is a community-based adult education programme focused on improving food literacy, with a stated aim to "nourish communities through food and connections", in a low-income community in Aotearoa New Zealand. Adult learners are taught food preparation and cooking skills in weekly interactive sessions. Here, we describe two pilot phases of a three-phase evaluation.
METHODS: Our overall aim is to evaluate the effectiveness of the WELLfed programme. Phase 1, in keeping with the co-design approach of WELLfed, co-designed outcome measures through five focus groups (n = 20) involving a wide range of stakeholders. Phase 2 developed and refined a survey based on these co-designed measures. The survey was administered to WELLfed learners at baseline (n = 15) and again towards the end of their programme (follow-up n = 12). Wilcoxon rank sum tests of significance were performed, restricted to participants with both baseline and follow-up data.
RESULTS: Five domains of importance identified in Phase 1 were as follows: (i) engagement support, (ii) food knowledge and skills, (iii) personal development, (iv) relationship transformation, and (v) community flourishing. Phase 2 findings include increased comfort level at engagement (p = 0.063). Food knowledge and preparation skills improved on a range of factors. All metrics of self-confidence and self-efficacy increased, with the greatest change being the ability to find support in times of crisis. Self-reported excellent or very good health increased (p = 0.050). Fewer people reported food running out due to a lack of money (p = 0.016) or eating less because of a lack of money (p = 0.008).
CONCLUSIONS: The pilot study shows the effectiveness of the WELLfed programme for improving food knowledge and skills, reducing food insecurity, and improving health outcomes. Further research with a larger sample size is required to confirm these pilot results.
METHODS: Our overall aim is to evaluate the effectiveness of the WELLfed programme. Phase 1, in keeping with the co-design approach of WELLfed, co-designed outcome measures through five focus groups (n = 20) involving a wide range of stakeholders. Phase 2 developed and refined a survey based on these co-designed measures. The survey was administered to WELLfed learners at baseline (n = 15) and again towards the end of their programme (follow-up n = 12). Wilcoxon rank sum tests of significance were performed, restricted to participants with both baseline and follow-up data.
RESULTS: Five domains of importance identified in Phase 1 were as follows: (i) engagement support, (ii) food knowledge and skills, (iii) personal development, (iv) relationship transformation, and (v) community flourishing. Phase 2 findings include increased comfort level at engagement (p = 0.063). Food knowledge and preparation skills improved on a range of factors. All metrics of self-confidence and self-efficacy increased, with the greatest change being the ability to find support in times of crisis. Self-reported excellent or very good health increased (p = 0.050). Fewer people reported food running out due to a lack of money (p = 0.016) or eating less because of a lack of money (p = 0.008).
CONCLUSIONS: The pilot study shows the effectiveness of the WELLfed programme for improving food knowledge and skills, reducing food insecurity, and improving health outcomes. Further research with a larger sample size is required to confirm these pilot results.