Food literacy and healthy diets of Canadian parents : Associations and evaluation of the Eat Well Campaign

Une mauvaise alimentation est un facteur de risque important contribuant au fardeau des maladies chroniques. La littéracie alimentaire contribue à l’adoption de saines habitudes alimentaires et aide les consommateurs à développer de la résilience envers les effets négatifs de l’environnement alimentaire malsain qui offre une grande variété d’aliments à petits prix, souvent riches en énergie et de pauvre qualité nutritionnelle. Un besoin de réaliser de la recherche au Canada sur les déterminants de la littéracie alimentaire et leur association à la qualité de l’alimentation a déjà été identifié. La campagne « Bien manger » est une initiative portant sur la saine alimentation développée par Santé Canada pour sensibiliser les parents canadiens à la saine alimentation et augmenter leurs connaissances ainsi que leur participation à la planification des repas familiaux – une composante de la littéracie alimentaire. Les partenariats multisectoriels avec les détaillants alimentaires, les médias et les organisations de santé ont facilité la diffusion de la campagne et ont contribué à l’accroissement de sa portée et de son efficacité auprès des parents canadiens. La planification de repas n’est pas une composante de la littéracie alimentaire qui a été bien documentée dans la littérature, et jamais aucune intervention populationnelle sur ce sujet n’a fait objet d’une évaluation. De telles évaluations sont nécessaires pour fournir de la rétroaction aux parties prenantes concernant des pistes d’améliorations d’initiatives en santé et pour identifier des stratégies optimales visant à soutenir les progrès en santé publique. L’objectif principal de cette thèse est de mener des évaluations de processus et d’impacts de la campagne « Bien manger », explorer les associations entre la littéracie alimentaire et la qualité de l’alimentation des parents canadiens et de transférer les connaissances auprès des décideurs et des parties prenantes. Pour réaliser les objectifs, un échantillon composé de partenaires multisectoriels de Santé Canada a été interrogé et une enquête a été réalisée auprès de parents canadiens. Dans un premier temps, une évaluation qualitative du processus d’implantation a été effectuée avec 21 partenaires pour déterminer quels facteurs ont influencé leur décision d’adopter la campagne « Bien manger » et pour identifier les iv facteurs facilitants et les obstacles reliés à l’implantation de la campagne. Dans un deuxième temps, une évaluation quantitative a été effectuée auprès de 964 parents canadiens pour caractériser la portée de la campagne et déterminer les effets sur les attitudes reliés à la planification des repas familiaux. Dans un troisième temps, des associations entre la littéracie alimentaire, le statut d’emploi et la qualité de l’alimentation ont été examinés au sein de 767 parents. L’évaluation de processus a mis au jour de nombreux éléments clés à prendre en considération lors de futures collaborations. Notamment, indépendamment de la mission de chaque organisation, celles partageant des valeurs compatibles ont de bonnes chances d’être de bons partenaires. En revanche, la planification collaborative et la communication sont nécessaires pour maintenir l’engagement de l’organisation et pour soutenir l’implantation des activités. L’évaluation d’impact a dévoilé que le rappel de la campagne était plus important chez les francophones, les personnes sans éducation universitaire et les personnes à faibles revenus. Les taux de rappels ont largement varié à travers le pays, avec les taux les moins élevés à Vancouver, Winnipeg et Toronto et les taux les plus élevés à Québec et dans les régions rurales du Québec. De plus, le rappel de la campagne était associé à des attitudes plus favorables envers la planification de repas. Finalement, les analyses exploratoires ont dévoilé que le statut d’emploi n’est pas associé à la littéracie alimentaire, que le temps était un obstacle important à la préparation de repas, et que les dimensions de connaissances en nutrition et conceptualisation d’aliments étaient associées à une meilleure qualité alimentaire. En conclusion, les futures initiatives de santé publique en matière de nutrition peuvent être renforcées par l’implication de partenaires avec des valeurs semblables dès l’étape de planification de l’intervention. Les initiatives futures devraient être élaborées en ciblant les dimensions de littéracie alimentaire qui ont la plus grande chance d’influencer des facteurs nutritionnels positives telles que les dimensions de connaissances alimentaires ou conceptualisation alimentaire, et prendre en considération des stratégies permettant aux parents de surmonter les obstacles reliés au manque de temps.Poor diet is a major risk factor for non-communicable chronic diseases such as obesity, cardiovascular disease and certain cancers. Food literacy supports healthy eating practices and can help individuals build resilience to food environments that provide consumers with a large variety of energy-dense nutrient poor foods in abundance at low-costs. A need for further research in Canada on the determinants of food literacy and their relationship to diet quality has previously been identified. The Eat Well Campaign (Food Skills) (EWC) is a healthy eating initiative developed by Health Canada to increase parents’ awareness, knowledge of and engagement in meal planning – a component of food literacy. Cross-sector partnerships with the retail food industry, media and health organizations facilitated the diffusion of the EWC and were pivotal to extend its reach and effectiveness. Meal planning is not well described in the literature and no population-wide communication interventions targeting meal planning have been evaluated to date. Evaluations are essential to provide feedback to stakeholders on improving health initiatives, identify optimal strategies to support advances in public health and ensure government accountability. The main objective of this thesis was to conduct process and impact evaluations of the EWC, explore associations between food literacy and diet quality of Canadian parents and put this information into context for decision makers and stakeholders. To achieve these objectives, a purposeful sample of Health Canada’s cross-sector partners were interviewed and a cross-section of Canadian parents were surveyed. First, a qualitative process evaluation was conducted with 21 cross-sector partners to determine which factors influenced their decision to adopt the EWC and identify facilitators and barriers that they experienced during the EWC implementation. Second, a quantitative impact evaluation was conducted with 964 parents from across Canada to characterise the reach (i.e., awareness) of the EWC and determine whether the campaign’s awareness influenced meal planning attitudes, behaviors and self-efficacy. Third, associations between different food literacy dimensions, employment status and diet quality were investigated in a subsample of 767 parents. The process evaluation revealed several key considerations for future collaborations with partners from multiple sectors. Of note, regardless of mission, organizations with similar values are likely to make stronger partnerships; however, advanced collaborative planning and consistent communication are necessary to maintain organizational engagement and activity implementation. The impact evaluation revealed that the highest rates of campaign awareness were among French-speakers, parents without university education and those from low-income households. Awareness varied greatly across the country with the lowest rates in Vancouver, Winnipeg and Toronto, and the highest rates in Quebec City and rural Quebec. Additionally, campaign awareness was associated with more positive attitudes towards meal planning. Finally, exploratory analyses of different food literacy dimensions revealed that employment status was not associated with food literacy, time was a major limitation for home-based meal preparation and nutrition knowledge and food conceptualisation are significantly associated with diet quality. In conclusion, future public health nutrition initiatives can be strengthened by involving partners with similar values during the intervention planning stage. Future interventions should target dimensions of food literacy that are most likely to influence dietary outcomes such as nutrition knowledge or food conceptualisation and need to consider strategies to overcome time barriers to healthy eating

The Mitochondrial Myopathy, Encephalopathy, Lactic Acidosis, and Stroke-like Episode Syndrome-associated Human Mitochondrial tRNALeu(UUR) Mutation Causes Aminoacylation Deficiency and Concomitant Reduced Association of mRNA with Ribosomes

The pathogenetic mechanism of the mitochondrial tRNALeu(UUR) A3243G transition associated with the mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome has been investigated in transmitochondrial cell lines constructed by transfer of mutant mitochondrial DNA (mtDNA)-carrying mitochondria from three genetically unrelated MELAS patients or of isogenic wild-type mtDNA-carrying organelles into human mtDNA-less cells. An in vivo footprinting analysis of the mtDNA segment within the tRNALeu(UUR) gene that binds the transcription termination factor failed to reveal any difference in occupancy of sites or qualitative interaction with the protein between mutant and wild-type mtDNAs. Cell lines nearly homoplasmic for the mutation exhibited a strong (70-75%) reduction in the level of aminoacylated tRNALeu(UUR) and a decrease in mitochondrial protein synthesis rate. The latter, however, did not show any significant correlation between synthesis defect of the individual polypeptides and number or proportion of UUR codons in their mRNAs, suggesting that another step, other than elongation, may be affected. Sedimentation analysis in sucrose gradient showed a reduction in size of the mitochondrial polysomes, while the distribution of the two rRNA components and of the mRNAs revealed decreased association of mRNA with ribosomes and, in the most affected cell line, pronounced degradation of the mRNA associated with slowly sedimenting structures. Therefore, several lines of evidence indicate that the protein synthesis defect in A3243G MELAS mutation-carrying cells is mainly due to a reduced association of mRNA with ribosomes, possibly as a consequence of the tRNALeu(UUR) aminoacylation defect

Human Papillomavirus among Gay and Bisexual Men: The Need for Education and Vaccination 2012

In the United States, rates of anal cancer among MSM are higher than rates of cervical cancer among women. This presentation has a Ms Power point and PDF

The Alestle - Vol. 67 No. 47 - 07/22/2015

Vol. 67 No. 4

Utilizing Standardized Patient Feedback to Facilitate Professional Behavior in Physical Therapist Students: A Pilot Study

Purpose: Physical therapist (PT) students receive feedback on professional behavior performance from academic and clinical faculty members. Literature is lacking on the impact that verbal feedback from standardized patients (SPs) may have on physical therapist student learning of professional behaviors. The purpose of this pilot study was to examine the use of standardized patients’ feedback as a strategy for professional behavior development. Methods: A sample of convenience identified 13 doctoral physical therapist students prior to initiation of their first full-time clinical experience. Subjects were excluded if they had prior experiences with standardized patients or had completed a full-time clinical experience. Using a randomized control design, the experimental group (n=7) received standardized patient verbal feedback and written rubric assessment, whereas the comparison group (n=6) received written rubric assessment alone after completing standardized patient case scenarios. Outcome measures included the Modified Standardized Patient Satisfaction Questionnaire (MSPSQ), Professional Behaviors Assessment (PBA), and Professionalism Physical Therapy Core Values Assessment (PPTCVA). Results: Data analysis included pre and post intervention comparisons of Modified Standardized Patient Satisfaction Questionnaire rubric assessment scores, Professional Behaviors Assessment scores, and Professionalism Physical Therapy Core Values Assessment scores. No statistically significant differences were found on these outcome measures, although trends for changes in performance were noted. Conclusions: Limited research exists on the impact of standardized patients’ verbal feedback with the use of a standardized rubric on physical therapist student professional behavior. This pilot study did not provide significant evidence on the value of this educational strategy in development of professional behaviors in doctoral physical therapist students. Future research may be beneficial to examine differences in perceptions of professional behavior between standardized patients, students, and faculty

Framework for Understanding the Relationship between Lean and Safety in Construction

Safety and lean aim at similar goals in making the construction process faster, better and safer (Main et al. 2008). This research intends to answer the basic question: “Is there a relationship between lean and safety principles to help in reduction of waste and incidents?” The primary objective of this research is to understand the relationship of lean and safety through risk and uncertainty reduction. A qualitative analysis of lean methods and safety practices in the construction industry will be derived. Relationships between lean methods and safety practices will also be studied and the impacts of safety on lean methods will be analyzed. A framework that expresses the relationship of lean and safety theories will yield an understanding of the relations. The proposed framework will provide a larger picture of the association of lean and safety will explore the common grounds used in the minimization of waste and risk. The limitation of this research lies in qualitative findings from the data collected. A quantitative analysis involving the documentation of project processes and safety data would further strengthen the relationships identified. On the contrary, a quantitative approach would not provide a perspective on a larger scale. The principles of lean and safety are aligned and the construction industry could benefit by their integration A relationship has been established between lean methods and safety programs. Lean methods add value and eliminate waste, and safety helps in risk mitigation. Thus, it is widely evident that lean and safety have a synergy that can be harnessed to create a safe, productive workplace

Development of an Electronic Nose for Olfactory System Modelling using Artificial Neural Network

Electronic nose (e-nose) devices have received considerable attention in the field of sensor technology because of their many potential uses such as in identification of toxic wastes, monitoring air quality, examining odors in infected wounds and in inspection of food. Notwithstanding the vast amount of literature on the usage of e-noses for specific purposes, the technology originally and ultimately aims to mimic the capability of mammals to discriminate odors from all sorts of objects. This study demonstrates the theoretical and practical feasibility of designing an e-nose towards general odor classification. A multi-sensor array hardware unit was carefully constructed for data collection and odor detection. Important hardware design considerations such as sensor calibration, aeration, circuit protection, and voltage/current requirements were satisfied. A highly fine-tuned artificial neural network (ANN) was integrated to the hardware to interpret and relate the data to a target odor class from a set of 10 primary odors identified in a previous study. Various network architecture considerations, such as neuron count, number of layers and activation function, as well as various data treatment methods, such as normalization, and data partitioning, were investigated. The results showed that careful hardware integration with an ANN having sufficiently deep internal structure can yield accurate classification to at least half of the ten primary odor classes, namely fragrant (96%), fruity (98%), chemical (99%), peppermint (98%), and popcorn (90%). The results demonstrate the feasibility of making e-noses for general odor classification, which could lead to further broadening of e-nose applications