DOI QR코드

DOI QR Code

Development of a campus-based intervention program to strengthen food literacy among university students: A qualitative formative study

  • Eunji Ko (Department of Food Science and Nutrition, Hallym University) ;
  • Eunjin Jang (Department of Food Science and Nutrition, Hallym University) ;
  • Jiwon Sim (Department of Food Science and Nutrition, Hallym University) ;
  • Minjeong Jeong (Department of Food Science and Nutrition, Hallym University) ;
  • Sohyun Park (Department of Food Science and Nutrition, Hallym University)
  • Received : 2023.11.08
  • Accepted : 2023.12.21
  • Published : 2023.12.31

Abstract

Objectives: This study aimed to develop a campus-based intervention program to enhance food literacy (FL) among university students. Methods: In the initial phase, we conducted a literature review of FL intervention studies and held in-depth interviews with university students to identify facilitators and barriers to improving and practicing FL. Expert counseling sessions were conducted with nutrition education, marketing, and service design professionals. The results of this phase led to the creation of an initial curriculum draft. In the second phase, a follow-up survey was conducted with young adults to assess the acceptability of the developed curriculum. After the follow-up survey, additional meetings were conducted with the aforementioned experts, and the curriculum was further refined based on their input. Results: An 11-week FL intervention program was devised using constructs from the Social Cognitive Theory. The weekly curriculum consisted of 90-min theory-based and 90-min hands-on experience sessions. Three primary aspects of FL were covered: nutrition and food safety, cultural and relational dimensions, and socio-ecological aspects. Program highlights included cooking sessions for crafting traditional Korean desserts, lectures on animal welfare, insights into zero-waste practices, and communal eating experiences. Based on the study team's previous research, the program also addressed mindful eating, helping participants understand the relationship with their eating habits, and providing strategies to manage negative emotions without resorting to food. Yoga sessions and local farm visits were incorporated into the curriculum to promote holistic well-being. Conclusions: This study elucidated the comprehensive process of creating a campus-based curriculum to enhance FL among university students, a group particularly susceptible to problematic eating behaviors and low FL levels. The developed program can serve as a blueprint for adaptation to other campuses seeking to bolster students' FL.

Keywords

Acknowledgement

We express our deep gratitude to the study participants, classmates, and experts who generously assisted us in developing and enhancing the curriculum.

References

  1. Cullen T, Hatch J, Martin W, Higgins JW, Sheppard R. Food literacy: Definition and framework for action. Canadian J Diet Pract Res 2015; 76(3): 140-145.  https://doi.org/10.3148/cjdpr-2015-010
  2. Yoo HL, Jo EB, Kim KR, Park SH. Defining food literacy and its application to nutrition interventions: A scoping review. Korean J Community Nutr 2021; 26(2): 77-92.  https://doi.org/10.5720/kjcn.2021.26.2.77
  3. Vidgen HA, Gallegos D. Defining food literacy and its components. Appetite 2014; 76: 50-59.  https://doi.org/10.1016/j.appet.2014.01.010
  4. Park DH, Park YK, Park CY, Choi MK, Shin MJ. Development of a comprehensive food literacy measurement tool integrating the food system and sustainability. Nutrients 2020; 12(11): 3300. 
  5. Yoo HL, Jo EB, Lee HG, Park SH. Development of a food literacy assessment tool for healthy, joyful, and sustainable diet in South Korea. Nutrients 2022; 14(7): 1507. 
  6. Yoo HL, Jo EB, Lee HG, Ko EJ, Jang EJ, Sim JW et al. The level of food literacy and its association with food intake and obesity status among Seoul citizens: Results from Seoul Food Survey 2021. Nutr Res Pract 2023; 17(5): 945-958.  https://doi.org/10.4162/nrp.2023.17.5.945
  7. Jo EB, Shim JE, Ryou HJ, Kim KR, Song SJ, Kim HJ et al. Using service design tools in community nutrition research: A case study in developing dietary guidelines for young adults. Korean J Community Nutr 2022; 27(3): 177-191.  https://doi.org/10.5720/kjcn.2022.27.3.177
  8. Kim MH, Yeon JY. Change of dietary habits and the use of home meal replacement and delivered foods due to COVID-19 among college students in Chungcheong province, Korea. J Nutr Health 2021; 54(4): 383-397.  https://doi.org/10.4163/jnh.2021.54.4.383
  9. Pineda KLL, Gonzalez-Suarez C, Espino RV, Escuadra CJ, Balid-Attwell SA, Devora K et al. Eating habits of college students in relation to obesity. J Med 2020; 4(2): 500-509.  https://doi.org/10.35460/2546-1621.2019-0018
  10. Glanz K, Sallis JF, Saelens BE, Frank LD. Healthy nutrition environments: Concepts and measures. Am J Health Promot 2005; 19(5): 330-333.  https://doi.org/10.4278/0890-1171-19.5.330
  11. Kim MH, Kim H, Lee WK, Kim SJ, Yeon JY. Food habits and dietary behavior related to using processed food among male college students residing in dormitory and self-boarding in Gangwon. Korean J Community Nutr 2013; 18(4): 372-385.  https://doi.org/10.5720/kjcn.2013.18.4.372
  12. Lee JB, Woo HK. Health behavior changes among young people in a life transition. Health Soc Sci 2020; 55(1): 57-83.  https://doi.org/10.37243/kahms.2020.55.57
  13. Skelton KR, Evans RR. A qualitative investigation of college student perceptions of their nutrition environment: Recommendations for improvement. Am J Health Educ 2020; 51(1): 50-58.  https://doi.org/10.1080/19325037.2019.1687367
  14. Lee KS, Kim KN. Effect of nutrition education on nutrition knowledge, dietary attitudes, and food behavior of college students. Korean J Community Nutr 1997; 2(1): 86-93. 
  15. Cheikh Ismail L, Hashim M, Jarrar AH, Mohamad MN, Al Daour R, Al Rajaby R et al. Impact of a nutrition education intervention on salt/sodium related knowledge, attitude, and practice of university students. Front Nutr 2022; 9: 830262. 
  16. Malan H, Watson TD, Slusser W, Glik D, Rowat AC, Prelip M. Challenges, opportunities, and motivators for developing and applying food literacy in a university setting: A qualitative study. J Acad Nutr Diet 2020; 120(1): 33-44.  https://doi.org/10.1016/j.jand.2019.06.003
  17. Elsborg P, Thorsen AV, Ravn-Haren G, Bonde AH, Andersen SG, Vermund MC et al. Improved food literacy among schoolchildren as an effect of a food camp intervention: Results of a controlled effectiveness trial. Appetite 2022; 169: 105845. 
  18. Bandura A. Health promotion from the perspective of social cognitive theory. In: Paul N, Charles A, Mark C editors. Understanding and changing health behaviour from health beliefs to self-regulation. 1st ed. Taylor & Francis: Routledge; 2013. p. 299-339. 
  19. Bandura A. Social cognitive theory: An agentic perspective. Annu Rev Psychol 2001; 52(1): 1-26.  https://doi.org/10.1146/annurev.psych.52.1.1
  20. Anderson ES, Winett RA, Wojcik JR. Self-regulation, self-efficacy, outcome expectations, and social support: Social cognitive theory and nutrition behavior. Ann Behav Med 2007; 34: 304-312.  https://doi.org/10.1007/BF02874555
  21. Najimi A, Ghaffari M. Promoting fruit and vegetable consumption among students: A randomized controlled trial based on social cognitive theory. J Pak Med Assoc 2013; 63(10): 1235-1240. 
  22. Yoo HL, Jo EB, Lee HG, Ko EJ, Jang EJ, Sim JW et al. Who has a high level of food literacy, and who does not?: A qualitative study of college students in South Korea. Nutr Res Pract 2023; 17(6): 1155-1169.  https://doi.org/10.4162/nrp.2023.17.6.1155
  23. Government Food Policy Team of the Seoul Metropolitan. 2021 Seoul Food Survey. Food Policy Team of the Seoul Metropolitan Government; 2020 Apr. 
  24. Ministry of Health and Welfare (KR), The Korean Nutrition Society. Application of dietary reference intakes for Koreans 2020. Sejong: Ministry of Health and Welfare; 2022. p. 1-213. 
  25. Lee YJ, Kim TH, Jung HS. Effects of university students' perceived food literacy on ecological eating behavior towards sustainability. Sustainability 2022; 14(9): 5242. 
  26. Joung SH, Lee JW, Bae DY, Kim YK. Development of a dietary education program for Korean young adults in single-person households. J Home Econ Educ Res 2021; 33(1): 151-167.  https://doi.org/10.19031/jkheea.2021.3.33.1.151
  27. Ghammachi N, Mihrshahi S, Ronto R. Web-based experiential nutrition education intervention "the green hub" to promote sustainable and healthy diets among young adults in Australia. Sustainability 2022; 14(22): 15207. 
  28. Kim YB. Strategies for health promotion on campuses to improve heath status of university students: Focusing on health objective and health index. Korean J Health Educ Promot 2017; 34(4): 69-82.  https://doi.org/10.14367/kjhep.2017.34.4.69
  29. Kim EK, Kwon YS, Lee JY, Park YH, Jang HJ, Kim DS. Analysis of needs for dietary education and program among Korean young adults of single-preson household in the metropolitan area. J Korean Soc Food Cult 2022; 37(6): 495-502. 
  30. Park MS, Kim SA. Effect of nutrition education on improving diet behavior of university students. Korean J Community Nutr 2005; 10(2): 189-195. 
  31. Lee JK, Oh AY. A study on the effects of motivations to participate in a "peer tutoring" program comprised of college student tutors and tutees and theory of planned behavior on college service satisfaction, participation satisfaction, and intention of reparticipation. Korean J Learn Sci 2015; 9(2): 49-74. 
  32. Loke AJY, Chow FL. Learning partnership-the experience of peer tutoring among nursing students: A qualitative study. Int J Nurs Stud 2007; 44(2): 237-244.  https://doi.org/10.1016/j.ijnurstu.2005.11.028
  33. Stock S, Miranda C, Evans S, Plessis S, Ridley J, Yeh S et al. Healthy Buddies: A novel, peer-led health promotion program for the prevention of obesity and eating disorders in children in elementary school. Pediatrics 2007; 120(4): e1059-e1068.  https://doi.org/10.1542/peds.2006-3003
  34. Okayama M, Kajii E. Does community-based education increase students' motivation to practice community health care?: A cross sectional study. BMC Med Educ 2011; 11: 1-6.  https://doi.org/10.1186/1472-6920-11-19
  35. Kim YL. A theoretical approach for community-based learning: Applying principles from complexity science, social capital, and educational governance. Korean J Educ Admin 2015; 33(2): 259-289. 
  36. Hunt JB, Bonham C, Jones L. Understanding the goals of service learning and community-based medical education: A systematic review. Acad Med 2011; 86(2): 246-251.  https://doi.org/10.1097/ACM.0b013e3182046481
  37. McWhorter JW, LaRue DM, Almohamad M, Danho MP, Misra S, Tseng KC et al. Training of registered dietitian nutritionists to improve culinary skills and food literacy. J Nutr Educ Behav 2022; 54(8): 784-793.  https://doi.org/10.1016/j.jneb.2022.04.001
  38. Begley A, Paynter E, Butcher LM, Dhaliwal SS. Effectiveness of an adult food literacy program. Nutrients 2019; 11(4): 797. 
  39. West EG, Lindberg R, Ball K, McNaughton SA. The role of a food literacy intervention in promoting food security and food literacy-OzHarvest's NEST program. Nutrients 2020; 12(8): 2197. 
  40. Ng AH, ElGhattis Y, Biesiekierski JR, Moschonis G. Assessing the effectiveness of a 4-week online intervention on food literacy and fruit and vegetable consumption in Australian adults: The online MedDiet challenge. Health Soc Care Community 2022; 30(6): e4975-e4981. https://doi.org/10.1111/hsc.13909