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New SoN Center educates tomorrow's geriatric nurses - School of ...

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esearch<br />

A lot <strong>of</strong> parents had meals together when they were<br />

children. They remember and like that idea.<br />

The initial survey was followed by focus groups. Participants<br />

elaborated on barriers: the stress <strong>of</strong> making separate meals for<br />

fussy eaters; a lack <strong>of</strong> ideas for quick and healthy meals; a perceived<br />

lack <strong>of</strong> time for meal planning, preparation, and cleanup; a conflict<br />

between the desire to have the kids help and the need to get the<br />

meal made quickly, efficiently, and without a lot <strong>of</strong> mess.<br />

NUTRITION AND COOKING SKILLS<br />

Fulkerson crafted an intervention based on the findings from the<br />

surveys and the focus groups. She recruited 44 families from two<br />

elementary schools. Half the families served as controls. The other<br />

half participated in a series <strong>of</strong> five 90-minute sessions involving<br />

nutrition education, cooking skills for kids, and cooperative cooking,<br />

topped <strong>of</strong>f with a big shared meal using foods the children<br />

helped to prepare.<br />

“We had a lot <strong>of</strong> interactive activities,” Fulkerson says. “The<br />

families cooked together, the food was served as a buffet, and they<br />

were all able to try the wide variety <strong>of</strong> foods they had made.” After<br />

the series <strong>of</strong> sessions were over, she and her colleagues gathered<br />

information from families on how their habits might have changed.<br />

A preliminary analysis <strong>of</strong> the findings indicates that families<br />

in the group that prepared and ate meals together are finding it<br />

easier to limit pop in the home and to serve more fruit at dinner.<br />

And children in that group are helping more with meal preparation<br />

than those in the control group.<br />

The findings also support the notion that families really want<br />

to have family meals together. “A lot <strong>of</strong> parents had meals together<br />

when they were children,” Fulkerson says. “They remember and like<br />

that idea. They’d like to get over some <strong>of</strong> the barriers and have more<br />

nutritionally sound family meals in their own homes.”<br />

NEXT STEPS<br />

Once the pilot study is complete, Fulkerson will pursue funding for<br />

a full-scale intervention that would increase the frequency <strong>of</strong><br />

healthful family meals by helping families learn practical strategies<br />

to make it work for them.<br />

She’s also interested in exploring the relationship between<br />

family meals and overweight. That’s hard to do under current<br />

study designs, she says, because what’s measured is <strong>of</strong>ten whether<br />

families eat together, not what they eat together. As a result, she’s<br />

developing a survey tool to assess the healthfulness <strong>of</strong> what’s<br />

served at family meals, as well as whether and how <strong>of</strong>ten families<br />

eat together.<br />

Another unexplored area is the relationship between culture<br />

and family meals, and how that might affect intervention programs.<br />

“My long-term goal is to prevent obesity or to decrease excess<br />

weight gain by working with families,” Fulkerson says. “Ultimately<br />

all <strong>of</strong> this hopefully will lead us to healthful, frequent family meals<br />

as a way to decrease obesity.”<br />

Making Meals Happen<br />

Based on her research and anecdotal observations over<br />

the years—as well as her real-life experience as the<br />

parent <strong>of</strong> an active 10-year-old—Jayne Fulkerson <strong>of</strong>fers<br />

these suggestions to families:<br />

• Focus on fruits and vegetables.<br />

• Involve children in shopping, planning, and<br />

making meals.<br />

• Make family meals a priority. When eating together<br />

is a priority, families make it happen. Don’t worry<br />

if you can’t eat together every night, but do try to eat<br />

together as frequently as possible.<br />

WESTEND61/MEDIABAKERY<br />

16 minnesota nursing

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