1.Online training needs assessment (TNA) among Municipal Nutrition Action Officers (MNAOs) in the Philippines
Idelia G. Glorioso ; Milflor S. Gonzales ; Trina Mae B. Santos
Malaysian Journal of Nutrition 2024;30(No.1):117-128
Introduction: A training needs assessment (TNA) was conducted by the Department
of Science and Technology, Food and Nutrition Research Institute (DOST-FNRI) to
design appropriate and relevant trainings for Municipal Nutrition Action Officers
(MNAOs). In the Philippines, MNAO is a nutrition officer who serves at the municipal
level and is tasked to ensure the localisation of the Philippine Plan of Action for
Nutrition (PPAN) in Local Government Units (LGU) to ensure proper implementation
of activities on Public Health Nutrition (PHN). Methods: A total of 162 MNAOs in
the country answered the online TNA survey conducted from April to May 2023.
Results: Based on the results of the TNA survey, there was a need for DOST-FNRI
to design and conduct trainings related to the top three core competencies identified
by MNAOs: Creating policies and standards related to food and nutrition; advocating
legislation, regulation, and nutrition policies; and designing appropriate nutrition
information education and communication (IEC) materials. Conclusion: Based on
the study results, it is recommended that LGUs allocate funds for capacity building
of the public health workforce to create a skilled workforce in the community
that will coordinate the formulation, implementation, monitoring, and evaluation
of nutrition plans at the municipal level. For future consideration, curriculum
design for professional development in public health nutrition should include
core competencies on food and nutrition policy programme, nutrition programme
management, and IEC development.
2.Validity and reliability of online questionnaire on awareness, knowledge, attitude and self-efficacy (AKAS) on healthy eating for nutrition education and promotion
Milflor S. Gonzales ; Idelia G. Glorioso ; Celina Ann J. Navarro ; Theresa Krista B. Jolejole
Malaysian Journal of Nutrition 2023;29(No.1):115-135
Introduction: This study entailed the process of developing an online questionnaire
to determine awareness, knowledge, attitude and self-efficacy (AKAS) on healthy
eating for nutrition education. Currently, there is no local validated questionnaire
that can be used to assess AKAS on healthy eating among Filipino adults. Methods:
The study developed the questionnaire based on theoretical frameworks and
literature review. The draft questionnaire underwent three stages of development: (1)
online modified Delphi technique composing of seven subject matter experts (SME)
for content validity; (2) online cognitive debriefing with 32 participants (14 nutrition
experts and 18 general public) for construct validity; and (3) online pre-testing
with 35 participants (non-nutritionists) using test-retest method. Results: For first
stage, the questionnaire contained 16 questions for awareness, 17 questions for
knowledge, 17 questions for attitude, and 15 questions for self-efficacy. For second
stage, significantly different scores (p-value<0.00) between nutritionist experts and
general public were observed, showing good construct validity. For third stage,
Spearman’s correlation of test-retest method was 0.640. The questionnaire yielded
Cronbach’s alpha of 0.467 to 0.923 (round 1) and 0.435 to 0.923 (round 2). A
second analysis was done to improve the internal consistency of the questionnaire.
By combining two question categories (awareness and knowledge), the Cronbach’s
alpha increased to 0.659 (round 2), and by deleting three questions in attitude
category, the Cronbach’s alpha improved to 0.626 (round 2). Conclusion: The
process used ensured the questionnaire’s validity and reliability. Hence, this online
questionnaire may be adopted by parties interested in developing and assessing
nutrition education.
3.Developing and pre-testing of nutrition cartoon video to promote healthy eating among hearing and deaf and mute children
Idelia G. Glorioso ; Shannen Faye Q. Arevalo ; Maja Bethzaida S. Decena ; Theresa Krista B. Jolejole ; Milflor S. Gonzales
Malaysian Journal of Nutrition 2022;28(No.3):409-422
Introduction: A six-minute nutrition cartoon video “The Magical Pinggang Pinoy in
Nutrilandia” was developed and pre-tested to encourage hearing and deaf and mute
children to eat a variety of foods by following the Pinggang Pinoy® (Healthy Plate).
This study described the development process of the nutrition cartoon video and
explored the participants’ acceptance towards it. Methods: The video underwent two
levels of pre-testing to ensure comprehensibility, attractiveness, acceptability, and
self-involvement. The first level was conducted among three DOST-FNRI experts,
while the second level was among six deaf-mute school teachers and 30 mothers/
caregivers of 6-9 years old hearing children. Data were collected through an online
self-administered questionnaire. Open-ended questions allowed participants
to express themselves freely on the given subjects. Data analysis used thematic
analysis. Results: The video conveyed clear information on the Pinggang Pinoy®,
and the inclusion of animation, subtitles, visuals, and voice-over made the video
easier to understand. Participants stated that the message of the video was directed
to children, teens, adults, malnourished people, and everyone in general. Pre-testing
the nutrition cartoon video before final production identified terminologies and
concepts that participants found unfamiliar, confusing and unacceptable; offered
suggestions for improvement and made pre-tested video appropriate for hearing and
deaf-mute children. Conclusion: Overall, the participants had positive perceptions
on the nutrition cartoon video. The video can be used in nutrition education classes
among hearing and deaf and mute children, and serves as a tool to measure
children’s nutrition knowledge on healthy eating.
4.School-based nutrition education to improve children and their mothers’ knowledge on food and nutrition in rural areas of the Philippines
Idelia G. Glorioso ; Milflor S. Gonzales ; Andrea Marie P. Malit
Malaysian Journal of Nutrition 2020;26(No.2):189-201
Introduction: Nutrition education among school children and their mothers is an opportunity to promote lifelong healthy eating behaviours to improve their nutrition and well-being. The present study determined the effectiveness of nutrition education modules in improving children and their mothers’ knowledge on food and nutrition. Likewise, changes in attitude and behaviour among children were also determined. Methods: Five nutrition education modules were developed with key messages on healthy plate, fruits and vegetables, protein sources, nutrientdense sources of energy, and water and healthy beverages. Grades 2 and 3 students received 60 hours of nutrition education with a duration of 25 minutes per session. Students were divided into two groups: (1) nutrition education alone (n=83) and (2) nutrition education with feeding (n=83). Simultaneously, a total of nine onehour nutrition education sessions were conducted among mothers, following the same five modules taught to the students. Mothers were also grouped according to their child’s group. Results: Student participants in both groups exhibited improvements in mean scores on knowledge, attitude, and behaviour (KAB) from baseline to end line. Based on results of mothers’ classes, mean post-test scores of participants were significantly higher than mean pre-test scores in both groups. Group 1 had a higher increase in score from 67.2±32.8 at pre-test to 71.8±33.7 in post-test. Conclusion: The developed nutrition education modules were effective in teaching children proper nutrition. Incorporation of these modules into the K to 12 curriculum will emphasise importance of proper nutrition in early childhood. Moreover, mothers’ classes can be an effective way to bridge the gap between school and community nutrition interventions.


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