Navigating De-Implementation: Understanding the Impacts, Challenges, and Opportunities of Agencies Implementing Cooking Matters for Kids and Teens Open Access
Dotto, Victoria (Spring 2024)
Abstract
Introduction: Cooking Matters for Kids and Cooking Matters for Teens provides nutrition education and cooking skills to low-income communities. In August 2023, Cooking Matters Implementing Agencies (IAs) were informed that the program would be de-implemented, leaving IAs scrambling to figure out their next steps. This study strives to understand the impact of de-implementation on Cooking Matters IAs using qualitative methodologies.
Methods: 20 participants representing SNAP-Ed and 10 Cooking Matters IAs from across the United States were recruited to take part in one-on-one interviews and focus groups. Interviews, focus groups, and five supplementary documents were coded and analyzed to identify pertinent themes across data sources.
Results: The de-implementation of Cooking Matters directly impacts participants and IAs, while indirectly impacting participant family members and communities. The de-implementation of Cooking Matters poses multiple barriers to IAs to continue the program post-de-implementation including lack of access to materials and an out-of-date curriculum. However, facilitators to continuing Cooking Matters after de-implementation include seeking alternative sources of funding and partnering with local organizations. Finally, the de-implementation of Cooking Matters offered an opportunity to reflect on ways to improve programming to align with child and adolescent interests, such as including topics surrounding improved cultural integration of recipes and how social media impacts relationships with food.
Discussion: De-implementation can disrupt communities on multiple levels; thus it is important to work with implementing agencies during the de-implementation process for a seamless transition to mitigate negative community impacts.
Table of Contents
Chapter I: Introduction. 1
An Overview of Cooking Matters for Kids and Cooking Matters for Teens. 4
Evidence of Impact. 5
Significance of the Study. 10
Study Objectives. 10
Theoretical Framework. 12
Definition of Key Terms. 14
Chapter II: Review of Literature. 16
Introduction. 16
Lifetime Impacts of Childhood Obesity. 16
Physical & Psychological Consequences of Childhood Obesity. 17
Importance of Developing Nutrition and Cooking Skills Early On. 18
Current Nutritional Programs for Children and Teens. 21
Effectiveness of Cooking Matters for Kids and Cooking Matters for Teens. 28
De-implementation of Public Health Programming. 28
Summary of Current Problem.. 31
Chapter III: Methods. 35
Introduction. 35
Population and Sample. 35
Data Collection and Management. 40
Interview Guides and Interviews. 40
Data Analysis. 43
Positionality Statement. 44
Chapter IV: Results. 45
Introduction. 45
Key Findings. 50
Research Question 1. 50
Research Question 2. 62
Research Question 3. 69
Research Question 4. 88
Chapter V: Discussion. 104
Introduction. 104
Summary of Study. 104
Discussion of Key Results. 105
Study Strengths and Limitations. 106
Recommendations. 107
Public Health Impact. 111
Conclusions. 112
References. 114
Appendices. 126
Appendix A: Participant Recruitment Email. 126
Appendix B: Participant Information Sheet. 128
Appendix C: Interview Guide. 131
Appendix D: Codebook. 138
About this Master's Thesis
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