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- Creators: Arizona State University
- Creators: Allen, Kelly Anne
This feasibility study explored the use of an evolutionary mismatch narrative in nutritional education intervention aiming to reduce ultra-processed foods in the diets of veterans with type 2 diabetes and improve diabetic outcomes. Ultra-processed foods are foods that are primarily manufactured through industrial processes. These foods are high in calories but low in nutritional content. Diets high in these foods have been linked to increased health risks. One of the major health risks is type 2 diabetes. Type 2 diabetes is a chronic disease that is developed when cells become unable to properly utilize insulin. Over time this may lead to additional health conditions such as nerve damage, cardiovascular disease, and renal disease. Evolutionary mismatch narrative nutritional intervention offers a different approach to nutritional education to help reduce ultra-processed foods in diets. This study was a randomized controlled feasibility study at the Phoenix VA. Eleven participants were enrolled and randomly selected to be given either an evolutionary mismatch narrative education intervention or general nutritional education about ultra-processed foods. 24-hour diet recalls and blood chemistry were collected and analyzed. Blood chemistry provided diabetes related measurements which included glucose, HbA1c, insulin, HOMA-IR, and C-reactive protein. Statistically significant findings in this study included percentage of ultra-processed foods decreasing for both control and experimental groups from week 0 to week 4 (p=0.014), and C-reactive protein levels between the control and experimental groups (p=0.042). However, baseline C-reactive protein concentrations were lower in the experimental group such that normalizing for group differences at baseline revealed no significant difference in C-reactive protein change between interventions (p = 1.000). There were no other statistically significant values regarding diabetes related measurements. The results from this study suggest that nutritional education in general may help decrease ultra-processed food consumption.
A sample of 239 United States Armed Forces veterans (171 male, 67 female, 1 nonbinary) enrolled in institutions of higher education across the United States was recruited through an online program. In addition to a demographic sheet, participants completed self-report measures assessing cultural congruity, sense of coherence, post-traumatic stress symptoms, mentoring, college stress, and career decision-making difficulties.
Hierarchical multiple regressions revealed that of the two constructs comprising campus environment, only cultural congruity was a significant and negative predictor of college stress. Mentoring was not a significant predictor. Post-traumatic stress symptoms predicted college stress above and beyond the variance predicted by college environment. The greater student veterans’ post-traumatic stress symptoms, the more college stress they reported experiencing. A moderated hierarchical regression revealed that college environment did not moderate the relation between post-traumatic stress symptoms and college stress. College stress was found to be a positive predictor of career decision-making difficulties. Sense of coherence did not moderate the relation between college stress and career decision-making difficulties.
Findings are discussed in the context of Schlossberg’s transition model, which posits that individuals will navigate the transition process based on their perceptions of the transition and their personal assets and liabilities, factors that influence coping ability. Limitations and clinical implications for working with student veterans are presented. The importance of early intervention to enhance cultural congruity and address post-traumatic stress symptoms and career decision-making difficulties among student veterans is discussed.