BACKGROUND The Expanded Food and Nutrition Education Program (EFNEP) is a federally funded, community nutrition education program that assists the low-income population in acquiring knowledge and skills related to nutrition, food safety, food resource management, food security, and physical activity. Evaluation of EFNEP includes a 24-hour dietary recall (24HDR) administered by paraprofessional educators, yet protocols for most large-scale nutrition research studies employ registered dietitian nutritionists (RDNs) or individuals with educational backgrounds in nutrition or related fields to collect dietary recalls. OBJECTIVE To compare 24HDRs collected by trained paraprofessional educators with recalls collected by an RDN. DESIGN Exploratory cross-over study comparing same-day 24HDR in a one-on-one setting collected by paraprofessional educators and an RDN. Paired recalls were separated by at least 1 hour. PARTICIPANTS AND SETTING The participants (n=41) were volunteer women who were eligible for participation in EFNEP in two states. MAIN OUTCOME MEASURES The 24HDRs were compared for energy, macronutrients, micronutrients, and food groups. STATISTICAL ANALYSIS PERFORMED Mixed-model analysis to account for repeated measures. Intraclass correlation and Spearman correlation coefficients to determine interrater agreement. RESULTS No difference in 24HDR was seen when compared by interviewer (paraprofessional vs RDN) or by site (Colorado vs North Carolina). There were significant differences in four components (energy, total fat, saturated fat, and solid fats-added sugar) based on recall order, with a higher intake in the second recall compared with the first. CONCLUSION The results of this preliminary study suggest that a well-trained paraprofessional educator using a valid methodology can collect a 24HDR that is similar to a recall collected by an RDN. The paraprofessional educator can be employed for dietary data collection, allowing the RDN to focus on more advanced aspects of scope of practice, such as data evaluation and program development.

中文翻译：

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由辅助专业营养教育者或注册营养师收集的低收入女性的类似 24 小时饮食召回结果

背景 扩展食品和营养教育计划 (EFNEP) 是一项由联邦政府资助的社区营养教育计划，旨在帮助低收入人群获得与营养、食品安全、食品资源管理、食品安全和体育活动相关的知识和技能。EFNEP 的评估包括由辅助专业教育者管理的 24 小时饮食回忆 (24HDR)，但大多数大规模营养研究的协议都会聘请注册营养师营养师 (RDN) 或具有营养或相关领域教育背景的个人来收集饮食回忆。目的 将训练有素的辅助专业教育者收集的 24HDR 与 RDN 收集的回忆进行比较。设计 探索性交叉研究比较了由辅助专业教育工作者和 RDN 收集的一对一设置中的同一天 24HDR。配对召回相隔至少 1 小时。参与者和环境 参与者 (n=41) 是有资格参加两个州的 EFNEP 的志愿女性。主要结果测量 24HDRs 比较了能量、常量营养素、微量营养素和食物组。执行统计分析混合模型分析以解释重复测量。组内相关性和 Spearman 相关系数来确定交互者间的一致性。结果 采访者（辅助专业与 RDN）或站点（科罗拉多与北卡罗来纳）进行比较时，24HDR 没有差异。四种成分（能量、总脂肪、饱和脂肪、和固体脂肪添加糖）基于召回顺序，与第一次相比，第二次召回的摄入量更高。结论 这项初步研究的结果表明，训练有素的辅助职业教育者使用有效的方法可以收集类似于 RDN 收集的召回的 24HDR。可以聘请辅助专业教育者进行饮食数据收集，使 RDN 能够专注于实践范围的更高级方面，例如数据评估和计划开发。