ABSTRACT

Pika Pamoja (Cook Together) is an eight-session cooking curriculum for Burundian and Congolese refugee families, culturally adapted from the evidence-based iCook 4-H curriculum to address dietary acculturation barriers to and facilitators of food security. The goal of this study was to determine the feasibility and acceptability of implementing Pika Pamoja.

Researchers and a multilingual community aid implemented Pika Pamoja in a pre-post pilot intervention with randomized control (n = 5)/treatment (n = 5) dyads (youth/mother). Feasibility (recruitment/retention, implementation, fidelity testing, and assessment procedures) and acceptability (process and program evaluations) measures were collected.

All 10 dyads (control and treatment) were retained throughout the study. All fidelity measures were 91% or above. The final youth assessment instrument included scales for cooking skills (α = 0.93), cooking self-efficacy (α = 0.90), openness to new foods (α = 0.81), and eating (α = 0.68), playing (α = 0.90), and setting healthful goals (α = 0.88) together as a family. The final adult instrument included scales for cooking, eating, and playing together (α = 0.68), kitchen proficiency (α = 0.89), and food security (α = 0.79). Participant feedback was uniformly positive.

Based on these results, Pika Pamoja was feasible to implement and was accepted by the priority population. Larger scale studies to measure the effectiveness of Pika Pamoja to increase food security among refugee families are needed.

摘要

Pika Pamoja（一起做饭）是为布隆迪和刚果难民家庭开设的八节烹饪课程，在文化上改编自基于证据的 iCook 4-H 课程，以解决饮食文化适应障碍并促进粮食安全。本研究的目标是确定实施 Pika Pamoja 的可行性和可接受性。

研究人员和多语种社区援助人员在随机对照（n = 5）/治疗（n = 5）二元组（青年/母亲）的前后试点干预中实施了 Pika Pamoja。收集了可行性（招聘/保留、实施、保真度测试和评估程序）和可接受性（过程和计划评估）措施。

在整个研究过程中保留了所有 10 对组（对照和治疗）。所有保真度指标均达到 91% 或以上。最终的青年评估工具包括烹饪技能 (α = 0.93)、烹饪自我效能感 (α = 0.90)、对新食物的开放程度 (α = 0.81) 和饮食 (α = 0.68)、玩耍 (α = 0.90) ，并与家人一起设定健康目标 (α = 0.88)。最终的成人工具包括烹饪、吃饭和一起玩耍的量表 (α = 0.68)、厨房熟练程度 (α = 0.89) 和食品安全 (α = 0.79)。参与者的反馈一致是积极的。

基于这些结果，Pika Pamoja 是可行的，并被优先人群接受。需要进行更大规模的研究来衡量鼠兔兔在增加难民家庭粮食安全方面的有效性。