A Pilot Evaluation of WELLfed, a Community-Based Adult Education Intervention

TL;DR

WELLfed is a community-based education program in New Zealand that improves food literacy and reduces food insecurity among low-income adults.

Contribution

The study presents a pilot evaluation of a co-designed adult education program focused on food literacy and community impact.

Findings

Food knowledge and preparation skills improved among participants.

Fewer participants reported food insecurity due to lack of money.

Self-reported health and self-efficacy increased significantly.

Abstract

Introduction: WELLfed is a community-based adult education programme focused on improving food literacy, with a stated aim to “nourish communities through food and connections”, in a low-income community in Aotearoa New Zealand. Adult learners are taught food preparation and cooking skills in weekly interactive sessions. Here, we describe two pilot phases of a three-phase evaluation. Methods: Our overall aim is to evaluate the effectiveness of the WELLfed programme. Phase 1, in keeping with the co-design approach of WELLfed, co-designed outcome measures through five focus groups (n = 20) involving a wide range of stakeholders. Phase 2 developed and refined a survey based on these co-designed measures. The survey was administered to WELLfed learners at baseline (n = 15) and again towards the end of their programme (follow-up n = 12). Wilcoxon rank sum tests of significance were performed, restricted to participants with both baseline and follow-up data. Results: Five domains of importance identified in Phase 1 were as follows: (i) engagement support, (ii) food knowledge and skills, (iii) personal development, (iv) relationship transformation, and (v) community flourishing. Phase 2 findings include increased comfort level at engagement (p = 0.063). Food knowledge and preparation skills improved on a range of factors. All metrics of self-confidence and self-efficacy increased, with the greatest change being the ability to find support in times of crisis. Self-reported excellent or very good health increased (p = 0.050). Fewer people reported food running out due to a lack of money (p = 0.016) or eating less because of a lack of money (p = 0.008). Conclusions: The pilot study shows the effectiveness of the WELLfed programme for improving food knowledge and skills, reducing food insecurity, and improving health outcomes. Further research with a larger sample size is required to confirm these pilot results.