- Email: [email protected]
P86 Retention Barriers and Facilitators in the University of Arizona Cooperative Extension National Diabetes Prevention Program
Journal of Nutrition Education and Behavior Volume 51, Number 7S, 2019 P85 (continued) Objective: To determine the impact of the Fruit and Vegetable Prescription (FVRx) program supplemented with education related to nutrition, cooking skills, and food resource management on nutrition behaviors and related clinical outcomes. Use of Theory or Research: Prior research shows that food insecurity is associated with the development of chronic conditions. In addition to providing access to healthy foods, this program was designed to improve cooking skills and food resource management skills based on Social Cognitive Theory. Target Audience: This intervention targeted lowincome, food insecure adults receiving primary care from one of four urban clinics in the Southeast (n = 113). Program Description: Participants received FVRx equal to $1/day for each participant and household member. Monthly clinic visits included nutrition education and individualized goal setting. Participants were offered six weekly Cooking Matters courses. Evaluation Methods: Participants completed surveys at baseline and at the end of the Cooking Matters classes. Clinical outcomes were collected at monthly clinic visits. Analyses were conducted for participants with data at both time points using either Wilcoxon signed rank test for ordinal count data, paired t-test for continuous data, or longitudinal adjusted statistical modeling for clinical outcomes. Results: Food insecurity scores declined by -0.24 (95% confidence interval -0.45, -0.03). The frequency in which participants reported being confident in basic cooking skills increased by 13.0% (95% confidence interval 5.3%, 20.7%) and being confident in purchasing healthy foods for their families on a budget increased by 15.6% (95% confidence interval 4.5%, 26.7%). The scores for frequency of consumption increased by 0.3 for non-starchy vegetables (95% confidence interval 0.1, 0.6). BMI decreased by -0.07 (95% confidence interval -0.14, -0.10), diastolic blood pressure (mmHg) decreased by -1.85 (95% confidence interval -3.00, -0.71), and hemoglobin A1C decreased by -0.15 (95% confidence interval -0.30, 0.00). Conclusions: This study demonstrated that a FVRx program supplemented with nutrition education improved nutrition behaviors and clinical outcomes. Funding: SNAP-Ed, Open Hand Atlanta, Wholesome Wave Georgia, The Common Market, Grady Health System.
P86 Retention Barriers and Facilitators in the University of Arizona Cooperative Extension National Diabetes Prevention Program Martina Rahim-Sepulveda, MS, BS, msepulveda@email. arizona.edu, University of Arizona, 1103 E Adams St Apt 5, Tucson, AZ 85719; Vanessa da Silva, PhD, RDN, University of Arizona Objective: To explore perceived barriers and facilitators to participant retention in the University of Arizona Cooperative Extension (UA CE)-led National Diabetes Prevention Program (NDPP).
Poster Abstracts
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Use of Theory or Research: The transtheoretical model posits that individuals undergo various stages of change while adapting to a new and healthier behavior, beginning with precontemplation and ending in maintenance. However, it is well documented that individuals often revert in stages before reaching the maintenance stage. Good indicators of advanced stages in NDPP participants are attendance and retention. NDPP attendance and higher retention rates are associated with improved health outcomes, underscoring their importance in this behavioral-based year-long intervention. Target Audience: Adults at risk for Type 2 Diabetes Mellitus (T2DM). Program Description: NDPP is a group, lifestylechange intervention offered over 12 months, which has been shown to prevent or delay the onset of T2DM. The program promotes healthy eating, physical activity, and modest weight loss. Evaluation Methods: A naturalistic approach was taken to understand perceived barriers and facilitators unique to participant retention in the NDPP offered through the UA CE. A convenience sample (N = 22) participated: a) lifestyle coaches (N = 5); b) participants retained (N = 10); c) participants who dropped out (N = 5); and d) eligible individuals who did not sign up (N = 2). Data was collected through qualitative semi-structured interviews. Results: Perceived retention barriers included challenges with make-up sessions, time conflicts, distance traveled, health problems, major life events, and difficulty making permanent changes. Perceived retention facilitators included a strong sense of motivation and accountability, flexible make-up classes, other available UA CE classes, group support, and a caring coach. Conclusions: Together, these data suggest that retention for the UA CE-NDPP is complex and more efforts should be placed in tailoring the unique needs of participants to help them stay throughout the program. These findings will help the CE-NDPP become a more effective agent of change in the prevention of T2DM across the US. Funding: University of Arizona Cooperative Extension and Department of Nutritional Sciences.
P87 Tasting Tuesdays: Increasing Dietary Variety for Adults with Autism in a Community-Based Center Julie Dost, BS, MD, WIC Wheaton; Janice Goldschmidt, MS, LD, RDN, MPH, [email protected], Community Support Services, Inc, 9075 Comprint Ct, Gaithersburg, MD 20877 Objective: In order to promote dietary variety, “Tasting Tuesdays” were implemented at Community Support Services (CSS), a large community-based center for adults with autism. The goal of “Tasting Tuesdays” is to highlight new foods through an appeal to multiple sensory modalities (sight, smell, touch, taste) in an engaging format. Use of Theory or Research: “Tasting Tuesdays” emphasize choice and individualization, basic principles of “Active Engagement,” a well-vetted approach to cooking Continued on page S72
P86 Retention Barriers and Facilitators in the University of Arizona Cooperative Extension National Diabetes Prevention Program Martina Rahim-Sepulveda, MS, BS, msepulveda@email. arizona.edu, University of Arizona, 1103 E Adams St Apt 5, Tucson, AZ 85719; Vanessa da Silva, PhD, RDN, University of Arizona Objective: To explore perceived barriers and facilitators to participant retention in the University of Arizona Cooperative Extension (UA CE)-led National Diabetes Prevention Program (NDPP).
Poster Abstracts
S71
Use of Theory or Research: The transtheoretical model posits that individuals undergo various stages of change while adapting to a new and healthier behavior, beginning with precontemplation and ending in maintenance. However, it is well documented that individuals often revert in stages before reaching the maintenance stage. Good indicators of advanced stages in NDPP participants are attendance and retention. NDPP attendance and higher retention rates are associated with improved health outcomes, underscoring their importance in this behavioral-based year-long intervention. Target Audience: Adults at risk for Type 2 Diabetes Mellitus (T2DM). Program Description: NDPP is a group, lifestylechange intervention offered over 12 months, which has been shown to prevent or delay the onset of T2DM. The program promotes healthy eating, physical activity, and modest weight loss. Evaluation Methods: A naturalistic approach was taken to understand perceived barriers and facilitators unique to participant retention in the NDPP offered through the UA CE. A convenience sample (N = 22) participated: a) lifestyle coaches (N = 5); b) participants retained (N = 10); c) participants who dropped out (N = 5); and d) eligible individuals who did not sign up (N = 2). Data was collected through qualitative semi-structured interviews. Results: Perceived retention barriers included challenges with make-up sessions, time conflicts, distance traveled, health problems, major life events, and difficulty making permanent changes. Perceived retention facilitators included a strong sense of motivation and accountability, flexible make-up classes, other available UA CE classes, group support, and a caring coach. Conclusions: Together, these data suggest that retention for the UA CE-NDPP is complex and more efforts should be placed in tailoring the unique needs of participants to help them stay throughout the program. These findings will help the CE-NDPP become a more effective agent of change in the prevention of T2DM across the US. Funding: University of Arizona Cooperative Extension and Department of Nutritional Sciences.
P87 Tasting Tuesdays: Increasing Dietary Variety for Adults with Autism in a Community-Based Center Julie Dost, BS, MD, WIC Wheaton; Janice Goldschmidt, MS, LD, RDN, MPH, [email protected], Community Support Services, Inc, 9075 Comprint Ct, Gaithersburg, MD 20877 Objective: In order to promote dietary variety, “Tasting Tuesdays” were implemented at Community Support Services (CSS), a large community-based center for adults with autism. The goal of “Tasting Tuesdays” is to highlight new foods through an appeal to multiple sensory modalities (sight, smell, touch, taste) in an engaging format. Use of Theory or Research: “Tasting Tuesdays” emphasize choice and individualization, basic principles of “Active Engagement,” a well-vetted approach to cooking Continued on page S72