- Email: [email protected]
P61 EFNEP Families Adopting Healthy Choices in Tulare County of California
Journal of Nutrition Education and Behavior Volume 51, Number 7S, 2019 P59 (continued) Zainab Rida, PhD, RD, LMNT, Nebraska Department of Education; Lisa Franzen-Castle, PhD, RD, University of Nebraska-Lincoln; Alison Tovar, PhD, MPH, University of Rhode Island; Virginia Stage, PhD, LDN, RDN, East Carolina University; Susan Sisson, PhD, CHES, RDN, FACSM, University of Oklahoma-Health Sciences Center Objective: To determine the impact of the Ecological Approach to (EAT) Family Style Dining intervention on childcare providers’ implementation of responsive feeding practices, children’s knowledge and familiarity of fruits and vegetables (FV), and dietary intake. Use of Theory or Research: EAT Family Style is guided by the socio-ecological theory and includes an implementation strategy, evidence-informed responsive feeding practices and a research-based coaching model emphasizing growth mindset thinking, goal setting and reflecting. Target Audience: Childcare providers (n = 45) caring for children (three to five years old) from 11 childcare centers in Nebraska. Child-level data were collected from a subsample of 53 children. Program Description: EAT Family Style Dining is a 14week intervention consisting of seven interactive web-based lessons (two hours each) focused on: role modeling, peer modeling, sensory exploration, self-regulation, children serve themselves, praise and rewards, and family engagement. Providers completed one online lesson/week followed by a coaching session with an Extension educator. Evaluation Methods: Implementation feasibility was evaluated by childcare providers completing the attention, relevance, confidence and satisfaction (ARCS) survey, along with a pre-post survey reporting knowledge, attitudes, and implementation of responsive feeding practices. Intervention effectiveness was evaluated by changes in children’s knowledge and familiarity of FV and dietary intake which were measured using previously validated methods. Results: The implementation strategy was feasible. Average ARCS scores for all seven lessons were 4.1 on a 5-point Likert scale. On average, providers’ knowledge, attitudes and implementation scores regarding responsive feeding practices increased from baseline to post-intervention by 22%, 27%, and 29.5% respectively. The intervention was effective. Children’s knowledge score for FV [t (52) = 4.550, P < .0001], familiarity of vegetables [t (52) = 2.29, P < .026], and consumption of fruits [t (52) = 5.132, P < .0001] and vegetables [t (52) = 3.365, P < .0001] increased significantly at post-intervention. Conclusions: Overall, the EAT Family Style Dining intervention is feasible in fostering childcare providers’ implementation of responsive feeding practices and provides preliminary evidence for positively impacting children’s dietary intake. Funding: USDA NIFA.
P60 Effects of a Community-Based Diabetes Education Intervention on Behavioral Outcomes Among Hispanics Ana Florencia Moyeda-Carabaza, MS, ana.f.moyeda@ttu. edu, Texas Tech University, PO Box 41270, Lubbock, TX
Poster Abstracts
S59
79409; Mary Murimi, PhD, RD, Texas Tech University; John Dawson, PhD, Texas Tech University; Fabiola Carrales Gonzalez, MS, Universidad Autonoma de Coahuila Background: Diabetes is a major public health problem among Hispanic population. Nutrition education interventions in the community have the potential to address diabetes-related behaviors and lifestyle factors that play a critical role in both prevention and management of diabetes. Objective: To improve diabetes knowledge, attitudes towards diabetes, self-efficacy for diabetes, and dietary behaviors among Hispanic adults after a communitybased diabetes education intervention (DEI) delivered in Spanish. Study Design, Settings, and Participants: A pre-post design was used to assess participants’ changes in diabetes-related behaviors (diabetes knowledge, attitudes towards diabetes, self-efficacy for diabetes) and dietary behaviors after a four-week community-based DEI. The intervention was conducted among Hispanic adults living in a Mexico-Texas border city and in a West Texas city. Intervention topics included diabetes and its complications, and nutrition strategies to prevent and manage diabetes. Measurable Outcome/Analysis: The measurable outcomes were diabetes knowledge, attitudes towards diabetes, self-efficacy for diabetes and dietary intake. Mean differences between pre- and post-intervention assessments of diabetes-related behaviors and dietary behaviors were determined by using linear models on change scores. Results: Thirty five participants from both locations started and completed the DEI. After the intervention, there was a significant increase in participants’ scores in diabetes knowledge (P < .001), attitudes towards diabetes (P < .001), and self-efficacy for diabetes (P < .001); and a significant decrease in their intake of grains (P = .02) and fats (P = .01). Participants in the Mexico-Texas border city had a significantly greater change in attitudes towards diabetes score than participants in the West Texas city (P = .049). Conclusion: Results of this study suggest that dietary behaviors are more likely to change when DEI target behavior mediators such as knowledge, attitudes, and selfefficacy. Future diabetes education interventions should target Mexican origin Hispanics at the community to develop diabetes-related preventive skills. Funding: Office of International Affairs at Texas Tech University.
P61 EFNEP Families Adopting Healthy Choices in Tulare County of California Deepa Srivastava, PhD, [email protected], University of California, Agriculture & Natural Resources, 4437-B S Laspina St, Tulare, CA 93274; Katie Panarella, MPH, MS, University of California, Agriculture & Natural Resources
Continued on page S60
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Poster Abstracts
Journal of Nutrition Education and Behavior Volume 51, Number 7S, 2019
P61 (continued) Objective: To implement/evaluate a USDA funded Expanded Food & Nutrition Education Program (EFNEP) among low-income families. Use of Theory or Research: Existing research indicates behavioral and economic benefits of nutrition education programs with limited resources population who are likely to have poor eating habits, inactive lifestyle, and higher risk for multiple chronic diseases. Target Audience: Primary caregivers of young children across schools/community settings in Tulare County, California. Program Description: During FY2017-18, trained bilingual nutrition educator implemented the nineweek EFNEP program using series-based adult curriculum-Eating Smart Being Active. Each class was held once a week for 60-90 minutes in duration. Evaluation Methods: Participants completed About Me demographics questionnaire, Food Tracker dietary recall, and a pre-post Food & Physical Activity Questionnaire (FPAQ). Descriptive and Pre-Post analyses were completed using WebNEERS reporting tool. Results: Of the total 239 program families reached, 159 participants who attended all the lessons graduated from EFNEP. Majority of the participants were Hispanic. Differences in change from pre-to-post indicated improvements in all the program areas. Of the 159 graduates, 80% of participants showed improvement in one or more food resource management practices, 94% showed improvements in one or more diet quality/ nutrition practices, 85% showed improvements in one or more food safety practices, and 55.06% indicated a positive change in physical activity behaviors. Additionally, results indicated $57.30 in average cost savings. Conclusions: EFNEP program reached low-income families in Tulare county of California. Findings advance the field of nutrition education and behavior with implications for programming, policy, and practice. Nutrition education matters and EFNEP is helping save dollars. Continuing to fund EFNEP is a good investment and public policy. Making informed food decisions can help families improve nutrition and food resource management behaviors essential to maximizing use of limited resources, supporting a healthy diet, and improving food security. Funding: Expanded Food and Nutrition Education Program.
P62 Leveraging Partnerships to Implement Policy, Systems, & Environmental Initiatives in Two Rural Counties of California Deepa Srivastava, PhD, [email protected], University of California, Agriculture & Natural Resources, 4437-B S Laspina St, Tulare, CA 93274 Objective: To implement UC CalFresh policy, systems, and environmental (PSE) initiatives across limited resource settings. Use of Theory or Research: Social-Ecological Model (SEM).
Target Audience: Preschoolers, youth, parents, and seniors across preschools, schools, after school programs, and community settings in Tulare/Kings counties of California. Program Description: In collaboration with community partners during FY2017-18, trained nutrition educators implemented USDA funded UC CalFresh PSE initiatives such as school wellness policy, preschool and school gardens, physical activities such as Coordinated Approach to Child’s Health (CATCH), walking club, dance exercise, healthy school farmer’s market, smarter lunchrooms movement, and food distribution. Evaluation Methods: Nutrition educators completed PSE Site Activity Tracking Form that recorded PSE reach, sites, implementation stages, PSE changes adopted, partnerships, and sustainability plan. Evaluation data analyses was completed using the Program Evaluation and Reporting System (PEARS). Results: Results indicated: PSE reached preschoolers, youth, parents, seniors, and community members (n = 28,217), total PSE sites with one or more PSE changes adopted (n = 43), total PSE sites by setting for all stages of implementation (n = 35), total sites with sustainability plan (n = 46), total number of type of PSE changes identified (n = 76), and approximately 40 partnerships were reported. PSE changes included established or improved food and beverage, physical activity and/or wellness-related policies, initiated or improved point-ofpurchase, decision, and/or distribution prompts (including information intended to influence choices at the point of decision), improved quality of structured physical activity, initiated or expanded use of the garden for nutrition education, and improve access to fresh fruits, vegetables, and/or other healthy foods. Conclusions: Results provide essential insight into PSE strategies at the SEM levels to promote healthy food and physical activity messages. Implications of this evaluation suggest that local implementing agencies can successfully deliver PSE strategies by leveraging community partnerships. Funding: SNAP-Ed.
P63 Evaluation of an Intervention to Promote Healthful Beverages Through the Provision of Free Recipe Cards at Grocery Stores Deborah Joakimson, BS, DTR, [email protected], University of Nevada, Reno, 1664 N Virginia St, MS 202, Reno, NV 89557; Megan Wahrenburg, MS, University of Nevada, Reno; Jamie Benedict, PhD, RD, LD, University of Nevada, Reno Objective: To examine consumers’ use and perceptions of healthful beverage recipe cards distributed at grocery stores as part of a campaign to reduce sugar-sweetened beverages (SSB) among Supplemental Nutrition Assistance Program-Education (SNAP-Ed) eligible households. Use of Theory or Research: Point-of-purchase interventions have been used previously to effectively promote more healthful choices and shows promise here as a means to reduce SSB intake. Continued on page S61
P60 Effects of a Community-Based Diabetes Education Intervention on Behavioral Outcomes Among Hispanics Ana Florencia Moyeda-Carabaza, MS, ana.f.moyeda@ttu. edu, Texas Tech University, PO Box 41270, Lubbock, TX
Poster Abstracts
S59
79409; Mary Murimi, PhD, RD, Texas Tech University; John Dawson, PhD, Texas Tech University; Fabiola Carrales Gonzalez, MS, Universidad Autonoma de Coahuila Background: Diabetes is a major public health problem among Hispanic population. Nutrition education interventions in the community have the potential to address diabetes-related behaviors and lifestyle factors that play a critical role in both prevention and management of diabetes. Objective: To improve diabetes knowledge, attitudes towards diabetes, self-efficacy for diabetes, and dietary behaviors among Hispanic adults after a communitybased diabetes education intervention (DEI) delivered in Spanish. Study Design, Settings, and Participants: A pre-post design was used to assess participants’ changes in diabetes-related behaviors (diabetes knowledge, attitudes towards diabetes, self-efficacy for diabetes) and dietary behaviors after a four-week community-based DEI. The intervention was conducted among Hispanic adults living in a Mexico-Texas border city and in a West Texas city. Intervention topics included diabetes and its complications, and nutrition strategies to prevent and manage diabetes. Measurable Outcome/Analysis: The measurable outcomes were diabetes knowledge, attitudes towards diabetes, self-efficacy for diabetes and dietary intake. Mean differences between pre- and post-intervention assessments of diabetes-related behaviors and dietary behaviors were determined by using linear models on change scores. Results: Thirty five participants from both locations started and completed the DEI. After the intervention, there was a significant increase in participants’ scores in diabetes knowledge (P < .001), attitudes towards diabetes (P < .001), and self-efficacy for diabetes (P < .001); and a significant decrease in their intake of grains (P = .02) and fats (P = .01). Participants in the Mexico-Texas border city had a significantly greater change in attitudes towards diabetes score than participants in the West Texas city (P = .049). Conclusion: Results of this study suggest that dietary behaviors are more likely to change when DEI target behavior mediators such as knowledge, attitudes, and selfefficacy. Future diabetes education interventions should target Mexican origin Hispanics at the community to develop diabetes-related preventive skills. Funding: Office of International Affairs at Texas Tech University.
P61 EFNEP Families Adopting Healthy Choices in Tulare County of California Deepa Srivastava, PhD, [email protected], University of California, Agriculture & Natural Resources, 4437-B S Laspina St, Tulare, CA 93274; Katie Panarella, MPH, MS, University of California, Agriculture & Natural Resources
Continued on page S60
S60
Poster Abstracts
Journal of Nutrition Education and Behavior Volume 51, Number 7S, 2019
P61 (continued) Objective: To implement/evaluate a USDA funded Expanded Food & Nutrition Education Program (EFNEP) among low-income families. Use of Theory or Research: Existing research indicates behavioral and economic benefits of nutrition education programs with limited resources population who are likely to have poor eating habits, inactive lifestyle, and higher risk for multiple chronic diseases. Target Audience: Primary caregivers of young children across schools/community settings in Tulare County, California. Program Description: During FY2017-18, trained bilingual nutrition educator implemented the nineweek EFNEP program using series-based adult curriculum-Eating Smart Being Active. Each class was held once a week for 60-90 minutes in duration. Evaluation Methods: Participants completed About Me demographics questionnaire, Food Tracker dietary recall, and a pre-post Food & Physical Activity Questionnaire (FPAQ). Descriptive and Pre-Post analyses were completed using WebNEERS reporting tool. Results: Of the total 239 program families reached, 159 participants who attended all the lessons graduated from EFNEP. Majority of the participants were Hispanic. Differences in change from pre-to-post indicated improvements in all the program areas. Of the 159 graduates, 80% of participants showed improvement in one or more food resource management practices, 94% showed improvements in one or more diet quality/ nutrition practices, 85% showed improvements in one or more food safety practices, and 55.06% indicated a positive change in physical activity behaviors. Additionally, results indicated $57.30 in average cost savings. Conclusions: EFNEP program reached low-income families in Tulare county of California. Findings advance the field of nutrition education and behavior with implications for programming, policy, and practice. Nutrition education matters and EFNEP is helping save dollars. Continuing to fund EFNEP is a good investment and public policy. Making informed food decisions can help families improve nutrition and food resource management behaviors essential to maximizing use of limited resources, supporting a healthy diet, and improving food security. Funding: Expanded Food and Nutrition Education Program.
P62 Leveraging Partnerships to Implement Policy, Systems, & Environmental Initiatives in Two Rural Counties of California Deepa Srivastava, PhD, [email protected], University of California, Agriculture & Natural Resources, 4437-B S Laspina St, Tulare, CA 93274 Objective: To implement UC CalFresh policy, systems, and environmental (PSE) initiatives across limited resource settings. Use of Theory or Research: Social-Ecological Model (SEM).
Target Audience: Preschoolers, youth, parents, and seniors across preschools, schools, after school programs, and community settings in Tulare/Kings counties of California. Program Description: In collaboration with community partners during FY2017-18, trained nutrition educators implemented USDA funded UC CalFresh PSE initiatives such as school wellness policy, preschool and school gardens, physical activities such as Coordinated Approach to Child’s Health (CATCH), walking club, dance exercise, healthy school farmer’s market, smarter lunchrooms movement, and food distribution. Evaluation Methods: Nutrition educators completed PSE Site Activity Tracking Form that recorded PSE reach, sites, implementation stages, PSE changes adopted, partnerships, and sustainability plan. Evaluation data analyses was completed using the Program Evaluation and Reporting System (PEARS). Results: Results indicated: PSE reached preschoolers, youth, parents, seniors, and community members (n = 28,217), total PSE sites with one or more PSE changes adopted (n = 43), total PSE sites by setting for all stages of implementation (n = 35), total sites with sustainability plan (n = 46), total number of type of PSE changes identified (n = 76), and approximately 40 partnerships were reported. PSE changes included established or improved food and beverage, physical activity and/or wellness-related policies, initiated or improved point-ofpurchase, decision, and/or distribution prompts (including information intended to influence choices at the point of decision), improved quality of structured physical activity, initiated or expanded use of the garden for nutrition education, and improve access to fresh fruits, vegetables, and/or other healthy foods. Conclusions: Results provide essential insight into PSE strategies at the SEM levels to promote healthy food and physical activity messages. Implications of this evaluation suggest that local implementing agencies can successfully deliver PSE strategies by leveraging community partnerships. Funding: SNAP-Ed.
P63 Evaluation of an Intervention to Promote Healthful Beverages Through the Provision of Free Recipe Cards at Grocery Stores Deborah Joakimson, BS, DTR, [email protected], University of Nevada, Reno, 1664 N Virginia St, MS 202, Reno, NV 89557; Megan Wahrenburg, MS, University of Nevada, Reno; Jamie Benedict, PhD, RD, LD, University of Nevada, Reno Objective: To examine consumers’ use and perceptions of healthful beverage recipe cards distributed at grocery stores as part of a campaign to reduce sugar-sweetened beverages (SSB) among Supplemental Nutrition Assistance Program-Education (SNAP-Ed) eligible households. Use of Theory or Research: Point-of-purchase interventions have been used previously to effectively promote more healthful choices and shows promise here as a means to reduce SSB intake. Continued on page S61