- Email: [email protected]
P89 The Impact of Digital Learning on Child Care Providers Regarding the Implementation of CACFP Meal Pattern
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Poster Abstracts
Journal of Nutrition Education and Behavior Volume 51, Number 7S, 2019
P87 (continued) that was first established at CSS and is now a manualized treatment option for individuals with autism. Target Audience: Adults with autism are an at-risk and underserved population characterized by elevated rates of overweight/obesity. Individuals on the spectrum experience disordered eating at high prevalence and food selectivity is widespread. Program Description: Each Tuesday a chosen food is offered in sample servings to the entire CSS community and all participants are asked to provide input through a visual graphing activity. Featured foods generally fall into one of several categories: unusual fruits/vegetables (dragon fruit, beet juice), specialty food products (broccoli tots, vegan chicken nuggets), unusual recipes (tofu scramble, watermelon salad) or seasonal specialties (latkes, eggnog). In the two years since inception, almost 100 different food samples have been included in the program. Evaluation Methods: Tasters vote with a picture symbol containing a happy face (like) or a sad face (dislike). An “X” marker is used to track those individuals who decide not to taste the offered food. Outcomes are also reported in the biweekly nutrition newsletter distributed throughout the community. General participation rates are collected to assess the level of community involvement. Results: Preference varies on a weekly basis due to personal choice. Program effectiveness, however, is assessed through participation rates which have increased by greater than 20% since inception, thus implying increased reach. Conclusions: Making a range of new foods available, and offering community-based tasting as a form of engagement, appears to be an effective means of addressing dietary rigidity amongst individuals with autism. Funding: None.
P88 The Development of a Nutrition Education Mobile Application (Mhealth) for Latino venes Families: The Padres Preparados, Jo Saludables Experience Ghaffar Hurtado Choque, PhD, [email protected], University of Maryland, 1142E School of Public Health, College Park, MD 20742; Matt Rodriguez, PhD, University of Maryland; Javiera Monardez Popelka, MD, MPH, University of Minnesota; Silvia Alvarez de Davila, PhD, University of Minnesota; Amara Channell Doig, MPH, University of Maryland; Alejandro Peralta, MPH, University of Minnesota; David Sutoyo, PhD, University of Minnesota; Marla Reicks, PhD, University of Minnesota Objective: Childhood obesity rates remain high specially for ethnic communities. The Padres Preparados, Jovenes Saludables (Prepared Parents, Healthy Youth— Padres for short) is a family-based intervention that aims to increase father involvement in positive parenting practices to address youth energy balance-related behaviors (EBRBs) (i.e. sugar sweetened beverage, fruit and vegetable, and breakfast consumption; physical activity and sedentary behavior). Participants are Latino immigrant fathers with
an adolescent youth (10 to 14 years old). The in-person format however can limit the participation of some fathers. Use of Theory or Research: This proposal describes the development of a mHealth Application (APP) to implement a blended (in-person and APP) delivery to address some barriers for participation by enabling fathers to access three sessions remotely. Padres is based on social cognitive theory, modeling reasoning and teaching, home availability and accessibility, and social support. Additionally, we followed principles of design thinking during the development of the APP. Target Audience: Latino immigrant families (especially fathers) with adolescent children (10-14 years old). Program Description: Padres is a culturally grounded, family-skills program for Latino immigrant families. The original in-person intervention includes eight sessions (2.5 hours each) focusing on improving diet and physical activity levels for children by strengthening parenting practices. The APP includes the content of three out of the eight original sessions: adolescent development, rules and expectations, and monitoring and supervision. Each of the three sessions follows an active learning steps including instructional videos, reflection, skills building and text follow-ups. Evaluation Methods: A pilot study of the blended approach is underway and will be concluded in midMarch with intervention assessments and incudes a comparison among in-person and blended format delivery on parenting practices and both youth physical activity and dietary habits. Conclusions: There are few mHealth programs designed for Latino families. This blended approach is an innovative way to flexibility for program participation among Latino families. Funding: USDA.
P89 The Impact of Digital Learning on Child Care Providers Regarding the Implementation of CACFP Meal Pattern Zainab Rida, PhD, RDN, LMNT, [email protected], Nebraska Department of Education, 301 Centennial Mall S, Lincoln, NE 68509; Christy Burger, MS, Nebraska Department of Education; Alian Kasabian, PhD, University of Nebraska-Lincoln Background: With the release of 2017 United State Department of Agriculture (USDA)/Child and Adult Care Food Program (CACFP) meal pattern, states need to provide training and technical assistance to all Child Care Providers (CCPs) who participate in CACFP to ensure that healthy foods are served to children during mealtime in order to improve early childhood dietary quality and health outcomes. Objective: To assess the effectiveness of CACFP Digital Learning (DL) in increasing the knowledge level of the Child Care Providers (CCPs) regarding the implementation of USDA/CACFP new meal pattern in Nebraska (NE). Continued on page S73
Journal of Nutrition Education and Behavior Volume 51, Number 7S, 2019 P89 (continued) Study Design, Settings, Participants: CCPs who participate in CACFP (N = 286) completed four digital learning modules regarding the new CACFP meal pattern. Prepost knowledge questions were utilized before and after completing each module. Measurable Outcome/Analysis: Paired sample t-tests were conducted using SPSS statistical software to examine the differences in CCPs knowledge scores from pre-test to post-test. Results: Data shows a significant (P < .001) increase in CCPs knowledge level. The average increase in correct answers across four modules (Fruits and Vegetables, Meat and Meat Alternatives, Serving Milk and Whole Grains) was 27%. The smallest increase was for Serving Milk (23% increase), and the largest was 30% for the Whole Grains module. Conclusion: It is a win-win result for the NE Department of Education (NDE) and CCPs. DL approach is effective for positively impacting CCPs knowledge level regarding the CACFP new meal pattern. At the same time, DL enables NDE to disseminate the training across the state and reach more CCPs. Although this study aimed to measure the knowledge level of the CCPs directly upon completion each module, future research should focus on the long-term knowledge of the CCPs who utilize DL. Funding: USDA Team Nutrition.
P90 The Sustainability of Policy, Systems, and Environmental Change Strategies Implemented in Partnership with the South Carolina SNAP-Ed Program Carrie Draper, MSW, [email protected], University of South Carolina, 915 Greene St, Columbia, SC 29208; Olivia Whitt, MPH, University of South Carolina; Nick Younginer, PhD, University of South Carolina; Holly Pope, PhD, University of South Carolina; Chris Paget, MPH, University of South Carolina Background: SNAP-Ed program implementers are encouraged to engage in sustainability planning with partner sites as a long-term environmental outcome per the SNAP-Ed Evaluation Framework. However, currently no literature exists on the sustainability of policy, systems, and environmental (PSE) change strategies adopted with the guidance of program implementers. Objective: The study explored the sustainability of PSE strategies implemented in partnership with the South Carolina SNAP-Ed program. Study Design, Settings, Participants: Key informants at SNAP-Ed partner sites where at least one PSE strategy was adopted in FY2017 participated in an interview six to eight months post adoption (n = 31). An interview guide was developed based on a validated program sustainability assessment tool to explore the tool’s eight domains of sustainability. Measurable Outcome/Analysis: Interview transcripts were qualitatively analyzed using NVIVO. Each domain
Poster Abstracts
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was coded based on being evidenced or not evidenced for the strategy. Then, categories of “sustained” and “not sustained” were developed based on emergent common storylines of sustainability among sites. Categories were then dichotomized to demonstrate high versus low capacity for future sustainability and comparisons were made between the two groups for each domain. Results: Five storylines of sustainability surfaced, including strategies that were: going strong (n = 17); going with site investment but unstable (n = 4); going but lacked site investment (n = 1); going but with site planning to discontinue (n = 2); and not going but with site interest in reviving (n = 7). Strategies that demonstrated high capacity for future sustainability commonly had evidence of environmental support, organizational capacity, and partnerships (81%, 48%, 86%, respectively) as compared to strategies with low capacity for future sustainability (10%, 0%, 20%, respectively). Conclusion: Sustainable PSE strategies are crucial for SNAP-Ed to achieve its goal of ensuring low-income people are able to meet dietary guidelines and to maximize program funding. SNAP-Ed implementers should work with sites to ensure the most salient domains for future sustainability are in place during PSE implementation. Funding: USDA.
P91 Transforming Food Systems Sustainability: An Opportunity for Online Nutrition Education Marian Davidove, MA, RDN, University of South Florida; Robert Bensley, PhD, MCHES, [email protected], Western Michigan University, 2414 CHHS Bldg, Kalamazoo, MI 49087; Joseph Dorsey, PhD, University of South Florida Background: WIC provides nutrition education and support during critical periods of growth and development to participants. However, little has been reported on WIC participants’ existing awareness of food sustainability issues. Objective: The purpose of this study was to determine the effect of attitudes, perceptions and behaviors around food sustainability on the adoption of three new behaviors; willingness to increase intake of fresh fruits and vegetables, increase breastfeeding initiation and duration and reduce food waste to maximize food dollar. Study Design, Settings, and Participants: A crosssectional design included three online surveys. WIC participants completed surveys at the end of lessons delivered through wichealth.org, a well established parent-child feeding behavior intervention used by WIC agencies in 32 states. Participants from seven wichealth.org partner states self-selected completion of the breastfeeding (n = 612), or two food waste (n = 1,178 and n = 773) surveys. Measurable Outcome/Analysis: Surveys were comprised of binary or nominal and Likert scale items. Data were analyzed using descriptive statistical analysis. Results: Breastfeeding survey respondents were twice as likely to agree sustainability knowledge would impact breastfeeding choices. More than half (53%) of food waste Continued on page S74
Poster Abstracts
Journal of Nutrition Education and Behavior Volume 51, Number 7S, 2019
P87 (continued) that was first established at CSS and is now a manualized treatment option for individuals with autism. Target Audience: Adults with autism are an at-risk and underserved population characterized by elevated rates of overweight/obesity. Individuals on the spectrum experience disordered eating at high prevalence and food selectivity is widespread. Program Description: Each Tuesday a chosen food is offered in sample servings to the entire CSS community and all participants are asked to provide input through a visual graphing activity. Featured foods generally fall into one of several categories: unusual fruits/vegetables (dragon fruit, beet juice), specialty food products (broccoli tots, vegan chicken nuggets), unusual recipes (tofu scramble, watermelon salad) or seasonal specialties (latkes, eggnog). In the two years since inception, almost 100 different food samples have been included in the program. Evaluation Methods: Tasters vote with a picture symbol containing a happy face (like) or a sad face (dislike). An “X” marker is used to track those individuals who decide not to taste the offered food. Outcomes are also reported in the biweekly nutrition newsletter distributed throughout the community. General participation rates are collected to assess the level of community involvement. Results: Preference varies on a weekly basis due to personal choice. Program effectiveness, however, is assessed through participation rates which have increased by greater than 20% since inception, thus implying increased reach. Conclusions: Making a range of new foods available, and offering community-based tasting as a form of engagement, appears to be an effective means of addressing dietary rigidity amongst individuals with autism. Funding: None.
P88 The Development of a Nutrition Education Mobile Application (Mhealth) for Latino venes Families: The Padres Preparados, Jo Saludables Experience Ghaffar Hurtado Choque, PhD, [email protected], University of Maryland, 1142E School of Public Health, College Park, MD 20742; Matt Rodriguez, PhD, University of Maryland; Javiera Monardez Popelka, MD, MPH, University of Minnesota; Silvia Alvarez de Davila, PhD, University of Minnesota; Amara Channell Doig, MPH, University of Maryland; Alejandro Peralta, MPH, University of Minnesota; David Sutoyo, PhD, University of Minnesota; Marla Reicks, PhD, University of Minnesota Objective: Childhood obesity rates remain high specially for ethnic communities. The Padres Preparados, Jovenes Saludables (Prepared Parents, Healthy Youth— Padres for short) is a family-based intervention that aims to increase father involvement in positive parenting practices to address youth energy balance-related behaviors (EBRBs) (i.e. sugar sweetened beverage, fruit and vegetable, and breakfast consumption; physical activity and sedentary behavior). Participants are Latino immigrant fathers with
an adolescent youth (10 to 14 years old). The in-person format however can limit the participation of some fathers. Use of Theory or Research: This proposal describes the development of a mHealth Application (APP) to implement a blended (in-person and APP) delivery to address some barriers for participation by enabling fathers to access three sessions remotely. Padres is based on social cognitive theory, modeling reasoning and teaching, home availability and accessibility, and social support. Additionally, we followed principles of design thinking during the development of the APP. Target Audience: Latino immigrant families (especially fathers) with adolescent children (10-14 years old). Program Description: Padres is a culturally grounded, family-skills program for Latino immigrant families. The original in-person intervention includes eight sessions (2.5 hours each) focusing on improving diet and physical activity levels for children by strengthening parenting practices. The APP includes the content of three out of the eight original sessions: adolescent development, rules and expectations, and monitoring and supervision. Each of the three sessions follows an active learning steps including instructional videos, reflection, skills building and text follow-ups. Evaluation Methods: A pilot study of the blended approach is underway and will be concluded in midMarch with intervention assessments and incudes a comparison among in-person and blended format delivery on parenting practices and both youth physical activity and dietary habits. Conclusions: There are few mHealth programs designed for Latino families. This blended approach is an innovative way to flexibility for program participation among Latino families. Funding: USDA.
P89 The Impact of Digital Learning on Child Care Providers Regarding the Implementation of CACFP Meal Pattern Zainab Rida, PhD, RDN, LMNT, [email protected], Nebraska Department of Education, 301 Centennial Mall S, Lincoln, NE 68509; Christy Burger, MS, Nebraska Department of Education; Alian Kasabian, PhD, University of Nebraska-Lincoln Background: With the release of 2017 United State Department of Agriculture (USDA)/Child and Adult Care Food Program (CACFP) meal pattern, states need to provide training and technical assistance to all Child Care Providers (CCPs) who participate in CACFP to ensure that healthy foods are served to children during mealtime in order to improve early childhood dietary quality and health outcomes. Objective: To assess the effectiveness of CACFP Digital Learning (DL) in increasing the knowledge level of the Child Care Providers (CCPs) regarding the implementation of USDA/CACFP new meal pattern in Nebraska (NE). Continued on page S73
Journal of Nutrition Education and Behavior Volume 51, Number 7S, 2019 P89 (continued) Study Design, Settings, Participants: CCPs who participate in CACFP (N = 286) completed four digital learning modules regarding the new CACFP meal pattern. Prepost knowledge questions were utilized before and after completing each module. Measurable Outcome/Analysis: Paired sample t-tests were conducted using SPSS statistical software to examine the differences in CCPs knowledge scores from pre-test to post-test. Results: Data shows a significant (P < .001) increase in CCPs knowledge level. The average increase in correct answers across four modules (Fruits and Vegetables, Meat and Meat Alternatives, Serving Milk and Whole Grains) was 27%. The smallest increase was for Serving Milk (23% increase), and the largest was 30% for the Whole Grains module. Conclusion: It is a win-win result for the NE Department of Education (NDE) and CCPs. DL approach is effective for positively impacting CCPs knowledge level regarding the CACFP new meal pattern. At the same time, DL enables NDE to disseminate the training across the state and reach more CCPs. Although this study aimed to measure the knowledge level of the CCPs directly upon completion each module, future research should focus on the long-term knowledge of the CCPs who utilize DL. Funding: USDA Team Nutrition.
P90 The Sustainability of Policy, Systems, and Environmental Change Strategies Implemented in Partnership with the South Carolina SNAP-Ed Program Carrie Draper, MSW, [email protected], University of South Carolina, 915 Greene St, Columbia, SC 29208; Olivia Whitt, MPH, University of South Carolina; Nick Younginer, PhD, University of South Carolina; Holly Pope, PhD, University of South Carolina; Chris Paget, MPH, University of South Carolina Background: SNAP-Ed program implementers are encouraged to engage in sustainability planning with partner sites as a long-term environmental outcome per the SNAP-Ed Evaluation Framework. However, currently no literature exists on the sustainability of policy, systems, and environmental (PSE) change strategies adopted with the guidance of program implementers. Objective: The study explored the sustainability of PSE strategies implemented in partnership with the South Carolina SNAP-Ed program. Study Design, Settings, Participants: Key informants at SNAP-Ed partner sites where at least one PSE strategy was adopted in FY2017 participated in an interview six to eight months post adoption (n = 31). An interview guide was developed based on a validated program sustainability assessment tool to explore the tool’s eight domains of sustainability. Measurable Outcome/Analysis: Interview transcripts were qualitatively analyzed using NVIVO. Each domain
Poster Abstracts
S73
was coded based on being evidenced or not evidenced for the strategy. Then, categories of “sustained” and “not sustained” were developed based on emergent common storylines of sustainability among sites. Categories were then dichotomized to demonstrate high versus low capacity for future sustainability and comparisons were made between the two groups for each domain. Results: Five storylines of sustainability surfaced, including strategies that were: going strong (n = 17); going with site investment but unstable (n = 4); going but lacked site investment (n = 1); going but with site planning to discontinue (n = 2); and not going but with site interest in reviving (n = 7). Strategies that demonstrated high capacity for future sustainability commonly had evidence of environmental support, organizational capacity, and partnerships (81%, 48%, 86%, respectively) as compared to strategies with low capacity for future sustainability (10%, 0%, 20%, respectively). Conclusion: Sustainable PSE strategies are crucial for SNAP-Ed to achieve its goal of ensuring low-income people are able to meet dietary guidelines and to maximize program funding. SNAP-Ed implementers should work with sites to ensure the most salient domains for future sustainability are in place during PSE implementation. Funding: USDA.
P91 Transforming Food Systems Sustainability: An Opportunity for Online Nutrition Education Marian Davidove, MA, RDN, University of South Florida; Robert Bensley, PhD, MCHES, [email protected], Western Michigan University, 2414 CHHS Bldg, Kalamazoo, MI 49087; Joseph Dorsey, PhD, University of South Florida Background: WIC provides nutrition education and support during critical periods of growth and development to participants. However, little has been reported on WIC participants’ existing awareness of food sustainability issues. Objective: The purpose of this study was to determine the effect of attitudes, perceptions and behaviors around food sustainability on the adoption of three new behaviors; willingness to increase intake of fresh fruits and vegetables, increase breastfeeding initiation and duration and reduce food waste to maximize food dollar. Study Design, Settings, and Participants: A crosssectional design included three online surveys. WIC participants completed surveys at the end of lessons delivered through wichealth.org, a well established parent-child feeding behavior intervention used by WIC agencies in 32 states. Participants from seven wichealth.org partner states self-selected completion of the breastfeeding (n = 612), or two food waste (n = 1,178 and n = 773) surveys. Measurable Outcome/Analysis: Surveys were comprised of binary or nominal and Likert scale items. Data were analyzed using descriptive statistical analysis. Results: Breastfeeding survey respondents were twice as likely to agree sustainability knowledge would impact breastfeeding choices. More than half (53%) of food waste Continued on page S74