- Email: [email protected]
The Impact of a 12 Week Lifestyle and Diet Intervention Program on African American Women
TUESDAY, OCTOBER 21
Poster Session: Wellness and Public Health Development of the HomeStyles Physical Activity Environment Appraisal of Households with Young Children
The Impact of a 12 Week Lifestyle and Diet Intervention Program on African American Women
Author(s): C. Cheng, J. Martin-Biggers, C. Byrd-Bredbenner; Nutritional Sciences, Rutgers, The State Univ. of New Jersey, New Brunswick, NJ
Author(s): T. Grant, J. Roach; Mallory Community Health Center, Jackson, MS
Learning Outcome: To describe development and validation of a self-report instrument that assesses the availability and accessibility of active and sedentary physical activity (PA) equipment and space in homes with preschool children, areas outside, and neighborhoods. PA is key to obesity prevention in families with young children, yet little is known about PA opportunities in and around homes. Existing instruments for assessing home PA environments are burdensome (lengthy, difficult to use), unsuitable for households with preschoolers, and/or do not report psychometric data. Thus, existing instruments were extensively adapted, enhanced, and expanded to permit parents of preschool children to report active and sedentary PA equipment and space availability and accessibility in homes, areas immediately outside the home, and neighborhoods (e.g., playgrounds). At baseline, trained researchers and 48 parents simultaneously, but independently, assessed the PA environment of parents’ home environments using 5-point Likert-type scales and checklists. Parents reassessed their home environment w2 weeks later at follow-up. Mean Intra-Class Correlations between researchers and parents for the PA Equipment/Space Availability (8 items), PA Equipment/Space Accessibility (2 items), Home Sedentary Activity/Media Availability (15 items), and Sedentary Activity/Media Accessibility (3 items) scale items were 0.74 (range¼0.45-0.86), 0.47 (range¼0.450.49), 0.80 (range¼0.58-1.00), and 0.66 (range¼0.50-0.76), respectively, indicating fair to excellent overall agreement. Parent test-retest for the scale items showed good to excellent agreement, at 0.78 (range¼0.45-0.95), 0.86 (range¼0.81-0.91), 0.83 (range¼0.20-1.00), 0.88 (range¼0.87-0.89), respectively. The survey took parents an average of 19 minutes (7.78SD) to complete. Results suggest that the HomeStyles PA Environment Appraisal is a reliable, valid, easy-to-use self-report assessment of the home PA environment of households with young children that can provide useful information to obesity prevention researchers and practitioners.
Learning Outcome: Participants will be able to describe the impact of a lifestyle and diet intervention program upon the nutrition knowledge, level of perceived stress and physical fitness among African American females aged 13 to 44. Mississippi has historically led the nation in obesity rates. African American women represent a subgroup of the population in the state that ranks the highest for obesity. Mortality rates due to heart disease and hypertension indicate significant health disparities for this subgroup. The Healthy Families Movement (HFM) was designed to address the population’s major modifiable risks for heart disease and obesity. One hundred and fifty participants worked with a physician, dietitian, personal trainer and behavioral health specialist to develop and adhere to individualized wellness plans through the twelveweek program. The program incorporated nutrition counseling, increased physical activity and stress management on a weekly basis. Training in deep breathing, guided imagery, journaling and coping skills was provided to participants using the Bright Futures Guide to Emotional Wellness (US HRSA). Extensive support including one-on-one time with a provider, cooking classes, grocery store tours, family activities and case management assisted participants in achieving and maintain goals. All participants (n¼150) completed a nutrition knowledge questionnaire, a perceived stress survey and a fitness test initially and at program conclusion. Weights were also measured at these intervals. T-tests were conducted to determine differences between initial and final data for questionnaires Results concluded significant improvements in nutrition knowledge (p 0.001) and stress (p 0.01). Analysis of mean scores for weights and fitness tests indicated improvements in both areas. Average weight loss for participants was 8.5 pounds. The positive outcomes of this study can be used to effectively develop lifestyle interventions for other high risk populations. Funding Disclosure: Connections for Cardiovascular Health, a program of the AstraZeneca Healthcare Foundation
Funding Disclosure: United States Department of Agriculture, National Institute of Food and Agriculture, Grant Number 2011-68001-30170 Use of the Hospital Nutritional Environmental Assessment Tool (H-NEAT) to Assess the Hospital Food Environment for Employees and Visitors
Massachusetts Statewide Food Procurement System: An Innovative System of Technical Assistance to Enhance Implementation of Procurement Practices
Author(s): M.R. Freedman, R. Modir; Nutrition and Food Science, San Jose State Univ., San Jose, CA
Author(s): C.T. Bayerl1, L.M. Mays2, J.H. Buszkiewicz1, T.G. Land1; 1Division of Wellness and Prevention, MA Dept of Publ. Health, Boston, MA, 2Department of Epidemiology, Public Health Nutrition Coordinated Master’s, Univ. Of Minnesota, Minneapolis, MN
Learning Outcome: Attendees will examine how the hospital nutrition environmental assessment tool (H-NEAT) can be used to evaluate the nutrition environment for hospital employees and guests. Environmental assessments help to identify factors that need to be changed within a worksite’s “nutritional environment.” The Hospital Nutrition Environment Assessment Tool (H-NEAT) was modeled after existing environmental assessment tools, and contained questions regarding food available to employees and guests throughout the hospital (e.g., in cafeterias, vending machines, and coffee kiosks) as well as whether there were nutritional standards, labeling initiatives and food policies. In 2012, 249 dietetic internship program directors received an email requesting their dietetic interns complete the H-NEAT. Eleven percent (n¼26) of dietetic interns used the tool to provide information about the hospital food environment. Results revealed that 83% of hospital cafeterias did not make healthier food options more appealing to the consumer by offering them at a reduced price; 70% provided highly processed food items with added sugars and/or hydrogenated oils for purchase in close proximity to the cash register; and 50% provided point of-purchase nutrition information for foods and/or beverages. Only 4 of 26 hospitals had formal written policies regarding nutrition or foods served to staff and visitors. These data show that there is room for improvement in many hospital food environments. Hospital directors can use H-NEAT to develop policies that result in healthier food environments. Hospital food environmental assessments can provide an opportunity for hospital directors to become leaders in food environmental change that can result in healthier food options that may ultimately improve the health of hospital employees and visitors. Funding Disclosure: None
Learning Outcome: Describe how to develop a successful statewide technical system for healthy food procurement system in public health settings. Background: Executive Order 509 (EO 509) Establishing Nutrition Standards for Food Purchased and Served by State Agencies, was the first statewide food procurement nutrition standard put into practice. In 2009, baseline data indicated inconsistent application of dietary guidelines in purchasing and preparation of food for clients obtaining food from sites funded by state agencies. Method: When EO509 nutrition standards were issued, the Massachusetts Department of Public Health (MDPH) provided a system of technical assistance (TA), which included an on-line course, web based resources and tools and specific language for statewide contracts to aid in implementation. To measure impact of the TA, a follow-up survey of impacted state agencies was conducted in 2013. Comparisons of the TA system were made to the 2009 baseline survey which will be discussed during this presentation. Results: Evaluation has included the comparative survey data, feedback from the impacted agencies and the advisory committee and yearly informant interviews. Findings indicated 10% or more improvement in compliance with nearly half of the measured standards. Participants who completed the online course and used the web-based resources indicated that the TA has been positively received by state agencies and has helped them with the skills necessary to procure and prepare healthy food options for their clients. Conclusions: An executive order which recommended development and implementation of a uniform system including TA appropriate for the population, can have a positive impact on provision of healthy food options to clients dependent on the state. Funding Disclosure: CDC 805 funds
A-80
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
September 2014 Suppl 2—Abstracts Volume 114 Number 9
Poster Session: Wellness and Public Health Development of the HomeStyles Physical Activity Environment Appraisal of Households with Young Children
The Impact of a 12 Week Lifestyle and Diet Intervention Program on African American Women
Author(s): C. Cheng, J. Martin-Biggers, C. Byrd-Bredbenner; Nutritional Sciences, Rutgers, The State Univ. of New Jersey, New Brunswick, NJ
Author(s): T. Grant, J. Roach; Mallory Community Health Center, Jackson, MS
Learning Outcome: To describe development and validation of a self-report instrument that assesses the availability and accessibility of active and sedentary physical activity (PA) equipment and space in homes with preschool children, areas outside, and neighborhoods. PA is key to obesity prevention in families with young children, yet little is known about PA opportunities in and around homes. Existing instruments for assessing home PA environments are burdensome (lengthy, difficult to use), unsuitable for households with preschoolers, and/or do not report psychometric data. Thus, existing instruments were extensively adapted, enhanced, and expanded to permit parents of preschool children to report active and sedentary PA equipment and space availability and accessibility in homes, areas immediately outside the home, and neighborhoods (e.g., playgrounds). At baseline, trained researchers and 48 parents simultaneously, but independently, assessed the PA environment of parents’ home environments using 5-point Likert-type scales and checklists. Parents reassessed their home environment w2 weeks later at follow-up. Mean Intra-Class Correlations between researchers and parents for the PA Equipment/Space Availability (8 items), PA Equipment/Space Accessibility (2 items), Home Sedentary Activity/Media Availability (15 items), and Sedentary Activity/Media Accessibility (3 items) scale items were 0.74 (range¼0.45-0.86), 0.47 (range¼0.450.49), 0.80 (range¼0.58-1.00), and 0.66 (range¼0.50-0.76), respectively, indicating fair to excellent overall agreement. Parent test-retest for the scale items showed good to excellent agreement, at 0.78 (range¼0.45-0.95), 0.86 (range¼0.81-0.91), 0.83 (range¼0.20-1.00), 0.88 (range¼0.87-0.89), respectively. The survey took parents an average of 19 minutes (7.78SD) to complete. Results suggest that the HomeStyles PA Environment Appraisal is a reliable, valid, easy-to-use self-report assessment of the home PA environment of households with young children that can provide useful information to obesity prevention researchers and practitioners.
Learning Outcome: Participants will be able to describe the impact of a lifestyle and diet intervention program upon the nutrition knowledge, level of perceived stress and physical fitness among African American females aged 13 to 44. Mississippi has historically led the nation in obesity rates. African American women represent a subgroup of the population in the state that ranks the highest for obesity. Mortality rates due to heart disease and hypertension indicate significant health disparities for this subgroup. The Healthy Families Movement (HFM) was designed to address the population’s major modifiable risks for heart disease and obesity. One hundred and fifty participants worked with a physician, dietitian, personal trainer and behavioral health specialist to develop and adhere to individualized wellness plans through the twelveweek program. The program incorporated nutrition counseling, increased physical activity and stress management on a weekly basis. Training in deep breathing, guided imagery, journaling and coping skills was provided to participants using the Bright Futures Guide to Emotional Wellness (US HRSA). Extensive support including one-on-one time with a provider, cooking classes, grocery store tours, family activities and case management assisted participants in achieving and maintain goals. All participants (n¼150) completed a nutrition knowledge questionnaire, a perceived stress survey and a fitness test initially and at program conclusion. Weights were also measured at these intervals. T-tests were conducted to determine differences between initial and final data for questionnaires Results concluded significant improvements in nutrition knowledge (p 0.001) and stress (p 0.01). Analysis of mean scores for weights and fitness tests indicated improvements in both areas. Average weight loss for participants was 8.5 pounds. The positive outcomes of this study can be used to effectively develop lifestyle interventions for other high risk populations. Funding Disclosure: Connections for Cardiovascular Health, a program of the AstraZeneca Healthcare Foundation
Funding Disclosure: United States Department of Agriculture, National Institute of Food and Agriculture, Grant Number 2011-68001-30170 Use of the Hospital Nutritional Environmental Assessment Tool (H-NEAT) to Assess the Hospital Food Environment for Employees and Visitors
Massachusetts Statewide Food Procurement System: An Innovative System of Technical Assistance to Enhance Implementation of Procurement Practices
Author(s): M.R. Freedman, R. Modir; Nutrition and Food Science, San Jose State Univ., San Jose, CA
Author(s): C.T. Bayerl1, L.M. Mays2, J.H. Buszkiewicz1, T.G. Land1; 1Division of Wellness and Prevention, MA Dept of Publ. Health, Boston, MA, 2Department of Epidemiology, Public Health Nutrition Coordinated Master’s, Univ. Of Minnesota, Minneapolis, MN
Learning Outcome: Attendees will examine how the hospital nutrition environmental assessment tool (H-NEAT) can be used to evaluate the nutrition environment for hospital employees and guests. Environmental assessments help to identify factors that need to be changed within a worksite’s “nutritional environment.” The Hospital Nutrition Environment Assessment Tool (H-NEAT) was modeled after existing environmental assessment tools, and contained questions regarding food available to employees and guests throughout the hospital (e.g., in cafeterias, vending machines, and coffee kiosks) as well as whether there were nutritional standards, labeling initiatives and food policies. In 2012, 249 dietetic internship program directors received an email requesting their dietetic interns complete the H-NEAT. Eleven percent (n¼26) of dietetic interns used the tool to provide information about the hospital food environment. Results revealed that 83% of hospital cafeterias did not make healthier food options more appealing to the consumer by offering them at a reduced price; 70% provided highly processed food items with added sugars and/or hydrogenated oils for purchase in close proximity to the cash register; and 50% provided point of-purchase nutrition information for foods and/or beverages. Only 4 of 26 hospitals had formal written policies regarding nutrition or foods served to staff and visitors. These data show that there is room for improvement in many hospital food environments. Hospital directors can use H-NEAT to develop policies that result in healthier food environments. Hospital food environmental assessments can provide an opportunity for hospital directors to become leaders in food environmental change that can result in healthier food options that may ultimately improve the health of hospital employees and visitors. Funding Disclosure: None
Learning Outcome: Describe how to develop a successful statewide technical system for healthy food procurement system in public health settings. Background: Executive Order 509 (EO 509) Establishing Nutrition Standards for Food Purchased and Served by State Agencies, was the first statewide food procurement nutrition standard put into practice. In 2009, baseline data indicated inconsistent application of dietary guidelines in purchasing and preparation of food for clients obtaining food from sites funded by state agencies. Method: When EO509 nutrition standards were issued, the Massachusetts Department of Public Health (MDPH) provided a system of technical assistance (TA), which included an on-line course, web based resources and tools and specific language for statewide contracts to aid in implementation. To measure impact of the TA, a follow-up survey of impacted state agencies was conducted in 2013. Comparisons of the TA system were made to the 2009 baseline survey which will be discussed during this presentation. Results: Evaluation has included the comparative survey data, feedback from the impacted agencies and the advisory committee and yearly informant interviews. Findings indicated 10% or more improvement in compliance with nearly half of the measured standards. Participants who completed the online course and used the web-based resources indicated that the TA has been positively received by state agencies and has helped them with the skills necessary to procure and prepare healthy food options for their clients. Conclusions: An executive order which recommended development and implementation of a uniform system including TA appropriate for the population, can have a positive impact on provision of healthy food options to clients dependent on the state. Funding Disclosure: CDC 805 funds
A-80
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
September 2014 Suppl 2—Abstracts Volume 114 Number 9