Annual/Termination Reports:

[12/26/2008] [12/07/2009] [12/16/2010] [12/16/2011] [12/12/2012]

Report Information

Participants

Abdulkadri, Abdullahi (abdulka5@msu.edu)-Michigan State University; Anliker, Jean (janliker@nutrition.umass.edu)-University of Massachusetts; Auld, Garry (auld@cahs.colostate.edu)-Colorado State University; Baker, Susan (sbaker@cahs.colostate.edu) -Colorado State University; Barale, Karen (kbarale@wsu.edu)-Washington State University; Betts, Nancy (nancy.betts@okstate.edu)-Oklahoma State University; Koszewski, Wanda (wkoszewski1@unl.edu)-Michigan State University; Lambea, Maria (lambea@osu.edu)-Ohio State University; Misner, Scottie (misner@ag.arizona.edu)-University of Arizona; Orr, Robin (raorr@illinois.edu)-University of Illinois; Procter, Sandy (procter@ksu.edu)-Kansas State University; Sutherland, Barbara (bsutherland@ucdavis.edu)-University of California-Davis; Tschida, Pat (ptschida@umn.edu)-University of Minnesota; Wardlaw, Mary Kay (wardlaw@uwyo.edu)-University of Wyoming; Welsh, Susan (swelsh@csrees.usda.gov)-CSREES; Wilson, Mary (wilsonm@unce.unr.edu)-University of Nevada-Reno

Brief Summary of Minutes

Because this was NC1169 first annual meeting and included a number of scientists not part of the writing team, we began with a review of the proposal, objectives, proposed activities and timelines. Subsequently, the bulk of the time was spent in small group work (divided by project objectives).

Administrative guidelines for publications and use of data were drafted and will be confirmed by whole committee. Scientists (2-3) who take the lead on writing are first authors with others involved listed alphabetically after leads. Given size of group, it is unlikely that everyone can be listed on each publication but all will be included in acknowledgements. Presentations at professional meetings will follow similar guidelines. NC1169 data is for the use of the entire committee but individual states can analyze and publish state data. Data, publications, and presentations from spin off projects are under control of those conducting those projects.

New officers were elected and a policy for staggering leadership was set. 2008-2009 executive committee: co-chairs (S. Baker, G. Auld), secretary (S. Procter), co-vice chairs (W. Koszewski, M. Wilson), objective leaders (N. Betts, W. Koszewski).

A project website and list serve will be developed when all involved stations/scientists are confirmed.

Discussion and identification of different station support for NC1169 - support varies from about $1000 to cover travel to $6000 to $12,000 to support research activities, graduate assistants, and participant incentives.

Objectives 1 and 2  in context of identifying new or modified evaluation tools for testing, discussed issues related to paraprofessional training, need (or not) for specific nutrient analyses, pre/post vs. retrospective pre/post testing, quality of match between behavior checklist items and best practices as well as correspondence with common curricula. Overall goal refined to integration of a dietary assessment and behavioral checklist that addresses the Dietary Guidelines and accurately measures changes in behaviors related to the Dietary Guidelines.

States involved with objective 3  (9) are piloting the Quality of Life (QOL) instrument among paraprofessionals (n = 75) and/or participants (n = 200). The pilot should be complete by fall 2008 in time for next annual meeting. Procedures for conducting free listings, and focus groups with paraprofessionals, stakeholders and program graduates being drafted as are procedures for conducting phone interviews with EFNEP professionals (supervisors of paraprofessionals). A Spanish translation of QOL will be drafted by Arizona. Existing QOL tool being piloted is too long for regular EFNEP evaluation but could be used with subsets of participants or shortened based on the pilot work.

Agreed that 2009 meeting will be held in Chicago at Illini Center in October.

Accomplishments

Short-term Outcomes: None at this time.<br /> <br /> Outputs: None at this time.<br /> <br /> Activities: (Completed) formed workgroups by objectives; designed and started quality of life pilot research project; established conference call schedules by objective (monthly) and executive committee (quarterly).<br /> <br /> (Planned) confirm involvement of scientists who were not at meeting; develop project website and list serve; collect quality of life pilot data<br /> <br /> Milestones: (Completed) implementation of quality of life pilot research project; appointment of executive committee and draft of processes for writing/authorship of publications.<br /> <br /> (Future) Objectives 1 and 2  compile annotated bibliography related to evaluation of EFNEP and dietary assessment; consolidate behavior checklist items for testing; identify criteria for judging validity and practicality of behavior check list and dietary assessment.<br /> <br /> Objective 3 Complete quality of life pilot data collection and analyses; develop focus group and professional interview protocols; develop and implement free listing and/or flip chart protocols.<br />

Publications

Project has just begun; no publications at this time.

Impact Statements

1. The literature review described above will be available to other community nutrition programs targeting limited resource audiences.
2. The validated dietary assessment tools, including the behavior checklist, linked to the Dietary Guidelines will be appropriate for use by EFNEP and other community nutrition programs.
3. Confirmation that the value of EFNEP extends beyond nutrition related knowledge and behavior, i.e., Quality of Life, might be critical to more accurately assessing EFNEPs impact and identifying influences on participants who make lifelong, sustainable changes in their lives.
4. Indicators: As a result of this project, EFNEP (and other community nutrition programs) will have valid and reliable evaluation tools to use in measuring programs effectiveness (knowledge gained, behaviors changed) that will include Quality of Life indicators.

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Report Information

Participants

Abdulkadri, Abdullahi (abdulka5@msu.edu)-MIchigan State University; Auld, Garry (auld@cahs.colostate.edu)-Colorado State University; Baker, Susan (sbaker@cahs.colostate.edu)-Colorado State University; Barale, Karen(kbarale@wsu.edu)-Washington State University;Joyce McDowell(mcdowell.1@osu.edu)-The Ohio State University; Betts, Nancy (nancy.betts@okstate.edu)-Oklahoma State University; Koszewski, Wanda (wkoszewski1@unl.edu)-University of Nebraska-Lincoln; Misner, Scottie (miser@ag.arizona.edu)-University of Arizona; Orr, Robin (raorr@illinois.edu)-University of Illinois; Procter, Sandy (procter@ksu.edu)-Kansas State University; Jan Scholl (jscholl@psu.edu)-Penn State University; Sutherland, Barbara (bsutherland@ucdavis.edu)-University of California-Davis; Wardlarw, Mary Kay (wardlaw@uwyo.edu)-University of Wyoming; Welsh, Susan (swelsh@csrees.usda.gov)-CSREES; Wilson, Mary (wilsonm@unce.unr.edu)-University of Nevado-Reno; Kate Yerza (kyerxa@umext.maine.edu)-University of Maine

Brief Summary of Minutes

NC 1169 Annual Meeting Minutes--Summary Version
October 1-3, 2009

Abdullah Abdulkadri  MSU Cost Benefit  1) CBA of EFNEP and SNAP-ed in Michigan, 2) gather data and do groundwork to apply for USDA grant. Have approximately 200 participants at this time.

Mary Kay Wardlaw  Dissertation research. Understanding long-term effects of nutrition education on low-income adults in Wyoming (spring 2009). Looked at graduates at least one year and up to 4 years after graduation; mix of both quantitative and qualitative methods.

John Kirby. Referred to discussion of urban-rural interface  this will become a serious source of expanded funding; our group is well-positioned to take advantage of this  for world and domestic hunger. John reminded us to publish our results and perhaps to put on a symposium at annual meeting  gets stakeholders in for a day, put out proceedings.

Objective 1-2 Review:
States represented on these objectives includes: OK, WY, NV, WA, PA, MA, UT, CO.
Looking closely at measures of dietary quality; working on a matrix with methods/challenges; how to put things together for an optimal set of tools for dietary quality and behaviors. There are funding opportunities for NIH. They are looking for research testing dietary behaviors focused on low income, racial/ethnic minorities. Plan to submit R21 next June; may not get the grant but will get enough feedback for second submission. Look at AFRI to see if we can tweak to fit. By January will have the literature review ready; working to get supplement for JNEB. Need potential sponsors - $10,000. Four states (OK, NV, WY, CO) will look at an electronic ASA24 with multiple pass methods. This will serve to inform the literature review re: methods and that work will be a publication.

Objective 3 Review:
Working on QOL pilot. Two groups of clientele: entry paras and new participants. We have completed the Time 1s, and some prelim data on Time 2 and Time 3 to be completed in 2010. Under being and belonging aspects, we are starting to see some significant differences. We are also noting some racial/ethnic differences. Pubs  hope to bring one to this group next year. Collecting success stories from states who helped with QOL quantitative study. Illinois is taking lead on interviews; we wait for IRB approval, with coordinators, paraprofessionals and participants.
Focus groups, to be in late spring, summer 2010-- Kansas and Maine hope to be leading on this.

Jan Scholl - Bibliography, found 535 studies. Has done compilation of EFNEP publications. Allows us to see what might be needed; it allows us to reach legislators when they ask what is research base. Basic web format could be done for $5000. For another 5 to 10 thousand, could include all works done with all low income nutrition.

Leadership structure for the next year: Susan B. and Wanda K. will be co-leaders of project. Objectives 1 and 2: Nancy Betts, leader; Karen Barale, secretary. Objective 3: Garry A. and Sandy P., co-leaders; Kate Y. secretary.

Current web address: http://groups.google.com/group/nc1169, current email address: nc1169@googlegroups.com

Objective 1-2 Group Work

This literature review is the beginning manuscript for objective 1. Its also the ground work for an AFRI and/or R21/R01 proposal.

We reviewed the different tools:
Food Frequency Questionnaires (FFQ)
Cognitive process necessary for this type of tool  our participants are concrete thinkers and a lot of the FFQ questions are abstract. Its the impact of the program  finding sensitive measures of how the program is working. Need tools to make the measures so that we can say there is a change in behavior in food safety, food resource management, and dietary practices. What helps us prove our effectiveness, sustain and improve our program? We look at print out and changes in food groups, but we look harder at FBC.

FFQ, 24 hr recall, etc  all have good/bad point
Do a matrix with meta analysis. Use the matrix to look for gaps between audiences and various dietary intake methods.

ASA24
Its an online tool, cant be downloaded or used on a handheld at this point. Need to know if our clientele can do the computer. Avail in English and Spanish, which would cover about 70% of current enrollees.

Lit review
What done now? What methods are used to measure behaviors now? What are the learner objectives of program? What do we need to measure in this program? How well do current methods work at getting what we need? What are challenges and issues?
How can we combine the best of the current methods to get what we need.?

Need to think about use of retrospective pre/post. Is it a good choice for us? Look at literature. Jean A. said she would look into it.

Objective 3: Group Notes

Timeline:
We still have data coming in; MS student from CSU will continue on with project for her PhD
" Oct 09 and spring, 2010. Conduct and analyze QOL interviews, transcribe interviews and analyze data.
" Summer 2010 -- Report findings to work groups
" July of 2010  Dec. 2010. Focus groups.
" Oct 09  Oct 2010. Continue lit review for other tools that may be involved
" Oct. 09 to Spring 2010 -- Qualitative study on EFNEP success stories.
" Cost-benefit study timeline  two aspects of MSU program. 1) pilot  submitted AFRI grant. Pilot end Sept. 2010. If AFRI grant is funded, will have another 3 years. (2013).
" Spring 2010 -- QOL pilot  data continues to come in. Time 2 and 3 data still coming in. Finish analysis of pilot.
" Identify and collect array of QOL tools to investigate, modify and adapt.
" Work on AFRI proposal  suggested that we add a former reviewer of NRI, or similar, grant to help us hit the target. Hope to use these funds to develop tool future use.

Focus Groups will be conducted considering the following parameters:

EFNEP Front line staff EFNEP Participants
Phone Focus Groups In person focus groups
Purposeful random sample
Higher, lower tiers
Indiv and groups
Rural and urban
Male, female (Maine has male)
If we can ascertain and link that EFNEP affects QOL, leading to self-sufficiency& it could lead to cost savings.
Our meeting in 2010 is planned for October 14  16, in Chicago.

Accomplishments

Accomplishments: <br /> Objective 1-2 work group will complete a literature review and matrix on dietary assessment methods. The group plans on submitting a R21 in June and will begin piloting some tools.<br /> Objective 3 work group will complete the Quality of Life (QOL) pilot study, a qualitative analysis of EFNEP success stories, conduct phone interviews with EFNEP coordinators, partners and exemplary paraprofessionals, and conduct focus groups with paraprofessionals and participants. All of the above will be related to QOL. This group will also continue to gather quantitative QOL tools in order to identify the best fit for EFNEPs purposes.<br /> <br /> Short-term Outcomes: None at this time.<br /> <br /> Outputs: <br /> <br /> - Comprehensive (over 500 citations) bibliography of ENFEP related research.<br /> - Matrix summarizing Dietary Assessment tools for use with limited resource audiences. Each tool was evaluated for its challenges in implementing with a limited resource audience in individual or group settings, as well as tool characteristics relative to sensitivity, respondent burden, detail, etc. <br /> - Mary Kay Wardlaw Dissertation (University of Wyoming) on long-term effects of nutrition education low-income audiences (see publications)<br /> - Preliminary QOL Pilot results in 8 states confirmed that some QOL attributes for both participants (n = 138) and paraprofessionals (n-22) appear to be influenced by EFNEP, justifying continued research in this area.<br /> <br /> Activities:<br /> <br /> - Trained students (Illinois) to conduct phone interviews with EFNEP coordinators, partners and paraprofessionals.<br /> - Trained student (Neb) to qualitatively analyze EFNEP success stories from eight states.<br /> - Monthly calls within both objective groups to coordinate activities<br /> <br /> Milestones: <br /> <br /> - Initiation of QOL pilot study in 8 states.<br /> - Completion of EFNEP research bibliography (J. Scholl).<br /> <br />

Publications

Publications:<br /> Wardlaw, M.K., (2009). Understanding long-term effects of nutrition education on low-income adults in Wyoming, Dissertation, U Wyoming.<br />

Impact Statements

1. Impacts: 1. The literature review described above will be available to other community nutrition programs targeting limited resource audiences.
2. The validated dietary assessment tools, including the behavior checklist, linked to the Dietary Guidelines will be appropriate for use by EFNEP and other community nutrition programs.
3. Confirmation that the value of EFNEP extends beyond nutrition related knowledge and behavior, i.e., Quality of Life, might be critical to more accurately assessing EFNEP&lsquo;s impact and identifying influences on paricipants who make lifelong, sustainable changes in their lives.

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Report Information

Participants

" Baker, Susan (sbaker@cahs.colostate.edu)-Colorado State University;
" Barale, Karen(kbarale@wsu.edu)-Washington State University;
" Betts, Nancy (nancy.betts@okstate.edu)-Oklahoma State University;
" Forsythe, Hazel (nfshazel@email.uky.edu) University of Kentucky;
" Koszewski, Wanda (wkoszewski1@unl.edu)-University of Nebraska-Lincoln;
" McDowell, Joyce (mcdowell.1@osu.edu)-The Ohio State University;
" Misner, Scottie (miser@ag.arizona.edu)-University of Arizona;
" Phelps, Josh (a.phelps@okstate.edu) Oklahoma State University;
" Procter, Sandy (procter@ksu.edu)-Kansas State University;
" Weatherspoon, David (weathe42@msu.edu)-Michigan State University;
" Wilson, Mary (wilsonm@unce.unr.edu)-University of Nevada-Reno;
" Wong, Siew Sun (siewsun.wong@usu.edu)-Utah State University;
" Yerza, Kate (kate.yerxa@umext.maine.edu)-University of Maine;
" Hamernik, Debra (dhamernik2@unl.edu) Administrative Advisor;
" Welsh, Susan (swelsh@csrees.usda.gov) CSREES;
" Phelps, Josh (a.phelps@okstate.edu) Oklahoma State University;
" McGirr, Katie (karogers@cahs.colostate.edu) Colorado State University;
" Hvalacek, Megan (mlhvalacek@jacks.sdstate.edu) University of Nebraska;

Brief Summary of Minutes

NC 1169 Annual Meeting Minutes Summary Version October 14-16, 2010
Dr Deb Hamernik. Welcomed her to the workgroup as the new Administrative Advisor to NC1169. NC1169 will be undergoing a mid-term review in early 2011, completed by NCRA and multi-state research committee.

Helen Chipman, National Program Leader for EFNEP. She provided an update on new reporting system to replace NEERS5. Katherine Cason (member of this group) and Clemson have the three year project to develop and implement the new online system. It would be wonderful if what comes from this group helps to guide the system. She met with Joanne Spahn, new division director for CNPP Evidence Analysis Library Division, they are currently undertaking a project focusing on Nutrition Education.

Workgroup updates:
Objective 1 and 2: Developed a survey based on grid developed at last annual meeting; sent to EFNEP coordinators with 35 responses; article drafted for submission to JOE. Working on the literature review keeps shifting focus. Plan is to set focus and finalize at this meeting. Conducting ASA24 Pilot are EFNEP participants capable at entering a 24-hour recall online (multi-pass method); also comparing online data entered with written 24 hr recall. Six states participating. Developing NIH RFA;focused on how to collect valid and reliable data from low-income individuals. Plan on submitting this summer.

Objective 3: QOL survey pilot study completed. EFNEP paraprofessional, professionals, and community partners telephone interviews underway. Thirty-one interviews completed and transcribed to date. Still have to analyze interviews, and still have about 30 more interviews to complete.
o 9 states on the original interview list, goal to have 2-3 paraprofessionals, 1-2 professionals, and 1-2 community partners from each state
o States chosen based on EFNEP tiers
Working on QOL lit review and methods of interview portion. Susan and Garry  have a new graduate student to focus on the QOL instrument for objective 3 and have also found a colleague at CSU who has focused on QOL and is just about to publish a review article that compares QOL instruments.

Presentation on QOL Research on EFNEP Qualitative Data: Megan Hlavacek, MS Graduate Student, University of Nebraska presented her thesis project on the qualitative analysis of EFNEP qualitative data. She identified seven major themes. She is working on publication for the Journal of Public Health.

The NC 1169 participants practiced with the ASA 24 and provided feedback to the Objective 1 and 2 workgroup.

Meeting Accomplishments:
Objective 1 and 2: Completed timeline with benchmarks; Reviewed budgets/funding ; Completed Impact Statement ; Develop one pager for R21 by the end of February for Josh to take to program officer at NIH in March; Letter of Intent in September for R21 with October submission; and Planned publications:
" Survey of coordinators Jan 15 to JOE
" ASA24 Pilot - June 1, 2011
" Lit review focus set and plan for publication in supplement style

Objective 3: Time line completed with benchmarks; Developed proposal for session at SNE-finalize and submitted on Oct 21. Session will be cosponsored by KSU and FNEE. Three publications are to be done or submitted by next year. One on pilot, one on qualitative analysis - Feb, and on review of lit late Summer early Fall. Complete interviews by Feb, with analysis Feb-Oct. Proposal for session at EFENP Washington DC conference to share QOL with coordinators and also propose qualitative impact statements for nationwide data collect. Need Coordinator buy-in and suggest questions to consider when collecting data, what quantitative instrument will look like in future. And then collect data and do reliability/validity. Impact statement completed. Budget: Have money; not a lot but has enough to do a few things now: finish interviews, webinars, support grad students, plenary money for SNE and speaker costs. Annual report info completed.

Publication guidelines were discussed. Committee to send out document to the NC 1169 committee for feedback.

Participants agreed to meet in Nebraska on October 20-22, 2011. Mid-Year Electronic Meeting, March 25, 2011 at 9:00 PT/10:00 MT/11:00 CT/12:00 ET.

Accomplishments

Accomplishment: In the past three years, Jan School has located 564 citations related to EFNEP research. The studies are specific to EFNEP though there are many worthy studies related to low-income families and nutrition education. A proposal was made to AgNIC (National Agricultural Library) for funding. Funding was acquired to put the citations on-line. She has met with the librarians at Penn State and the web developer and they are finalizing this effort. <br /> <br /> Output: An article in the Family and Consumer Sciences Research Journal was accepted and will be published in the spring 11. This article outlines the process by which the studies were found and gives an analysis of 13 research questions based on the 564 citations. <br /> <br /> Accomplishment: Completed a survey of EFNEP Directors examining the challenges of conducting dietary assessments. <br /> <br /> Output: Survey was administratored and anlayzed. Publication is ready for submission for Spring, 2011.<br /> <br /> Accomplishment: Refocused and reassigned sections of literature review (objective 1) which will form the basis of an NIH grant proposal.<br /> <br /> Output: Publication is currently being drafted and will be sumbitted by Summer, 2011. <br /> <br /> Accomplishment: Developed pilot study with data collection currently underway to determine the feasibility of using electronic dietary assessments with EFNEP clients.<br /> <br /> Output: Study is in the implementation phase and completion timeline is Spring/Summer, 2011 with publication submission planned for Fall, 2011.<br /> <br /> Accomplishment: Completed data collection on the QOL Pilot. EFNEP participants on the QOL tool was primarily determined to be in "being" category and the paraprofessionals were in "belonging" category with both demonstrated significance in the "social" category belonging.<br /> <br /> Output: Masters thesis completed in August, 2010. Publication to be prepared for submission by Spring 2011.<br /> <br /> Accomplishment: Finished QOL on Success Stories. Thesis results presented at NC1169 annual meeting and shared with the National Office and administrative adviser. <br /> <br /> Output: Master student thesis completed in December, 2010. Publication to be prepapred for submission by Spring, 2011.<br /> <br /> Accomplishment: Quality of Life data were shared with National EFNEP office for consideration for potential use in the web-based EFNEP reporting system.<br /> <br /> Accomplishment: Present project results at the 2010 EFNEP Coordinators Meeting in Washington DC to federal and state EFNEP leaders. Have been invited to present an update of the NC 1169 project at the 2011 EFNEP Conference (February, 2011).<br /> <br /> Accomplishment: Develop and submitted a proposal on Quality of Life Research to the Society of Nutrition Education as a plenary/concurrent session.<br /> <br /> Accomplishment: QOL interviews, using instrument we piloted, are currently being conducted with exemplary paraprofessionals, EFNEP state coordinators and partners. Transcription of the interviews is also underway. Data collection (approximately 50% complete) is on schedule to be complete by Summer, 2011, with analysis done by Fall, 2011. Publications are targeted for submission by Winter, 2012.

Publications

Scholl, Jan, Paster, Amy, & Jankowski, Brianne. (2011). Establishing a research based for the Expanded Food and Nutrition Education Program. Family and Consumer Sciences Research Journal.(in press)<br /> <br /> Hlavacek, Megan. (2010) Qualitative Study to determine quality of life factors based on reported EFNEP Sucess Stories. University of Nebraska, Master Thesis.<br /> <br /> Bauer, Laura (2010) Assessment of the Quality of Life (QOL) Profile as an EFNEP evaluation tool. Colorado State University, Master Thesis.<br /> <br /> Four additional manuscripts are in the preparation stage<br /> <br />

Impact Statements

1. Quantified participant stories about experiences in and as a result of EFNEP as a measurable tool to determine impact of EFNEP upon participants QOL.
2. Developed a model to synthesize participant stories about experiences in and as a result of EFNEP to determine impact of EFNEP on participants.
3. Improved methods of determining dietary intake of low income adults through examination of dietary intake assessments and testing new methods.
4. Improvements in nutrition education delivery through the EFNEP program due to more accurate and reliable measures of dietary intake and behavior.

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Report Information

Participants

Auld, Garry (gauld@cahs.colostate.edu)- Colorado State University
Baker, Susan (sbaker@cahs.colostate.edu)-Colorado State University
Barale, Karen(kbarale@wsu.edu)-Washington State University
Betts, Nancy (nancy.betts@okstate.edu)-Oklahoma State University
Forsythe, Hazel (nfshazel@email.uky.edu) University of Kentucky
Koszewski, Wanda (wkoszewski1@unl.edu)-University of Nebraska-Lincoln
McDowell, Joyce (mcdowell.1@osu.edu)-The Ohio State University
Misner, Scottie (miser@ag.arizona.edu)-University of Arizona
Phelps, Josh (a.phelps@okstate.edu) Oklahoma State University
Procter, Sandy (procter@ksu.edu)-Kansas State University
Scholl, Jan (jscholl@psu.edu)-Penn State University
Wardlaw, Mary Kay (wardlaw@uwyo.edu)-University of Wyoming
Weatherspoon, David (weathe42@msu.edu)-Michigan State University
Wilson, Mary (wilsonm@unce.unr.edu)-University of Nevada-Reno (via internet)
Wong, Siew Sun (siewsun.wong@usu.edu)-Utah State University
Yerza, Kate (kate.yerxa@umext.maine.edu)-University of Maine
Hamernik, Debra (dhamernik2@unl.edu) Administrative Advisor
Welsh, Susan (swelsh@csrees.usda.gov) CSREES
Behrends, Donnia (dbehrends2@unl.edu)-University of Nebraska-Lincoln
Fischer, Jean Ann (jfischer6@unl.edu)-University of Nebraska-Lincoln
McCaffrey, Jennifer (jmccaffr@illinois.edu )-University of Illinois
Gills, Susan (sgills@ymail.com)-Colorado State University
Infante, Natalie (natalori31@yahoo.com)-Colorado State University
Murray, Erin (ekmurray@comcast.net)-Colorado State University

Brief Summary of Minutes

The meeting was held in Lincoln, NE at the University of Nebraska-Lincoln East Campus from October 20 to October 22, 2011. Dr Susan Welsh from NIFA reviewed the changes in administration at NIFA. She discussed the upcoming budget for FY12 and what may impact NIFA. The next AFRI childhood obesity proposal requests will be focused on the 15-18 age group. The next NIFA-AFRI meeting will be via web in November and then the plan is to do something in person at SNEB which will be in DC in July, 2012. Deb Hamernik welcomed the group to the UNL campus. The NC1169 group had its midterm review earlier in 2011 and there were no comments, suggestions or concerns. The project is in good shape. Deb reviewed the timeline in developing and submitting another 5 year project. The NC1169 group will begin work on the new proposal in 2012.

Jan Scholl had an article published in Family & Consumer Sciences Research Journal. Jan shared information about the searchable database for studies related to 4-H and EFNEP. Searches can be done by keyword or author. Some studies go back prior to EFNEP starting, as far as 1922, to capture some early extension research on obesity. Future work will expand the database to include more low-income nutrition studies and curriculum offerings. http://www.libraries.psu.edu/psul/lifesciences/agnic/EFNEP/EFNEPdatabase.html

Jan was honored U.S. Department of Agriculture's National Institute of Food and Agriculture for the development of a national research database for studies related to 4-H and the Expanded Food and Nutrition Education Program.

Workgroup 1 & 2 prepared our impact statement and drafted objectives for the project renewal proposal. We worked on the literature review identifying the key elements to share in a final paper. Through this discussion, we mapped out a series of tasks and research efforts to move towards an enhanced behavior checklist that will address standardized staff training and provide an appropriate, valid and reliable assessment for low income adults. We will investigate to see if some of this work can be funded through an NIH grant. A paper reporting the results from our survey of EFNEP Coordinators was submitted to JOE last February. The preliminary findings from ASA 24 electronic vs. dietary recall study are completed. A team will work on writing paper for submission. We established a timeline for the workgroup and discussed research projects for the graduate students.

Workgroup 3 discussed the submission of the success story publication to the Journal of American Public Health and the development of the manuscript from the pilot QOL Project. Natalia Infante provided an overview of the work being completed on the QOL interviews of EFNEP paraprofessionals, professionals, and community partners. Funding to develop the tool and test it on a national level was discussed. Possible grant would be the PepsiCO grant on either nutrition education or food security. The group reviewed the scripts for the process for recruitment for the focus group phase of the research project. Dr Michael Steger joined the group via videoconferencing to discuss the research possibilities in developing a QOL tool for EFENP. Dave Weatherspoon from Michigan State outlined the cost-benefit type of data we would need to collect in order to do an updated CBA study. This is probably an approach we would try to apply to the next five year project. A revised timeline was developed and objectives for the next five year project were drafted.

The group discussed the outline for publications. Developed a root and shoot format. Twice a year the two workgroups will update the publication committee on what publications have been submitted and what is in development.

Leadership for 2011-2012 will be Wanda Koszewski and Mary Kay Wardlaw for the overall NC1169 project. Nancy Betts and Karen Barale for the Objective 1 and 2 workgroup and Garry Auld and Sandy Procter for Objective 3 workgroup.
A midyear webinar meeting was set for April 27, 2012 starting at 11:00 a.m. Eastern Time. The annual meeting will be in Fort Collins, CO October 11-13, 2012.

Accomplishments

Accomplishment: Completed a survey of EFNEP directors examining the challenges of conducting dietary assessments. <br /> Output: Publication has been prepared and submitted.<br /> <br /> Accomplishment: Completed a pilot study to determine the feasibility of using a computer-based, self-administered dietary assessment tool with EFNEP clientele with data analysis underway.<br /> Output: Publication is being prepared.<br /> <br /> Accomplishment: Drafted the literature review (objective 1) which will form the basis of an NIH grant proposal and identified gaps in research addressing dietary assessment of low income audiences.<br /> Output: Publication is being prepared. Pursuing submission of grant.<br /> <br /> Accomplishment: Established a searchable data-base of EFNEP literature and published a paper about the data base.<br /> Output: Publication in print. Website is available and will be continually updated. <br /> <br /> Accomplishment: Successfully recruited graduate students to conduct research.<br /> Output: Three graduate students have been recruited from Colorado State University. Two PhD students (Susan and Erin) will work on projects related to Objective 1 and 2. Natalia helped to complete the data collection on the QOL interviews and will complete dissertation research with objective 3 on Quality of Life.<br /> <br /> Accomplishment: QOL Pilot Project completed data collection on the QOL Pilot.<br /> Output: EFNEP participants on the QOL were primarily in being category and paraprofessionals were in belonging, but both demonstrated significance in the social belonging.<br /> Output: Publication to be prepared for submission by Spring, 2012. <br /> Output: We presented expert panel speaking on Pilot project at SNE in Kansas City, MO as part of the session on QOL research, and gained new member for Objective 3 research project from University of Illinois Extension. <br /> Accomplishment: Masters Student graduated in December, 2010. <br /> Output: MS thesis completed on A Qualitative study on EFNEP qualitative stories and the impact of the program on quality of life. Publication on the thesis will be submitted in December, 2011 to the Journal of Nutrition Education and Behavior as a research brief.<br /> <br /> Accomplishment: Qualitative Stories QOL research at the National EFNEP Coordinators meeting in Washington, DC, March, 2011.<br /> <br /> Accomplishment: Data from projects were shared with the National office and will be provided for use in the web-based EFNEP reporting system.<br /> <br /> Accomplishment: Project update (NC1169) presented at the March 2011 EFNEP Coordinators Meeting in Washington DC to federal and state EFNEP leaders.<br /> <br /> Accomplishment: Presented a concurrent session at the Society of Nutrition Education Annual Meeting in Kansas City, MO on Quality of Life in July, 2011.<br /> <br /> Accomplishment: Completed 57 phone interviews with agency partners, paraprofessionals, and EFNEP state coordinators. This research focused on the impact of EFNEP on the quality of life of participants and paraprofessionals.<br /> <br /> Accomplishment: The three initial phases of research planned for this project have been completed as scheduled (pilot, qualitative stories, and interviews). <br /> Output: Development of training piece for focus group project within Objective 3 is underway. This project involves a multi-state effort and will be completed in spring 2012. <br />

Publications

Scholl,J., Paster, A., and Jankowski, B. 2011. Establishing a research base for the Expanded Food and Nutrition Education Program. Family & Consumer Sciences Research Journal. 39:279-288.

Impact Statements

1. Improved methods of determining dietary intake of low income adults through examination of dietary intake assessments will provide practitioners with a better understanding of impacts of the program.
2. More accurate and reliable measures of dietary intake and behavior will improve nutrition education delivery through the EFNEP program.
3. The data base will allow program directors and researchers to build upon existing knowledge to improve the delivery of EFNEP programs.
4. Used multiple methods (qualitative and quantitative) to assess and document the impact of EFNEP on participants and paraprofessionals QOL which will lead to valid outcome measures of additional EFNEP impacts.
5. Expanded research team to embrace interdisciplinary aspects of Quality of Life research

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Report Information

Participants

Auld, Garry (Garry.Auld@ColoState.edu) Colorado State University

Baker, Susan (Susan.Baker@colostate.edu) Colorado State University

Barale, Karen (kbarale@wsu.edu) Washington State University

Betts, Nancy (nancy.betts@okstate.edu) (nancy.betts@okstate.edu) Oklahoma State University

Forsythe, Hazel (hazel.forsythe@uky.edu) University of Kentucky

Koszewski, Wanda (wkoszewski1@unl.edu) University of Nebraska-Lincoln

Lambea, Marie Carmen (mlambea@ehe.osu.edu) Ohio State University

Misner, Scottie (misner@ag.arizona.edu) University of Arizona

Procter, Sandy (procter@ksu.edu) Kansas State University

Steger, Michael (michael.f.steger@colostate.edu) Colorado State University

Wardlaw, Mary Kay (Wardlaw@uwyo.edu) University of Wyoming

Weatherspoon Dave, (weathe24@msu.edu) Michigan State University

Wong, Siew Sun (siewsun.wong@oregonstate.edu) Oregon State University

Yerxa, Kate (kate.yerxa@maine.edu) University of Maine

Hamernik, Debra (dhamernik2@unl.edu) Administrative Adviser

Chipman, Helen (hchipman@nifa.usda.gov) NIFA Program Leader, Food and Nutrition Education

Lindau, Joel (Joel.Lindau@colostate.edu) Colorado State University

McGirr, Katie (Kathryn.McGirr@colostate.edu) Colorado State University

Watson, Dwayne (Dwayne.watson@colostate.edu) Colorado State University

Gills, Susan (sgills@ymail.com) Colorado State University

Infante, Natalie (natalori31@yahoo.com) Colorado State University

Murray, Erin (ekmurray@comcast.net) Colorado State University

Brief Summary of Minutes

Presentations:

Update from Federal Partners: Dr. Jane Clary, Dr. Helen Chipman, Dr. Diedre Chester

Words from our Administrative Advisor: Dr. Deb Hamernik

Research Updates from PhD students: Natalia Infante, Susan Gills, Erin Murray

Health Cost Benefits and Effectiveness Methods presentation: David Weatherspoon

Updates from each team, Dietary Assessment and Behavior (DAB) and Quality of Life (QoL).

Work Group Summary:

Dietary Assessment and Behavior: The group prepared accomplishment and impact statements. Objectives and methodologies for the project renewal proposal were discussed and developed. This discussion included the work of three PhD students to move towards an enhanced behavior checklist that will address standardized staff training and provide an appropriate, valid and reliable assessment for low income adults. Submitted an NIH RO1 grant proposal comparing the validity of two 24-hour dietary recall methods in adult Hispanic Women. Manuscripts have been prepared and submitted on the survey of EFNEP Coordinators, dietary assessment literature review, and feasibility study on computer-based 24-hour recall.

Quality of Life: The group prepared accomplishment and impact statements. Established milestones and a timeline for next 5 years and developed objectives and outcomes for the project renewal. Developed protocol for transcriptions for Spanish-speaking focus groups and for creating homogeneous focus groups. Revised cost benefit objective. Discussed control groups for QoL survey with participants and paraprofessionals.

Future:

Leadership for the teams were determined as well as future meeting dates via teleconference, webinar and face-to-face. The 5-year renewal proposal will be submitted.

Accomplishments

1. Presented poster at the Society of Nutrition Education and Behavior meeting in July, 2012 in Washington DC on EFNEP and Quality of Life.<p> <br /> 2. Quality of Life and EFNEP manuscript submitted to the Journal of Nutrition and Behavior. Output: Publication has been submitted. <p><br /> 3. Analysis of the quality of life interviews is being completed. Output: Graduate student is preparing dissertation based on analysis of quality of life interviews. <p><br /> 4. States have been recruited for the focus group phase of the quality of life research. The states are VA, SC, KS, NE, CO, AZ, OH, and MI. Protocols have been developed. Moderating training DVD is being developed. Webinar will be done for focus group moderators in late 2012 or early 2013. <p><br /> 5. Presented an update on the NC1169 project to federal and state EFNEP leaders at the annual EFNEP Coordinators Meeting in Washington, DC February, 2012. <p><br /> 6. Analyzed data and submitted manuscript from survey of EFNEP directors examining challenges of conducting dietary assessments. Output: Publication has been submitted. <p><br /> 7. Completed analysis and submitted manuscript from pilot study to determine feasibility of using a self-administered, computer-based dietary assessment tool with EFNEP clientele. Output: Publication has been submitted. <p><br /> 8. Completed a comprehensive literature review and submitted manuscript on dietary assessments for low-income audiences. Output: Publication has been submitted.<p><br /> 9. The searchable database for EFNEP research literature is continually updated. <p><br /> 10. One PhD student completed data collection; two PhD students completed research proposals. <p><br /> 11. Started focus groups of EFNEP clientele on their perceptions of the 24-hour dietary recall.<p><br /> 11. Submitted an NIH R01 grant proposal, June 2012: Comparing validity of two 24-hour recall methods in adult Hispanic Women. <p><br /> 12. Drafted proposal for next 5-year project.<p>

Publications

<br /> Scholl, J., & Paster, A. (2001, Fall). Locating analyzing and making available a century research studies, 1911-2011. Journal of Youth Development,6(3):65-91.<br /> <br /> Scholl, J. (2011, Winter). Film drama educated the public about food, 1911-2931. Convivium Artium, http://flan.utsa.edu/conviviumartium/convivium/Home.html.<br /> <br /> Scholl, J., Syracuse, C., & Kneip, C. (2011). Major concerns of families 1984 and 2009: A twenty-five year comparison of public policy issues (including food and nutrition) by the National Extension Association of Family and Consumer Sciences. Journal of NEAFCS,6:76-85.

Impact Statements

1. Multiple methods (qualitative and quantitative) to assess and document the impact of EFNEP on participants and paraprofessionals QoL will lead to valid outcome measures of additional EFNEP impacts.
2. Identified major themes of EFNEPs impacts from interviews of 1) paraprofessionals, 2) EFNEP professionals and 3) individuals from community partnerships.
3. Expanded research team to embrace interdisciplinary aspects of Quality of Life research
4. Improved methods of determining dietary intake of low income adults through examination of dietary intake assessments will provide practitioners with a better understanding of impacts of the program.
5. More accurate and reliable measures of dietary intake and behavior will improve nutrition education delivery through the EFNEP program.
6. The data base will allow program directors and researchers to build upon existing knowledge to improve the delivery of EFNEP programs.

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