NC_old1193: Using Behavioral and Environmental Tools to Identify Weight Related Factors Associated with Health in Communities of Young Adults

(Multistate Research Project)

Status: Inactive/Terminating

Project Menu

SAES-422 Reports

Annual/Termination Reports:

[03/30/2017] [04/02/2018] [05/23/2019] [11/26/2019] [01/25/2021]

Date of Annual Report: 03/30/2017

Report Information

Annual Meeting Dates: 01/30/2017 - 02/03/2017
Period the Report Covers: 10/01/2016 - 09/30/2017

Participants

• Brown, Onikia (onb0001@auburn.edu) - Auburn University;
• Byrd-Bredbenner, Carol (bredbenner@aesop.rutgers.edu) - Rutgers University;
• Colby, Sarah (scolby1@utk.edu) – University of Tennessee;
• Franzen-Castle, Lisa (lfranzen2@unl.edu) - University of Nebraska;
• Greene, Geoffrey (gwg@uri.edu) - University of Rhode Island;
• Horacek, Tanya (thoracek@syr.edu) - Syracuse University;
• Kattelmann, Kendra (kendra.kattelmann@sdstate.edu) - South Dakota State University;
• Kidd, Tandalayo (martan@ksu.edu) - Kansas State University;
• Morrell, Jesse (jesse.morrell@unh.edu) – University of New Hampshire;
• Mosby, Terezie (terezie.mosby@msstate.edu) – Mississippi State University
• Olfert, Melissa (melissa.olfert@mail.wvu.edu) - West Virginia University;
• Shelnutt, Karla (kpagan@ufl.edu) - University of Florida;
• White, Adrienne (awhite@maine.edu) - University of Maine;

Brief Summary of Minutes

Minutes Attachment:

brief summary.docx

Accomplishments

This project started October 1, 2016: Evidence-based community research is instrumental in driving change in awareness, behavior and policy activity in the public health sector. Policy change is only effective and far-reaching when strong measures of dissemination and implementation data are available to support trends over time. Without a methodical process to measure and ensure the longevity of such research, valuable concepts are unable to claim impact indirectly or directly of the intended target population. Community based research is often based around low-income or under-represented individuals who would greatly benefit from the evidence-based interventions/programs done in similar populations.  Measuring and giving impact reports back to the community to empower future change across all sectors, especially public health, relies on long-term evidence-based community research to design, implement, capture and report back trends. One such model this research team is using to further understand impact is eB4CAST. eB4CAST was developed using a modified framework of RE-AIM model to capture intervention/program adoption, usability, fidelity and future application in additional target populations. Feedback from committees and stakeholders will be used to modify audits or constructs assessed by surveys. <ul> <li>Short-term Outcomes: As public and private funding across all sectors decreases, it is essential to measure impact and trends over time. Giving reports generated by indirect and direct data sources back to the communities will empower them to have a deep footprint capturing the positive public change and thus assisting in funding sustainability potentially from the community themselves.</li> <li>Outputs: No outputs to report at this time.</li> <li>Activities: The multi-state team is working on capturing environmental data to identify specific components related to healthfulness of the environment. The Healthy Campus Environmental Audit (HCEA) is a comprehensive series of objective assessments to determine the environmental supports for health promotion and obesity prevention. The audit includes the most important evidence-based health promotion, food/dining, physical activity education and infrastructure environmental factors that might influence consumer behavior. The HCEA evaluates cafeteria/restaurants, convenience store, vending, recreation programs/facilities, walkability/bike-ability, and initiatives and policies. The HCEA is applicable for a variety of campus types: worksites, schools, college/university, hospitals, and communities. The extensiveness of the implementation of this audit is decided by the campus team. The HCEA can be used in entirety to understand the full food/physical activity/health promotion environment, by evaluating a sampling of venues for each audit, or simply to evaluate one specific venue (e.g. a restaurant, a store, a vending machine, a recreation facility, etc.).  The HCEA can be used to document, monitor, and advocate for health-facilitating campus environmental and policy supports and changes.  <ul> <li>The Full Restaurant Evaluation Supporting a Healthy (FRESH) Dining Environment Audit evaluates the nutrition environment of dining establishments including restaurants (fast food, sit down, cafes), dining halls, cafeterias, buffets and food courts [53]. The audit evaluates the food and preparation descriptions to determine healthfulness of menu items, rather than a nutrient analysis perspective, and the availability/extensiveness of other supports for making healthy dining decisions.</li> <li>The Convenience Store Supporting Healthy Environment for Life-promoting Food (SHELF) Audit evaluates the healthfulness of the food store environment of convenience stores, drug stores, dollar/discount stores, mini-marts, bodegas/corner stores, and food carts [54]. The audit evaluates the presence of healthier foods and the availability/extensiveness of other environmental supports for making healthy food purchasing decisions.</li> <li>Healthfulness Vending Evaluation for Nutrient-Density (VENDing) Audit evaluates the nutrition environment of vending machines (snack, beverage and prepared foods) using nutrient density healthfulness scores and the availability of environmental supports for making healthy vending purchase decisions.</li> <li>Physical Activity Campus Environmental Supports (PACES) Audit evaluates the recreation facilities and programs for a campus environment and the availability and extensiveness of the environmental physical activity supports.</li> <li>Sneakers and Spokes Walkability/Bike-ability Audit is adapted from the Centers for Disease Control and Prevention’s (CDC’s) Healthier Worksite Initiative Walkability Audit and evaluates the safety and quality features of walking/biking path segments on a campus.</li> </ul> </li> <li>Milestones: In Year 1 (2016-17) the revised Healthy Campus Environmental Audit will be tested in a small sample and revised accordingly. In Year 02 (2017-2018) prototype audits of the HCEA will be pilot tested.</li> </ul>

Publications

Impact Statements

Excessive weight gain is associated with increased risk of developing many serious diseases, including cardiovascular disease, hypertension, and type 2 diabetes. Despite extensive efforts to promote weight management, these efforts only reach a small proportion of the population at risk and even effective programs promoting individual behavior change may have limited effectiveness in environments that promote weight gain. Furthermore, there are limited validated tools used to effectively assess the perception of the environment in which these individuals live. Using the ecological perspective to understand how different factors interact to influence food and physical activity behaviors, we can inform more tailored interventions that lead to lasting behavior change. Therefore research is needed to elucidate the combination of individual and environmental factors associated with unhealthy weight gain among our targeted population of young adults, including those in under-represented, low-income communities.

Date of Annual Report: 04/02/2018

Report Information

Annual Meeting Dates: 01/29/2018 - 02/03/2018
Period the Report Covers: 01/01/2017 - 01/01/2018

Participants

Brief Summary of Minutes

See attached 2017 annual report for NC1193.

Minutes Attachment:

SAES-422 Multistate Research Report 2017-2018.pdf

Accomplishments

Publications

Impact Statements

Date of Annual Report: 05/23/2019

Report Information

Annual Meeting Dates: 02/20/2019 - 02/22/2019
Period the Report Covers: 10/01/2018 - 09/30/2019

Participants

Brown, Onikia (onbrown@auburn.edu) – Auburn University; Byrd-Bredbenner, Carol (bredbenner@aesop.rutgers.edu) – Rutgers University; Colby, Sarah (scolby1@utk.edu) – University of Tennessee; Franzen-Castle, Lisa (lfranzen2@unl.edu) – University of Nebraska; Greene, Geoffrey (gwg@uri.edu) – University of Rhode Island; Horacek, Tanya (thoracek@syr.edu) – Syracuse University; Kattelmann, Kendra (kendra.kattelmann@sdstate.edu) – South Dakota State University; Kidd, Tandalayo (martan@ksu.edu) – Kansas State University; McNamara, Jade (jade.mcnamara@maine.edu) – University of Maine; Morrell, Jesse Stabile (jesse.morrell@unh.edu) – University of New Hampshire; Mosby, Terezie (terezie.mosby@msstate.edu) – Mississippi State University Olfert, Melissa (melissa.olfert@mail.wvu.edu) – West Virginia University; Shelnutt, Karla (kpagan@ufl.edu) – University of Florida; Koenings, Mallory (Mallory.koenings@nifa.usda.gov) - USDA; Savaiano, Dennis (savaiano@purdue.edu) – Purdue University.

Participants Attachment:

NC1193 2019 Annual Meeting Report.docx

Brief Summary of Minutes

Accomplishments

Publications

Impact Statements

Date of Annual Report: 11/26/2019

Report Information

Annual Meeting Dates: 10/08/2019 - 10/12/2019
Period the Report Covers: 09/30/2018 - 10/01/2019

Participants

PIs: Franzen-Castle, Lisa-University of Nebraska; Greene, Geoffrey, University of Rhode Island; Kattelmann, Kendra—South Dakota State University; McNamara, Jade—University of Maine; Morrell, Jesse—University of New Hampshire; Peterson, Terezie—Mississippi State University; Olfert, Melissa—West Virgina University; Shelnutt, Karla—University of Florida; Joined via Zoom: Colby, Sarah-University of Tennessee.

Other members: Melanson, Kathleen—University of Rhode Island.

Executive Advisor: Savaiano, Dennis, Purdue University

Students: Christianson, Jenna—student South Dakota State University; Garcia, Elder—student University of Florida

Participants non Present:
Byrd-bredbenner, Carol—University of New Jersey; Brown, Onikia—Auburn University; Kidd, Tandalayo—Kansas State University.

Brief Summary of Minutes

The PIs from the states present shared a summary of activities at their respective institutions. The group decided on the future leadership and committee membership and future meeting dates to maintain research productivity and collaborative work. The meeting minutes will be stored on the Healthy Campus/Community Research Consortium (HCRC) website at http://multistatehcrc.com/. The website is password protected. To request a copy of the detailed minutes email Jesse Stabile Morrell at jesse.morrell@UNH.EDU. The members present also discussed storing data sets and data dictionaries (Project Webhealth, Young Adults Eating and Active for Health (Y.E.A.H.), GetFRUVED, FRUVEDomics, Healthy Campus Environment Audit (H.C.E.A.), URI Nutrition Assessment from previous projects on the HCRC website.

The Policies and Procedure Manual was updated regarding definition of active membership to be in compliance with the NCRA guidelines. The new guidance included in the current manual strongly encourages that any new members have applicable expertise that strengthens and complements the group research.The appendix E was reviewed to ensure all those listed are active members of the group and participating in the objectives. Additionally, we received a request from Kristin Riggsbee, PhD, RDN, a graduate from University of Tennessee, to participate in our group. It was decided to request a CV and review at the November meeting.T

he Conference Grant Committee also discussed opportunities to disseminate the Healthy Campus Environmental Audit (HCEA) tools that we developed. Suggestions included partnering with Partnership for a Healthier America(PHA), Association for Advancement of Sustainability in Higher Education (AASHE), and the American College Health Association (ACHA).The Healthy Campus Index Committee, Behavioral Environmental Perceptions Community Committee, Environmental Assessment Community Committee, and eB4CAST Committee all provided reports with accomplishments and plan of work for next year. The accomplishments will be included in the Accomplishment Section of Appendix D.Plans were made by the Award Committee to submit to the Excellence in Multistate Research Award and the NIFA Partnership Award in 2020.The members present made plans for the renewal for the group. The Renewal Committee will plan a writing meeting in South Dakota in May. We will divide into writing teams for accomplishment of the renewal.

Accomplishments

This project is built on an integrated set of research activities designed to form the basis of a community-based participatory research (CBPR) intervention to promote healthful eating and exercise behaviors in young adults with a goal of preventing unhealthy weight gain. The long-term project goal of NC1193 is to develop tailored, sustainable interventions that incorporate environmental supports and recommended campus/local policies to promote healthful eating-behavior of young adults and to reduce the risk of obesity and other related conditions in young adults using CBPR guided by the PRECEDE-PROCEED model. This project aims to implement a newly developed model with consideration of cross-sector collaborations and to capture sustainability of change in environments, behavior and perceptions on college campuses and in low-income communities. Additionally, there will be continued effort on environment and behavioral instrument development, refinement, validation, and translation, as well as continued exploration of mechanisms of interaction between lifestyle behaviors and environmental factors in influencing healthy behaviors and health status of young adults using previous and ongoing work.   Short-term Outcomes:  <ol> <li>Implement a new dissemination model (eB4CAST) to benchmark community-programing efforts for effectiveness in change and sustainability.</li> </ol> This past year the eB4CAST tool was implemented in the GetFRUVED research project disseminating the refined curriculum targeting 18-25 year olds at higher education institutions, where this dissemination infographic tool was implemented on 75 higher education campuses 69 forecast reports (baseline) and 27 footprint reports.  Outputs include data generated into an action oriented poster, powerpoint and report that is unique to each campus to share with target populations of students, faculty/staff and administrators to continue heightening the awareness of generating the need to make healthy choices streamlined and easy in the campus setting, also peer-review publications have come from this data. <ol start="2"> <li>Continue environment and behavioral instrument development, refinement and validation of the Healthy Campus Environmental Audit.</li> </ol> The Behavioral Environmental Perceptions Survey is a reliable tool for assessing college students’ perceptions of their health-related behaviors and campus environment and was published this year. The Healthy Campus Environmental Audit is composed of six environmental audits that help higher education campuses determine the extent of campus environmental supports for health promotion and obesity prevention: dining halls (FRESH), convenience stores (SHELF), vending machines (VEND), recreation services (PACES), walkability/bikeability (Sneakers and Spokes), and policies (POINTS). <ol start="3"> <li>Adapt and test the environment and behavior instruments in low-income communities.</li> </ol> Based on the unique needs of low-income communities, our research team determined that the current BEPS was not an appropriate tool to capture behaviors and perceptions in low-income communities and that one should be developed. Therefore, focus groups with SNAP-ed and EFNEP para-professionals and interviews with stakeholders who work with low-income communities have been conducted as part of the effort to generate items for a new survey for low-income communities. In addition, the HCEA needs to be tested in low-income communities to determine whether the audits we have developed work for these communities. We may need to consider developing new audits to better measure these environments. These tools have the potential to be included in the SNAP-ed toolkit, which requires some form of evidence-based application. The addition of these tools to the SNAP-Ed toolkit would provide an effective method of dissemination to audiences who work with low-income families. <ol start="4"> <li>Develop and pilot the novel and comprehensive Healthy Community Environment Index (HCEA) on college campuses and adapt for use in low-income communities.</li> </ol> Tools for the HCEA have been refined and tested for measuring the campus support for physical activity and healthy food offerings. These tools are: <ul> <li>PACES—an audit tool to measure physical activity of the campus environment.</li> <li>POINTS—a tool to audit for policies, opportunities, initiatives, and notable topics on workplace and university campuses to benchmark for healthfulness.</li> <li>(VEND)ing—a tool to comprehensively evaluate vended products for healthfulness.</li> <li>SHELF—a tool to audit the healthfulness of items on convenience stores.</li> <li>FRESH—a tool to evaluate the healthfulness of food and environmental supports in cafeterias and restaurants.</li> </ul> Work continues to develop a scoring system that will incorporate the tools and provide a Healthy Campus Index score. Future work is planned to adapt these tools to a low-income communities around the US. <ol start="5"> <li>Continue exploration of mechanisms of interaction between lifestyle behaviors and environmental factors in influencing healthy behaviors and health status of young adults using existing datasets from this groups previous and ongoing work.</li> </ol> Work is ongoing for this objective and will continue into the next year. Some of the outcomes to date are described below. Using data sets from Project YEAH and the environmental audits, we have explored the healthfulness of convenience stores and college students’ dietary intentions/behaviors, and body mass index (BMI). Multilevel structural equation modeling was used to compare students’ healthful meal intentions (HMI); intake (fruits/vegetables, %kcal/fat, sugar-sweetened beverages (SSBs) and whole-grains); and measured BMI; as well as the healthfulness of convenience stores (fruits/vegetables availability/quality, healthy food availability/affordability). Data were collected from 1401 students and 41 convenience stores across 13 US college campuses. Controlling for gender, HMI was negatively associated with SSBs (β = −0.859) and %kcal/fat (β = −1.057) and positively with whole-grains (β = 0.186) and fruits/vegetables intake (β = 0.267); %Kcal/fat was positively (β = 0.098) and fruits/vegetables intake (β = −0.055) negatively associated with BMI. Campus level fruits/vegetables availability were positively associated with HMI (β = 0.214, β = 0.129) and directly/negatively to BMI (β = −2.657, β = −1.124). HMI modifies dietary behaviors, with energy from fat and fruit/vegetable intake the most predictive of weight. Availability of fruit/vegetables in convenience stores make it easier for young adults to eat well.  FRUVEDomics was a subproject from the GetFRUVED project with young adults attending three universities that developed a tool to measure metabolic risk of developing a chronic disease such as metabolic syndrome (MetS), diabetes or coronary vascular disease (CVD).  A convenience sample (N = 536) of college students was used to develop the metabolic “risk” score by comparing factors that previous research has indicated as associated with increased disease (MetS, diabetes, and CVD) for participants with and without MetS. This score can help improve primary prevention intervention strategies for young adults at risk of MetS.  Outputs: Thirty-three peer reviewed manuscripts, and 31 conference presentations/abstracts have been presented by this group on outcomes and activities for the project. The group has developed and validated tools for measuring healthfulness of college campuses. These tools are: <ul> <li>PACES - an audit tool to measure physical activity of the campus environment.</li> <li>POINTS - a tool to audit for policies, opportunities, initiatives, and notable topics on workplace and university campuses to benchmark for healthfulness.</li> <li>(VEND)ing - a tool to comprehensively evaluate vended products for healthfulness.</li> <li>SHELF - a tool to audit the healthfulness of items on convenience stores.</li> <li>FRESH - a tool to evaluate the healthfulness of food and environmental supports in cafeterias and restaurants.</li> </ul> The group has developed a tool (eB4CAST) that can be used to assess the impact of community nutrition programming. This tool provides the framework for community nutrition educators to evaluate the outcome from the programing and summarize to inform the community stakeholders. GetFRUVED, social marketing project to prevent excessive weight gain in college and high school students has developed a data set of health behaviors in college and high school students. A  curriculum for completing healthy campus dining tours was developed and tested. Completion of the curriculum change college student’s perception of healthful eating.  Data sets with instructions from previous work will be stored on a password protected website for use by the group. The following data sets have been developed from previous and current work: <ul> <li>HCEA - data from healthy campus environmental audit tools development.</li> <li>Webhealth - a web-based intervention to prevent excessive weight gain in young adults</li> <li>YEAH (Young adults Eating and Active for Health)—a tailored web-based tool developed for prevention of excessive weight gain in young adults.</li> <li>GetFruved - a database of college and high school students with health related variables.</li> <li>Fruvedomic - a database of health related behaviors and physiological measures of healthfulness</li> <li>CHANAS (College Health and Nutrition Assessment Survey) - a database of approximately 10,000 students from the University of New Hampshire that includes dietary intake and reported health behaviors as well as measured anthropometric, biochemical, and clinical outcomes</li> </ul>  Activities: <ul> <li>eB4CAST <ul> <li>Dissemination & implementation (D&I) model eB4CAST to capture local community data in indirect and direct measures</li> <li>D&I model eB4CAST to monitor environmental change and community/individual perception of change through refinement and pointed reporting to community stakeholders</li> </ul> </li> <li>Health Campus Environmental Audit and Health Community Index <ul> <li>Develop a scoring system for Health Community Index</li> <li>Assess Healthy Community Index scoring from targeted campus administrators and community stakeholders</li> <li>Develop web-based dissemination platform for Healthy Community Index</li> <li>Finalize Health Community Index to provide overall rating with feedback for improvements</li> <li>Investigate feasibility of dissemination of Healthy Community Index using dissemination model</li> <li>Test the feasibility of the Health Campus Environmental Audit in low-income communities</li> </ul> </li> <li>Behavioral Environmental Perception Survey <ul> <li>Administer final Behavioral Environmental Perceptions Survey in 2400 diverse college students (n=200/state)</li> <li>Revise and validate Environmental Audit for low-income communities</li> <li>Test prototype of Behavioral Environmental Perceptions Survey in Low-Income communities</li> </ul> </li> <li>Other outputs <ul> <li>Write manuscripts</li> <li>Analyze existing datasets to explore mechanisms of interaction between weight-related health cognitive, behavioral and environmental factors influencing weight.</li> </ul> </li> </ul> Milestones:  To develop a test prototype of BEPS for low-income communities, the focus groups from nutrition assistants, stakeholders, and community members must be completed by October 2020. To revise and validate the environmental audits for low-income communities, the initial environmental audits need to be completed by October 2020.

Publications

2019 Manuscripts <ol> <li>Christianson J, Kattelmann K, Riggsbee K, Moret L, Vilaro M, Olfert M, Mathews AEW, Barr M, Colby S. Promoting wellness on college campuses: identifying and addressing the wellness needs of college students. Topics in Clinical Nutrition. 2019; 34(2):125-137. doi: 10.1097/TIN.0000000000000184.</li> <li>Ford AD, Colby SE, McElrone M, Franzen-Castle L, Oldert MD, Kattelmann KK, White AA. Cooking frequency associated with dietary quality in iCook-4H participants at baseline. Nutr. & Metabolic Insights 2019;12:1-7. <a href="https://doi.org/10.1177%2F1178638819836790">https://doi.org/10.1177/1178638819836790</a>.</li> <li>Hanson AJ, Kattelmann KK, McCormack LA, Zhou W, Brown ON, Horacek TM, Shelnutt KP, Kidd T, Opoku-Acheampong A, Franzen-Castle LD, Olfert MD, Colby SE. Cooking and meal planning as predictors of fruit and vegetable intake and BMI in first-year college students. Int. J. Environ. Res. Public Health. 2019;16:2462. doi:10.3390/ijerph16142462.</li> <li>Kolady DE, Kattelmann K, Scaria  J. Effects of health-related claims on millennials’ willingness to pay for probiotics in the U.S.: Implications for regulation. J. Functional Foods 2019; 60: DOI: 10.1016/j.fff2019.103434.</li> <li>Franzen-Castle L, Colby S, Kattelmann KK, Olfert MD, Mathews DR, Yerxa K, Baker B, Krehbiel M, Lehrke T, Wilson K, Flanagan SM, Ford A, Aguirre T, White AA. Development and of the iCookl 4-H curriculum for youth and adults: cooking, eating, and playing together for childhood obesity prevention.  J Nutr Educ Behav. 2019;51:S60-S68.</li> <li>Olfert MD, Hagedorn RL, Barr ML, Colby SE, Kattelmann KK, Franzen-Castle L, White AA. Dissemination using infographic reports depicting program impact of a community-based research program: eB4CAST in iCook 4-H. J. Nutr. Educ. Behav. 2019;51:s52-s59. DOI: <a href="https://doi.org/10.1016/j.jneb.2018.10.013">https://doi.org/10.1016/j.jneb.2018.10.013</a>.</li> <li>Olfert MD, King SJ, Hagedorn FL, Barr M, Baker BA, Colby SE, Kattelmann KK, Franzen-Castle L, White AA. Ripple effect mapping outcomes of a childhood obesity prevention program from youth and adult dyads using a qualitative approach: iCook 4-H. J. Nutr. Educ. Behav. 2019;51:S41-S51. DOI: <a href="https://doi.org/10.1016/j.jneb.2018.08.002">https://doi.org/10.1016/j.jneb.2018.08.002</a>.</li> <li>Kattelmann KK, Meendering JR, Hofer EJ, Merfeld CM, Olfert MD, Hagedorn RL, Colby SE, Franzen-Castle L, Moyer J, Mathews DR, White AA. The iCook 4-H Study: Report on physical activity and sedentary time in youth participating in a multicomponent program promoting family cooking, eating, and playing together. J Nutr Ed Behav. 2019;51:s30-s40.  DOI: <a href="https://doi.org/10.1016/j.jneb.2018.09.002">https://doi.org/10.1016/j.jneb.2018.09.002</a>.</li> <li>White AA, Cobly SE, Franzen-Castle L, Kattelmann KK, Olfert MD, Gould TA, Hagedorn RL, Mathews DR, Moyer J, Wilson K, Yerxa K. The iCook 4-H study: an intervention and dissemination test of a youth/adult out-of-school program. J. Nutr. Educ. Behav. 2019;51:s2-s20. DOI: <a href="https://doi.org/10.1016/j.jneb.2018.09.002">https://doi.org/10.1016/j.jneb.2018.09.002</a></li> <li>Colby S, Moret L, Olfert MD, Kattelmann K, Franzen-Castle L, Riggsbee K, Payne M, Ellington A, Springer C, Allison C, Wiggins S, Butler R, Mathews D, White AA. Incorporating Technology Into the iCook 4-H Program, a Cooking Intervention for Adults and Children: Randomized Controlled Trial. JMIR Pediatr Parent 2019;2(2):e11235. URL: <a href="https://pediatrics.jmir.org/2019/2/e11235">https://pediatrics.jmir.org/2019/2/e11235</a>. DOI: 10.2196/11235.</li> <li>Staub D, Colby SE, Olfert MD, Kattelmann K, Zhou W, Horacek TM, Greene GW, Radosavljevic I, Franzen-Castle L, Mathews AE. A multi-year examination of gardening experience and fruit and vegetable intake during college. Nutrients. 2019;11(9): 2088.  <a href="https://doi.org/10.3390/nu11092088">https://doi.org/10.3390/nu11092088</a>.</li> <li>Haskell JE, Baker BA, Olfert MD, Colby SE, Franzen-Castle L, Kattelmann KK, White AA. Using the Ripple Effects Maps to identify story threads.: a framework to link private to public value. J Human Science Extension. 2019;7:1-23.</li> <li>Riggsbee, K., Riggsbee, J., Vilaro, M., Moret, L., Spence, M., Steeves, E., Zhou, W., Olfert, M., Franzen-Castle, L., Horacek, T., Hall, E., Colby, S. More than Fast Food: Development of a Story Map to Compare Adolescent Perceptions and Observations of Their Food Environments and Related Food Behaviors. International Journal of Environmental Research and Public Health. 2019;16(1):76.</li> <li>Horacek TM, Dede Yildirim E, Seidman D, Byrd-Bredbenner C, Colby S, White A, Shelnutt K, Olfert MD, Mathews AE, Riggsbee K, Franzen-Castle, Morrell JS, Kattelmann K. Redesign and Validation of the Physical Activity for Campuses Environmental Supports (PACES) Audit. J EnvPublic Health ,  2019, Article ID 5819752, 13 pages, 2019. <a href="https://doi.org/10.1155/2019/5819752">https://doi.org/10.1155/2019/5819752</a>.</li> <li>Horacek TM, Simon M, Dede Yildirim E, Byrd-Bredbenner C, Colby S, White A, Shelnutt K, Olfert MD, Mathews AE, Riggsbee K, Franzen-Castle, Morrell JS. College Campuses lack Policy Support for Health Promotion. Design and Validation of Policies Opportunities, Interventions and Notable Topics (POINTS) Audit. Int. J. Environ. Res. Public Health 2019, 16(5),778.  https://doi:<a href="https://dx.doi.org/10.3390/ijerph16050778">10.3390/ijerph16050778</a></li> <li>Horacek TM, Dede Yildirim E, Matthews MA, Byrd-Bredbenner C, Colby S, White A, Shelnutt K, Olfert MD, Mathews AE, Riggsbee K, Franzen-Castle, Morrell JS. Development and Validation of the Healthfulness of Vending Evaluation for Nutrient-Density (VEND)ing Audit. Int. J. Environ. Res. Public Health 2019, 16(3), 514; <a href="https://doi.org/10.3390/ijerph16030514">https://doi.org/10.3390/ijerph16030514</a></li> <li>Horacek TM, Dede Yildirim E, Kelly E, White AA, Shelnutt KP, Riggsbee K, Olfert MD, Morrell JS, Mathews AE, Mosby TT, Kidd T, Kattelmann K, Greene G, Franzen-Castle L, Colby S, Byrd-Bredbenner C, Brown O.  Development and Validation of a Simple Convenience Store SHELF Audit. Int. J. Environ. Res. Public Health 2018, 15(12), 2676; <a href="https://doi.org/10.3390/ijerph15122676">https://doi.org/10.3390/ijerph15122676</a></li> <li>Horacek TM, Dede Yildirim E, Kattelmann K, Byrd-Bredbenner C, Brown O, Colby S, Greene G, Hoerr S, Kidd T, Koenings MM, Morrell J, Olfert MD, Shelnutt K, White A, Phillips B. Multilevel Structure Equation Model of Students’ Dietary Intentions/Behaviors, BMI and the Healthfulness of Convenience Stores. Nutrients 2018, 10(11), 1569; <a href="https://doi.org/10.3390/nu10111569">https://doi.osrg/10.3390/nu10111569</a></li> <li>Horacek TM, Yildirim ED, Simon MB, Byrd-Bredbenner C, White AA, Shelnutt KP, Olfert MD, Morrell J, Mathews A, Kidd T,  Kattelmann K , Franzen-Castle L,  Colby S,  Brown O.  Development and Validation of the Full Restaurant Evaluation Supporting a Healthy (FRESH) Dining Environment Audit.  J Hunger Environ Nutr.  2018 DOI: <a href="https://doi.org/10.1080/19320248.2018.1434103">10.1080/19320248.2018.1434103</a></li> <li>El Zein A, Shelnutt KP, Colby S, Vilaro MJ, Zhou W, Greene G, Olfert MD, Riggsbee K, Morrell JS, Mathews AE. (2019) Prevalence and correlates of food insecurity among U.S. college students: a multi-institutional study. BMC Public Health.19(1):660. doi: 10.1186/s12889-019-6943-6. PubMed PMID: 31142305; PubMed Central PMCID: PMC6542079.</li> <li>McNamara J, Olfert MD, Sowers M, Colby S, White A, Byrd-Bredbenner C, Kattelmann K, Franzen-Castle LD, Brown O,Kidd T, Shelnutt KP, Horacek T, Greene GW. Development of an instrument measuring perceived environmental healthfulness: Behavior Environment Perception Survey (BEPS). J Nutr Educ Behav 2019 pii: S1499-4046(19)31010-3. doi: 10.1016/j.jneb.2019.09.003. [Epub ahead of print] PMID:31648882.</li> <li>Xu F, Cohen SC, Lofgren IE, Greene GW, Delmonico MJ, Greaney M. Relationship between diet quality, physical activity and health-related quality of life in older adults: Findings from 2007-2014 National Health and Nutrition Examination Survey. J Nutr Health Aging. 2018;22(9)1072-1079.</li> <li>Olfert MD, Barr ML, Charlier CC, Greene GW, Zhou W, Colby SE. Sex differences in lifestyle behaviors among U.S. college freshmen. Int J Environ Res Public Health 2019;16:482; doi:10.3390/ijerph16030482.</li> <li>Clark PG, Greene GW, Blissmer BJ, Lees FD, Riebe DA, Stamm KE.  Trajectories of maintenance and resilience in healthful eating and exercise behaviors in older adults.  J Aging Health 2019, 31(5):861-882. <a href="https://doi.org/10.1177/0898264317746264">https://doi.org/10.1177/0898264317746264</a></li> <li>Nobles J, McNamara J, Tovar A, Marchand S, Xu F, Greene G . The effect of a family-based dietary intervention on dietary fiber density in children. Topics Clin Nutr. 2019, 34(2);90-99.</li> <li>Beatty J, Melanson K. <a href="https://www.ncbi.nlm.nih.gov/pubmed/31066135">Examining changes in respiratory exchange ratio within an 8-week weight loss intervention.</a> J Hum Nutr Diet. 2019 May 7. doi: 10.1111/jhn.12664.</li> <li>Clark RL, Famodu OA, Barr ML, Hagedorn RL, Ruseski J, White JA, Warner C, Morrell A, Murray PJ, Olfert IM, McFadden JW, Downes MT, Colby SE, Olfert MD. Monetary Cost of the MyPlate Diet in Young Adults: Higher Expenses Associated with Increased Fruits and Vegetables Consumption. J Nutr & Metab Volume 2019, Article ID 2790963, 7 pages. <a href="https://doi.org/10.1155/2019/2790963">https://doi.org/10.1155/2019/2790963</a></li> <li>Clark RL, Famodu OA, Holásková I, Infante AM, Murray PJ, Olfert IM, McFadden JW, Downes MT, Chantler PD, Duespohl MW, Cuff CF, Olfert MD. Educational Intervention Alters Diet Composition and Gut Microbiome in Young Adults with Metabolic Syndrome Components. Nutrition Research 2019; 62, 89-100. <a href="https://doi.org/10.1016/j.nutres.2018.11.010">https://doi.org/10.1016/j.nutres.2018.11.010</a></li> <li>Olfert MD, Barr ML, Charlier CM, Green G, Colby SE. Sex Differences in Lifestyle Behaviors among U.S. College Freshman. Int J Environ Res Public Health 2019, 16, 482. <a href="https://doi.org/10.3390/ijerph16030482">https://doi.org/10.3390/ijerph16030482</a></li> <li>Riggsbee KA, Riggsbee J, Vilaro MJ, Moret L, Spence M, Steeves EA, Zhou W, Olfert MD, Franzen-Castle L, Horacek T, Hall E, Colby SE.  More than Fast Food: Development of a Story Map to Compare Adolescent Perceptions and Observations of their Food Environments and Related Food Behaviors. Int J Environ Res Public Health 2019, 16(1),76. <a href="https://doi.org/10.3390/ijerph16010076">https://doi.org/10.3390/ijerph16010076</a></li> <li>Casteneda G, Colby SE, Olfert MD, Barnett TE, Wenjun Z, Leite WL, Horacek TM, Staub D, Mathews AE.  Examining the Longitudinal Effect of Weight Conscious Drinking Dimensions by Sex on Body Mass Index among a College Freshman. Cohort. Jrnl Amer College Hlth 2019. <a href="https://doi.org/10.1080/07448481.2019.1642204">https://doi.org/10.1080/07448481.2019.1642204</a></li> <li>Olfert MD, Clark RL, Famodu OA, Murray PJ, Olfert IM, Downes MT, McFadden JW, Cuff CF, Colby SE, Morrell JS. Development of an At-Risk for Metabolic Syndrome Score. Topics in Clin Nutr 2019.</li> <li>Badger J, Quatromoni P, Morrell JS. Relationship between Stress and Healthy Behaviors of College Students.  Health Behav Policy Review 2019, 6(1) 43-55. <a href="https://www.ingentaconnect.com/content/psp/hbpr/2019/00000006/00000001/art00004">doi:10.14485/HBPR.6.1.4</a>.</li> </ol> Conference Presentations and abstracts <ol> <li>Kidd T, Lindshield E, Kattelmann K, Zies K, Muturi N. Adolescent obesity prevention project yields policy, system, and environmental changes in middle schools. J. Nutr. Educ. Behav. 2019;51:S10.</li> <li>Pappadackis P, Kattelmann K, Weidauer L, McCormack L, Colby S. The effects of a campus dining tour intervention on first year students perception of healthfulness of environment. J. Nutr. Educ. Behav. 2019;51:S87.</li> <li>Allison C, Opoku-Acheampong A, Kidd T, Kattelmann K, Olfert M, Zhou W, Colby S. Agreement of self-reported and objectively measured BMI in the adolescent population. J. Nutr. Educ. Behav. 2019;51:S35.</li> <li>McElrone M, Colby S, Kavanagh K, Spence M, Fouts K, Franzen-Castle L, Olfert M, Kattelmann K, White A. Cultural adaption of a cooking curriculum for Burundian and Congolese refugee families. J. Nutr. Educ. Behav. 2019;51:S7.</li> <li>Colby S, Olfert MD, Mathews A, Kattelmann K, Kidd T, Brown O, White A, Horacek T, Shelnutt K, Byrd-Bredbenner C, Greene G, Franzen-Castle L, Morrell J, Zhou W. Fruving the world: a social marketing and environmental change intervention. J. Nutr. Educ. Behav. 2019;51:S10</li> <li>Alvarez D, Zien AE, Vilaro M, Colby S, Shelnutt K, Zhou W, Olfert M, Horacek T, Greene G, Byrd-Bredbenner C, Morrell J, White A, Kidd T, Brown O, Kattelmann K, Mathews A. Food insecure students identify price as the most important determinant of their food choices. J. Nutr. Educ. Behav. 2019;51:S94.</li> <li>Bedoyan, J., McNamara, J., Olfert, M.D., Byrd-Bredbenner, C., and Greene, G. (2019) Role of Critical Nutrition Literacy in Making Informed Decisions about Dietary Behavior. 3:S1, OR08-07-19: Presented at the American Society of Nutrition, Baltimore, MD, June.</li> <li>Croteau V, Morrell JS. Prevalence of Binge Drinking Episodes Among Male and Female College Students. Current Developments in Nutrition. 2019 3(1), 1548.</li> <li>McDermott C, Morrell JS. Perceived Weight Status Among College Students and Its Relationship with Life Satisfaction. Current Developments in Nutrition. 2019 3(1), 1505.</li> <li>Porter C, Karazurna N, Morrell JS, Bigornia S. Does Perceived Stress Differ According to n-3 Fatty Acid Consumption in Undergraduate Students? Current Developments in Nutrition. 2019 3(1), 1586.</li> <li>Karazurna N, Porter C, Morrell JS, Bigornia S. Associations of n-3 Fatty Acids and Fish Consumption with the Metabolic Syndrome in College Students. Current Developments in Nutrition. 2019 3(1), 1563.</li> <li>DiNatale J, Morrell JS. Eating Competence of Nutrition and Other Academic Majors Enrolled in an Undergraduate Introductory Nutrition Course. Current Developments in Nutrition. 2019 3(1), 1400.</li> <li>Schroeder J, Morrell JS. Dining Hall Usage and Eating Competence in College Students. Current Developments in Nutrition. 2019 3(1), 1419.</li> <li>Olfert, M., Barr, M., Hagedorn, R., Clegg, E., Wattick, R., Colby, S., Zhou, W., Mathews, A., Kattelmann, K., Kidd, T., Brown, O., Franzen-Castle, L., White, A., Greene, G., Shelnutt, K., Byrd-Bredbenner, C., Horacek, T., Mosby, T., Stabile-Morrell, J. A Novel Dissemination Tool Forecast and Footprint Report in a Randomized Control Trial: eB4CAST in Get Fruved. International Society for Behavioral Nutrition and Physical Activity, Prague, Czech Republic. June, 2019. (Poster Presentation).</li> <li>Cullen O, Peck M, Horacek T. Assessing Food Insecurity Rates and Effects on a Sample of Students at Syracuse University. FNCE October 2019 Philadelphia PA. Journal of the Academy of Nutrition and Dietetics, Volume 119, Issue 9, A76</li> <li>Brown K, Clark B, Brubaker H, Brown L, Carroll B, Gardner E, Hill A, Mihalko S, Obojkovits K, Peck M, Horacek T. Process Evaluation of the Healthy Campus Environmental Audits. FNCE October 2019 Philadelphia P. Journal of the Academy of Nutrition and Dietetics, Volume 119, Issue 9, A45</li> <li>Cullen O, Peck M, Horacek T. Assessing Food Insecurity Rates and Effects on a Sample of Students at Syracuse University. NY State Dietetic Association April 2019 Syracuse, NY.</li> <li>Peck M, Cullen O, Horacek T. Assessing Body Satisfaction in Undergraduate Students. NY State Dietetic Association April 2019 Syracuse, NY</li> <li>Brown K, Clark B, Brubaker H, Brown L, Carroll B, Gardner E, Hill A, Mihalko S, Obojkovits K, Peck M, Horacek T. Process Evaluation of the Healthy Campus Environmental Audits. NY State Dietetic Association April 2019 Syracuse, NY</li> <li>Riggsbee K, Riggsbee  J,  Vilaro M, Spence M, Anderson Steeves, E,  Zhou, W,  Olfert M, Franzen-Castle L,  Horacek T, Colby S. Utilizing Story-Mapping to Better Understand and Explore Adolescent Food Environments. American Public Health Association November 2018 <a href="https://apha.confex.com/apha/2018/meetingapp.cgi/Paper/415477">https://apha.confex.com/apha/2018/meetingapp.cgi/Paper/415477</a></li> <li>Beatty J, Greene G, Melanson K. A Wearable Device Provides an Alternate Measurement of Free-Living Eating Rate. J Nutr and Diet. 2018,1:107.</li> <li>Beatty JA, Greene GW, Blissmer B, Delmonico M, Melanson KJ. Effects of a novel bites, steps, and eating rate-focused weight loss randomized controlled trial intervention on body weight and eating behaviors. Journal of Human Nutrition & Dietetics 2019; <a href="https://doi.org/10.1111/jhn.12704">https://doi.org/10.1111/jhn.12704</a>.</li> <li>El Zein A, Shelnutt K, Colby S, Vilaro M, Greene G, Zhou W, Stabile Morrell J, Olfert MD, Riggsbee K, Mathews A. Becoming Food Insecurity Affects Grade Point Average in College Students. Food & Nutrition Conference & Expo Annual Mtg, Washington DC, October 2018. J Acad Nutr & Dietetics, 2018, 118(10) A90. DOI link</li> <li>Morgiera C, Balestracci K, Amin S, Raymond J, Greene G. Evaluation of a Policy, System and Environmental School –based Fruit and Vegetable Intervention (P04-166-19). Current Developments in Nutrition, Volume 3, Issue Supplement_1, June 2019, nzz051.P04-166-19, <a href="https://doi.org/10.1093/cdn/nzz051.P04-166-19">https://doi.org/10.1093/cdn/nzz051.P04-166-19</a></li> <li>Bedoyan J, McNamara J, Olfert M, Byrd-Bredbenner C, Greene G. Role of Critical Nutrition Literacy in Making Informed Decisions about Dietary Behavior (OR08-07-19). Current Developments in Nutrition, Volume 3, Issue Supplement_1, June 2019, nzz050.OR08-07-19, <a href="https://doi.org/10.1093/cdn/nzz050.OR08-07-19">https://doi.org/10.1093/cdn/nzz050.OR08-07-19</a></li> <li>Jadhav A, Melanson K. Predictors of Probiotic Use in the United States (P21-023-19) Current Developments in Nutrition, Volume 3, Issue Supplement_1, June 2019, nzz041.P21-023-19, <a href="https://doi.org/10.1093/cdn/nzz041.P21-023-19">https://doi.org/10.1093/cdn/nzz041.P21-023-19</a></li> <li>Jadhav A, Melanson K. Association of Probiotic Consumption and Body Mass Index in the US Population: Insights from NHANES (P21-022-19). Current Developments in Nutrition, Volume 3, Issue Supplement_1, June 2019, nzz041.P21-022-19, <a href="https://doi.org/10.1093/cdn/nzz041.P21-022-19">https://doi.org/10.1093/cdn/nzz041.P21-022-19</a></li> <li>Beatty J, Melanson K. Improved Appetite Ratings with Addition of Self-Monitoring Wearable Device to an 8-week Weight Loss Intervention Focused on Reducing Eating Rate (P16-005-19). Current Developments in Nutrition, Volume 3, Issue Supplement_1, June 2019, nzz050.P16-005-19, <a href="https://doi.org/10.1093/cdn/nzz050.P16-005-19">https://doi.org/10.1093/cdn/nzz050.P16-005-19</a></li> <li>Nelson E, Byrd-Bredbenner C, Greene G, Olfert M, Riggsbee K, Shelnutt K, White A, McNamara J. Exploration of College Students’ Mental and Physical Health. American Public Health Association, 2019. Awaiting publication.</li> <li>Nelson E, Byrd-Bredbenner C, Greene G, Olfert M, Riggsbee K, Shelnutt K, White A, McNamara J. Weight Dissatisfaction Predicts Health-Related Quality of Life in College Students. American Public Health Association, 2019. Awaiting publication</li> <li>Bedoyan J, Jadhav A, Melanson K, Larson S, Greene G.  Increasing Critical Nutrition Literacy through a College Level Introductory Nutrition Course.  J Nutr Ed Behav. July 2019, 51 (7) S38-S39.</li> </ol>

Impact Statements

The impact of this work will improve young adults’ eating behaviors with the potential to protect their health, prevent chronic disease, and maintain quality of life for years. Ultimately, this will improve workforce development and reduce healthcare costs due to chronic disease prevention

Date of Annual Report: 01/25/2021

Report Information

Annual Meeting Dates: 10/06/2020 - 10/08/2020
Period the Report Covers: 10/01/2016 - 09/30/2021

Participants

Over the past five years, the multi-state research group was comprised of the following university representatives:
•Barr, Makenzie (makenzie.barr@uky.edu)- University of Kentucky
•Byrd-Bredbenner, Carol (bredbenner@aesop.rutgers.edu) - Rutgers University
•Brown, Onikia (onb0001@auburn.edu) - Auburn University
•Colby, Sarah (scolby1@utk.ed) - University of Tennessee
•Franzen-Castle, Lisa (lfranzen2@unl.edu) - University of Nebraska
•Greene, Geoffrey (gwg@uri.edu) - University of Rhode Island
•Horacek, Tanya (thoracek@syr.edu) - Syracuse University
•Hsu, Wei-Wen, (wwhsu@k-state.edu)- Kansas State University
•Kattelmann, Kendra (kendra.kattelmann@sdstate.edu) - South Dakota State University
• Kidd, Tanda (martan@ksu.edu) - Kansas State University
•Mathews, Anne (anne.mathews@unl.edu) - University of Florida
•McNamara, Jade (jade.mcnamara@maine.edu) University of Maine
•Melanson, Kathleen (kmelanson@uri.edu) - University of Rhode Island
•Morrell, Jesse (jesse.morrell@unh.edu) - University of New Hampshire
•Riggsbee, Kristin (kristin.riggsbee@gmail.com) - Maryville College
•Tolar-Peterson, Terezie (terezie.mosby@msstate.edu)- Mississippi State University
•Olfert, Melissa (melissa.olfert@mail.wvu.edu) - West Virginia University
•White, Adrienne (awhite@maine.edu) - University of Maine
•Shelnutt, Karla (kpagan@ufl.edu) - University of Florida

Brief Summary of Minutes

Welcome, agenda review, and introductions: the meeting started with a general welcome to the group as well as reviewing the agenda. Introductions were done with the whole group, which included not only NC1193 members but also students who were in attendance.

State report highlights: Group members provided pertinent updates regarding changes or new developments at the individual, department, college, and/or university level as well as information regarding new hires and position announcements.

Committee Reports: Updates from lead personnel regarding the progress made and short-term plans for continuing the development of the Behavior Environmental Perceptions-Community Survey which includes both survey development and environmental audit development and the Healthy Campus Index development.

Review 5-year renewal plan (2021-2026): An overview of the renewal plan was provided by the policies and procedures committee chair, with other individuals leading specific renewal objectives providing next steps in the areas of environment, behavior, policy, systems and environment approaches, and evaluation of dissemination and documenting best practices.

Future grants, presentation and publications plans: Group reviewed all grants, abstracts and papers submitted, in progress, and in preparation.

Review group organizational chart: Group organization was reviewed, as well as committee membership and term length. Individuals indicated which committees they wanted to continue serving on and if they wanted to take a leadership role for the following year. Each member must serve on at least one committee per policies and procedures manual guidelines.

Elections: Review of Organizational Chart and Elections. Officer elections were held and confirmed for 2021-2022 and 2022-2023.

Scheduled 2021 annual meeting: The 2021 annual meeting date and location was tentatively set.

Accomplishments

The NC1193 multistate research group continues to develop and refine tools to assess the healthfulness of college campuses and communities where young adults live to effectively disseminate information. This information can be used by campus administrators and stakeholders to make changes that support and sustain healthier environments for young adults. During this past five-year tenure, the research impacts from this group have the potential for extensive health care cost savings. The research outcomes target pre-symptom behaviors and those items supporting pre-symptom behaviors. Consumption of adequate amounts of fruits and vegetables is positively correlated with prevention of cancer, obesity, and cardiovascular disease. Additionally, this work has increased awareness regarding the importance of environmental supports needed for healthier choices with stakeholders such as university administrators, faculty, staff, and students. Short-term Outcomes: Major outcomes include dissemination of the eB4CAST tool. The eB4CAST framework provides a systematic method to capture justification of program need and impact of community-based research that can be modified to fit diverse public health interventions providing a necessary dissemination and implementation (D&I) tool. This objective led to a change in knowledge of students and administrators by providing opportunities for an increase in knowledge about the health-promoting aspects of the college environment and whether the environment supports healthful lifestyles. Major outcomes of the Behavior and Environmental Perceptions Survey (BEPS) include dissemination of a valid tool that captures young adults' perception of the healthfulness of their environment. Findings from the BEPS can be used to inform stakeholders as they seek to make environmental improvements, such as better access to healthy foods, opportunities for physical activity and mental health support in the community. These findings will help support healthful behaviors of community members and to bring perceptions closer to reality. Outputs: Over the past several years NC1193 has developed, published, and disseminated a suite of valid, reliable, and efficient tools. To pinpoint changes that will provide and encourage healthier habits, 75 communities have used a new tool developed by the NC1193 research team, the Healthy Campus Environmental Audit (HCEA), to measure seven factors that influence an area's healthfulness, including the food choices at local dining options, vending machines, and grocery and convenience stores, walkability and bikeability, recreation facilities and programs, and policies. Complementing the audit, researchers also developed a survey to assess if people view their environments as healthy. Over 2,000 college students were surveyed from 10 of the partnering universities. Results indicated that college students would like better support for mental health and healthy eating options on campus and are more satisfied with physical activity resources. Using the audit and survey tool, college campuses and others can make sure they are using resources efficiently and making the changes that will have the biggest impact on the health of community members. Researchers also developed and validated a tool to help communities assess necessary health changes needed and impacts of programming on community healthfulness. These new tools can work towards making changes to policies and improvements in health environments. These changes make healthy habits an easier, more sustainable choice for more people. Good health means better quality of life, reduced healthcare costs, and an able workforce in communities across the United States (US). <ul> <li>eB4CAST: A novel, evidence-based method for collecting public and intervention specific data for each campus with a personalized narrative describing needs and intervention impacts. This easy-to-use tool provides communities a means to disseminate their impact story.</li> <li>BEPS: a validated/published tools to assess environmental perceptions of physical activity, healthful eating, mental health, and peer influences.</li> <li>HCEA: seven validated/published tools to assess food (food access and availability in vending machines, convenience stores, dining halls, restaurants), physical activity (walkability, bikeability, recreation), and health-related policy environment. HCEAs are used to assess, monitor, and advocate for environmental changes to improve health.</li> </ul> Activities: <ul> <li>eB4CAST is a novel, evidence-based method for collecting public and intervention specific data. Each campus or community was provided a personalized narrative describing needs and intervention impacts summarized from the data. This easy-to-use tool provides those who deliver public programming a means to disseminate their impact story to the communities, stakeholders, and administrators.</li> <li>BEPS captures students’ perception of the healthfulness of the environment (food, physical activity, mental health, and peer influence). The survey was developed, tested, and validated at the partnering universities with over 2,000 college students participating in the validation process. The survey was refined and disseminated through manuscript publication.</li> <li>HCEA implementation extensiveness was decided by each participating state. HCEA validation studies took place for the following areas of interest: cafeteria/restaurants, convenience store, vending, recreation programs/facilities, walkability/bike-ability, and initiatives and policies. Online audits were tested with mobile devices for dining, convenience stores, vending, and walkability/bike-ability.</li> <li>The HCEA and BEPS was evaluated for appropriateness to be used to capture environmental health and individual health perceptions in low-income communities. A subcommittee consisting of 8 universities was formed to assess the appropriateness of the existing tools. Focus groups/interviews were conducted with paraprofessionals and stakeholders working in low-income communities and it was determined that the tools need to be reconceptualized to be appropriate for low-income communities.</li> </ul> Awards and Recognition. Team members have received awards at the college, university, state, and national level. Examples of recognition include (but are not limited to) the following. At the college level, members have been recognized for their advising (Mathews), teaching (Mathews,) and research (Shelnutt, Mathews). Members have been acknowledged at the University level for outstanding service and innovative programming (Franzen-Castle), professorship (Morrell), diversity (Tolar-Peterson), and research (Colby). On a regional level, the NC1193 Multi-State Research Group was awarded the North Central Excellence award. On the national stage, members received awards from organizations such as: Society for Nutrition Education and Behavior (SNEB) Helen Denning Ullrich Lifetime Excellence in Nutrition Education (Byrd-Bredbenner); American Society for Nutrition for Excellence in Nutrition Education (Byrd-Bredbenner); SNEB for Early Professional Achievement Award (Franzen-Castle), Mid-Career Professional Achievement Award (Shelnutt), and Nutrition Education Research Award (Greene); Journal of Nutrition Education and Behavior (JNEB) for Gold Author (Franzen-Castle, Greene, Horacek, Olfert) and Silver Author (Greene, Horacek, Kidd, Shelnutt) recognition; Academy of Nutrition and Dietetics (AND) Medallion Award (Kattelmann); and North American Colleges and Teachers of Agriculture Educator Award (Mathews). Tenure, Promotions, and Leadership. The level of performance of the technical committee during this five year period has resulted in tenure and promotion to associate (Tolar-Peterson, Brown, Mathews), full (Kidd), and distinguished professor (Kattelmann, Byrd-Bredbenner). Members have moved into leadership positions, such as, Department Head (Kidd, Kattelmann), Interim Department Chair/Head (Greene, Horacek), Nutrition Program Leader (Shelnutt), and Division Director of Health and Consumer Sciences (Kattelmann). Grants, Contracts, and/or Other Resources Obtained: Cumulative funds (internal and external) obtained by individuals, small groups, and the larger team that were directly related and/or complimentary to project objectives totals over $20.8 million. <ul> <li>Brown, AL Campus Coalition for Basic Needs, ECMC Foundation, $526,000 (2019-22)</li> <li>Byrd-Bredbenner (PI) et al., HomeStyles, AFRI $4M (2017-22); HomeStyles RCT, AFRI $4.49M (2011-17)</li> <li>Colby (PI) et al., Get FRUVED: Peer-led, train-the-trainer social marketing intervention to increase fruit and vegetable intake and prevent childhood obesity, AFRI $4.9M (2014-20)</li> <li>Franzen-Castle (PI) et al. Co-Creating Community Initiatives through Collaborative Strategies and Place-Based Change Grant, National 4-H Council and RWJF, $65,000 (2019-21); Assistance Programs for Chronic Disease Prevention and Control, CDC, NE Dept. of HHS, $273,751 (2015-18)</li> <li>Kidd (PI) et al., Community-Based Participatory Research Model in Preventing Overweight and Obesity Among 6-8th Grade Youth in Low-Income Racial/Ethnic Communities (Ignite), AFRI $2.5M (2012-17)</li> <li>McNamara (PI) and Barr (Co-PI) Utilizing Community-Based Participatory Research to Increase Health Related Quality of Life in College Students, AFRI $178,000 (2020-22)</li> <li>Melanson, RI Generating Healthcare Transformation (RIGHT), RI DPH, $125,000 (2018-19); Enhancing Health Education at URI, Champlin Foundations, $106,000 (2017-18); Testing a Novel Wearable Device for Healthy Weight Management, The Obesity Society , $50,000 (2016-17)</li> <li>Morrell JS (PI). University of New Hampshire Strategic Initiative (internal funds) - Upgrade of Nutritional Assessment & Teaching Laboratory, $105,000; 2016</li> <li>Olfert (PI), NIH/Translational, Use of Nutritional Interventions to Identify Modifiable Metabolomic Risk Factors in Metabolic Syndrome Older Adolescents-FRUVEDomics, $150,000 (2015-17)</li> <li>Shelnutt KP (PI), House LA (Co-PI), Mathews A (Co-PI). Walmart Foundation. Nutrition in a Box. $670,000, (2020-22)</li> <li>Shelnutt KP (Co-PI) and Treadwell D (Co-PI). Florida Department of Agriculture and Consumer Services. Healthy Food Environments. $335,000. (2016-17)</li> <li>Shelnutt KP (Co-PI). University of Tennessee. RNECE - PSE Center. $70,000. (2015-18)</li> <li>White (PI) et al. iCook 4-H, AFRI $2.5M (2012-18)</li> </ul> Milestones:   <ul> <li>October, 2016- September, 2017: eB4CAST was disseminated to local communities to capture direct/indirect measures; HCEA revised and validated; BEPS pilot survey was developed and tested at selected universities; manuscript writing and publication.</li> <li>October, 2017- September, 2018: eB4CAST was refined and disseminated to local communities to capture direct/indirect measures; HCEA final campus audit was conducted in all multistate partner institutions; final BEPS was administered to college students; manuscript writing and publication.</li> <li>October, 2018- September, 2019: eB4CAST was refined and disseminated to local communities to capture direct/indirect measures; HCEA campus audit was conducted on 60 diverse campuses; BEPS was reviewed for appropriateness to use in low-income communities; manuscript writing and publication.</li> <li>October, 2019- September, 2020: eB4CAST was refined and disseminated to local communities to capture direct/indirect measures; development of HCEA scoring system and web-based dissemination; revise BEPS for low-income communities.</li> <li>October, 2020- September, 2021: eB4CAST was refined and disseminated to local communities to capture direct/indirect measures; development of HCEA scoring system and web-based dissemination; revise BEPS for low-income communities.</li> </ul>

Publications

Cumulative list of publications and presentations spanning 2016-2021 was uploaded as a separate document to the NIMSS system.

Impact Statements

The Get FRUVED project was an effective approach to promote healthy behaviors and supportive environments that reduced unwanted weight gain (treatment participants had a significantly lower body mass index than control post-intervention, p<0.001) and improved diets (adoption of fruit and vegetable intake recommendations and decreased waist circumference, systolic blood pressure and circulating cholesterol). Small reductions in weight, or preventing weight gain when people are young, can make significant differences in reducing chronic disease development such as diabetes, cardiovascular disease, and some cancers over a lifetime. In 2016, chronic diseases driven by the risk factor of obesity and overweight accounted for $480.7B in direct health care costs in the US, with an additional $1.24T in indirect costs due to lost economic productivity. Improving campuses through changes in individual behavior and healthy environment supports, with the ultimate goal of improving policies, systems and environments, may lead to improved economic vitality, lower costs, more sustainable practices, and increased productivity in up to 25% of the workforce.