NC1028: Promoting healthful eating to prevent excessive weight gain in young adults (NC219)

(Multistate Research Project)

Status: Inactive/Terminating

Project Menu

SAES-422 Reports

Annual/Termination Reports:

[07/17/2007] [07/07/2008] [06/01/2009] [03/24/2010] [03/31/2012] [08/21/2011]

Date of Annual Report: 07/17/2007

Report Information

Annual Meeting Dates: 06/04/2007 - 06/08/2007
Period the Report Covers: 10/01/2006 - 09/01/2007

Participants

Minutes - Annual Meeting
June 5-6, 2007
Hyatt Regency Newport
Newport, Rhode Island

AGENDA

Tuesday, June 5

8:00 - 8:30
" Continental breakfast

8:30 - 10:00
A. Roll Call (Kidd)
Present:
1. Adrienne White, University of Maine
2. Beatrice Phillips, Tuskegee, Alabama
3. Geoff Greene, University of Rhode Island
4. Jennifer Roy, University of Maine (Grad Student)
5. Kendra Kattelmann, South Dakota
6. Linda Boeckner, University of Nebraska
7. Megumi Murashima, Michigan State University (Grad Student)
8. Seung-Yeon Lee, Michigan State University (Post-doc)
9. Sharon Hoerr, Michigan State University
10. Susan Nitzke, University of Wisconsin-Madison
11. Tanda Kidd, Kansas State University
12. Tanya Horacek, Syracuse, NY
13. Susan Welsch, CSREES, USDA

Absent:
1. Sarah Colby, ARS
2. Dennis Savaiano, Purdue University (Administrator Advisor)

B. Introduction/Announcements

C. State Reports (see individual reports)

1. New York; Rhode Island; Maine; Michigan; Wisconsin; South Dakota; Nebraska; Alabama; Kansas
2. Kansas State University has developed a new website, www.knackonline.org, for adults who work with adolescents to address youth obesity.

D. Administrative Advisor Dennis Savaiano (Absent, no report)

10:00 - 10:15
" Break

10:00 - 12:00
A. 2007-08 Plan of Work for NC1028 /Timeline

A timeline has been established (see attachment) to guide the plan of work for NC1028 members.

B. NRI Integrative Proposal Kattelmann/Boeckner/Kidd
1. Discussion:
2. Additional discussion:

12:00 - 1:00
" Lunch

1:00 - 3:00
A. Sprouts Report
Publications Committee - Nitzke/Horacek/Boeckner
1. NC 219 Projects - Seeds and Sprouts
3:00 - 3:15
" Break

3:15 - 5:30
A. Reports from NC1028 Subcommittees
The following are the subcommittees and revised responsibilities of each:

3. Establishing Partnerships Subcommittee

4. Literature Review Subcommittee
5. Publications Committeedevelop a grid to manage ROOTS and SHOOTS

6. Website Committeemanage the NC1028 website
7. Dissemination Committeedistributes and tracks educational materials. Order forms are on the NC1028 website.
8. Qualitative Research Committee protocol, data collection, data analysis

6:00
" Dinner to be arranged (not included in conference fee)

Wednesday, June 6

8:30 - 9:00
" Continental breakfast

9:00- 10:00
A. CSREES Update Susan Welsh

1. NCDC 211
2. W1003
3. NC1167:
4. Nutrient Bioavailability--Phytonutrients and Beyond.
5. W 1005
6. NE 1023 NE1023:

10:00 - 10:15
" Break

10:30 11:45
A. Determine 2008 annual meeting time and place
" March 25-27, 2008 in Washington, D.C.
o The meeting will be centered around manuscripts and base line data

B. NC1028 conference call (1½ hours)
i. Monday, July 23, 2007, 9:00 Mountain; 10:00 Central, 11:00 Eastern
1. Items for next conference call
a. NRI
b. South Dakotas support of PI for NRI grant

ii. Monday, August 20, 2007, 9:00 Mountain; 10:00 central; 11:00 Eastern (CBPR update by Seung-Yeon)

iii. Thursday, October 4, 2007, 9:00 Mountain; 10:00 central; 11:00 Eastern (Mary Gray to discus the university as a model for healthy living)

iv. Thursday, November 8, 2007, 10:30 Mountain;11:30 central; 12:30 Eastern

v. Thursday, December 13, 2007 (tentatively), 10:30 Mountain;11:30 central; 12:30 Eastern

C. Election of October 1, 2007 September 30, 2008 leadership
" Chair Susan Nitzke (2007-2008)
" SecretarySarah Colby (2007-2008)
" Vice-chairTanda Kidd ( will chair 2008-2009)

D. Other
" Annual Report is due December 2007
" New chair will chair the minutes beginning October 1, 2007
" Group work (as time permits)

12:00
" Meeting Adjourn

Respectfully Submitted by
Tandalayo Kidd

Brief Summary of Minutes

North Central Multi-state Project (NC1028)
Annual Meeting
June 5-6, 2007
Hyatt Regency Newport
Newport, Rhode Island

AGENDA

Tuesday, June 5

8:00 - 8:30
" Continental breakfast

8:30 - 10:00
A. Roll Call (Kidd)
Present:
1. Adrienne White, University of Maine
2. Beatrice Phillips, Tuskegee, Alabama
3. Geoff Greene, University of Rhode Island
4. Jennifer Roy, University of Maine (Grad Student)
5. Kendra Kattelmann, South Dakota
6. Linda Boeckner, University of Nebraska
7. Megumi Murashima, Michigan State University (Grad Student)
8. Seung-Yeon Lee, Michigan State University (Post-doc)
9. Sharon Hoerr, Michigan State University
10. Susan Nitzke, University of Wisconsin-Madison
11. Tanda Kidd, Kansas State University
12. Tanya Horacek, Syracuse, NY
13. Susan Welsch, CSREES, USDA

Absent:
1. Sarah Colby, ARS
2. Dennis Savaiano, Purdue University (Administrator Advisor)

B. Introduction/Announcements

C. State Reports (see individual reports)

1. New York; Rhode Island; Maine; Michigan; Wisconsin; South Dakota; Nebraska; Alabama; Kansas
2. Kansas State University has developed a new website, www.knackonline.org, for adults who work with adolescents to address youth obesity.

D. Administrative Advisor Dennis Saviaiano (Absent, no report)

10:00 - 10:15
" Break

10:00 - 12:00
A. 2007-08 Plan of Work for NC1028 /Timeline

A timeline has been established (see attachment) to guide the plan of work for NC1028 members.

B. NRI Integrative Proposal Kattelmann/Boeckner/Kidd
1. Discussion:
The writing team proposed focusing the NRI grant on the CBPR and allowing each state to do their variation of the model. The key to CBPR is to have representatives of the population sitting at the planning table. The unique concept to this proposal is that each state will bring back their contribution and it will complete a larger picture of how to address the obesity issue. The proposal should be written from a very clear point of view and explain why we are doing this research. Include what the proposal will be funding (i.e. data collection). The proposal should focus on the single outcome with a variety of variables to measure the outcome (decrease wt gainBMI, blood glucose tolerance, VO2 max, exercise, etc.) The proposal should include an intervention that has not been developed yet.

" Propose that an intervention will be defined based on the measurements/assessments by each state.
" Review RFPs from NIH on CBPR.
" Cut and paste or paraphrase what NIH identifies as important.
" Point out that federal money is available and site examples from NIH.
" Partnerships should be identified so qualitative data can be collected.
" Partnerships can do a few key interviews and come back to report what they found and those findings can be put together to develop questions.
" Develop a set of questions that would be identical across the board and compare those responses along with additional population-specific questions proposed by the each state as identified by the partners.
" Common questions should be developed by the fall.
" RI, NY, MI, SD, AL, and ARS will focus on the college population
" NE, KS, WI will focus on the non-college population
" ME is undecided

Geoff recommends approaching both populations and looking at the differences (e.g. health disparities) between the two.

2. Additional discussion:
a. The online focus groups questions and survey for the college-focus states will need to be done in Fall 2007.
b. For web health, each campus would recruit gender specific groups two weeks before the focus group. They will complete the online survey and treat it like an Instant Message because the moderator will ask the questions. Focus group materials must be transcribed whether face to face or electronic with identifiers removed.
c. Julie Milam , coordinator and graduate students (Nebraska) will train and code data. By March 1, 2008, quantitative data should be gathered.
d. NRI writing team will meet June 27-29, 2007 in Lincoln, Nebraska.

12:00 - 1:00
" Lunch

1:00 - 3:00
A. Sprouts Report
1. Rhode Islandposter presentation accepted for American Dietetic Association on fruits and vegetables newsletters used with home confined participants; used fruit/vegetable Connection magazine with Head Start

2. Michiganworking on a draft that is focusing on facilitators and barriers to fruit and vegetable intakes by young adults from IFAFS focus groups by pre vs post action stages. SD, NY, IA are partners.

B. Publications Committee - Nitzke/Horacek/Boeckner
1. NC 219 Projects - Seeds and Sprouts
a. 1manuscript prep-processes of change (Betts, Nitzke, Kritsch, Greene, Hoerr, Chung). No word from Nancy. Submitted to JADA, responded to comments. Waiting to hear fro JADA.

b. 3 & 12evaluate phone calls/cost analysis (Nitzke, Kritsch, Krueger, Boeckner, Lohse, Esters, Oakland, Greene, Horacek, Hubert) Manuscript in draft form. Manuscript will be printed in JNEB (2007).

c. 5perception of intervention by Native Americans (Lohse, Shafer, Stotts) Manuscript being readied for submission to JNEB. Barbara Manuscript is almost ready for submission. (presented as poster at EB (2007).

d. 6difference in varieties of fruits and vegetables at W3 by Trt & Ctrl (Kattelmann, Lohse, Phillips, Do, Greene, Boeckner, Esters, Oakland, Hoerr) Kendra submitted manuscript to JADA.

e. 11Interactive, computer-based SOC intervention (WI, NE, PA, AL, ME, MI, SD, IA) Susan submitted manuscript to JNEB. Will revise and submit to another (2007)

f. 13Evaluate recruiting process (SD, NY, RI, AL) Kendra - in process (2007).

g. 14Male/female differences (MI, IA, SD, AL, RI, NY) Sharon in progress. Parts of paper are drafted (2007).

h. 15Redesign newsletters with ARCS Model of Motivation (NY) Dissertation topic for Sarah Dayton (NY). Tanya - newsletters have been pilot testing stage (2007)

i. 6Test IFAFS and NRI in 2 different economically disadvantaged populations Food Stamp and Prison Based (RI) Geoff (manuscript in process) (2007)

j. 17Examine very low income persons to assess dropout (PA) Presented at EB. Led to follow-up study at PA with Food Stamp Young AdultsSusan N will use information to address some outcomes manuscript editor comments (in press) (2007)

k. 18Difference in drop-out rate between race and SOC (IA) Presenting poster @ SNE Chicago, 2007

2. NC1028 Projects - Roots and Shoots
" Susan Nitzkedeveloping the ROOT for meal preparation with young adults

" Geoff will develop a ROOT for analyzing the qualitative data collected from the focus group. Rhode Island has potential student to code the data. All states who will contribute data, must submit it in the form of clean data (identifiers being removed, transcribed and cleaned up)

C. NC1028 Subcommittee Work
1. Participatory Research Skills - Colby/Horacek/Hoerr
a. Sarah Colby via polycomreviewed the CBPR techniques and provided a chart of articles reviewed by NC1028 members (all members received a copy)

2. Epidemiology Literature Colby/Nitzke/White
a. Sara discussed via polycom

3. Community Partnerships Green/Lee
a. Summarized contact list received from NC1028 participating states

3:00 - 3:15
" Break

3:15 - 5:30
A. Reports from NC1028 Subcommittees
The following are the subcommittees and revised responsibilities of each:

1. NRI Intergrated Proposal Committee (Writing Team)
Kendra Kattelmann (Chair)
Linda Boeckner
Tanda Kidd

2. Participatory Research Skills Subcommitteeeducating NC1028 on CBPR, establishing protocol for working with partners
Sarah Colby (Chair)
Tanya Horacek
Sharon Hoerr

*See attachment titled Brainstorming Questions for a list of questions to address
quality of life (highlighted in yellow), health (highlighted in green), and food
(highlighted in sky blue). Some NRI and IFAFS questions have also been included in
the list.

3. Establishing Partnerships Subcommittee
Title contact form with state name. Use one form for students and one form for experts. Submit a blind copy of the forms with names, e-mails, and any contact information removed.
Geoff Greene (Chair)
Seung-Yeon Lee

4. Literature Review Subcommitteeresearch literature on CBPR and
epidemiology and intervention literature related to health, diet, obesity, physical activity in young adults
Sarah Colby (Chair)
Susan Nitzke
Adrienne White
Kendra Kattelmann
Sharon Hoerr
Jennifer Roy

5. Publications Committeedevelop a grid to manage ROOTS and SHOOTS
Susan Nitzke (Chair; liaison with IFAFS)
Tanya Horacek (liaison with webhealth)
Linda Boeckner
Bea Phillips

6. Website Committeemanage the NC1028 website
Susan Nitzke (Chair)
Bea Phillips

7. Dissemination Committeedistributes and tracks educational materials. Order forms are on the NC1028 website.
Susan Nitzke (Chair)
Linda Boeckner
Geoff Greene,
Barbara Lohse (liaison from webhealth)

8. Qualitative Research Committee protocol, data collection, data analysis
Jennifer Roy (Chair)
Geoff Greene
Adrienne White
Linda Boeckner
Kendra Kattelmann
6:00
" Dinner to be arranged (not included in conference fee)

Wednesday, June 6

8:30 - 9:00
" Continental breakfast

9:00- 10:00
A. CSREES Update Susan Welsh
" Arlen Leholm is the new Executive Director for North Central Regional Association. Biorewables is the new hot topic; obesity is not as strong as it has been in past.
" Dan Rossi replaced Tom Fritz as the Executive Director of the North east Regional Association.
" ARS has asked for funding in the 2008 Budget for a multicenter research project to determine the effectiveness of the Dietary Guidelines in preventing obesity.
" In 2007 Budget the NRI Competitive Grants program got a $9M increase bringing the total to a little over $190M
" There are currently 3 plans for reorganizing USDA (Created 21; Danforth plan; Farm Bill). While they differ, each puts CSREES and ARS together in the same agency.
" American Society for Nutrition (ASN) has been supportive of increases in the USDA nutrition research budget.
" The due date for the NRI subsection on Human Nutrition and Obesity (31.5) was June 5, 2007. The success rate is ~15%.
" The other subsection of the NRI that focuses on nutrition - Bioactive Food Components for Optimal Health supports work on functional foods and understudied nutrients Other Multistate Research Fund (MRF) projects in the nutrition area are:
1. NCDC 211 EFNEP Related Research and Outreach is a development committee whose goal is to write a full proposal for a 5 year project by next December. This project would benefit from having more researchers with expertise in instrument development and validation.
2. W1003 Parent and household influences on calcium intake among preadolescents.
3. NC1167: N-3 Polyunsaturated Fatty Acids and Human Health and Disease.
4. Nutrient Bioavailability--Phytonutrients and Beyond.
5. W 1005 An Integrated Approach to Prevention of Obesity in High Risk Families.
6. NE 1023 NE1023: Improving Plant Food (Fruit, Vegetable and Whole Grain) Availability and Intake In Older Adults.

Complete information on all the projects can be found at http://nimss.umd.edu/ and searching on the project number.

10:00 - 10:15
" Break

10:30 11:45
A. Determine 2008 annual meeting time and place
" March 25-27, 2008 in Washington, D.C.
o The meeting will be centered around manuscripts and base line data

B. NC1028 conference call (1½ hours)
i. Monday, July 23, 2007, 9:00 Mountain; 10:00 Central, 11:00 Eastern
1. Items for next conference call
a. NRI
b. South Dakotas support of PI for NRI grant

ii. Monday, August 20, 2007, 9:00 Mountain; 10:00 central; 11:00 Eastern (CBPR update by Seung-Yeon)

iii. Thursday, October 4, 2007, 9:00 Mountain; 10:00 central; 11:00 Eastern (Mary Gray to discus the university as a model for healthy living)

iv. Thursday, November 8, 2007, 10:30 Mountain;11:30 central; 12:30 Eastern

v. Thursday, December 13, 2007 (tentatively), 10:30 Mountain;11:30 central; 12:30 Eastern

C. Election of October 1, 2007 September 30, 2008 leadership
" Chair Susan Nitzke (2007-2008)
" SecretarySarah Colby (2007-2008)
" Vice-chairTanda Kidd ( will chair 2008-2009)

D. Other
" Annual Report is due December 2007
" New chair will chair the minutes beginning October 1, 2007
" Group work (as time permits)

12:00
" Meeting Adjourn

Respectfully Submitted by
Tandalayo Kidd
NRI Timeline:

March 1, 2008
" Each state submits objectives to the writing committee
" Advisory committee uses the themes based on the focus group

January/February 2008
" Conduct the focus groups

December 2007
" IRB approval

November 2007
" Each state work with its partners to develop an approach
o Informal interviews
o Key informant interviews
o Environmental assessments
o Quality of life/health focus
§ Weight gain prevention, 18-24 year olds
§ Disease state (hypertension, diabetes, etc.)
" Focus group protocol (pilot test)
o Each state must pilot their own state-specific questions
" Focus group question development (each state and as NC1028 group)
o Each state should send their questions to the committee

September 2007
" Form partnerships
o Professionals and non-professionals (not all interested in health)
o Young adults
o Students (not all interested in health)
" Protocol for working with partners

June 2007
" Identify potential focus group questions (accepted by the partnerships)

NC1028 Brainstorming Questions (Participatory Research Skills Subcommittee)

1. What is health?
2. How does health affect quality of life?
3. What do you think will improve your quality of life?
4. What will help you be a healthier person?
5. How do you define quality of life?
6. How does your environment affect your health?
7. What are some things you would like to change about yourself?
8. How does your current lifestyle behavior affect your health?
9. How important is health to you?
10. How does your personal health status relate the overall quality of your life right now? Do you expect that to change in the next 5-10 years?
11. If you could magically change something about your daily life, what would it be?
12. What is the most enjoyable part of your day?
13. Describe a person your age who is admired by others as a role model.
14. How do you spend your free time?
15. What 2 things are important to you?
16. What would you be willing to do now to prevent health disabilities when you are older?
17. If you have a free afternoon, how do you spend it?
18. What types of activities or programming would you promote or use in the new wellness center?
19. If you decided to run for student president, what would be your platform?
20. What does quality of life mean to you?
21. If life was at its best for you, describe it for me.
22. What is a healthy lifestyle?
23. Think about your health. In what way does it affect your life right now? Why or why not?
24. What 3 things do you want that are missing from your life right now?
25. What are the 3 things in your life for which you are most grateful?
26. What things will determine where you are next year?
27. What things will determine what you do next year?
28. What 5 things are the most important to you right now?
29. What makes you happy?
30. Does food make you happy?
31. What food makes you happy/unhappy?
32. What food do you buy when you go grocery shopping?
33. What are positive and negative influences of college environment in your health related journey of life, especially obesity?
34. On what kind of food can you spend your money?
35. Why do you spend your money for food?
36. Why can you spend your money for food?
37. How important is a healthy lifestyle for you?
38. What are the things that are more important for you than your health?
39. What do you read on a regular basis besides school assignments?
40. Where would you like to be in 5 years?
41. How have you been influenced by a person who means a lot to you or whom you admire?
42. How do you prioritize how you spend your free time?
43. How would you improve something about yourself?
44. What would a perfect day be like?
45. As a college student, whats really important to you?
46. How do you spend your time on the weekend?
47. What are your worries?
48. What percentage of time is focused on your health?
49. What makes you happy?
50. How do you define your quality of life?
51. How is your health related to your quality of life?
52. What will improve your quality of life?
NRI questions
What television show do you try to never miss and why?
How do you spend your money while at school?
If you had extra time each day for leisure or pleasure, what would you do?
What are you goals for this semester, and what are you doing to meet these goals?
IFAFS questions
What are the benefits, facilitators and barriers to eating fruits and vegetables?
How do their fruit and vegetable intakes differ from childhood and why?
What is important in their lives right now?
What do participants want to know about fruits and vegetables?

Accomplishments

Overview: This is the first year of a 5-year NC1028 multi-state project that will focus on college and non-college populations. Contributions will be directed toward young adults (including low-income participants) participating in the community-based programs well as on university campuses populations. The long-range goal is to develop a Community Based Participatory Research (CBPR) model that integrates research, extension, and communities of the targeted population. Using the PRECEDE-PROCEED (9) model of participatory research will help us to work with our target population to identify and prioritize the problems of significance to them, i.e. quality of life (Social Diagnosis); health/environmental/behavioral determinants (Health, Behavioral and Environmental Diagnosis); and predisposing, enabling and reinforcing factors (Educational and Ecological Diagnosis) which can then be connected to the most appropriate nutrition issues. By using a participatory research model, we hope to develop an intervention desired by the target population and thus one that is sustainable. Objective l: Enhance skills in participatory research techniques and build partnerships among researcher, extension and outreach educators, and populations of young adults to develop cooperative intervention programs. Objective 2: Use participatory research techniques to assess, prioritize, and connect: a) young adults quality of life issues and needs (Social Diagnosis); b) young adults perceived health issues and the behavioral and environmental health determinants (Health, Behavioral and Environmental Diagnosis); c) young adults specific predisposing, reinforcing, and enabling factors determining their health and quality of life (Educational and Ecological Diagnosis). Objective 3: Address needs by compiling and evaluating evidence-based methods and material for promoting healthful eating and /or prevention of weight gain in young adult (Administrative and Policy Diagnosis). . Objective 4: Develop community-based applications that can be refined and evaluated in future projects. Activities and Accomplishments. The research teams accomplishments in the first year of the five-year NC1028 multi-state project has focused on 1) enhancing skills in participatory research and 2) establishing partnerships in each of the states. - A writing subcommittee is drafting a grant proposal to support NC1028 goals. The group has met both in-person via teleconference. - Team members participated in a training presentation including background readings on PRECEDE PROCEED led by the New York team member at the 2006 annual meeting. - Three state team members participated in a USDA grant writing workshop that focused on NRI integrated grants. - State team members participated in committee activities to define CBPR and to review of selected research-based publications on use of CBPR in settings relevant to this projects goals. An Evidence Based Analysis format was followed to evaluate the articles related to use of the model. - Two state team members developed concept papers, which were submitted for the NIH Summer Grant Writing Institute on community based-participatory research for grant development in support of NC 1028 goals. Unfortunately neither of these was selected. - Meetings to build partnerships were conducted by team members with partners in each state to initiate contact for formation of a community partnership research groups. - Team members assisted in writing/editing of manuscripts and posters. - Team members have participated in monthly teleconferences. The work of this group continues to be supported by a research grant - Obesity Prevention in Young Adults. USDA/NRI Integrated Project, Geoffrey Greene RI), Principal Investigator with subcontracts to NY, AL, MI, WI, SD, PA, and ME. Total Award: $1,127,707. Team members from 8 states participated in the qualitative assessment of attitudes towards healthful eating, exercise and body size acceptance in conjunction with the NRI grant Behavior Change for Obesity Prevention in Young Adults. This involved non-diet curriculum development (10 lessons), development of on line focus group research instrumentation and implementation to pretest, evaluate and edit the curriculum.

Publications

NC1028 Publications (2006-2007) Peer-reviewed Journal: Blissmer B, Reibe D, Dye G, Ruggiero L, Greene G, Caldwell M (2006) Health-related quality of life following a clinical weight loss intervention among overweight and obese adults: Intervention and 24 month follow-up effects. Health and Quality of Life Outcomes, 4:43. http:/www.hqlo.com/content/4/1/43 Nitzke S, Kritsch K, Boeckner L, Greene G, Hoerr S, Horacek T, Kattelmann K, Lohse B, Oakland MJ, Phillips B, White A. (2007). A stage-tailored multi-modal intervention increases fruit and vegetable intakes of low-income young adults. American Journal of Health Promotion 22:6-14. Esters ON, Boeckner LS, Hubert M, Horacek T, Kritsch KR, Oakland MJ, Lohse B, Greene G, Nitzke S. (2007, accepted). Educator and participant perceptions and cost analysis of stage-tailored educational telephone calls. Journal of Nutrition Education and Behavior. Park A, Nitzke S, Kritsch K, Kattelmann K, White A, Boeckner L, Lohse B, Hoerr S, Greene G. (2007, submitted). An Internet-based stage-tailored nutrition intervention affects short-term mediators and indicators of dietary behavior of young adults. Journal of Nutrition Education and Behavior. Do M, Kattelmann K, Boeckner L, White A, Greene G, Hoerr S, Horacek T, Lohse B, Phillips B. (2007, submitted). Low-income young adults report more variety in fruit and vegetable intake following a stage-tailored intervention. Journal of the American Dietetic Association. Chung SJ, Hoerr SL, Coleman G, Levine R. (2006) Processes underlying young women's decisions to eat fruits and vegetables. (British) Journal of Nutrition and Dietetics. 19(4):1-12. Lee SY, Hoerr SL, Weatherspoon, L, & Schiffman RF. Dietetics and Nutritional Sciences Students Attitudes towards Working with Older adults. Journal of Nutrition Education Behavior (In press) Hoerr SL, Horodynski MA, Lee SY. & Henry M. Predictors of Nutritional Adequacy in Mother-Toddler Dyads from Rural Families with Limited Incomes. Journal of the American Dietetics Association. 2006;106:1766-1773. Hoerr SL, Lee SY, Schiffman RF, Horodynski MA, & McKelvey L, Beverage Consumption of Mother-Toddlers in Low-income Families. Journal of Pediatric Nursing. 2006;21:403-411. Suzuki M, Murashima M, Hoerr SL. (accepted) Body mass and fatness of Japanese college women and relationship to place of residence. (Australian) Journal of Nutrition and Dietetics. (in press) Lee SY, Hoerr SL, Weatherspoon, L, & Schiffman RF. Guided Interaction with Older Adults Improved Nutrition Students Attitudes. Journal of Nutrition Education Behavior (under revision) Hoerr SL, Tsuei E, Liu Y, Franklin F, Nicklas T. Diet quality varies in multiethnic Head Start mothers. Journal of American Dietetic Association. (under revision) Rasmussen, D., Kattelmann, K. Practitioner perception of nutrition education in medical curriculum for diagnosis of failure to thrive in infants and children. Top Clin. Nutr. 2006;21:260-267. Meier KS, Rossi JS, Redding CA, Prochaska JO, Pallonen UE, Velicer WF, Greene GW, Rossi SR, Krebs PM, Plummer BA. (in press). Teens and technology: Using tailored multimedia programs for population-based cancer prevention in high schools. Health Promotion Practice. Mulligan JE, Greene GW, Caldwell M (2007). Sources of folate and serum folate levels in the elderly. Journal of the American Dietetic Association, 107:495-499. Robertson, C, Kattelmann, K. Control of type 2 DM using interactive Internet based support on a Northern Plains Indian Reservation. Topics in Clin Nutr. 2007;22:185-193. Chanda, G, Kattelmann, K. & Ren, C. Culturally appropriate nutrition lessons increased fruit and vegetable consumption in American Indian children. In revision with Topics in Clinical Nutrition, March 2007, in review Dietetics Association, April 2007 Anderson W, Greene GW, Forse RA, Apovan CM, Istfan NW. (in press) Differences between African Americans and Whites following gastric bypass Surgery. Obesity. Greene GW, Fey-Yensan N, Padula C, Rossi SR, Rossi JS, Clark P. (in press) Change in fruit and vegetable intake over 24 months in Older Adults: Results of the SENIOR Project Intervention. The Gerontologist. Book chapters Hoerr SL, Murashima M, Keast DR. Nutrition and obesity. Chapter in obesity in America, Vol. I. Davies HD, Fitzgerald H (eds). Praeger Perspectives, 2007 Oral presentation with published abstract Nitzke S, Park A, White A, Lohse B, Greene G, Hoerr S, Kritsch K, Kattelmann K, Oakland MJ, Boeckner L. A tailored approach to nutrition education has advantages over a non-tailored approach for promoting vegetables but not fruits via an internet-based program for young adults in the US. Oral presented at 10th International Congress on Obesity, Sydney, Australia. September 7, 2006. Nitzke S, Kritsch K, Boeckner L, Greene G. A stage-based intervention increases fruit and vegetable intakes of young adults. Oral presentation at the Sixth Annual Conference of the International Society of Behavioral Nutrition and Physical Activity (ISBNPA), Oslo, Norway, June 22, 2007. Lee SY, Greaney ML, Lees, FD, Norsworthy B, Hoerr SL, Dayton SF, Roy JL, White AA, Greene GW, Factors affecting college students regulation on food and non-alcoholic beverage consumption. FASEB J. 2007 21:71.21 Lee SY, Greaney ML, Lees FD, White AA, Lohse B, Phillips B, Patterson J, Kattelmann K, Hoerr S, Dayton S, Horacek T, Green G. Facilitators and barriers for maintaining healthy weight in male and female college students. 40th Annual Society for Nutrition Education Conference, Society for Nutrition Education. Chicago, IL, 2007. Onika T, Boeckner L, Hubert M, Horacek T, Kritch K, Oakland M, Lohse B, Greene G, Nitzke S. Educator and participant perceptions and cost analysis of stage-tailored educational telephone calls J Nutr Ed Beh ( In press). Stotts J, Lohse B, Patterson J, Horacek T, White A, Greene G. Eating Competence In College Students Nominates A Non-Dieting Approach To Weight Management (Abstract submitted for Experimental Biology Annual Meeting, Washington, DC April 24-27). Cole R & Horacek T. Effectiveness of the My Body Knows When Intuitive Eating Non-Dieting Weight Management Program. (Abstract submitted for the American Dietetic Association Annual Meeting, Philadelphia, PA Sept 28-Oct. 2, 2007.) Cole R & Horacek T. Applying PRECEDE-PROCEED to Develop an Intuitive Eating Non-Dieting Approach to Weight Management Program. (Abstract submitted for the Society for Nutrition Education Conference, Chicago IL, July 28-August 2, 2007.) Esters O, Oakland M, Phillips B, Horacek T, Greene G. Participation in a Stage-based Intervention to Increase Fruit and Vegetable Consumption: The Impact of Race on Attrition Rate. (Abstract submitted for the Society for Nutrition Education Conference, Chicago IL, July 28-August 2, 2007.) Related Peer-reviewed Journal: Boeckner LS, Pullen CH, Walker SN, Hageman PA. (2006). Differences in eating and activity behaviors, health history, and biomarkers among normal weight, overweight and obese rural midwestern Hispanic women. Journal of the American Dietetic Association 106:1870-1874. Boeckner LS, Pullen CH, Walker SN, Oberdorfer MK, Hageman PA. (2007). Eating behaviors of rural midlife to older women in midwestern United States. Journal of the American Dietetic Association 107:306-310. Horacek T, Salomon J, Nelson B. Evaluation of dietetic students and interns application of whole person lifestyles-oriented nutrition counseling model. Patient Education and Counseling (In Press). Lohse B, Satter E, Horacek T, Gebreselassie T. Measuring Eating Competence: Psychometric Properties and Validity of the Satter Inventory J Nut Ed Behav (In press). Horacek T, Salomon J, Bergen-Cico D.Clients Improve Disease Prevention Behaviors Through a Lifestyle-oriented Nutrition Counseling Program Provided by Dietetic Students and Interns. Topics in Clin Nutr. 2006; 21(4):268-283. Posters: Buckla C, Greene G. Assessment of fruit and vegetable intake and physical activity levels of young adults. 5th International Society of Behavioral Nutrition and Physical Activity. Boston, MA July 13-16, 2006 Dye G, Greene GW, Velicer W.F, Prochaska JO, Rossi JS, Paiva, A, RSR, Laforge RG, Fava JL, Predictive value of baseline demographic Transtheoretical Model, and dietary variables on 12, and 24 month dietary outcomes in population-based research. SBM, March 2007 Doong JY, Hoerr SL. The relationship of different body fat distribution patterns to the risks of Metabolic Syndrome and related metabolic disorders in overweight but not obese in non-Hispanic whites. 10th Asian International Congress of Nutrition, Taipaei, Taiwan, 2007. Drake SC, Lehto AE, Murashima M, Lee SY, Hoerr SL. Weight management, online for college students: Project WebHealth. Poster presentation, Michigan Dietetic Association Annual Conference, 2007. Greaney ML, Lees FD, Lee SY, Norsworthy B, Dayton S, Hoerr SL, Roy J, White A, Greene GW. A qualitative analysis of enablers and barriers to physical activity among college students. American Public Health Association, Boston MA, Oct 2006. Greene G, Stone E, Sebelia L, Rossi C. Attitudes towards diet, exercise, and body image in Latino women: Focus group results. Poster resented at the 5th Annual Conference of the International Society of Behavioral Nutrition and Physical Activity. Boston, MA July 13-16, 2006 Greene G, Hoerr SL, Horacek T, Kattleman K, Lohse B, Patterson J, Phillips B, White A. College males and females participate in online study to identify similarities and differences in their food and physical activity behavior. International Society for Behavioral Nutrition and Physical Activity. Boston, MA, 2006. Keast DK, Hoerr SL. Patterns of beverage consumption associated with adolescent obesity in the U.S. Experimental Biology, WDC, 2007. Lee SY, Greaney ML, Lees FD, Norsworthy B, Hoerr SL, Dayton SF, Roy JL, White AA, Greene GW. Factors affecting college students regulation on food and non-alcoholic beverage consumption. Experimental Biology 2007, Washington DC, April 2007 (Poster) McCullough ML, Keast DR, Lee SY, Hoerr SL, Rafferty AP, Smith K. Violence and/or sexual abuse relate to severe overweight status in Michigan adults. Food & Nutrition Conference & Exhibition 2007, American Dietetic Association, Philadelphia, PA, 2007. (Abstract accepted). Stone E, Greene GW, Sebelia L. Acceptability of a culturally tailored nutrition and physical activity program for Latinas. SBM, March 2007 Tsuei E, Hoerr SL, Lin Y, Nicklas TA, Franklin F. Diet quality of multiethnic mothers with limited incomes in the southern U.S. International society of Behavioral Nutrition and Physical Activity, Oslo, Norway, 2007.

Impact Statements

The impact of the project includes determining the usefulness of community-based participatory research in the development of weigh gain prevention with young adults.

Date of Annual Report: 07/07/2008

Report Information

Annual Meeting Dates: 03/24/2008 - 03/27/2008
Period the Report Covers: 10/01/2007 - 09/01/2008

Participants

Participants:
" Susan Welsh, CSREES, USDA
" Susan Nitzke, University of Wisconsin-Madison
" Geoff Greene, University of Rhode Island
" Tanya Horacek, Syracuse University
" Carol Byrd-Bredbenner and Ginger Quick, Rutgers Univ.
" Adrienne White and Jennifer Roy-Walsh, University of Maine
" Tand Kidd and Carrie Snyder, Kansas State University
" Beatrice Phillips, Tuskegee University
" Sharon Hoerr and Megumi, Michigan State University
" Kendra Kattelmann and Kelsey Kicknis, South Dakota State University
" Sarah Colby, East Carolina University
" Onikia Esters, Iowa State University

Absent:
" Linda Boeckner, University of Nebraska,
" Dennis Savaiano, Purdue University (Administrator Advisor)

Brief Summary of Minutes

Introduction/Announcements Grant opportunities, existing and planned project publications and administrative reports werediscussed.

State Reports
" Wisconsin- The graduate student who had been working with the research has taken an indefinite medical leave. A UW staff member, Michelle Johnson, is filling Bridgets role. Budget cuts.
" Rhode Island- Kristi Duncan and Kelsey are working on focus group coding. New faculty member specializes in metabolic syndrome has joined the department. Budget cuts. Syracuse- Colleen is a graduate assistant working on WebHealth. An undergraduate student is working on the 1028 research. Positions available. Budget cuts.
" Rutgers- Recently joined NC1028 team. Positions available. Budget cuts.
" Maine- Working with Job Corps. Positive relationships and experiences. Positions available. Budget cuts.
" Kansas- Recent new hires. Has had recruitment problems with Job Corps. Will now be working with Head Start parents and teachers.
" Alabama- Restructured hospitality into business school. Partnerships with the University of Alabama and medical school. Positions available. Budget restrictions.
" Michigan- Works with both WebHealth and NC 1028. Suen Young is no longer with Michigan. Growing department, recent hires, applying GPA cap. Will be involved in the Great Plains Idea which is an online masters program. Will have a new doctorial student in the fall.
" South Dakota- New faculty member. Nutrition research is encouraged and funded on campus. Graduate programs are being restructured. New wellness center with new director who is interested in collaborations. Restructured extension positions into the department.
" East Carolina- Growth and opportunities for collaboration. Had 4-5 new hires within year. Anticipating more positions available
" Iowa- New wellness center. Looking for new wellness center director. Positions available. Rescheduling focus groups due to low turn out for first round.

Reviewed Timeline (Susan Nitzke) Discussed the timeline for the 3rd year of NC028 research.

Reviewed Focus Group Results (Jennifer Roy-Walsh) 8 states did on-line focus groups. Maine did a face-to-face focus group. On average there were 5 participants per group.

Additional points discussed:
" Media literacy
" How to balance between anorexia and overweight
" Overt negative feelings toward overweight/obesity
" Unexplored issues of sexual orientation
" Difference between cultural acceptance of weight and body image
" Disordered eating with sports
" Possible need to focus on improving health through increasing social wellness
" Life balance- stress, sleep, spirituality, healthy relationships, sexual health, physical activity, Wellness Wheel-
" Spirituality, physical, emotional, financial, work, personal and family relationships, and social network,
" WebHealth showed that people wanted a more personalized plan and that also came out in focus groups
" Drugs/alcohol need to be addressed in the intervention

Key Informant Interviews (Tanya Horacek) Seven states sent in (5 college, 2 non-college populations) total of 44 key informant interviews. Interviews from Rhode Island, Wisconsin, Michigan, Iowa, Kansas will be coming soon. Interviews included students and student leaders, health professional, resident life professionals, other professionals.

Community Partnerships Committee (Geoff Greene) Community partner and contacts information should be kept and will act as a running documentation of contacts and interaction. Each state should have a group of community partners that function as a steering committee/advisory board. The steering committee/advisory board may or may not include the key informants who participated in interviews. The steering committee/advisory board would most likely need to meet face-to-face a few at least a few times a year and then communication may also be made by conference call and email.

Procedures Committee (Tanya Horacek) Broadened objectives are needed to frame the NC1028 intervention.

Suggested objectives/outcomes to improve students quality of life by enhancing young adults life balance and issues that affect life balance may include:
" Relationships, feeling connected, stress management, academic success, body image, financial burdens, alcohol consumption

Potential avenues for enhancing sense of balance include-
" Mindfulness, technology, planning and intentionality

Students health and well being affected by
" Maintaining a healthy weight, preventing weight gain, normalizing their weight perceptions, enhancing their stress management, and enhancing their sleep schedule

Other health issues that should be addressed and are also potential avenues for reaching students: Depression, anxiety, sexual health

Most of the survey from WebHealth in the 3rd stage of the process can inform NC1028 intervention decisions. Information from the American College Health Survey may also be used.

Jeffrey Arnett- Jeffrey Arnett spoke on emerging adults.

3/26/08
Focus group update
Three focus groups still need to be conducted (Kansas, Iowa, Nebraska)
Focus groups are due by April 15th in order to be included in the grant.

Webpage Priorities and the projects Roots and Shoots system or tracking small group projects and analyses were discussed.

Roster was circulated and updated.

NRI Grant (Kendra Kattleman) The grant content was discussed and budgets were determined.

Proposed Chart of Overall Design would include the following-
Each site has an advisory board with representatives from all existing community groups and other key stakeholders. The Advisory board will hold monthly meetings.

A series of town hall meetings are to be held with the local community and all group meetings will include discussions to address-
1. the problem
2. behavioral factors
3. educational factors
4. environmental factors
5. predisposing factors (KABP)
6. reinforcing factors (rewards and external feedback)
7. intervention strategies
8. recruitment, incentives, evaluation strategies
9. data analysis and interpretation
10. dissemination strategies

Possible outcomes from the meetings-
" Problems list
" Intervention strategies
" Recruitment methods
" Incentive programs
" Evaluation methods
" Dissemination strategies

Ad-hoc Grant committee assignments
1. Logic model-Susan, Adrienne, Tanda
2. Budget and budget narrative- Geoff, Kendra
3. Activities Flow Chart- Colby, Tanya
4. Intervention Design (Environmental and Media)
with sample endpoints- Sarah, Jennifer, Bea, Kerry, Kelsie, Sharon, Ginger

Officer Elections

Tanda Kidd was unanimously approved to become NC1028 chair October 1, 2008.

Kendra Kattelmann will become chair-elect October 1, 2008 and then will become chair in October 1, 2009.

Sharon Hoerr will become secretary October 1, 2008.

Future Meeting Dates
The dates for the 2009 NC1028 Annual Conference are for March 31st- April 2nd to be held at CSREES in Washington, DC.

Future Conference Calls
April 29th at 2:00-3:30 EST (207-582-3555)
May 27th at 2:00-3:30 EST (207-582-3555)
July 29th at 2:00-3:30 EST (TBA)

Accomplishments

Accomplishments Overview: This is the second year of a 5-year NC1028 multi-state project that will focus on college and non-college populations. Contributions will be directed toward young adults (including low-income participants) participating in the community-based programs well as on university campuses populations. The long-range goal is to develop a Community Based Participatory Research (CBPR) model that integrates research, extension, and communities of the targeted population. Using the PRECEDE-PROCEED model of participatory research will help us to work with our target population to identify and prioritize the problems of significance to them, i.e. quality of life (Social Diagnosis); health/environmental/behavioral determinants (Health, Behavioral and Environmental Diagnosis); and predisposing, enabling and reinforcing factors (Educational and Ecological Diagnosis) which can then be connected to the most appropriate nutrition issues. By using a participatory research model, we hope to develop an intervention desired by the target population and thus one that is sustainable. Objective l: Enhance skills in participatory research techniques and build partnerships among researcher, extension and outreach educators, and populations of young adults to develop cooperative intervention programs. Objective 2: Use participatory research techniques to assess, prioritize, and connect: a) young adults quality of life issues and needs (Social Diagnosis); b) young adults perceived health issues and the behavioral and environmental health determinants (Health, Behavioral and Environmental Diagnosis); c) young adults specific predisposing, reinforcing, and enabling factors determining their health and quality of life (Educational and Ecological Diagnosis). Objective 3: Address needs by compiling and evaluating evidence-based methods and material for promoting healthful eating and /or prevention of weight gain in young adult (Administrative and Policy Diagnosis). Objective 4: Develop community-based applications that can be refined and evaluated in future projects. Activities and Accomplishments. The research team(s) accomplishments in the second year of the five-year NC1028 multi-state project has focused on 1) nurturing and expanding community partnerships in each state and 2) developing a research agenda in collaboration with community partners. 3) completed phases 1 and 2 of the PRECEDE PROCEED process. - A grant proposal to support NC1028 goals was submitted to the USDA. - Team members participated in a training presentation on assessing the needs of emerging adults led by Jeffrey Arnett at the 2008 annual meeting. - State team members participated in committee activities to define CBPR and to review of selected research-based publications on use of CBPR in settings relevant to this projects goals. An Evidence Based Analysis system was developed to provide a system to evaluate articles related to CBPR longitudinally. - Meetings to build partnerships were conducted by team members with partners in each state to initiate contact for formation of a community partnership research groups. - Team members assisted in writing/editing of manuscripts and poster abstracts. - Team members have participated in monthly teleconferences. The work of this group continues to be augmented by research grants - Obesity Prevention in Young Adults. USDA/NRI Integrated Project, Geoffrey Greene, P.I., with subcontracts to NY, AL, MI, WI, SD, PA, and ME. Total Award: $1,127,707. Team members from 13 states participated in the qualitative assessment of attitudes towards healthful eating, exercise and body size acceptance in conjunction with the NRI grant Behavior Change for Obesity Prevention in Young Adults. This involved the development of on line focus group research instrumentation and implementation.

Publications

NC1028 Publications in 2007 and Jan-May of 2008 Peer-Reviewed Journals Nitzke S, Kritsch K, Boeckner L, Greene G, Hoerr S, Horacek T, Kattelmann K, Lohse B, Oakland MJ, Phillips B, White A. A stage-tailored multi-modal intervention increases fruit and vegetable intakes of low-income young adults. American Journal of Health Promotion 2007;22:6-14. Robertson, C, Kattelmann, K. Control of type 2 DM using interactive Internet based support on a Northern Plains Indian Reservation. Topics in Clin Nutr. 2007;22:185-193. Greene GW, Nebeling LC, Greanery ML, Lindsay AC, Hardwick CK, Toobert DJ, Resnicow K, Williams GC, Elliot DL. Goodman-Sher T, McGregor HA, Domas A, DeFrancesco CA, Peterson KE. A qualitative study of a nutrition working group. Health Promotion Practice 2007;8:299-306. Hebert JR, Hurley TG, Peterson KE, Resnicow K, Thompson FE, Yaroch AL, Ehlers M, Midthune D, Williams GC, Greene GW, Nebeling L. Social desirability trait influences on self-reported dietary measures among diverse participants in a multicenter multiple risk factor trial. J Nutr. 2008 Jan;138(1):226S-234S. Peterson KE, Hebert JR, Hurley TG, Resnicow K, Thompson FE, Greene GW, Shaikh AR, Yaroch AL, Williams GC, Salkeld J, Toobert DJ, Domas A, Elliot DL, Hardin J, Nebeling L. Accuracy and precision of two short screeners to assess change in fruit and vegetable consumption among diverse populations participating in health promotion intervention trials. J Nutr. 2008 Jan;138(1):218S-225S. Williams GC, Hurley TG, Thompson FE, Midthune D, Yaroch AL, Resnicow K, Toobert DJ, Greene GW, Peterson K, Nebeling L, Patrick H, Hardin JW, Hebert JR. Performance of a short percentage energy from fat tool in measuring change in dietary intervention studies. J Nutr. 2008 Jan;138(1):212S-217S. Davis RE, Resnicow K, Atienza AA, Peterson KE, Domas A, Hunt A, Hurley TG, Yaroch AL, Greene GW, Goldman Sher T, Williams GC, Hebert JR, Nebeling L, Thompson FE, Toobert DJ, Elliot DL, DeFrancesco C, Costello RB. Use of signal detection methodology to identify subgroups of dietary supplement use in diverse populations. J Nutr. 2008 Jan;138(1):205S-211S. Greene GW, Resnicow K, Thompson FE, Peterson KE, Hurley TG, Hebert JR, Toobert DJ, Williams GC, Elliot DL, Goldman Sher T, Domas A, Midthune D, Stacewicz-Sapuntzakis M, Yaroch AL, Nebeling L. Correspondence of the NCI Fruit and Vegetable Screener to repeat 24-H recalls and serum carotenoids in behavioral intervention trials. J Nutr. 2008 Jan;138(1):200S-204S. Thompson FE, Midthune D, Williams GC, Yaroch AL, Hurley TG, Resnicow K, Hebert JR, Toobert DJ, Greene GW, Peterson K, Nebeling L. Evaluation of a short dietary assessment instrument for percentage energy from fat in an intervention study. J Nutr. 2008 Jan;138(1):193S-199S. Yaroch AL, Nebeling L, Thompson FE, Hurley TG, Hebert JR, Toobert DJ, Resnicow K, Greene GW, Williams GC, Elliot DL, Goldman Sher T, Stacewicz-Sapuntzakis M, Salkeld J, Rossi S, Domas A, Mcgregor H, Defrancesco C, Mccarty F, Costello RB, Peterson KE. Baseline design elements and sample characteristics for seven sites participating in the Nutrition Working Group of the Behavior Change Consortium. J Nutr. 2008 Jan;138(1):185S-192S. Chang MW, Nitzke S, Guilford E, Adair CH, Hazard DL. Motivators and Barriers to Healthful Eating and Physical Activity among Low-Income Overweight and Obese Mothers. J Am Diet Assoc. 2008;108(6):1023-8. Kelley E, Ashley B, Getlinger MJ, Nitzke S. A lesson on "how much should I eat?" helps learners understand and apply MyPyramid recommendations. J Nutr Educ Behav. 2008;40(2):116-7. Chang MW, Brown R, Nitzke S. Scale development: factors affecting diet, exercise, and stress management (FADESM). BMC Public Health. 2008;26;8:76. Chang MW, Brown RL, Baumann LJ, Nitzke SA. Self-efficacy and dietary fat reduction behaviors in obese African-American and white mothers. Obesity. 2008(5):992-1001. Peer-reviewed Publications In Review or In Press Lohse B, Satter E, Horacek T, Gebreselassie T. Measuring Eating Competence: Psychometric Properties and Validity of the Satter Inventory J Nut Ed Behav (In press). Park A, Nitzke S, Kritsch K, Kattelmann K, White A, Boeckner L, Lohse B, Hoerr S, Horacek T, Salomon J, Nelson B. Evaluation of dietetic students and interns application of whole person lifestyles-oriented nutrition counseling model. Patient Education and Counseling (in press). Greene G. An Internet-based stage-tailored nutrition intervention affects short-term mediators and indicators of dietary behavior of young adults. Journal of Nutrition Education and Behavior. (in press) Chanda, G, Kattelmann, K., & Ren, C. Culturally appropriate nutrition lessons increased fruit and vegetable consumption in American Indian children. Topics Clin Nutr, 2007; 22:240-246. ). Do M, Kattelmann K, Boeckner L, White A, Greene G, Hoerr S, Horacek T, Lohse B, Phillips B, Nitzke S. Low-income young adults report more variety in fruit and vegetable intake following a stage-tailored intervention. Accepted June 2008 Nutrition Reviews Hoerr SL, Tsuei E, Liu Y, Franklin F, Nicklas T. Diet quality varies in multiethnic Head Start mothers. Journal of American Dietetic Association. (under revision) Meier KS, Rossi JS, Redding CA, Prochaska JO, Pallonen UE, Velicer WF, Greene GW, Rossi SR, Krebs PM, Plummer BA. Teens and technology: Using tailored multimedia programs for population-based cancer prevention in high schools. Health Promotion Practice. (in press) Andrade A, Malanson K, Greene GW. Eating slowly led to decreases in energy intake within meals in healthy women. J Am Diet Assoc. (in press). Esters ON, Boeckner LS, Hubert M, Horacek T, Kritsch KR, Oakland MJ, Lohse B, Greene G, Nitzke S. Educator and participant perceptions and cost analysis of stage-tailored educational telephone calls. Journal of Nutrition Education and Behavior. (in press). Prochaska JO, Velicer WF, Redding CA, Rossi JS, Greene GW, Paiva A, Robbins M, Blissmer B, Dye G. Treatment, stage, severity and effort effects predict long-term changes in multiple behaviors. Preventive Med. (in press). Milan JE, White AA. Impact of a stage-tailored, web-based intervention on folic acid intake of college women. Am J. Health Promotion (in review). Oral Presentations and Posters at Professional Conferences Nitzke S, Kritsch K, Boeckner L, Greene G. A stage-based intervention increases fruit and vegetable intakes of young adults. Oral presentation at the Sixth Annual Conference of the International Society for Behavioral Nutrition and Physical Activity (ISBNPA), Oslo, Norway, June 22, 2007. Lee SY, Greaney ML, Lees, FD, Norsworthy B, Hoerr SL, Dayton SF, Roy JL, White AA, Greene GW. Factors affecting college students regulation on food and non-alcoholic beverage consumption. FASEB J. 2007;21:71.21 Lee SY, Greaney ML, Lees FD, White AA, Lohse B, Phillips B, Patterson J, Kattelmann K, Hoerr S, Dayton S, Horacek T, Greene G. Facilitators and barriers for maintaining healthy weight in male and female college students. Society for Nutrition Education Conference, Chicago, IL, 2007. Onika T, Boeckner L, Hubert M, Horacek T, Kritsch K, Oakland M, Lohse B, Greene G, Nitzke S. Educator and participant perceptions and cost analysis of stage-tailored educational telephone calls. Society for Nutrition Education Annual Conference, Chicago, IL, 2007. Stotts J, Lohse B, Patterson J, Horacek T, White A, Greene G. Eating competence in college students nominates a non-dieting approach to weight management. Experimental Biology (FASEB), Washington, DC April 24-27, 2008. Cole R, Horacek T. Effectiveness of the My Body Knows When intuitive eating non-dieting weight management program. Food and Nutrition Conference and Exhibition, American Dietetic Association, Philadelphia, PA, Sept 28-Oct. 2, 2007. Cole R, Horacek T. Applying PRECEDE-PROCEED to develop an intuitive eating non-dieting approach to weight management program. Society for Nutrition Education Conference, Chicago IL, July, 2007. Esters O, Oakland M, Phillips B, Horacek T, Greene G. Participation in a stage-based intervention to increase fruit and vegetable consumption: The impact of race on attrition rate. Society for Nutrition Education Conference, Chicago IL, July, 2007. Dye G, Greene GW, Velicer W.F, Prochaska JO, Rossi JS, Paiva A, Laforge RG, Fava JL. Predictive value of baseline demographic Transtheoretical Model, and dietary variables on 12, and 24 month dietary outcomes in population-based research. Poster at Society for Behavioral Medicine Annual Conference, March 2007 Doong JY, Hoerr SL. The relationship of different body fat distribution patterns to the risks of Metabolic Syndrome and related metabolic disorders in overweight but not obese in non-Hispanic whites. 10th Asian International Congress of Nutrition, Taipaei, Taiwan, 2007. Keast DK, Hoerr SL. Patterns of beverage consumption associated with adolescent obesity in the U.S. Poster at Experimental Biology (FASEB), Washington, D.C., April, 2007. Lee SY, Greaney ML, Lees FD, Norsworthy B, Hoerr SL, Dayton SF, Roy JL, White AA, Greene GW. Factors affecting college students regulation on food and non-alcoholic beverage consumption. Poster at Experimental Biology (FASEB), Washington DC, April 2007. McCullough ML, Keast DR, Lee SY, Hoerr SL, Rafferty AP, Smith K. Violence and/or sexual abuse relate to severe overweight status in Michigan adults. Poster at Food & Nutrition Conference & Exhibition, American Dietetic Association, Philadelphia, PA, 2007. Stone E, Greene GW, Sebelia L. Acceptability of a culturally tailored nutrition and physical activity program for Latinas. Poster at Society for Behavioral Medicine, March 2007 Tsuei E, Hoerr SL, Lin Y, Nicklas TA, Franklin F. Diet quality of multiethnic mothers with limited incomes in the southern U.S. Poster at International Society for Behavioral Nutrition and Physical Activity, Oslo, Norway, 2007.

Impact Statements

Impacts 1. The potential impacts of the NC1028 project include determinations of the usefulness of community-based participatory research in the development of weigh gain prevention with young adults.

Date of Annual Report: 06/01/2009

Report Information

Annual Meeting Dates: 03/30/2009 - 04/02/2009
Period the Report Covers: 10/01/2008 - 09/01/2009

Participants

Linda Boeckner, University of Nebraska Had to drop from longer in project;
Carol Byrd Bredbenner, Rutgers (Ginger Quick);
Sarah Colby, East Carolina University;
Oinika Esters, Iowa State University Absent, attending MANRRS;
Geoff Greene, University of Rhode Island;
Sharon Hoerr, Michigan State University (Megumi Murashima on phone, Wen Guo, Melissa Reznar);
Tanya Horacek, Syracuse, NY (Maria Urdman);
Kendra Kattelmann, South Dakota (Minette Herrick);
Tanda Kidd, Kansas State University (Carrie Snyder only on conference call);
Susan Nitzke, University of Wisconsin-Madison (Michelle Johnson and Mallory Koenings both only phone conference);
Beatrice Phillips, Tuskegee, Alabama;
Adrienne White, University of Maine (Jennifer Walsh);
Karla Shelnutt, Univ of Florida;
Gale Carey, Univ of NH (Jessie Morrell);
Susan Welsh, CSREES, USDA

Brief Summary of Minutes

Introduction/Announcements: For institutions, there was a general theme of budget cuts across states due to the recession.

Administrative Reports: No formal report at this time due to on-going reorganization, but will follow up in summer. USDA may be reorganized along discipline lines instead of function.

Brief State Reports
--Kansas- Developed website (www.knackonline.org) to address adolescent obesity
--Rhode Island- Dramatic administrative changes underway. Possible elimination of department.
--Wisconsin- Dr. Nitzke appointed department chair of Nutritional Sciences. UW Madison has a new chancellor from Cornell.
--South Dakota- Dr. Kattelmann submitted two grant proposals for our multi-state group; the USDA was funded. New PhD program in the Department of Nutritional Sciences. Great Plains Idea is a new online masters program for RD's. College of Family & Consumer Sciences merged with College of Education into College of Education & Human Sciences.
--East Carolina- Major budget cuts underway campus wide. Adjunct faculty members were released. Regular faculty members have increased teaching loads. Colby is updating her book, Ecological Model of Food Behavior, and looking for chapter authors.
--Florida- New to the NC 1028 group. Expressed interest in joining the project.
--Maine- Dr. White promoted to full professor. Working with Job Corps students. Nursing became a part of the College of Natural Sciences, Forestry and Agriculture.
--Michigan- Two new Departmental faculty members have been hired in nutritional biochemistry.
--New York- Organized and led the environmental assessment part of this NC 1028 study. Dr. Horacek will be teaching the Mediterranean diet and doing research in Florence, Italy.
--Alabama- Their president will be retiring spring 2010. New B.S. program in public health nutrition staring fall 2009. Completed highly successful reaffirmation of accreditation by the Southern Association on Accreditation of Colleges and Schools.
--New Hampshire- New to the NC 1028 group. Expressed interest in joining the project. Dr. Carey comes from nutritional biochemistry and has done research on obesity in swine. College has been reorganized from 8 departments to 4 departments. The nutritional program lacks easy recognition within the Dept of Molecular, Cellular and Biomedical Sciences.

Community Partnerships Committee: All states have submitted both the number of contacts and their type of contacts.

Behavioral Survey: States that were not part of Webhealth completed their Behavioral Survey online aiming for 200 students each: WI, NC, ME, NJ, IO, KS. NJ and ME are done and had equal gender distribution, slightly older students than did Webhealth. Bredbrenner announced: NC completed 100 students; KS 29; IA has IRB but no participants; WI is nearing IRB approval.

BEKS Survey: The BEKS will ask students to prioritize what they want to change. The survey was developed and tested cognitively. URI, ME, NJ, SD have completed pilot testing with 25 participants each. Each state needs n~250 to have state level data stability, with a minimum of 100. Otherwise 50 per state is fine. General discussion on adding Have you ever taken a college nutrition class? to the BEKS. All agreed on this. No participants will be recruited from nutrition courses. The entire survey must be done by first of May. Dr. Horacek suggested that one or more states run convergent validity between the BEKS and Virginia Techs Behavior Belief Survey that was recently published in JADA.

Environmental Audit: Dr. Horacek reported on the development and summary of the environmental audit. All original data were re-entered into SPSS, except the walkability for data analysis. The inter-rater reliability for each state looked good. The summary results of the new 100 pt scoring system were: Environmental=10%; restaurants=10%; campus food service=10%; food stores=10%; vending=10%; walkability/bike=100%; recreational facilities=20%; building total=10%; policies=10%; environmental appeal=10%; with higher scores as good. No states had innovative health policies. Dr. Greene suggested and all agreed to divide recreation facilities into two categories for even distribution between food and physical activities. Dr. Horacek shared the summary of scores by states. She emphasized the importance of the environment and not just student behaviors.

Publications/Roots & Shoots: Dr. Nitzke explained the concept of intellectual property for this project to internally coordinate authorship and data analysis, to track publications and to maintain collegiality. Root=concept claimed as placeholder & others can sign on within 6 months. Shoot=full-blown internal proposal. Dr. Horacek outlined 4 papers she will do roots on for other sates to join: Overall environmental score LEAN index; workability/bike; vending; restaurant/vending food.

Epi/lit and Writing Committee: Dr. Kattelmann plans to resubmit the R01 to NIH proposal with new objectives, and will propose an intervention for the resubmission including the environmental data. Dr. Colby proposed looking at personality & weight maintenance for the next multi-state project and will submit an R21 for a 2 year grant by October 2009. The next multi-state project must be submitted by January of the year before it starts October, 2011.

NRI Grant (work/timeline): Nebraska had to drop out of the NRI, so each state needs to recruit 182 participants instead of 170. All participating states need to resubmit the budget narrative to get the extra funding. Dr. Colby proposed a timeline for discussion:

Jul '09 Review lit of current interventions
Aug '09 Review lit of current interventions; each steering committee, share findings & bring possible interventions
Sep '09 Present interventions to steering committee; compiled list of all steering committee approved ideas
Oct '09 Present steering committee with compiled list & ask them to rank tope 10 choices
Dec '09 Top 10 choices will be review by team to develop/plot test
Jan '10 Multistate meeting in FL to select interventions

4/1/09

New Members:
--Dr. Gale Carey and her graduate student, Jesse Morell from NH are doing environmental and behavioral assessments with nutrition students and are interested in joining NC1028. Dr. Carey has experience with nutrition games. Their NH research team includes a multidisciplinary team to develop a game to increase FV and Physical activity.
--Dr. Karla Shelnett from FL has an Extension and teaching appointment and has time to devote to this project. She would like to do the environmental assessment on her campus.

Resubmitting NIH R01: Dr. Kattelmann will work on the new R01 with new objectives to evaluate the environment with the new environmental index and focus on technology. LEAN was suggested as Livable/Lifestyle Environments, Activity & Nutrition for the name of the index.

Planning for next multi-state: Volunteers for writing committee were NC, RI, NH, AL, FL. Dr. Welsh will review.

Election of Officers for Oct, 2009 to Sept 30, 2010

Kendra Kattelmann approved to become NC1028 chair October 1, 2009.

Tanya Horacek will become chair-elect October 1, 2009 and then will become chair in October 1, 2010.

Karla Shelnutt will become secretary October 1, 2009.

Plans for 2010 annual meeting:
--Agenda is to review intervention menu and decide what to pilot test.
--Location will be Orlando, FL. Dr. Shelnutt will host. Meeting will be all day Wednesday, Thursday and ½ day on Friday for a total of 2 ½ days.

Old Business (WebHealth):
--Dr. Nitzke asked how we want to use the Webhealth online lessons and materials. Dr. White said that these materials will be available to states involved in the study. Dr. Lohse is adapting the lessons for use with SNAPed and these will be online.

New Business (Studies at NH):
--Youth Adult Health Risk Screening Initiative (YAHRSI) is an ongoing program associated with an introductory nutrition general education course for 1,000 per year. NH developed a current database of ~3,000 students for: vital stats, dietary data (3 days records), anthropometrics, fitness and body composition (BIA) and lipid values. Sample is 96% white, young and healthy. 10% meet criteria for metabolic syndrome; 24 and 30% of females and males have low HDL, respectively. A paper on descriptive data is in press, JADA. NH desires to do an intervention.
-----Dr. Nitzke suggested NH look into applying for a USDA challenge grant. NJ and FL were interested in joining. Dr. Greene suggested that the Web health online lessons might be use with the course.
--Eats, Feets and Tweets. NH is also submitting a Robert Wood Johnson grant to develop a social networking game Eats, Feets and Tweets. This would engage students in tracking their food and activity levels and disseminate it to others. Their avatar moves from Fat City to AnyTown to FitCity. There will be a 6-month follow-up. Carey will send all states the executive summary to see if other states are interested in joining an AFRI for a proposal to test it out at other campuses.
-----Dr. Nitzke recommends that NH completes a shoot to describe the studies and permit others to join.

Meeting adjourned at 12:15 ET.

Accomplishments

Overview: This is the third year of a 5-year NC1028 multi-state project that will focus on college and non-college populations. The long-range goal is to develop a Community Based Participatory Research (CBPR) model that integrates research, extension, and communities of the targeted population. Using the PRECEDE-PROCEED model of participatory research will help us to work with our target population to identify and prioritize the problems of significance to them, i.e. quality of life (Social Diagnosis); health/environmental/behavioral determinants (Health, Behavioral and Environmental Diagnosis); and predisposing, enabling and reinforcing factors (Educational and Ecological Diagnosis) which can then be connected to the most appropriate nutrition issues. By using a participatory research model, we plan to develop an intervention desired by the target population and thus one that is sustainable. Activities and Accomplishments: The research team(s) accomplishments in the third year of the five-year NC1028 multi-state project. --As part of Phase II of the PRECEDE-PROCEED Community Based Participatory Research (CBPR) project, Focus Groups were conducted with participants 18-24 years of age from universities and surrounding communities. The aim of the Focus Groups was to determine problems and priorities affecting young adults quality of life. --Key Informants were identified and interviewed to provide their insight into the quality of life and health issues facing young adults. --Team members completed Phase III of the PRECEDE-PROCEED CBPR project. The Nutrition and Physical Activity Appraisal for phase III includes planned environmental audits of the university and surrounding community. The audits collect evidence to determine the degree to which the environment/campuses are supportive of obesity prevention. Audits were performed in three stages, building and environmental audits, walk-ability and bike-ability audits, and food outlet assessment audits. Campus demographics and policy audits were completed in October. Phase I Campus Environmental Audit and Recreation Services Audits were completed in November. The Campus Environmental Audit included assessments of buildings and stairs, health promotion signage, and vending. Recreation Services and the Environment Audit included assessments of facilities, equipment, and programs. Phase II, A Walk-ability/Bike-ability assessment was performed in December. Phase III, an assessment of eating areas (campus dining, convenience stores, grocery stores, and restaurants) was completed throughout December 2008 and January and February 2009. --The steering committee for young adults met regularly to guide assessments and review results from the focus groups. --Team members participated in monthly multistate teleconferences and various NC1028 committee projects. --Each states PI prepared a state subcontract to a successful USDA/CSREES/NRI proposal that will provide resources that will support activities for the advanced phases of the PRECEDE-PROCEED CBPR model.

Publications

Peer-reviewed Journals: Kidd, T., Johannes, E., Simonson, L., and Medeiros, D. (2008). KNACK Online: An Evidence-based Website Developed to Address Adolescent Obesity. Journal of Nutrition Education and Behavior: 40(3);189-190. Do M, Kattelmann K, Boeckner L, Greene G, White A, Hoerr S, Horacek T, Lohse B, Phillips B, Nitzke S. Low-income young adults report increased variety in fruit and vegetable intake after a stage-tailored intervention. Nutr Res 2008:517-522. Esters ON, Boeckner LS, Hubert M, Horacek T, Kritsch KR, Oakland MJ, Lohse B, Greene G, Nitzke S. Educator and participant perceptions and cost analysis of stage-tailored educational telephone calls. Journal of Nutrition Education and Behavior 2008;40:258-264. Kelley E, Ashley B, Getlinger G, Nitzke S. A lesson on "how much should I eat?" helps learners understand and apply MyPyramid recommendations. Journal of Nutrition Education and Behavior (2008;40:116-7). Park A, Nitzke S, Kritsch K, Kattelmann K, White A, Boeckner L, Lohse B, Hoerr S, Greene G. Zhang Z. Internet-based interventions have potential to affect short-term mediators and indicators of dietary behavior of young adults. Journal of Nutrition Education and Behavior 2008;40:288-297. Greene, W., Andreade, A., Melanson, K. Hoerr, S.L., Kattelmann, K. Eating rate and body mass index in college students. J. Amer. Dietetic Assoc. 2008;108:A26. Sneve J, Kattelmann K, Stevens D. Implementation of an interdisciplinary team that included a registered dietitian improved nutritional outcomes in NICU. Nutr. Clin. Pract. 2008;23:630-634. Cole R and Horacek T. Effectiveness of "My Body Knows When" Non-Dieting Weight Management. Pilot Program Am J Health Behavior (In press). Horacek T, Brann L, Erdman M, Middlemiss M, Raj S, "Inter-professional Learning Community: Educating dietetic and other health profession students through an interdisciplinary, service learning experience" Topics in Clinical Nutrition 2009; 24(1):6-15 Cole R and Horacek T. Applying PRECEDE PROCEED to develop an Intuitive Eating Non-Dieting Approach to Weight Management. Journal of Nutrition Education and Behavior (In press). Jensen R, Kattelmann K, Ren C. The Efficacy of KidQuest: A Nutrition and Physical Activity Curriculum for 5th and 6th Grade Youth. J. Extension (accepted). Anderson, J.A., Kennedy-Hagan, K., Steiber, M.R., Hollingsworth, D.S, Kattelmann, K., & Stein-Arnold, C.L. Dietetics Educators of Practitioners and American Dietetic Association Standards of Professional Performance for Registered Dietitians (Generalist, Specialty/Advanced) in Education of Dietetics Practitioners. Accepted to J. Amer. Dietetic Assoc. Kattelmann K, Conti K, Ren C. The Medicine Wheel Nutrition Intervention: A Diabetes Education Study with the Cheyenne River Sioux Tribe. (Accepted Journal American Dietetics). Professional Meeting presentations/Abstracts: Quick, V. and Byrd-Bredbenner, C. (2008) Online Focus Groups Reveal Weight and Body Image Concerns among Young Adults. New Jersey Dietetic Association, New Brunswick, May. Kidd, T., Bradshaw, B., and Snyder C. (2008). Evaluating the Fruit and Vegetable Intake of Walk Kansas: Assessing the Community-based Approach. Poster presentation given at the American Dietetic Associations Food & Nutrition Conference & Expo (FNCE), Chicago, IL. October 2008. Hamm, K. and Kidd, T. (2008). Kansans Move into Health. Poster presentation given at the American Dietetic Association's Food & Nutrition Conference & Expo (FNCE), Chicago, IL. October 2008. Kidd, T. (2008). Emotional Eating. Presentation given at the Family and Consumer Sciences Agent Update, Manhattan, KS. February 2008. Herrick, M, Kattelmann, K, Wey, H., Greene, G., White, A., Hoerr, S., Horecek, T., Lohse, B., Patterson, J., Phillips, B., Shoff, S., and Boyle, C. Association between participant baseline characteristics and time spent on WebHealth Lessons. The 42nd Annual Society for Nutrition Education Conference, Society for Nutrition Education, New Orleans, LA, April 11-15, 2009. (accepted) Dawkins, N., Phillips, B., and Pace, R. The use of herbal supplements among rural African-Americans participating in a cardiovascular disease prevention program. Experimental Biology, 2009, New Orleans, LA July 18-22, 2009. (accepted) Murashi, M., Hoerr, S.L., Hughes, S.O., Ridenour, M., & Kattelmann, K. Maternal feeding behaviors in childhood relate to child's weight status later in college. Poster presentation at the International Congress of Dietetics, Japan, September, 2008. Horacek T, and Grimwade A. PHASE 1 IMPLEMENTATION OF PARTICIPATORY RESEARCH WITH COLLEGE STUDENTS: QUALITY OF LIFE AND OBESITY PREVENTION New York State Dietetic Association poster presentation. Albany, NY May 4, 2008. Boyle C, Horacek T, Brann L, Raj S. PROCESS EVALUATION OF PROJECT WEBHEALTH: AN ONLINE NON-DIET NUTRITION AND FITNESS COURSE FOR COLLEGE STUDENTS. New York State Dietetic Association poster presentation. Albany, NY May 4, 2008. Horacek T, Marco, A. 2009 VENDING MACHINES ON CAMPUS: ARE THERE HEALTHY OPTIONS? New York State Dietetic Association poster presentation. Rye, NY May 1, 2009. Erdman M, and Horacek T. AN ASSESSMENT OF THE EATING AND FOOD ENVIRONMENT OF COLLEGE STUDENTS USING MODIFIED NUTRITION ENVIRONMENT MEASURES SURVEYS. New York State Dietetic Association poster presentation. Rye, NY May 1, 2009. Horacek T. & Boyle C. "WEBHEALTH Overview of study and Evaluation Sub-study." New York State Nutrition Council , May 30th, 2008. Mammarella, S. and Colby, S. (2009). Cost of Nutrient Density in Grocery Stores in Greenville, NC. Presented at North Carolina Dietetic Association, Durham, North Carolina. March 9. 2009. Person, A. and Colby, S. (2009). Physical Activity, BMI, and Eating Competence of East Carolina University Students. Presented at North Carolina Dietetic Association Annual Meeting, Durham, North Carolina. March 9, 2009. Bulova, J. and Colby, S. (2009). Organic and Locally Grown Food Availability and Cost in Greenville, NC. Presented at North Carolina Dietetic Association Annual Meeting, Durham, North Carolina. March 9, 2009. Cerillo, N. and Colby, S. (2009). Gluten Free Food Availability for East Carolina University Students. Presented at North Carolina Dietetic Association Annual Meeting, Durham, North Carolina. March 9, 2009. Grants Federally Funded--Competitive Kattelmann, K, et al (August 09-July 2011) Development of a Randomized Trial Guided by the Process of PRECEDE-PROCEED for Prevention of Excessive Weight Gain in Communities of Young Adults. Funded by USDA/CREES/NRI Integrated, $1,499,270, principal investigator.

Impact Statements

1. The potential impacts of the NC1028 project include determinations of the usefulness of community-based participatory research in the development of weigh gain prevention with young adults.

Date of Annual Report: 03/24/2010

Report Information

Annual Meeting Dates: 01/12/2010 - 01/16/2010
Period the Report Covers: 10/01/2009 - 09/01/2010

Participants

Participants:

Roll Call Present, except as noted:
Kattelman Guests: Melissa Olfert West Virginia melissa.olfert@mail.wvu.edu; Lisa Castle Nebraska Lincoln lfranzen2@unl.edu
Carol Byrd-Bredbenner, Rutgers
Ginger Quick
Susan Welsh, CSREES, USDA via polycom
Sarah Colby, East Carolina University
Ashley Person absent
Tanda Kidd, Kansas State University
Carrie Snyder Andrea Schrage
Onikia Esters, Purdue University
Kendra Kattelmann, South Dakota
Tara Larson absent
Geoff Greene, University of Rhode Island
Jennifer Asslin absent
Susan Nitzke, University of Wisconsin-Madison
Michelle Johnson via polycom
Mallory Koenings
Sharon Hoerr, Michigan State University
Megumi Murashima absent
Wen Guo
Melissa Reznar
Beatrice Phillips, Tuskegee, Alabama
Emma Owens
Tanya Horacek, Syracuse, NY via polycom
Katherine Deieso absent
Adrienne White, University of Maine
Jennifer (Roy) Walsh
Gale Carey, University of New Hampshire
Jesse Morrell
Karla Shelnutt, University of Florida
Ali Alrajhi
Dennis SaviainoProgram administrator

Brief Summary of Minutes

Overview: This is the fourth year of a 5-year NC1028 multi-state project that focuses on college and non-college populations. The long-range goal is to develop a model based on a community-based participatory (CBPR) approach that integrates research, extension, and communities of the targeted population. We are currently in Phase 4 of the PRECEDE-PROCEED model and have completed Phases 2 & 3 this year. The long-range goal is to develop a Community Based Participatory Research (CBPR) model that integrates research, extension, and communities of the targeted population. Using the PRECEDE-PROCEED model of participatory research will help us to work with our target population to identify and prioritize the problems of significance to them, i.e. quality of life (Social Diagnosis); health/environmental/behavioral determinants (Health, Behavioral and Environmental Diagnosis); and predisposing, enabling and reinforcing factors (Educational and Ecological Diagnosis) which can then be connected to the most appropriate nutrition issues. We are in the process of developing an intervention desired by the target population and thus one that is sustainable.

Participants:

Roll Call Present, except as noted:
Kattelman Guests: Melissa Olfert West Virginia melissa.olfert@mail.wvu.edu; Lisa Castle Nebraska Lincoln lfranzen2@unl.edu

1. Carol Byrd-Bredbenner, Rutgers
Ginger Quick 8.Susan Welsh, CSREES, USDA via polycom

2. Sarah Colby, East Carolina University
Ashley Person absent 9. Tanda Kidd, Kansas State University
Carrie Snyder Andrea Schrage
3. Onikia Esters, Purdue University 10. Kendra Kattelmann, South Dakota
Tara Larson absent
4. Geoff Greene, University of Rhode Island
Jennifer Asslin absent 11. Susan Nitzke, University of Wisconsin-Madison
Michelle Johnson via polycom; Mallory Koenings
5. Sharon Hoerr, Michigan State University
Megumi Murashima absent , Wen Guo, Melissa Reznar 12. Beatrice Phillips, Tuskegee, Alabama
Emma Owens
6. Tanya Horacek, Syracuse, NY via polycom
Katherine Deieso absent 13. Adrienne White, University of Maine
Jennifer (Roy) Walsh

7. Gale Carey, University of New Hampshire
Jesse Morrell 14. Karla Shelnutt, University of Florida
Ali Alrajhi
8. Dennis SaviainoProgram administrator

Brief summary of meeting minutes:

State PIs provided updates on activities. Update from Susan Welsh on USDA reorganization and programs.

Committee Reports:

Environmental audit update All training complete. States collecting data. Carol suggested looking at NIH RFA for environmental assessment. Melissa would like a copy of environmental assessment manual: melissa.olfert@mail.wvu.edu

NC1028 Renewal Committee (Kattelmann, Colby, Kidd, Shelnutt, Carey, Greene, Philips) Deadlines for new NC1028 project:
Sept 15, 2010 request to submit proposal
Oct 15, 2010 objectives
Nov 15, 2010 completed Appendix E
Dec 1, 2010 completed proposal
Dec 15, 2010 review forms in NIMMS

New objectives in last months minutes.

Sarah sent out draft to writing committee. Melissa Olfert would like copy of draft to review.
Partnership committee (Greene, Bredbenner, Walsh) No report;

Publications/Roots& Shoots (Nitzke, Horacek, Walsh, Phillips) Walsh to submit BECS abstract to SNE not ISBNPA.
Policy committee
(Kattelmann,, White, Welsh, Nitzke) Savaiano and Welsh want to nominate our group for a multistate award.
NIH Resubmit (Kattelmann) Kattelmann will resubmit at some point but not this semester. Needs to decrease # of pages to 12 and address reviewer comments. If it doesnt get scored or funded will resubmit to a different agency.
Personality Grant (Colby, Shelnutt) Grant submitted successfully.
BECS validation (White)
Data collection for BECS validation complete. Have data from ~1283 respondents. Have large enough number to exclude incomplete data. Greene suggested randomly splitting sample and doing exploratory factor analysis with half and validate with the other. Used SPSS to analyze data.

Walsh would like help interpreting data. Will send results to Greene, Esters, Kattelman, Koenings, Shelnutt

NRI Intervention (Kattelmann) IRB Issues:
" Esters needs NRI approval letter from all states. Missing Horaceks letter
" Wisconsin needs approval letters for IRB approval for pilot.
Messages (nudges):
" All messages have been developed and cognitively tested. Precontemplators did not like messages.
" Hard to engage precontemplators. Good to use humor.

PA messages already finalized and sent to Sarah. Stress messages?
Lessons:
" Eating lessons have been started. Sent to committee for review.
" PA & stress lessons will be done by Christmas. Make sure all the links work and they look like you want them to.
" Kendra has written lesson one. Will guide participants through portal page.
Messages (nudges) will take participants to portal page where they can view videos. Need link to activity with further info about message. Messages were originally taken from lessons.
Instruments:
" Need to finalize instruments to use
" Would like to stage participants in lesson one. If this doesnt work will stage in surveys taken before the lesson.
" Greene recommends to stage in one sitting and cut instruments.Quality of Life Instrument would be removed as a possible change to the stress instrument.

Business:
Lisa Franzen and Melissa Olfert were accepted into the group. A moratorium was placed on accepting new members. The group is getting too large for productive group work.

Minutes Attachment:

Attachment

Accomplishments

Activities and Accomplishments: Greene, White, Kattelmann, Horacek, Phillips, & Hoerr (NC1028 members) and Lohse & Shoff completed work on Project Webhealth, the web-based intervention developed on the on diet approach to prevent excessive weight gain in young adults. Kattelmann, Hoerr, Greene, White, Esters, Nitzke, Colby, Kidd, Byrd Bredbenner, Horacek, Phillips, and Shellnut started work (August 09-July 2012) Development of a Randomized Trial Guided by the Process of PRECEDE-PROCEED for Prevention of Excessive Weight Gain in Communities of Young Adults. Funded by USDA/CREES/NRI Integrated. Colby, Shellnut et al submitted Tailoring weight management behavior strategy recommendations for differing personality types to NIH. Environmental audit of campus for bikeability, walkability, grocery stores, eating establishments on and off campus, wellness facilities and availability of practices supporting healthful lifestyle practices were developed and implemented on each campus. A survey assessing for changeability and importance of the behaviors supporting healthful decisions was developed and implemented on each of the campuses. Analysis continues. Information from the survey was used in the development and tailoring of the intervention developed for NRI. Renewal committee is in process of drafting renewal.

Publications

Publications: Refereed Journal Articles (2009)note those marked with * are graduate or undergraduate students that were mentored in manuscript submission. " Anderson, J.A., Kennedy-Hagan, K., Steiber, M.R., Hollingsworth, D.S, Kattelmann, K., & Stein-Arnold, C.L. Dietetics Educators of Practitioners and American Dietetic Association Standards of Professional Performance for Registered Dietitians (Generalist, Specialty/Advanced) in Education of Dietetics Practitioners. J. Amer. Dietetic Assoc. 2009;104:747-754.e14. " *Jensen R, Kattelmann K, Ren C, Wey H. The Efficacy of KidQuest: A Nutrition and Physical Activity Curriculum for 5th and 6th Grade Youth. J. Extension. 2009;43:article number 3FEA4 (http://www.joe.org/joe/2009june/a4.php). " *McCormick A, Kattelmann K, Ren C, Richards A, Wells K. Fun fruit and veggie event enhances acceptance of fruits and vegetables in school-aged children. Top. Clin. Nutr. 2009;3:252-261. " Kattelmann. K., Conti K, & Ren C. The Medicine Wheel Nutrition Intervention: A Diabetes Education Study with the Cheyenne River Sioux Tribe. J. Am. Dietetics Assoc. 2009:1532-1539. " Greaney, M.L., Lees, F.D., White, A.A., Dayton, S.F., Riebe, D., Blissmer, B., Shoff, S., Walsh, J., Greene, G.W. 2009. College Students' Barriers and Enablers for Healthful Weight Management: A Qualitative Study. J. Nutr. Educ. Behav. 41:281-286. " Walsh, J.R., White, A.A., Greaney, M.L. 2009. Using focus groups to identify factors affecting healthy weight maintenance in college males. Nutr. Res.29:371-378. " Cole R and Horacek T. Effectiveness of My Body Knows When Non-Dieting Weight Management. Pilot Program Am J Health Behav. 2010;34(3):286-297 " Cole R and Horacek T. Applying PRECEDE PROCEED to develop an Intuitive Eating Non-Dieting Approach to Weight Management. Journal of Nutrition Education and Behavior, Volume 41, Issue 2, March-April 2009, Pages 120-126 " Colby, S.E., Johnson, L., Eickhoff, A., & Johnson, A. Promoting Community Health Resources: Preferred Communication Strategies. Health Promotion Practice. April,2009. " Colby, S.E., Johnson, L., Cutrell, S., & Haldeman, L. Portion Size Estimation Error Among Newly Arrived Latino Immigrants. Topics in Clinical Nutrition. April-June, 2009; 24(2):139-144. " Colby, S.E., Morrison, S., Haldeman, L., What Changes as We Move? A Transnational Exploration of Dietary Acculturation. Ecology of Food and Nutrition. July, 2009; 48(4):327-343. " Pawlak, R. & Colby, S.E. (in press, 2009). Benefits, barriers, self-efficacy, and knowledge regarding healthy foods: Perceptions of African Americans living in eastern North Carolina. Journal of Nutrition Research. " Pawlak, R & Colby, S.E. Beliefs, benefits, barriers, attitudes, intakes and knowledge about peanuts and tree nuts among WIC participants in eastern North Carolina. Nutrition Research and Practice. 3:3 Autumn, 2009, p,220-225. " Burke JD, Reilly RA, Lofgren IE, Morrell JS. The University of New Hampshire's Young Adult Health Risk Screening Initiative. J Am Diet Assoc. 2009;109:1751-8. " Carey, Gale B (2010) Integrative Metabolism: An interactive learning tool for nutrition, biochemistry and physiology. Journal of College Science Teaching, in press. " Dunn, Rebecca L. and Carey, Gale B. (2010) Developing a biomonitoring educational pamphlet for potential participants in a breast milk biomonitoring study. J. Human Lactation, in press. " Kakarala M, Keast DR, Hoerr SL. School childrens consumption of competitive foods and beverages, excluding a la carte. Journal of School Health. (Accepted) " Hoerr SL, Hughes S, Fisher J, Nicklas T, Liu Y, Shewchuk RM. Associations between parental feeding styles and childrens food intake in families with limited incomes. International Journal of Behavioral Nutrition and Physical Activity. 2009;6:55. http://www.ijbnpa.org/content/6/1/55 " Hoerr SL, Nicklas T, Liu Y, Franklin F. Predictors of calcium intake in mother-child dyads from ethnically diverse families with limited incomes. Journal of the American Dietetic Association. 2009:109:1744-1750. " Shelnutt KP, Bobroff LB and Diehl DC. MyPyramid for Older Adults. Journal of Nutrition Education and Behavior. 2009;41(4):300-2. Publications: Abstracts/Proceedings/Book Chapters/Professional meeting presentations/Other " Shoff, S.M., Nuss, E., Horacek, T., Boyle, C., Lohse, B., Patterson, J., Krall, J., White, A., Mathews, D., Schembre, S., and Greene, G. 2009. Sleep quality is associated with eating behavior in 18-24 year old college students. J. Nutr. Educ. Behav. 41: S8-S9. " Mathews D, White A, Shoff S. 2009. Effect of Sleep Quality on Quality of Life and Anthropometrics in 18-24 Year Old University of Maine College Students. J. Nutr. Educ. Behav. 41:S34. " Herrick, M, Kattelmann, K., Wey, H., Greene,G., White,A., Hoerr, S., Horecek, T., Lohse, B., Patterson, J., Phillips, B., Shoff, S., Boyle, C. 2009. Association between participant baseline characteristics and time spent on WebHealth Lessons. J. Nutr. Educ. Behav. 41:S32-S33. " Lohse, B., Stotts, J.L., Patterson, J., Horacek, T., Do, M, White, A., Greene, G. 2009. Development of a web-based module about eating competence for low-income audiences. FASEB J. 23:550.7. " Griffith, L., Anderson, J., Betts, N., Brunt, A., Campbell, C., Canter, D., Harris, M., Kattelmann, K., & Schnepf, M. Multi-institutional delivery of internet-based graduate education to dietetics professionals. J. Amer. Dietetics Assoc. 2009:109;A17 " Herrick, M., Kattelmann, K., Wey, H., White, A.,Hoerr, S., Horacek, T., Lohse, B., Patterson, J., Phillips, B., Schoff, S., Boyle, C., & Greene, G.l Association between participant baseline characteristics and time spent on WebHealth lessons. J Nutr Educ. & Behavior 2009;41:S33-34. Poster presentation, Society for Nutrition Education, July 2009. " McCormick, A., Kattelmann, K., Ren, C., Richards, A., & Wells, K. Fun fruit and veggie event enhances acceptance of fruit and vegetable in school aged children. J. Amer. Dietetics Assoc. 2009:109;A83. " Horacek T, Byrd-Bredbenner C, Colby SE, Hoerr S, Johnson M, Kidd T Phillips B, Walsh J. Healthy Vending Snacks on 10 College Campuses: A Comparison of Nutrient Density Scores Experimental Biology 2010 (Abstract in Review) " Boyle-Dour C, Horacek T, Brann L, Raj S, Shoff S. Process Evaluation of Project WebHealth: Behavior Change Intervention for Obesity Prevention in Young Adults American College of Sports Medicine 2010 (Abstract in Review) " Herrick M, Kattelmann K, Wey H,White A, Hoerr S, Horacek T, Louse B, Paterson J, Phillips B, Shoff S, Boyle C, and Greene G. Association Between Participant Baseline Characteristics and Time Spent on WebHealth Lessons. Society for Nutrition Education, New Orleans LA, July 11-15, 2009. " Lohse B , Krall JS , Patterson J , Horacek T , Do M , White A , Greene G Development of a web-based module about eating competence for low-income audiences . Society for Nutrition Education, New Orleans LA, July 11-15, 2009. " Horacek T, and Bower K Description and Evaluation of ORANGE WRAP: Peer Nutrition Education Program . New York State Dietetic Association Meeting Rye, NY May 4-5, 2009. " Erdman M and Horacek T, An Assessment Of The Eating And Food Environment Of College Students Using Modified Nutrition Environment Measures Surveys. New York State Dietetic Association Meeting Rye, NY May 4-5, 2009. " Horacek T, and Marco, A. Vending Machines on Campus: Are there healthy options? New York State Dietetic Association Meeting Rye, NY May 4-5, 2009. " Colby, S.E., Gross, K., Heidal, K. Consumer Attitudes and Practices with Nutrition Labeling in Grocery Stores and on Menus Society for Nutrition Education Annual Symposium, July 2009. " Colby, S.E., Heidal, K., Johnson, C., Taft, S., Gross, K., Influence of Differing Types and Formats of Menu Labeling Experimental Biology, April 2009. " Pawlak, R. & Colby, S.E. Perception of eating nuts by WIC participants from rural North Carolina. Experimental Biology. April 2009 " Colby, S.E. Emerging Menu Labeling Policies and the Obesity Epidemic Healthy Weight Pediatric Obesity Summit. March 2009 " Colby, S.E. Nutrition Labeling on Restaurant Menus North Carolina Dietetic Association Conference. March 2009 " Pace, RD, Eaves, DH, Dawkins, NL, Bovell-Benjamin, A., Huang, Z, Phillips, BW, Oh, J-H, Bromfield, E., and Sohail, S. 2009. Nutrition Awareness, Education and Action to Reduce Cardiovascular Disease. 42nd Annual Meeting Society for Nutrition Education,New Orleans, LA, July, 2009. " Dawkins, NL. Pace, RD, Phillips, BW. 2009. The use of herbal supplements among rural African-Americans participating in a cardiovascular disease prevention program. FASEB Annual Meeting, New Orleans, April, 2009. " Colinet, D, Phillips, B, Durazo, R, Cao, G, Luke, A, Dawkins, NL, Siaway, A., 2009. The Impact of Food Stamp Usage on Mortality Rates in the United States, UAB Health Disparities Symposium, Birmingham, AL April, 2009. " Morrell JS, Burke JD, Reilly RA, Lofgren IE. Metabolic syndrome risk is associated with higher CRP levels in young adults. Oral presentation. Experimental Biology 2009, New Orleans, LA. " Hoerr SL, Long K, Guo W, Reznar M, Murashima, M. How well does Michigan State Universitys campus support physical activity? International Society of Behavioral Nutrition and Physical Activity annual meeting 2009. Lisbon, Portugal, July 2009 " Guo W, Long K, Reznar M, Murashima, M, Hoerr SL. How well do campus buildings support healthy eating? Society of Nutrition Education annual meeting 2009. New Orleans, LA. Jun 2009; Michigan Dietitian Association annual meeting 2009. Grand Rapids, MI. May 2009. " CJ, Hoerr SL, Abdulkadri A, Miller S, LaShore M, Martin K, Newkirk C. Factor analysis of EFNEP Behavior Checklist reveals six constructs. Society for Nutrition Education, New Orleans, LA, 2009. " Hoerr SL. Grow your Kids with fruit and veggies, 12 postcard size, full color notecards for parents of preschool children on appropriate feeding control for good health based on USDA, FNSs Maximizing the Message, 2008. Reading level is grade 4.4. Published by MSU Extensions, Michigan Nutrition Network in 2009, 18,000 first printing. " Hoerr SL. Pediatric Nutrition Screening Form, a one page nutrition assessment form for limited income parents of preschool children to complete in well child visits. Developed in response to need and in collaboration with local pediatricians. Reading level is grade 2.2. Published by MSU Extensions Michigan Nutrition Network in 2009, 6,000 first printing. " Quick, V., Weiner, A., Shu, E., and Byrd-Bredbenner, C. (2009) Promotion of Physical Activity: An Evaluation of Buildings Frequently Used By Students at Rutgers University New Brunswick. New Jersey Dietetic Association, New Brunswick, May. " Quick, V., Weiner, A., Shu, E., Johnson, E., and Byrd-Bredbenner, C. (2009) Rutgers University (New Brunswick) Support for Physical Activity and Obesity Prevention: An Assessment of Campus Walk-Ability and Bike-Ability. New Jersey Dietetic Association, New Brunswick, May. " Quick, V., Weiner, A., Shu, E., and Byrd-Bredbenner, C. (2009) Physical Activity: Do Rutgers University New Brunswick Campus Buildings Promote It? Rutgers University Nutritional Sciences and Animal Sciences Graduate Student Annual Conference, New Brunswick, April. " Quick, V., Weiner, A., Shu, E., Johnson, E., and Byrd-Bredbenner, C. (2009) The Walk-Ability and Bike-Ability of Rutgers University New Brunswick. Rutgers University Nutritional Sciences and Animal Sciences Graduate Student Annual Conference, New Brunswick, April. " Chester, D.N., Weatherpoon, L., Kidd, T. (2009). African American Food Practices. In: Goody, C.M., Drago, L. Cultural Food Practices/Diabetes Care and Education Dietetic Practice Group. Chicago, IL. American Dietetic Association. p. 28-41. " Kattelmann K, Greene G, Hoerr S, Welsh S, White A. A Non-Diet Curriculum for Obesity Prevention in Young Adults: Design and Outcomes. 42nd Annual Conference. New Orleans, LA. July 11 15, 2009 Thesis " Mia Jill Courtemanche, Assessment of Change in Fruit and Vegetable Intakes and Exercise Behavior of College Students Following an Online Intervention. 2009. " Becky JensenThesis, Efficacy of Kid Quest in promoting healthful diet and activity in 5th and 6th grade children. May 2009. " Jennifer MayThesis, Use of ARCS Model to evaluation of web-based lifestyle lessons for 18-24 year olds. December 2009. " Jessica RemingtonThesis, Effects of NICU environment on nutrition outcomes in neontates. May 2009. " Kelsey LiknessThesis, Quality of life issues and their influence in maintaining a healthful diet in the 18-24 year. December 2009. " Minette HerrickThesis, Effect of dose from web-based curriculum in influencing healthful lifestyle patterns. May 2009. " Kathryn DeIeso, Validation of campus wellness scoring tool. 2009- " Maria Erdman, Evaluation of the campus food/dining environment 2007-2009 " Colleen Dour Effectiveness Evaluation of WEBHEALTH 2007-2009 Publications: Refereed Journal Articles Submissions in Review " Greene, G., White, A., Schembre, S., Shoff, S., Riebe, D., Patterson, J., Lohse, B., Phillips, B., Kattelmann, K., & Hoerr, S. College Students Differ in Weight Related Behaviors and Cognitive Variables by Gender and Relative Weight Status. Submitted to J. Am. Dietetic Assoc. " Colby, S.E., Wall-Bassett, E., Paulson, M., & Johnson, L. (in press, March 2010). Reaching North Dakota's Food Insecure. Journal of Hunger & Environmental Nutrition. " Colby, S.E., LuAnn, J., Scheet, A., & Hoverson, B. (in press, Spring 2010). Nutrition Marketing on Food Labels. Journal of Nutrition Education & Behavior. " Colby, S.E., Johnson, L. (in press, Spring 2010) Macronutrient Intakes and Waist Circumference. Topics in Clinical Nutrition.

Impact Statements

Twelve institutions conducted environmental audits measuring the campus infrastructure and support of physical activity and availability of healthful food choices for prevention of excessive weight gain.
A survey was developed and implemented with greater than 1200 respondents assessing knowledge, desire to change, and importance to change their behaviors of physical activity and healthful food choices.
A web-based curriculum supporting prevention of excessive weight gain through Health at Any Size paradigm was validated with greater than 2000 young adult participants for eight institutions.
The development of a tailored, web-based curriculum to prevent excessive weight gain in young adults was initiated by thirteen institutions using the community based participatory research process of PRECEDE-PROCEED.

Date of Annual Report: 03/31/2012

Report Information

Annual Meeting Dates: 02/21/2012 - 02/25/2012
Period the Report Covers: 10/01/2006 - 09/01/2012

Participants

Brief Summary of Minutes

See attached minutes file for the final termination report.

Minutes Attachment:

Attachment

Accomplishments

Publications

Impact Statements

Date of Annual Report: 08/21/2011

Report Information

Annual Meeting Dates: 03/29/2011 - 04/02/2011
Period the Report Covers: 08/01/2011 - 08/01/2011