SAES-422 Multistate Research Activity Accomplishments Report

Status: Approved

Basic Information

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)

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.

Impacts

  1. 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.

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.
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