Brief Summary of Minutes of Annual Meeting

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.

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.

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.