Brief Summary of Minutes of Annual Meeting

NC 1169 Annual Meeting Minutes--Summary Version October 1-3, 2009 Abdullah Abdulkadri  MSU Cost Benefit  1) CBA of EFNEP and SNAP-ed in Michigan, 2) gather data and do groundwork to apply for USDA grant. Have approximately 200 participants at this time. Mary Kay Wardlaw  Dissertation research. Understanding long-term effects of nutrition education on low-income adults in Wyoming (spring 2009). Looked at graduates at least one year and up to 4 years after graduation; mix of both quantitative and qualitative methods. John Kirby. Referred to discussion of urban-rural interface  this will become a serious source of expanded funding; our group is well-positioned to take advantage of this  for world and domestic hunger. John reminded us to publish our results and perhaps to put on a symposium at annual meeting  gets stakeholders in for a day, put out proceedings. Objective 1-2 Review: States represented on these objectives includes: OK, WY, NV, WA, PA, MA, UT, CO. Looking closely at measures of dietary quality; working on a matrix with methods/challenges; how to put things together for an optimal set of tools for dietary quality and behaviors. There are funding opportunities for NIH. They are looking for research testing dietary behaviors focused on low income, racial/ethnic minorities. Plan to submit R21 next June; may not get the grant but will get enough feedback for second submission. Look at AFRI to see if we can tweak to fit. By January will have the literature review ready; working to get supplement for JNEB. Need potential sponsors - $10,000. Four states (OK, NV, WY, CO) will look at an electronic ASA24 with multiple pass methods. This will serve to inform the literature review re: methods and that work will be a publication. Objective 3 Review: Working on QOL pilot. Two groups of clientele: entry paras and new participants. We have completed the Time 1s, and some prelim data on Time 2 and Time 3 to be completed in 2010. Under being and belonging aspects, we are starting to see some significant differences. We are also noting some racial/ethnic differences. Pubs  hope to bring one to this group next year. Collecting success stories from states who helped with QOL quantitative study. Illinois is taking lead on interviews; we wait for IRB approval, with coordinators, paraprofessionals and participants. Focus groups, to be in late spring, summer 2010-- Kansas and Maine hope to be leading on this. Jan Scholl - Bibliography, found 535 studies. Has done compilation of EFNEP publications. Allows us to see what might be needed; it allows us to reach legislators when they ask what is research base. Basic web format could be done for $5000. For another 5 to 10 thousand, could include all works done with all low income nutrition. Leadership structure for the next year: Susan B. and Wanda K. will be co-leaders of project. Objectives 1 and 2: Nancy Betts, leader; Karen Barale, secretary. Objective 3: Garry A. and Sandy P., co-leaders; Kate Y. secretary. Current web address: http://groups.google.com/group/nc1169, current email address: nc1169@googlegroups.com Objective 1-2 Group Work This literature review is the beginning manuscript for objective 1. Its also the ground work for an AFRI and/or R21/R01 proposal. We reviewed the different tools: Food Frequency Questionnaires (FFQ) Cognitive process necessary for this type of tool  our participants are concrete thinkers and a lot of the FFQ questions are abstract. Its the impact of the program  finding sensitive measures of how the program is working. Need tools to make the measures so that we can say there is a change in behavior in food safety, food resource management, and dietary practices. What helps us prove our effectiveness, sustain and improve our program? We look at print out and changes in food groups, but we look harder at FBC. FFQ, 24 hr recall, etc  all have good/bad point Do a matrix with meta analysis. Use the matrix to look for gaps between audiences and various dietary intake methods. ASA24 Its an online tool, cant be downloaded or used on a handheld at this point. Need to know if our clientele can do the computer. Avail in English and Spanish, which would cover about 70% of current enrollees. Lit review What done now? What methods are used to measure behaviors now? What are the learner objectives of program? What do we need to measure in this program? How well do current methods work at getting what we need? What are challenges and issues? How can we combine the best of the current methods to get what we need.? Need to think about use of retrospective pre/post. Is it a good choice for us? Look at literature. Jean A. said she would look into it. Objective 3: Group Notes Timeline: We still have data coming in; MS student from CSU will continue on with project for her PhD " Oct 09 and spring, 2010. Conduct and analyze QOL interviews, transcribe interviews and analyze data. " Summer 2010 -- Report findings to work groups " July of 2010  Dec. 2010. Focus groups. " Oct 09  Oct 2010. Continue lit review for other tools that may be involved " Oct. 09 to Spring 2010 -- Qualitative study on EFNEP success stories. " Cost-benefit study timeline  two aspects of MSU program. 1) pilot  submitted AFRI grant. Pilot end Sept. 2010. If AFRI grant is funded, will have another 3 years. (2013). " Spring 2010 -- QOL pilot  data continues to come in. Time 2 and 3 data still coming in. Finish analysis of pilot. " Identify and collect array of QOL tools to investigate, modify and adapt. " Work on AFRI proposal  suggested that we add a former reviewer of NRI, or similar, grant to help us hit the target. Hope to use these funds to develop tool future use. Focus Groups will be conducted considering the following parameters: EFNEP Front line staff EFNEP Participants Phone Focus Groups In person focus groups Purposeful random sample Higher, lower tiers Indiv and groups Rural and urban Male, female (Maine has male) If we can ascertain and link that EFNEP affects QOL, leading to self-sufficiency& it could lead to cost savings. Our meeting in 2010 is planned for October 14  16, in Chicago.

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

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