Brief Summary of Minutes of Annual Meeting

W2003 Annual Meeting Minutes Site: Tucson, AZ Hosts: Scottie Misner; Kay Hong Day 1: 11-6-13; 6:00-8:15pm Attendees: Rickelle Richards (BYU); Marla Reicks (Univ of MN); Charlotte Biltekoff (UC-Davis); Kay Hongu (Univ of AZ-Tucson; Siew Sun Wong (Oregon State Univ); Scottie Misner (Univ of AZ-Tucson); Mary Cluskey (Oregon State Univ); Christine Bruhn (UC-Davis); Jinan Banna (Univ of HI); Carolyn Gunther (Ohio State Univ); Paul Johnston (BYU) Note: Deb Maddy flight from Phoenix was cancelled, which led to late arrival 1. Welcome and introductions (Rickelle). 2. Review meeting agenda (Rickelle). 3. Review logistical plan for 2013 meeting (Scottie and Kay). 4. Approve meeting minutes from 2012 annual meeting (all in favor). 5. Discuss annual (final) report for W2003. Action item 1: Rickelle and Carolyn will take lead on preparing. Action item 2: All investigators prepare/send list of abstracts, presentations, thesis, etc for inclusion in final report. Send information to Carolyn. 6. Review summary and comparison documents generated from message testing (interviews) (Rickelle). Action item: Each investigator assigned to specific parent topic (3 members per topic), review the documents before Thursday meeting. 7. Item to ponder: Shall we send out call for new members when new project is approved (Colorado State Univ; Washington State Univ; Missouri; others?) _____________________________________________________________________________________ Day 2: 11-7-13, 7:45am-5:00pm Attendees: Rickelle Richards, Deb Maddy, Jinan Banna, Marla Reicks, Mary Cluskey, Siew Sun Wong, Paul Johnston, Christine Bruhn, Carolyn Gunther, Scottie Misner, Kay Hongu, Charlotte Biltekoff 1. Updates/reminders from Deb Maddy: a. Final report for W2003 is due Dec 2014. b. Revised proposal for new project (WDC033) is due in Jan 2014. Deb felt that the reviewer comments (both peer and committee levels) were positive, constructive, helpful, able-to-be addressed. Reviewer feedback indicated primary weakness related to limited methodological detail. Deb noted that we may have different panel of reviewers in next review of proposal. 2. Finalize methods section for interviews (message testing); 10-13 age (target age); primary food preparer in the home; live in US for at least 12 months; English speaking; Hispanic and Asian (Marla) 3. Meet in small groups to review results from message testing. Decide on which messages will be tested in upcoming survey study. Action item: Carolyn and Rickelle will narrow which will be used in survey study. 4. Update from DC: Jane Clary Loveless, USDA NIFA a. Childhood obesity AFRI grant decisions have been made (~55 apps received; 4 funded); next RFA will be released in Jan 2014  LOI required; future research/RFA may focus on strategies to minimize food waste 5. Discussion of W1003 and W2003 papers Action item: Christine will follow up again with former grad student (Stephanie) a. Main paper: Carol Boushey is working on revisions. Action item: Christine will follow up with Carol b. Knowledge paper (Carolyn): change (primary) focus of paper on relationship of calcium knowledge score (parents) and parent practices that relate to increased calcium intake in kids. Carolyn will work on the revise and resubmit of paper, most likely to Journal of Extension and Human Sciences c. Acculturation paper (Mary): Mary will work to change focus of paper: food/beverage sources of calcium by race/ethnicity; journal possibility: International Journal of Child Health and Nutrition d. Focus group paper (Rickelle): table for now; Rickelle will look at it at the beginning e. Survey paper: Marla (1st author); core writing group: Rickelle, Jinan, Siew Sun, Carolyn, Paul 6. Discussion of WDC033 proposal (Mary) _____________________________________________________________________________________ Day 3: 11-8-13, 8:30am-5:00pm Attendees: Rickelle Richards, Jinan Banna, Marla Reicks, Mary Cluskey, Siew Sun Wong, Paul Johnston, Christine Bruhn, Carolyn Gunther, Scottie Misner, Kay Hongu, Charlotte Biltekoff 1. Review days agenda (Rickelle) 2. Break into small groups a. Work on message revisions, survey design (Marla, Christine, Jinan) b. Work on WDC003 proposal revisions (Mary, Charlotte) c. Work on annual and terminal reports (Rickelle, Carolyn) 3. Reconvene to discuss message revisions and survey development Action item: Carolyn will communicate suggested revisions to Alyson Flynn (graphic artist); survey development is on hold until this happens 4. Next annual meeting is tentatively scheduled for Hawaii in 2015, either the week of Mar 11-14 or week of Mar 18-21. Marla Reicks/Rickelle Richards will serve as chair/co-chair and Kay Hongu will serve as secretary. 5. 3 subcommittees will be formed: 1) W2003 wrap up (includes survey study): Marla (lead), Carolyn, Jinan, and Kay; 2) WDC003 revisions: Mary (lead), Siew Sun, Rickelle, Marla, Carolyn, Scottie; 3) Plan and organize 2015 annual meeting: Jinan (lead), Marla, Kay 6. Discuss WDC003 proposal: Issue/Justification due on Nov 15 2013; work on finalizing on Sat morning). 7. Regular monthly conference calls scheduled for 3rd Wed of the month from Jan 2013 to May 2013 (1pm ET). _____________________________________________________________________________________ Day 4: 11-9-13, 830am-11am Attendees: Rickelle Richards, Jinan Banna, Marla Reicks, Mary Cluskey, Siew Sun Wong 1. Work on Issue/Justification section of WDC003 proposal

Objective 1: Segment parents into homogenous subgroups based on promotion of CRF to early adolescents. We identified three distinct parent subgroups based on parental factors associated with intake of CRF by early adolescents to serve as a basis for the development of tailored messages to motivate parents to promote intake of CRF. We conducted a quantitative segmentation study using questionnaire data from a cross-sectional convenience sample of 509 parents and their early adolescent children previously collected as part of W-1003 (years 2006-2007). The three parent CRF practice/perception segments included Dedicated-Milk Providers/Drinkers (49 %), Water Regulars (30 %) and Sweet-Drink-Permissive Parents (23 %). Dedicated-Milk Providers/Drinkers were somewhat older and more likely to be non-Hispanic White than other groups. Calcium intakes from all food sources, milk/dairy foods and milk only, and milk intakes, were higher among early adolescent children of Dedicated-Milk Providers/Drinkers compared with early adolescents of parents in other segments. Soda pop intakes were highest for early adolescents with parents in the Water Regulars group than other groups. Dedicated-Milk Providers/Drinkers scored higher on culture/tradition, health benefits and ease of use/convenience subscales and lower on a dairy/milk intolerance subscale and were more likely to report eating family dinners daily than parents in the other groups. The descriptive characteristics of these subgroups were presented to the W-2003 multistate partners at an annual meeting and used, in part, to inform the development of tailored messages to motivate parents to promote intake of CRF. We published these findings in a peer-reviewed publication as follows: Reicks M, Degeneffe D, Ghosh K, Bruhn C, Goodell S, Gunther C, Auld G, Ballejos M, Boushey C, Cluskey M, Edlefsen M, Misner S, Olson B, Richards R, Wong SS, Zaghhoul S. Parent calcium-rich-food practices/perceptions are associated with calcium intake among parents and their early adolescent children. Public Health Nutr. 2012;15(2):331-340. Objective 2: Explore motivations and/or perceived benefits and barriers underlying parental factors which include making CRF available, encouraging intake of CRF, setting expectations for beverage consumption, and role modeling intake of CRF to early adolescents. Eighteen Nominal Group Technique (NGT)/Focus Group (FG) sessions (n>6 participants in each session) and 5 FG only sessions (n<6 participants at each session) were conducted with Asian and Hispanic parents across 7 states (AZ, CA, HI, MN, OH, OR, UT), generating information about parental perceptions of motivators, benefits and barriers underlying factors in making calcium-rich foods (CRF) available, encouraging intake of CRF, setting expectations for beverage consumption, and role modeling intake of CRF to early adolescents. The total sample size was 156 and by script: availability (n=46); rules/expectations (n=52); role modeling (n=58). From the results of the NGT analysis, the top 3 perceived benefits were similar across parenting practices and race/ethnicity, and included: (1) providing emotional rewards for parents, (2) promoting childrens health, and (3) providing nutritional benefits for children. Facilitators and barriers of parental behaviors were identified through FG sessions. For setting expectations for children to consume calcium-rich beverages, the following barriers were identified: childrens dislike of CRF or preference for other beverages than milk; school, TV, or family member negatively influenced childrens food choices; inadequate financial resources; and parents unaware or have limited time to be concerned about childs diet. Parents expressed the following barriers in making CRF available: time or convenience; cost; availability and accessibility to CRF; and traditional cultural food patterns not including CRF. For role modeling intake of CRF, barriers identified by parents were: limited time to make balanced meals; limited financial resources; and childrens preferences for other foods besides CRF. Facilitators for parents setting expectations for children to consume CRF included decreasing competing factors that discourage children to consume CRF and helping children establish set routines or eating habits. For making CRF available, facilitators included combining CRF with other food items desirable to children, such as chocolate syrup; parents being knowledgeable about nutrition and eating CRF themselves; planning ahead; and establishing habits in the home. Facilitators for role modeling included making CRF easily accessible to children at home and start healthy habits with children when they are young. Collectively, the NGT and FG results were used as formative information about how messaging to parents should be developed, which was used to accomplish objective 3 of our project. Based on the NGT/FG findings, we currently have a paper under review in a peer-reviewed journal: Richards R, Reicks M, Wong SS, Gunther C, Cluskey M, Ballejos M, Bruhn C, Johnston NP, Misner S, Watters C. Identification of parental benefits derived from practices that promote intake of calcium-rich foods and beverages among early adolescent children. J Nutr Educ Behav., under review. Objective 3: Identify relevant messages and delivery methods that will motivate parents to promote CRF to early adolescents. Using data from previously conducted focus groups and with guidance from a professional marketing group, we prepared three creative briefs, one for each parent practice (availability, rules/expectations, role modeling), which served as the basis for designing the test messages. Test messages, which included both tag line phrases and accompanying graphics and rolled into the form of a poster, were developed by graphic design and marketing experts at Washington State University and Ohio State University. For each parent practice, examples of emotion- and fact-based tests messages were developed to test the differential effectiveness of each type of message. The group developed a protocol for message testing via individual interviews. Data collection occurred in 6 states: CA, HI, OH, OR, MN, UT. Results from the interviews were processed, synthesized and the messages that participants responded most favorably to were selected for use in future online survey study, which will allow quantification of responses to the messages by the target audience. Note: messages are currently undergoing revisions by a graphic arts/marketing specialist to make adjustments according to participant feedback. Once this process is complete, the survey study will be initiated.

1. Cluskey M, Auld G, Edlefsen M, Zaghloul, S, Bock MA, Boushey CJ, Bruhn C, Goldberg D, Misner S, Olson B, Reicks M, Wang C. Calcium knowledge, concern, and expectations for intake among parents of Asian, Hispanic, and non-Hispanic white early adolescents. The Forum for Family and Consumer Issues. Winter 2008;13(3). http://ncsu.edu/ffci/publications/ 2. Edlefsen M, Reicks M, Goldberg DL, Auld, GW, Bock A, Boushey CJ, Bruhn CM, Cluskey M, Misner SL, Olson BH, Wang C, Zaghloul S. Strategies of Asian, Hispanic, and non-Hispanic White parents to influence young adolescentsintake of calcium-rich foods, 2004 and 2005. Preventing Chronic Disease 2008;5(4) October. http://www2.cdc.gov/pcd/issues/2008/oct/07_0174.htm 3. Cluskey M, Edlefsen M, Olson B, Reicks M, Goldberg DL, Auld, GW, Bock A, Boushey CJ, Bruhn CM, Misner SL, Olson BH, Wang C, Zaghloul S. At home and away-from-home eating patterns influencing preadolescentsintake of calcium rich foods as perceived by Asian, Hispanic and non-Hispanic White parents. J Nutr Educ Behav. 2008;40:72-79. 4. Cluskey M, Auld G, Edlefsen M, Zaghoul S, Bock A, Boushey C, Bruhn C, Misner S, Olson B, Reicks M, Zaghoul, S. Calcium knowledge, concern and expectations for intake among parents of Asian, Hispanic and Non-Hispanic White early adolescents. The Forum for Family and Consumer Issues. 2008;13(3). http://ncsu.edu/ffci/publications/ 5. Olson, BH, Chung, KR, Reckase, M, Schoemer, S. Parental Influences on Dairy Intake in Children, and their Role in Child Calcium Fortified Food Use. J Nutr Educ Behav. 2009;41(1):53-7. 6. Reicks M, Ballejos M, Goodell LS, Gunther C, Richards R, Wong SS, Auld G, Boushey C, Bruhn C, Cluskey M, Misner S, Olson B. Zaghhoul S. Individual and family correlates of calcium-rich food intake among parents of early adolescent children. J Am Diet Assoc. 2011;111(3):376-84. 7. Reicks M, Edlefsen M, Goodell LS, Gunther C, Richards R, Wong SS, Auld G, Boushey C, Bruhn C, Cluskey M, Misner S, Olson B. Zaghhoul S. Individual and family correlates of calcium-rich food intake among parents of early adolescent children. J Am Diet Assoc. 2011;111:376-384. 8. Roth-Yousey, LL. A parent-early adolescent intervention to reduce sweetened beverage consumption through home environment parenting practices. University of Minnesota Dissertation, 2011. http://purl.umn.edu/120010 9. Reicks M, Degeneffe D, Ghosh K, Bruhn C, Goodell LS, Gunther C, Auld G, Ballejos M, Boushey C, Cluskey M, Misner S, Olson B, Wong S, Zaghloul S. Parent calcium-rich-food practices/perceptions are associated with calcium intake among parents and their early adolescent children. Public Health Nutr. 2012;15(2):331-340. 10. Cluskey M, Petersen R, Wong SS. Language and Dietary Adaptation among Hispanic Immigrants. The Forum for Family and Consumer Issues, submitted August, 2013. 11. Stephanie Ann Jensen. 2012. Factors Influencing Consumer Food Choices: Exploring Individual and Environmental Influences with Qualitative and Quantitative Approaches. PhD Dissertation, University of California, Davis. 12. Peterson R. A Qualitative Study of the Dietary Acculturation among Long-term Hispanic Immigrants. Oregon State University Masters Thesis, June, 2013. 13. Richards R, Reicks M, Wong SS, Gunther C, Cluskey M, Ballejos M, Bruhn C, Johnston NP, Misner S, Watters C. Identification of parental benefits derived from practices that promote intake of calcium-rich foods and beverages among early adolescent children. J Nutr Educ Behav., under review. 14. Cluskey M, Wong SS, Ballejos M, Reicks M, Richards R, Auld G, Boushey C, Bruhn C, Misner S, Olsen B, Zaghloul S. Dietary sources of calcium among parents and their early adolescent children in the United States by parent race/ethnicity and place of birth. J Immigr Minor Health, under review. Abstracts 1. Glas JL, Boushey CJ, Auld GW, Bruhn CM, Cluskey M, Edlefsen M, Misner S, Olson B, Reicks M. Development of a tool to identify psychosocial factors associated with consumption of calcium rich foods among parents of early adolescent. J Am Diet Assoc 2007; (suppl):A13. 2. Roth-Yousey L, Asche K, Schroeder M, Reicks M. Assessment of parent and child perceptions of rules and expectations regarding beverage intake. FASEB J. 2008 22:44.2. 3. Reicks M, Ballejos M, Wong SS, Boushey C, Bruhn C, Cluskey M, Misner S, Olson B. Individual and family correlates of calcium intake in parents of early adolescent children. International Society for Behavioral Nutrition and Physical Activity Annual Meeting, Minneapolis, MN, June 2010. 4. Siew Sun Wong, Carolyn Gunther, Marla Reicks, Rickelle Richards, Christine M Bruhn, Mary Cluskey, Scottie Misner, Corilee Watters, Miriam Bellajos. Perceptions of Key Parental Benefits from Practices that Promote Intake of Calcium-Rich Foods and Beverages (CRF/B) in Preadolescent Children. Experimental Biology Annual Meeting. San Diego, CA, April 2012. 5. Reynolds A, Gunther CW. (2012) Perceptions of benefits underlying key parent practices that promote intake of calcium rich foods and beverages in early adolescent children. Poster presentation, Ohio State University, Denman Research Forum and Russell Klein Symposium, Columbus, OH. 6. Gunther C, Banna J, Bruhn C, Cluskey M, Wong SS, Richards R, Reicks M. Development and testing of fact- and emotion-based messages to motivate parents to engage in practices that promote intake of calcium among 10-13 year-old children. Experimental Biology Annual Meeting. San Diego, CA, April 2014.