SAES-422 Multistate Research Activity Accomplishments Report

Status: Approved

Basic Information

Participants

♣ Auld, Garry, Colorado State University ♣ Baker, Susan, Colorado State University ♣ Barale, Karen, Washington State University ♣ Blake, Stephanie, USDA/NIFA ♣ Boeckner, Linda, University of Nebraska ♣ DaSilva, Vanessa, University of Arizona ♣ Forsythe, Hazel, University of Kentucky ♣ Fuller, Serena, via technology, University of Arkansas ♣ Franck, Karen, University of Tennessee ♣ Guenther, Patricia, University of Utah ♣ Hamernik, Deb, University of Nebraska-Lincoln ♣ Kahn, Tarana, Clemson University ♣ Li, Cheng, Rutgers University ♣ Misner, Scottie, University of Arizona ♣ Olson, Beth, University of Wisconsin ♣ Palmer-­‐Keenan, Debra, Rutgers University ♣ Procter, Sandy, Kansas State University ♣ Scholl, Jan, Pennsylvania State University ♣ Walsh, Jennifer, University of Florida ♣ Wardlaw, Mary Kay, University of Wyoming ♣ Weatherspoon, Dave, Michigan State University ♣ Wilson, Mary, University of Nevada ♣ Yerxa, Kate, University of Maine

Brief Summary of Minutes of Annual Meeting

Advisor report:  Dr. Deb Hamernik

  • Project in its 3rd year, and there will be a mid-term review this year.
  • NIMMS was hacked several years ago – Clemson is rebuilding the software and will be testing in the fall. There is limited access to documents until it is rebuilt.
  • Funding –discussed uses for Hatch Act funds.

                    

          Federal Partner Report – Stephanie Blake

 

Work Group Updates:

  • Update from Dietary Assessment and Behavior (DAB) Workgroup
    • Behavior Checklist
      • Nutrition Practices– G. Auld
      • Food Safety, Security and Physical Activity – Jennifer Walsh, Karen Franck, Tarana Kahn
      • Food Resource Management - Karen Barale
    • 24hr Recall – Garry Auld
    • Focus Groups Dietary Recall – Serena Fuller via Skype
    • Infant Feeding Practices: Beth Olson – Investigating evaluation items that can be used with low-income families; Topics identified that are most commonly taught; next trying to develop evaluation questions based upon the most common, and then sub categories
    • EFNEP Database – Jan Scholl
  • Update from Quality of Life (QoL) Workgroup
    • QoL Focus Group – Garry Auld
    • Cost Benefit – Monetizing Benefits of Nutrition Education Program with Changes in Body Mass Index - Dave Weatherspoon
  • Review of pilot proposal funded by the W-RNECE– Patricia Guenther
    • Evaluation of a novel, low cost, low burden, scalable technology for evaluating EFNEP and SNAP-Ed effectiveness

 

Review Publication Guidelines

  • Discussion about authors on publications: If you are a person that only collects data (no writing or significant editing)

Communication site

  • Google Sites to create one location to post minutes, project proposals and updates, and funding
  • Kate Yerxa and Linda Boeckner agreed to work to create the site.

 

2016 Meetings and Leadership:

  • Virtual Mid-­‐Year Meeting: April 29, 2016; 8-­‐11 PT, 9-­‐12 MT, 10-­‐1 CT, and 11-­‐2 ET
  • Annual Meeting:  HOLD – October 26-28, 2016 and November 2-4, 2016, Tucson, Arizona
  • Revised timeline for checklist revision:
    • December 2015 Complete cognitive interviews
    • January – February 2016 Reliability testing
    • February 2016 Questions to National Office
    • March 2016 – Update given at EFNEP Coordinator Meeting
    • March – August –2016 Validity testing
    • By October 1, 2016 (FY17) will be the roll out for the revised checklist
  • Revised timeline for Quality of Life Tool:
    • October 2015 – Submit Paraprofessional interview manuscript to JNEB
    • November 2015 – Review focus group transcripts
    • December 2015 – Complete review of Toronto QoL tool
    • January 2016 to August 2016 – Draft focus group QoL manuscript
    • September 2016 – submit focus group QoL manuscript (JNEB)
  • Leadership:
    • Susan Baker and Karen Barale as NC2169 co-­‐directors
    • Jennifer Walsh as chair for the DAB group, and Linda Boeckner will be the note taker for the
    • Kate Yerxa and Sandy Proctor will serve as co-­‐chairs for the QoL

Accomplishments

Accomplishments

Activities, short-­‐term outcomes & outputs (all are part of milestone 1, October 2014-­‐September 2015):

Objective 1.  To test the validity and reliability of the EFNEP 24HDR methods. To test the validity and reliability of the EFNEP 24HDR methods.

 

  • Completed comparison of EFNEP paraprofessional-conducted 24 hr dietary recall with RD-conducted 24 hr dietary recall with individuals
    • Outputs: Findings in two states were comparable
  • Began comparison of RD conducted 24 hr group recalls with RD conducted individual recalls
    • Outputs: Determine whether the findings of group versus individual recalls are comparable
  • Planned comparisons of paraprofessional group 24 hr recalls with RD group 24 hr recalls.

 

Objective 2.  To identify and/or develop valid behavior checklist survey items that assess diet quality, nutrition-­‐ related behavior, and food resource management related behaviors due to EFNEP participation.

  • Dietary Quality & nutrition-­‐related behavior

                 Completed cognitive interviews of EFNEP participants to determine their understanding of    

                 concepts. Tested, revised twice and retested.

  • Outputs: Fourteen items identified for the nutrition domain of the EFNEP Food Behavior Checklist that will demonstrate changes from the program leading to improved dietary behaviors.
  • Food Resource Management

                  Completed two rounds of cognitive interviews of EFNEP participants to determine their understanding of the concepts

  • Outputs: Identified 12 items for the EFNEP Food Behavior Checklist that will demonstrate changes from the program leading to improved resource management

Objective 3.  To determine if EFNEP participation influences Quality of Life (QoL) and if improved QoL is associated with sustained positive behavior changes

  • Submitted Educator QoL related manuscript based on interview data
  • Preparing focus groups manuscript of participants for submission to Journal of Nutrition Education and Behavior.
  • Began development of quality of life tool.
    • Output: basis for development of an instrument to provide quantitative evidence of EFNEP’s impact on improving quality of life

Objective 4.  To investigate EFNEP outcomes that indicate cost benefit and cost effectiveness of the program to participants and communities.

  • Developed and tested a new method to test the use of BMI as a health status indicator. Benefits are calculated specifically for each individual given BMI change, gender, age, and diseases
    • Output: The BMI based approach is expected to create a unique and better approach to estimate the effectiveness of health education

 

 

Impacts

  1. • Identification of differences in expert-­‐conducted 24-­‐hour dietary recalls and those conducted by well-­‐ trained EFNEP paraprofessionals will result in developing EFNEP dietary assessment of higher validity and precision
  2. • Determination of most important educational concepts in the EFNEP curricula and how well these are understood by EFNEP participants will provide an evidence-­‐base for Food Behavior Checklist items that can assist in evaluating improvements made from EFNEP education
  3. • Ability to quantify whether/to what degree EFNEP participation improves quality of life will provide additional justification for the value of the program
  4. • Cost-­‐benefit analysis will provide an indication of whether the program costs are made up for by reductions in health care costs. •

Publications

Publications

Peer-­‐reviewed Journals:

  • Weatherspoon, DD, Miller, SR, Steele, ME, Newkirk,,CJ, Santiago, O, Dembele, AS, Hoerr, SL. What Social, Program, and Behavioral Factors Influence the Healthy Eating Index for EFNEP and SNAP-Ed Adult Participants? American Journal of Lifestyle Medicine. October 7, 2015.doi: 1177/1559827615607194 http://ajl.sagepub.com/content/early/2015/10/01/1559827615607194.full.pdf+html
  • Scholl, J. (2015, June). Extension family and consumer sciences theses and dissertations, 1913-2013. Family and Consumer Sciences Research Journal, 43(4), 357-377.
  • Guenther, P.M., and Luick, B.R. (2015) Improved overall quality of diets reported by Expanded Food and Nutrition Education Program participants in the Mountain Region, Journal of Nutrition Education and Behavior 47:421-426.
  • Murray, E., Auld, G., Inglis-Widrick, R., Baker, S. (2015). Nutrition Content in a National Nutrition Education Program for Low-Income Adults: Content Analysis and Comparison to the U.S. Dietary Guidelines. Journal of Nutrition Education and Behavior, 14(6),566-573.
  • Natker, E. Baker, S., Auld, G., McGirr, K., Sutherland, B., Cason, K. (2015). Formative Evaluation of EFNEP Curriculum: Ensuring the Eating Smart • Being Active Curriculum Is Theory-Based. Journal of Extension, 53(1). Available at: http://www.joe.org/joe/2015february/rb1.php.
  • Auld, G., Baker, S., Conway, L., Dollahite, J., Lambia, M.C., McGirr, K. (2015). Outcome Effectiveness of a Widely Adopted EFNEP Curriculum. Journal of Nutrition Education and Behavior, 47:19-27.

 

Posters:

  • Baker, S., Barale, K., Franck, K., Kahn, T., Walsh, J. A New Behavior Checklist – What It Means for You. Expanded Food and Nutrition Education Program (EFNEP) Coordinators’ Meeting. Washington, D.C., March 2015
  • Brewster, P.J., Guenther, P.M., Jordan, K.C., Hurdle, J.F. Development and validation of a novel household grocery food purchase quality score. FASEB Journal 29:131.3 (abstract). Presented at Experimental Biology, Boston, March 2015
  • Brite-Lane A, Phelps J, Fuller S, Crook T and Hakkak R. Evaluating Effectiveness of the Arkansas Expanded Food and Nutrition Education Program on Changing Food Resource Management and Nutrition Practice Outcomes. FASEB J April 2015 29:911.7
  • Dawahare, M (Grad Student), Durr, C (Grad Student), Walters, J, Forsythe, H. EFNEP Participants Perceptions of the 24 hour recall University of Kentucky School of Human Environmental Sciences All-School Conference and Symposium. 2015.
  • Murray, E., Baker, S., Auld, G. (July 2015). Nutrition Education Content in Curricula Used to Teach EFNEP Adults and a Comparison to the U.S. Dietary Guidelines. 2015 Annual Meeting of the Society of Nutrition Education and Behavior. Pittsburgh, PA. Conference Proceedings Volume 47, Issue 4, Abstract S61.
  • Schneider, C, Neelon, M, Algert, S, Johns, M, Lamp, C, Towsend, M. What Does a Quality EFNEP Recall Look Like? Expanded Food and Nutrition Education Program (EFNEP) Coordinators’ Meeting. Washington, D.C. March 2015.
  • Scholl, J. Presentation on the EFNEP Database at American Evaluation Association in Denver, Colorado. October, 2014.
  • Spencer, R, Thomsen M, Nayga R, Fuller S. Effect of the Commercial Food Environment on Expanded Food and Nutrition Education Program (EFNEP) Participant's Diet Quality. Food Distribution Research Society Annual Conference, Philadelphia, PA October 9-12, 2015.
  • Townsend, M, Schneider, C, Donohue, S, Barale, K, Wilson, M, Smiley, J. Sharing Resources to Improve the Quality of the EFNEP Group 24H Diet Recalls. Expanded Food and Nutrition Education Program (EFNEP) Coordinators’ Meeting. Washington, D.C. March 2015.
  • Walsh J, Hinkle A. Exploring Quality of Life of EFNEP Participants. Presented at the Extension Professional Association of Florida Annual Meeting, Naples, FL, August 2015.
  • Yerxa, K, Bonnett, R, Camire, ME. An Evaluation of the Long-term Knowledge and Behavior Change for Participants in UMaine Extension's Expanded Food and Nutrition Education Program. Expanded Food and Nutrition Education Program (EFNEP) Coordinators’ Meeting. Washington, D.C. March 2015..

 

Student theses and/or dissertations:

  • None

 

Curricula and Educational Materials

Scholl, J, and Paster, A. National EFNEP Research Database.  http://www.libraries.psu.edu/psul/lifesciences/agnic/EFNEP/EFNEPdatabase.html.   Searchable   database   for studies related to 4-­‐H and EFNEP has been updated. Searches can be done by keyword or author. Some studies go back prior to EFNEP starting, as far as 1922, to capture early extension research on obesity.

 

 

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