SAES-422 Multistate Research Activity Accomplishments Report
Sections
Status: Approved
Basic Information
- Project No. and Title: W2194 : Children's Healthy Living Network (CHLN) in the U.S. Affiliated Pacific Region
- Period Covered: 08/04/2023 to 07/12/2024
- Date of Report: 08/07/2024
- Annual Meeting Dates: 07/08/2024 to 07/12/2024
Participants
Hingle, Melanie (hinglem@arizona.edu) - University of Arizona; Olfert, Melissa (Melissa.Olfert@mail.wvu.edu) - West Virginia University; Coleman, Patricia (patricia.coleman@marianas.edu) - Northern Marianas College; Novotny, Rachel (novotny@hawaii.edu) - University of Hawaii at Manoa; Butel, Jean (jbutel@hawaii.edu) - University of Hawaii at Manoa; Fialkowski Revilla, Marie Kainoa (mariekf@hawaii.edu) - University of Hawaii at Manoa; Esquivel, Monica (monicake@hawaii.edu) - University of Hawaii at Manoa; Aflague, Tanisha (taflague@triton.uog.edu) - University of Guam; Shallcross, Leslie (lashallcross@alaska.edu) - University of Alaska Fairbanks; Flemming, Travis (t.fleming@amsamoa.edu) - American Samoa Community College; Franck, Karen (kfranck@utk.edu) - University of Tennessee; Panizza Lozano, Chloe (cpanizza@hawaii.edu) - University of Hawaii at Manoa; Vanden Brink, Heidi (heidi.vandenbrink@ag.tamu.edu) - Texas A&M University
Accomplishments
Accomplishments
Short-Term outcomes:
Recipe protocol project: Developed recipe protocol for recipe submissions. Protocol incorporated into Hawai’i Foods website (https://nutritioncenter.ctahr.hawaii.edu/hawaii-foods/). Applied USDA Smart Snack criteria for nutrition that encourage consumption of local grown/produced foods in U.S. Affiliated Pacific (USAP) jurisdictions to recipe protocol.
Expanded Food and Nutrition Education Program (EFNEP) and Children’ Healthy Living (CHL) Diet Quality project: Enhanced knowledge by sharing preliminary findings of association between EFNEP adult HEI and CHL child HEI.
Expanded Food and Nutrition Education Program (EFNEP) food security project: Shared status of food security data measures being conducted in the CHL jurisdictions. Obtained multi-year data from EFNEP to conduct analysis. Collected and presented data on food subsistence among EFNEP and SNAP-Ed participants in Guam and Hawaii.
Outputs
CHL Healthy Snack protocol developed (see attached protocol)
CHLN page created on CHL website (https://www.chl-pacific.org/chln/)
Availability of Locally Produced Foods in the Children’s Healthy Living Food Cost Survey for the United States Affiliated Region manuscript – submitted
Assessing and Measuring Food Security in U.S.-Affiliated Pacific Households: A Scoping Review Protocol – created on Open Science Framework (https://osf.io/sxphj/).
Inventory of “gray literature” food security measures across the USAP region (see attached spreadsheet)
Preliminary findings of association between EFNEP adult HEI and CHL child HEI.
Activities
Recipe Protocol project
• Refine protocol based on feedback from CHLN members
• Prepare and publish manuscript
• Present at conference (SNEB or ASNNA?)
• Place protocol on CHLN webpage
o Monitor website traffic/metrics pre and post
EFNEP and CHL Diet Quality project
• Conduct survey with EFNEP coordinators to understand the diet recall process used in EFNEP
• Prepare and publish manuscript
• Present at conference (EFNEP conference or ASN?)
EFNEP Food Security project
• Complete Scoping Review
• Prepare and publish scoping review manuscript
• Finalize study design and methods
• Clean EFNEP data
• Conduct analysis
• Draft manuscript
NEW PROJECT: Explore the concepts around subsistence, and non-vendor distributed methods of food acquirements as they relate to household nutrition security.
• Conduct meetings to understand components of subsistence and non-vendor distributed methods of food acquirements.
• Develop definition(s) subsistence and non-vendor distributed methods of food acquirements as they relate to household nutrition security.
• Conduct literature review for measures of nutrition security, subsistence and non-vendor distributed methods of food acquirements.
Milestones
To establish a CHL Healthy Snacks Recipe Protocol by July 2025
1) CHL Healthy Snacks recipe protocol - COMPLETED
2) Pilot testing of CHL Healthy Snacks recipe protocol - COMPLETED
3) Revise CHL Healthy Snack recipe protocol based on pilot feedback – September 2024
4) Disseminate protocol – July 2025
a) Protocol on website (CHLN and Hawai’i Foods) – January 2025
b) Prepare manuscript for publishing – March 2025
Study associations between EFNEP adult HEI and CHL child HEI by July 2025
1) Conduct preliminary analysis – COMPLETED
2) Revise analysis based on preliminary feedback from CHLN meeting – October 2024
3) Revise EFNEP coordinator survey – August 2024
4) Conduct EFNEP coordinator survey – September 2024
5) Prepare manuscript for publication – December 2024
Conduct a descriptive study of EFNEP data related to food security by July 2025
1) Prepare scoping review of food security in USAP – March 2025
2) Develop study design and methods – October 2024
3) Clean EFNEP data – January 2025
4) Conduct analysis – May 2025
Impacts
- Strengthened capacity to address food patterns and nutrition status of individuals and communities across the U.S. Affiliated Pacific Region through research, monitoring, extension, and training.
- Development of CHL Healthy Snack recipe protocol using USDA healthy snack criteria to identify healthy snacks and reduce consumption of snacks that are high in calories, saturated fat, sodium and/or added sugars but low in nutrient density.
- Obtained EFNEP data to study associations between dietary patterns between adults and children to better understand diet patterns in the USAPR.
- Obtained EFNEP data to describe food security at the individual and household level to better understand food security in the region.
- Develop questions to measure food subsistence and non-vendor distributed methods of food acquirements as they relate to household nutrition security.
Publications
Publications
Sparks KS, Fialkowski MK, Dela Cruz R, Grandinetti A, Wilkens L, Banna JC, Bersamin A, Paulino Y, Aflague T, Coleman P, et al. Acculturation and Health Status in the Children’s Healthy Living Program in the Pacific Region. International Journal of Environmental Research and Public Health. 2024; 21(4):448. https://doi.org/10.3390/ijerph21040448
Ryan, S. T., Okely, A. D., Chong, K. H., Stanley, R. M., Randle, M., Waqa, G., Yamanaka, A. B., Guerrero, R. L., Coleman, P., Shallcross, L., Wilkens, L. R., Deenik, J. L., & Novotny, R. (2024). Proportion and Correlates of Children in the US-Affiliated Pacific Region Meeting Sleep, Screen Time, and Physical Activity Guidelines. Journal of physical activity & health, 1:11. Advance online publication. https://doi.org/10.1123/jpah.2023-0463
Dela Cruz, R., Galbreath, J., Butel, J., Yamanaka, A. B., Wilkens, L. R., Aflague, T., Coleman, P., Shallcross, L., McFall, P., & Novotny, R. (2024). Social determinants of health literacy among parents and caregivers in the US-Affiliated Pacific. Health promotion international, 39(1), daae002. https://doi.org/10.1093/heapro/daae002
Dela Cruz, R., Novotny, R., Wilkens, L. R., Shvetsov, Y. B., Yamanaka, A. B., Butel, J., Aflague, T. F., Coleman, P., Shallcross, L., Deenik, J., Mapa, V. L. R., Boushey, C. J., & Fleming, T. (2023). Diet Quality of Young Children in the US-Affiliated Pacific's Children's Healthy Living (CHL) Program. Journal of the Academy of Nutrition and Dietetics, S2212-2672(23)01309-6. Advance online publication. https://doi.org/10.1016/j.jand.2023.08.003
Novotny, R., Aflague, T., Butel, J., Coleman, P., Fleming, T., Frank, K., Hovmand, P., Ing, C., Oshiro, J., Shallcross, L., Wilkens, L. (2023). Putting People Back Into Community Food Systems: Community-Based System Dynamics Children’s Healthy Living Food Systems. Current Developments in Nutrition, 7 (Suppl 1). https://doi.org/10.1016/j.cdnut.2023.100267
Perez, R., Aflague, T., Badowski, G., Guerrero, R. L., Yamanaka, A., Wilkens, L., & Novotny, R. (2023). Association Between Healthy Food Store Accessibility and Obesity Prevalence Among School-Age Children in Guam. Journal of Nutrition Education and Behavior, 55(7), 61-62.
Abstracts
Butel, J., Yamanaka A., Braun, K.L., Revilla M.K., Esquivel, M., Fleming, T., Coleman, P., Shallcross, L., Aflague, T., and Novotny, R. Sustaining a Multi-level, Multi-Site Intervention: A Case-Study from the Children’s Healthy Living Program. International Society of Behavioral Nutrition and Physical Activity, Omaha, NE (May 2024).