@article{collins_mccallum_nordby_aggarwal_griffith_thomas_dunn_2023, title={Enrollment, Engagement, and Effectiveness of a Large-Scale Diabetes Prevention Program Using Synchronous Distance Technology}, volume={4}, ISSN={["2673-4540"]}, DOI={10.3390/diabetology4040051}, abstractNote={The Centers for Disease Control and Prevention (CDC) indicates that individuals with prediabetes are significantly less likely to develop type 2 diabetes if they participate in a lifestyle change program that results in at least 5% weight loss and 150 min of physical activity per week. The CDC recognizes distance learning as an effective delivery mode for lifestyle change programs to prevent type 2 diabetes. The purpose of this study was to assess enrollment, engagement, and effectiveness of a type 2 diabetes prevention program (DPP) using synchronous distance technology. Eat Smart, Move More, Prevent Diabetes (ESMMPD) is an intensive 12-month DPP delivered using synchronous distance technology. Throughout 26 lessons, participants focused on healthy eating, physical activity, and mindfulness behaviors. Study findings showed a significant decrease in A1C (−0.24 p < 0.0001). Weight loss averaged 5.66% for those who completed the program. Based on the Wilcoxon signed-rank test, participants demonstrated statistically significant changes in self-reported confidence in their ability to perform all 18 health-promoting behaviors assessed (p < 0.0001). Participation in the program also resulted in the adoption of health promoting behaviors. A DPP using synchronous distance technology is an effective delivery mode to help participants adopt healthy behaviors, increase physical activity, and achieve the weight loss necessary to prevent or delay the onset of type 2 diabetes.}, number={4}, journal={DIABETOLOGY}, author={Collins, Casey and McCallum, Erin and Nordby, Kelly and Aggarwal, Surabhi and Griffith, Emily and Thomas, Cathy and Dunn, Carolyn}, year={2023}, month={Dec}, pages={574–585} }
 @article{dunn_haubenreiser_johnson_nordby_aggarwal_myer_thomas_2018, title={Mindfulness Approaches and Weight Loss, Weight Maintenance, and Weight Regain}, volume={7}, ISSN={2162-4968}, url={http://dx.doi.org/10.1007/s13679-018-0299-6}, DOI={10.1007/s13679-018-0299-6}, abstractNote={There is an urgent need for effective weight management techniques, as more than one third of US adults are overweight or obese. Recommendations for weight loss include a combination of reducing caloric intake, increasing physical activity, and behavior modification. Behavior modification includes mindful eating or eating with awareness. The purpose of this review was to summarize the literature and examine the impact of mindful eating on weight management.The practice of mindful eating has been applied to the reduction of food cravings, portion control, body mass index, and body weight. Past reviews evaluating the relationship between mindfulness and weight management did not focus on change in mindful eating as the primary outcome or mindful eating as a measured variable. This review demonstrates strong support for inclusion of mindful eating as a component of weight management programs and may provide substantial benefit to the treatment of overweight and obesity.}, number={1}, journal={Current Obesity Reports}, publisher={Springer Nature}, author={Dunn, Carolyn and Haubenreiser, Megan and Johnson, Madison and Nordby, Kelly and Aggarwal, Surabhi and Myer, Sarah and Thomas, Cathy}, year={2018}, month={Feb}, pages={37–49} }
 @article{dailey_romo_myer_thomas_aggarwal_nordby_johnson_dunn_2018, title={The Buddy Benefit: Increasing the Effectiveness of an Employee-Targeted Weight-Loss Program}, volume={23}, ISSN={1081-0730 1087-0415}, url={http://dx.doi.org/10.1080/10810730.2018.1436622}, DOI={10.1080/10810730.2018.1436622}, abstractNote={It is well known that significant others (particularly romantic partners) can influence people’s weight management efforts. However, what constitutes effective support—and from which type of individual (e.g., romantic partner, family member, friend)—is unclear. Thus, framed by confirmation theory, we assessed the effectiveness and types of communication of a weight-loss “buddy” through reports of 704 individuals enrolled in a 15-week synchronous online weight-loss program. Roughly 54% of participants chose buddies; and those who did lost more weight and waist inches than those who were involved in the program without buddy support. We also found that a combination of high accepting and high challenging messages from buddies was associated with the greatest decrease in body mass index (BMI) as well as the greatest reduction in waist size. Furthermore, the support by romantic partners paralleled support by other types of buddies. Having a supportive buddy who was not a romantic partner was just as effective as turning to a romantic partner for assistance. This study underscores the important role of a buddy in supporting weight-loss program involvement and encourages individuals to consider enlisting the help of a buddy, as opposed to losing weight alone, in order to maximize weight management effectiveness.}, number={3}, journal={Journal of Health Communication}, publisher={Informa UK Limited}, author={Dailey, Rene and Romo, Lynsey and Myer, Sarah and Thomas, Cathy and Aggarwal, Surabhi and Nordby, Kelly and Johnson, Madison and Dunn, Carolyn}, year={2018}, month={Feb}, pages={272–280} }
 @article{wass_hofing_goolsby_haynes-maslow_dunn_2017, title={Color Me Healthy for SNAP-Ed Supplemental Toolkit: A Comprehensive Approach to the Social-Ecological Model}, volume={49}, ISSN={1499-4046}, url={http://dx.doi.org/10.1016/J.JNEB.2017.05.263}, DOI={10.1016/J.JNEB.2017.05.263}, abstractNote={To enhance SNAP-Ed direct education messages with support for change on the interpersonal and organizational levels of the Social-Ecological Model (SEM). This project combines the Color Me Healthy for SNAP-Ed direct education program and the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) model, a research-tested intervention, to influence multiple levels of the SEM. North Carolina Extension educators receive training, on-going support, and an all-inclusive kit for direct education program implementation. Child care centers where Color Me Healthy for SNAP-Ed is delivered are engaged through a comprehensive toolkit for policy, systems, and environmental (PSE) change. This includes self-assessment, guided action planning, staff training, connections with local partners, and the provision of resources. Centers receive hands-on support throughout the process, creating personal connections that build trust and allow for greater center buy-in and a high completion rate, currently 82%. Additionally, one-third of centers have participated for at least two years, fostering a long-term relationship. The project encourages short, medium, and long term change on the individual and environmental levels, as defined by the SNAP-Ed Evaluation Framework. Administered twice in each annual cycle, NAP SACC, a reliable, valid, environmental self-assessment tool, was used to measure adoption and promotion of nutrition and physical activity supports, while surveys of parents and teachers captured childrens' behavior change. The comprehensive application of the toolkit combined with direct education creates a multi-component, multi-level intervention that enhances the effectiveness and sustainability of PSE change at early child care centers.}, number={7}, journal={Journal of Nutrition Education and Behavior}, publisher={Elsevier BV}, author={Wass, Jenelle and Hofing, Gretchen and Goolsby, Lindsay and Haynes-Maslow, Lindsey and Dunn, Carolyn}, year={2017}, month={Jul}, pages={S53} }
 @article{jones_dunn_foley_burghardt_rhew_van rijn_cialone_andersen_vodika_2017, title={EFNEP's Families Eating Smart and Moving More: Integration of Video, Social Media, and PSE in EFNEP Delivery}, volume={49}, ISSN={1499-4046}, url={http://dx.doi.org/10.1016/J.JNEB.2017.05.267}, DOI={10.1016/J.JNEB.2017.05.267}, abstractNote={To revise a comprehensive curriculum using current evidence in nutrition, physical activity, behavior change, and adult education that integrates participant and partner engagement strategies to meet the national priorities of EFNEP. Target Audience is EFNEP eligible adult audiences with an emphasis on parents and other adult caregivers who have primary responsibility for feeding children in their care and pregnant/lactating women. The curriculum is based on Stages of Change and Social Cognitive Theory (SCT) within the framework of the Community Nutrition Education (CNE) Logic Model. The curriculum is designed with a focus on individual, family, or household level change with partner engagement strategies for policy and environmental change informed by the CNE Logic Model. EFNEP's Families Eating Smart and Moving More is an evidence-based curriculum first developed in 2006 and revised once every five years to integrate current research as well as implementer, partner, and participant feedback. This revision includes video and social media strategies to engage participants and contemporary strategies to engage program partners in policy and environmental changes (PSE) that support healthy eating, access to safe, healthy foods, and physical activity of program participants. Partnership strategies are included in each lesson as a guide for educators. Curriculum effectiveness has been measured using required pre and post 24-hour participant recall and food behavior surveys. Anecdotal success stories are collected to report policy and environmental changes. Quantitative data demonstrates consistently high impacts in individual dietary change, physical activity, food resource management, and food safety for each revision of the curriculum. Evaluation of strategies from this revision will be completed over the next five years.}, number={7}, journal={Journal of Nutrition Education and Behavior}, publisher={Elsevier BV}, author={Jones, Lorelei and Dunn, Carolyn and Foley, Emily and Burghardt, Mary and Rhew, Lori and van Rijn, Suzanne and Cialone, Josephine and Andersen, Kathy and Vodika, Sheree}, year={2017}, month={Jul}, pages={S54–S55} }
 @article{thompson_dunn_aggarwal_tchwenko_wang_rushing_thomas_nordby_allision_2016, title={Behaviors Predictive of Weight Loss Maintenance: Six-Month Follow up of an Online Weight Management Program}, volume={2}, ISSN={2380-5528}, url={http://dx.doi.org/10.16966/2380-5528.124}, DOI={10.16966/2380-5528.124}, abstractNote={Introduction: The study identifies behaviors associated with weight loss maintenance six months after completing an online weight management program. The findings have potential to inform the promotion and ongoing support of behaviors that foster weight loss maintenance. Methods: A retrospective cohort design was employed for responses submitted between October 2013 and July 2014 to a follow-up survey of participants in an online weight management program. Participants’ weights at the start of the program (W1), at the end of the program (W2) and six months after the program (W3) were used to create three outcome subgroups: Maintenance (W3 ≤ W2 ≤ W1), Post-program loss (W3<W2 ≤ W1) and Clinically significant maintenance (W3 ≤ W2 ≤ W1 where W3 ≤ 0.95W1). Chi-squared tests were used to determine associations (p<.05) between these outcome subgroups and behaviors adopted and continued as a result of the program. Results: Eight of 15 weight management behaviors assessed were associated with one or more outcome subgroups while four behaviors (limiting portion sizes, eating vegetables, and mindfulness of healthy eating and physical activity) were associated with all three outcome subgroups. Conclusion: Study findings identify behaviors that should be fostered as part of a sustained response to overweight and obesity. The identified mindfulness and healthy eating behaviors should be emphasized throughout a weight management curriculum to encourage participants to adopt behaviors that will contribute to their sustained success.}, number={3}, journal={Obesity: Open Access}, publisher={Sci Forschen, Inc.}, author={Thompson, S. and Dunn, C. and Aggarwal, S. and Tchwenko, Sm. and Wang, A. and Rushing, J. and Thomas, C. and Nordby, K. and Allision, C.}, year={2016} }
 @article{johnson_dunn_thomas_aggarwal_nordby_thompson_myer_2015, title={Offering a free online program to maintain weight over the holiday season}, volume={53}, number={5}, journal={Journal of Extension}, author={Johnson, M. and Dunn, C. and Thomas, C. and Aggarwal, S. and Nordby, K. and Thompson, S. and Myer, S.}, year={2015} }
 @article{dunn_olabode-dada_whetstone_thomas_aggarwal_nordby_thompson_johnson_allison_2015, title={Using synchronous distance education to deliver a weight loss intervention: A randomized trial}, volume={24}, ISSN={1930-7381}, url={http://dx.doi.org/10.1002/oby.21315}, DOI={10.1002/oby.21315}, abstractNote={ObjectiveTo implement a randomized trial to evaluate the effectiveness of a weight loss program delivered using synchronous distance education compared with a wait‐list control group with 6‐month follow‐up.MethodsAdults with a body mass index (BMI) ≥25 were randomized to the intervention (n = 42) or wait‐list control group (n = 38). The intervention group participated in a synchronous, online, 15‐week weight loss program; weight loss was the primary outcome. Secondary measures included height, BMI, and confidence in ability to be physically active and eat healthy. Assessments occurred at three and four time points in the intervention and control group, respectively.ResultsParticipants who completed the program lost significantly more weight (1.8 kg) than those in the wait‐list control group (0.25 kg) at week 15 [F(1,61) = 6.19, P = 0.02] and had a greater reduction in BMI (0.71 vs. 0.14 kg/m2), [F(1,61) = 7.45, P = 0.01]. There were no significant differences between the intervention and the wait‐list control groups for change in confidence in ability to be physically active or eat healthy. Weight loss was maintained at 6 months.ConclusionsUse of synchronous distance education is a promising approach for weight loss. The results of this study will help to inform future research that employs Web‐based interventions.}, number={1}, journal={Obesity}, publisher={Wiley}, author={Dunn, Carolyn and Olabode-Dada, Olusola and Whetstone, Lauren and Thomas, Cathy and Aggarwal, Surabhi and Nordby, Kelly and Thompson, Samuel and Johnson, Madison and Allison, Christine}, year={2015}, month={Dec}, pages={44–50} }
 @inbook{rhew_thomas_peach_dunn_newkirk_ward_vaughn_2014, place={Champaign, ILL}, title={Move More Scholars Institute}, booktitle={Implementing Physical Activity Strategies}, publisher={Human Kinetics}, author={Rhew, L. and Thomas, C. and Peach, K. and Dunn, C. and Newkirk, J. and Ward, D. and Vaughn, A.}, editor={Pate, R. and Buchner, D.Editors}, year={2014} }
 @article{muth_karns_zmuda_coglaiti_koyanagi_duffey_dunn_jensen_gregory_2014, title={Price, Nutrition, Time, and Other Trade-Offs: A Web-Based Food Value Analysis Application to Compare Foods at Different Levels of Preparation and Processing}, volume={49}, ISSN={0029-666X}, url={http://dx.doi.org/10.1097/NT.0000000000000039}, DOI={10.1097/NT.0000000000000039}, abstractNote={Consumers choose to eat different forms of foods based on a wide variety of factors such as price, taste, nutrition, and convenience and, in doing so, make trade-offs among them. A Web-based application for use by nutrition educators was developed to help individuals compare foods prepared from home recipes with those for other forms of food (eg, frozen, canned, dry mix). Foods with a home-recipe form in US Department of Agriculture databases were selected to represent a range of commonly consumed entrées, baked goods, side dishes, fruits, vegetables, desserts, and beverages. Multiple US Department of Agriculture and commercial databases along with other public data sources were used to construct prices, nutrient values, food groups and components, preparation and cooking times, shelf life, and food safety concerns for foods in the database. Per-serving and per-100-g values were constructed for 100 individual foods with a home recipe and 1 or more other forms. The data are available in a Web-based application, located at http://www.foodvalueanalysis.org, allowing comparisons of individual foods or a daily diet constructed from foods in the database. Nutrition educators can use the application to advise individuals in selecting foods to consume to meet dietary guidelines while taking into consideration cost, preparation time, food preparation skills, and individual preferences. For example, the application can be used to evaluate differences in prices of fresh or processed foods, whether home recipe or processed foods are less costly when taking into consideration the value of preparation time, and the differences in nutrients across different forms of foods.}, number={4}, journal={Nutrition Today}, publisher={Ovid Technologies (Wolters Kluwer Health)}, author={Muth, Mary K. and Karns, Shawn A. and Zmuda, Michal and Coglaiti, Michaela C. and Koyanagi, Mark and Duffey, Kiyah and Dunn, Carolyn and Jensen, Helen H. and Gregory, Christian}, year={2014}, pages={176–184} }
 @article{dunn_whetstone_kolasa_jayaratne_thomas_aggarwal_nordby_riley_2014, title={Using Synchronous Distance-Education Technology to Deliver a Weight Management Intervention}, volume={46}, ISSN={1499-4046}, url={http://dx.doi.org/10.1016/j.jneb.2014.06.001}, DOI={10.1016/j.jneb.2014.06.001}, abstractNote={Objective To compare the effectiveness of online delivery of a weight management program using synchronous (real-time), distance-education technology to in-person delivery. Methods Synchronous, distance-education technology was used to conduct weekly sessions for participants with a live instructor. Program effectiveness was indicated by changes in weight, body mass index (BMI), waist circumference, and confidence in ability to eat healthy and be physically active. Results Online class participants (n = 398) had significantly greater reductions in BMI, weight, and waist circumference than in-person class participants (n = 1,313). Physical activity confidence increased more for in-person than online class participants. There was no difference for healthy eating confidence. Conclusions and Implications This project demonstrates the feasibility of using synchronous distance-education technology to deliver a weight management program. Synchronous online delivery could be employed with no loss to improvements in BMI, weight, and waist circumference.}, number={6}, journal={Journal of Nutrition Education and Behavior}, publisher={Elsevier BV}, author={Dunn, Carolyn and Whetstone, Lauren MacKenzie and Kolasa, Kathryn M. and Jayaratne, K.S.U. and Thomas, Cathy and Aggarwal, Surabhi and Nordby, Kelly and Riley, Kenisha E.M.}, year={2014}, month={Nov}, pages={602–609} }
 @article{kretser_dunn_devirgiliis_levine_2014, title={Utility of a New Food Value Analysis Application to Evaluate Trade-offs When Making Food Selections}, volume={49}, ISSN={0029-666X}, url={http://dx.doi.org/10.1097/NT.0000000000000040}, DOI={10.1097/NT.0000000000000040}, abstractNote={Consumers face a wide variety of options when selecting foods to feed themselves and their households, and they must balance a host of factors, including cost, preparation time, nutrition, taste, cooking skills, shelf life, food waste, and food safety. Each of these factors adds or subtracts value and helps determine the true cost of a food item based on an individual’s personal value system. If a single variable, such as cost, is examined, it may provide an incomplete picture of the true value of that food. A new Web-based application, Food Value Analysis, permits nutrition educators to evaluate relative costs as well as monitor adherence to dietary recommendations when consumers select one version of a food over another. This analysis demonstrates how the application can be used to compare differences among similar foods of different levels of processing. Nutrition professionals can use the application to help consumers make appropriate trade-offs and reach dietary goals, while accommodating differences in cooking skills as well as time and budgetary constraints.}, number={4}, journal={Nutrition Today}, publisher={Ovid Technologies (Wolters Kluwer Health)}, author={Kretser, Alison and Dunn, Carolyn and DeVirgiliis, Ray and Levine, Katrina}, year={2014}, pages={185–95} }
 @article{dunn_whetstone_kolasa_jayaratne_thomas_aggarwal_herget_rogers_2013, title={Delivering a Behavior-Change Weight Management Program to Teachers and State Employees in North Carolina}, volume={27}, ISSN={0890-1171 2168-6602}, url={http://dx.doi.org/10.4278/ajhp.120221-QUAN-101}, DOI={10.4278/ajhp.120221-quan-101}, abstractNote={Purpose. To ascertain the effectiveness of a behavior-change weight management program offered to teachers and state employees in North Carolina (NC). Design. Fifteen-week weight management program with premeasures and postmeasures. Setting. State agencies and public K-12 schools in five NC counties. Subjects. A total of 2574 NC state employees enrolled in 141 classes. Intervention. Eat Smart, Move More, Weigh Less (ESMMWL) is a 15-week weight management program delivered by trained instructors. Lessons inform, empower, and motivate participants to live mindfully as they make choices about eating and physical activity. Measures. Height, weight, body mass index (BMI), waist circumference, blood pressure, confidence in ability to eat healthy and be physically active, changes in eating, and physical activity behaviors. Analysis. Descriptive statistics, t-tests, χ2 tests, and analyses of variance. Results. Data are reported for 1341 participants in ESMMWL who completed the program, submitted an evaluation, and had not participated in the program in the past; 89% were female and mean age was 48.8 years. Average BMI and waist circumference decreased significantly. Confidence in eating healthfully and being physically active increased significantly. The percentage of participants with a BMI < 30 kg/m2 increased from 40% to 45% and those with a normal blood pressure increased from 23% to 32.5%. Participants reported being more mindful of what and how much they ate (92%), being more mindful of how much daily physical activity they got (88%), and eating fewer calories (87.3%). Conclusion. This project demonstrated the feasibility of implementing a behavior change–based weight management program at the worksite to achieve positive outcomes related to weight, blood pressure, healthy eating, and physical activity behaviors. Programs such as this have the potential to provide health care cost savings. }, number={6}, journal={American Journal of Health Promotion}, publisher={SAGE Publications}, author={Dunn, Carolyn and Whetstone, Lauren MacKenzie and Kolasa, Kathryn M. and Jayaratne, K. S. U. (Jay) and Thomas, Cathy and Aggarwal, Surabhi and Herget, Casey and Rogers, Anne B.}, year={2013}, month={Jul}, pages={378–383} }
 @article{dunn_kolasa_2013, title={Development of a Movement and State Plan for Obesity Prevention, Eat Smart, Move More North Carolina}, volume={45}, ISSN={["1878-2620"]}, DOI={10.1016/j.jneb.2013.07.010}, abstractNote={This report outlines the evolution of the Eat Smart, Move More North Carolina movement and publications in support of the movement, including North Carolina's Plan to Address Obesity: Healthy Weight and Healthy Communities, 2013–2020. This evidence-based plan guides the efforts of many organizations as they work to fulfill the mission of Eat Smart, Move More North Carolina: to reverse the rising tide of obesity and chronic disease among North Carolinians by helping them to eat smart, move more, and achieve a healthy weight.}, number={6}, journal={JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR}, author={Dunn, Carolyn and Kolasa, Kathryn M.}, year={2013}, pages={690–695} }
 @article{dunn_muth_kretser_2013, title={Everyday Eating: What Drives Consumer's Food Decisions?}, volume={45}, ISSN={1499-4046}, url={http://dx.doi.org/10.1016/J.JNEB.2013.04.035}, DOI={10.1016/J.JNEB.2013.04.035}, abstractNote={A web-based interactive tool for use by nutrition educators that illustrates the numerous factors that influence consumer food purchasing decisions, including nutrition, cost, convenience, taste, food safety, shelf-life, and food waste. Nutrition Educators. Following the release of the 2010 Dietary Guidelines for Americans (DGA) government officials and the public health community desired measurable improvements in the dietary patterns of Americans. A new web-based application tool for use by nutrition educators was developed that evaluates trade-offs between product attributes for food selection decision making. Foods with a home recipe version in the USDA Food and Nutrition Database for Dietary Studies (FNDDS) or the USDA National Nutrient Database for Standard Reference (SR) were selected to represent a range of commonly consumed entrees, side dishes, fruits, vegetables, baked products, desserts, and beverages. Over 108 unique foods with home recipe and one or more processed forms are available for comparison. The web-based tool allows nutrition educators to compare individual foods or a daily diet constructed from foods in this database. Opportunities and application for nutrition educators emerging from the web-based tool will be presented on the poster. Menu modeling of one day diets using examples of select food pairings will be presented including the analysis of the Healthy Eating Index (HEI) scoring. This project presents data that looks at all factors involved in meal preparation. The web-based application tool will provide quantifiable research to advance public health through the identification of multiple pathways for optimizing food patterns in alignment with current dietary guidance.}, number={4}, journal={Journal of Nutrition Education and Behavior}, publisher={Elsevier BV}, author={Dunn, Carolyn and Muth, M. and Kretser, A.}, year={2013}, month={Jul}, pages={S12} }
 @book{dunn_2013, title={Nutrition decisions: Eat smart, move more}, publisher={Burlington, Massachusetts: Jones & Bartlett Learning}, author={Dunn, C.}, year={2013} }
 @article{zoellner_hill_grier_chau_kopec_price_dunn_2013, title={Randomized Controlled Trial Targeting Obesity-Related Behaviors: Better Together Healthy Caswell County}, volume={10}, ISSN={1545-1151}, url={http://dx.doi.org/10.5888/pcd10.120296}, DOI={10.5888/pcd10.120296}, abstractNote={Introduction Collaborative and multilevel interventions to effectively address obesity-related behaviors among rural communities with health disparities can be challenging, and traditional research approaches may be unsuitable. The primary objective of our 15-week randomized controlled pilot study, which was guided by community-based participatory research (CBPR) principles, was to determine the effectiveness of providing twice-weekly access to group fitness classes, with and without weekly nutrition and physical activity education sessions, in Caswell County, North Carolina, a rural region devoid of medical and physical activity resources. Methods Participants were randomly divided into 2 groups: group 1 was offered fitness sessions and education in healthful eating and physical activity; group 2 was offered fitness sessions only. Outcome measures were assessed at baseline and immediately after the intervention. Standardized assessment procedures, validated measures, and tests for analysis of variance were used. Results Of 91 enrolled participants, most were African American (62%) or female (91%). Groups were not significantly different at baseline. Group 1 experienced significantly greater improvements in body mass index (F = 15.0, P < .001) and waist circumference (F = 7.0, P = .01), compared with group 2. Both groups significantly increased weekly minutes of moderate physical activity (F = 9.4, P < .003). Participants in group 1 also had significantly greater weight loss with higher attendance at the education (F = 14.7, P < .001) and fitness sessions (F = 18.5, P < .001). Conclusion This study offers effective programmatic strategies that can reduce weight and increase physical activity and demonstrates feasibility for a larger scale CBPR obesity trial targeting underserved residents affected by health disparities. This study also signifies successful collaboration among community and academic partners engaged in a CBPR coalition.}, journal={Preventing Chronic Disease}, publisher={Centers for Disease Control and Prevention (CDC)}, author={Zoellner, Jamie and Hill, Jennie L. and Grier, Karissa and Chau, Clarice and Kopec, Donna and Price, Bryan and Dunn, Carolyn}, year={2013}, month={Jun} }
 @article{hecht_wass_kelly_clevenger-firley_dunn_2013, title={SNAP-Ed steps to health inspires third graders to eat smart and move more}, volume={45}, DOI={10.1016/j.jneb.2013.02.007}, abstractNote={Early school-aged children are an excellent audience for health promotion activities because of their readiness to learn and their potential influence on the dietary practices of their parents. 1 Rimal R.N. Flora J.A. Bidirectional family influences in dietary behavior: test of a model of campaign influences. Health Commun Res. 1998; 24: 610-637 Google Scholar , 2 Mosavel M. The feasibility of mothers accepting health advice from their adolescent daughters. J Health Care Poor Underserved. 2009; 20: 42-49 Crossref PubMed Scopus (15) Google Scholar North Carolina State University's Supplemental Nutrition Assistance Program–Education (SNAP-Ed) Steps to Health (STH) Third-Grade Program seeks to educate and inspire limited-resource third-grade students and their families across North Carolina to eat smart and move more.}, number={6}, journal={Journal of Nutrition Education and Behavior}, author={Hecht, L. and Wass, J. and Kelly, L. and Clevenger-Firley, E. and Dunn, C.}, year={2013}, pages={800–802} }
 @article{wass_hecht_kelly_clevenger-firley_dunn_2012, title={Applying Best Practices: Designing an Original SNAP-Ed Program without Reinventing the Wheel}, volume={44}, ISSN={1499-4046}, url={http://dx.doi.org/10.1016/j.jneb.2012.03.164}, DOI={10.1016/j.jneb.2012.03.164}, abstractNote={To apply best practices from a successful SNAP-Ed program to the creation and implementation of an original nutrition education program.}, number={4}, journal={Journal of Nutrition Education and Behavior}, publisher={Elsevier BV}, author={Wass, J. and Hecht, L. and Kelly, L. and Clevenger-Firley, E. and Dunn, C.}, year={2012}, month={Jul}, pages={S70} }
 @article{kelly_wass_hecth_clevenger-firley_dunn_2012, title={Engaging Young Eaters to Explore Their Senses with Color Me Healthy for SNAP-Ed}, volume={44}, ISSN={1499-4046}, url={http://dx.doi.org/10.1016/j.jneb.2012.03.054}, DOI={10.1016/j.jneb.2012.03.054}, abstractNote={Improve the willingness to taste fruits and vegetables and promote physical activity in young children and families through the Color Me Healthy for Supplemental Nutrition Assistance Program-Education (SNAP-Ed) program.}, number={4}, journal={Journal of Nutrition Education and Behavior}, publisher={Elsevier BV}, author={Kelly, L. and Wass, J. and Hecth, L. and Clevenger-Firley, E. and Dunn, C.}, year={2012}, month={Jul}, pages={S28–S29} }
 @article{dunn_kolasa_vodicka_schneider_thomas_smith_lackey_2011, title={Eat Smart, Move More, Weigh Less a weight management program for adults – revision of curriculum based on first year pilot}, volume={49}, number={6}, journal={Journal of Extension}, author={Dunn, C. and Kolasa, K.M. and Vodicka, S. and Schneider, L. and Thomas, C. and Smith, C. and Lackey, C.}, year={2011} }
 @article{whetstone_kolasa_dunn_jayaratne_vodicka_schneider_thomas_staveren_aggarwal_lackey_2011, title={Effects of a behavior-based weight management program delivered through a state cooperative extension and local public health department network, North Carolina, 2008-2009}, volume={8}, number={4}, journal={Preventing Chronic Disease}, author={Whetstone, L. M. and Kolasa, K. M. and Dunn, C. and Jayaratne, K. S. U. and Vodicka, S. and Schneider, L. and Thomas, C. and Staveren, M. and Aggarwal, S. and Lackey, C.}, year={2011} }
 @article{young_halladay_plescia_herget_dunn_2011, title={Establishing worksite wellness programs for North Carolina government employees, 2008}, volume={8}, number={2}, journal={Preventing Chronic Disease}, author={Young, S. and Halladay, J. and Plescia, M. and Herget, C. and Dunn, C.}, year={2011} }
 @article{witt_dunn_2012, title={Increasing Fruit and Vegetable Consumption among Preschoolers: Evaluation of Color Me Healthy}, volume={44}, ISSN={["1878-2620"]}, DOI={10.1016/j.jneb.2011.01.002}, abstractNote={Objective Determine whether Color Me Healthy (CMH), an interactive nutrition and physical activity program for preschool children, increases fruit and vegetable consumption. Design Intervention study. Data were collected at baseline, 1 week post-intervention, and 3 months post-intervention. Setting Child care centers. Participants Preschool children (n = 263) in 17 child care centers. Intervention Child care centers were randomly assigned to 1 of 2 conditions; children (n = 165) in 10 centers received the CMH curriculum, and children (n = 98) in 7 centers acted as comparisons and did not receive the curriculum. Main Outcome Measures Process and outcome evaluation. Consumption of fruit and vegetable snacks. Analysis Data were analyzed using repeated-measures analysis of variance and hierarchical linear modeling. Results Children who received CMH significantly increased their consumption of fruit snacks by approximately 20.8% and vegetable snacks by approximately 33.1% between baseline assessment and the assessment conducted 3 months after the completion of the CMH program. Hierarchical linear modeling determined that group assignment (ie, CMH or control) was the only significant predictor of fruit and vegetable consumption. Conclusions and Implications Findings suggest that CMH may be used in child care settings for developing healthful eating habits.}, number={2}, journal={JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR}, author={Witt, Kendra E. and Dunn, Carolyn}, year={2012}, pages={107–113} }
 @article{hecht_williams_dunn_2011, title={NC Cooperative Extension Service and SNAP-Ed Inspire Third Graders across North Carolina to Eat Smart and Move More}, volume={43}, ISSN={1499-4046}, url={http://dx.doi.org/10.1016/j.jneb.2011.03.030}, DOI={10.1016/j.jneb.2011.03.030}, abstractNote={To educate and inspire limited-resource third-grade students to eat smart and move more through in-classroom education and hands-on activities.}, number={4}, journal={Journal of Nutrition Education and Behavior}, publisher={Elsevier BV}, author={Hecht, Lindsay and Williams, Jenelle and Dunn, Carolyn}, year={2011}, month={Jul}, pages={S7–S8} }
 @article{dunn_2011, title={Rethinking Nutrition: Connecting Science and Practice in Early Childhood Settings}, volume={43}, ISSN={1499-4046}, url={http://dx.doi.org/10.1016/j.jneb.2011.03.004}, DOI={10.1016/j.jneb.2011.03.004}, abstractNote={Those who choose as their profession the role of teacher or caregiver for young children usually do so with a big heart and a desire to help the youngest citizens. Often these professionals do not have a background in healthful eating or children’s nutrition and developmental needs. Rethinking Nutrition provides a practical guide that helps take the guesswork out of nutrition for the young child. The busy provider will find this book a welcome guide to the what, why, and most importantly, how of feeding young children. It provides practice tips to help transform the child care center into an environment conducive to healthful eating and physical activity.}, number={3}, journal={Journal of Nutrition Education and Behavior}, publisher={Elsevier BV}, author={Dunn, Carolyn}, year={2011}, month={May}, pages={207.e5} }
 @book{engagement_2010, title={Integrating learning, discovery, and engagement through the scholarship of engagement}, journal={Technical Report- Not held in TRLN member libraries}, institution={Raleigh, NC: NCSU Office of Extension, Engagement, and Economic Development}, author={Engagement, Task Force}, year={2010} }
 @article{harris_briley_collier_dunn_crawford_henes_kinner_kolasa_lutes_scripture_2010, title={“Take off 4-Health”: Innovative Strategies to Improve Wellness in Adolescents}, volume={110}, ISSN={0002-8223}, url={http://dx.doi.org/10.1016/j.jada.2010.06.337}, DOI={10.1016/j.jada.2010.06.337}, abstractNote={Describe a nutrition education curriculum appropriate for camp experience.}, number={9}, journal={Journal of the American Dietetic Association}, publisher={Elsevier BV}, author={Harris, N.G. and Briley, A. and Collier, D. and Dunn, C. and Crawford, Y. and Henes, S. and Kinner, S. and Kolasa, K.M. and Lutes, L. and Scripture, L.}, year={2010}, month={Sep}, pages={A91} }
 @article{vodicka_kolasa_dunn_thomas_schneider_smith_2009, title={Eat Smart, Move More, Weigh Less: A Community-Based Weight Management Program for Adults}, volume={109}, ISSN={0002-8223}, url={http://dx.doi.org/10.1016/j.jada.2009.06.296}, DOI={10.1016/j.jada.2009.06.296}, abstractNote={Participants will be able to describe the development of a community-based weight management curriculum, its dissemination and preliminary impact on participants.}, number={9}, journal={Journal of the American Dietetic Association}, publisher={Elsevier BV}, author={Vodicka, S.T. and Kolasa, K. and Dunn, C. and Thomas, C. and Schneider, L. and Smith, C.}, year={2009}, month={Sep}, pages={A88} }
 @article{jones_dunn_cialone_thomas_2007, title={P67}, volume={39}, ISSN={1499-4046}, url={http://dx.doi.org/10.1016/j.jneb.2007.04.358}, DOI={10.1016/j.jneb.2007.04.358}, abstractNote={Statistics on the increasing prevalence of childhood obesity describe a problem of pandemic proportions that extends to all citizens. However, limited resource families are at a greater risk of overweight and obesity than the general population. The additional issue of food insecurity requires a thoughtful, research-based curricula to meaningfully address the needs of limited resource families. NC Expanded Food and Nutrition Education Program (EFNEP), in collaboration with the NC Division of Public Health, developed a new curriculum for teaching limited resource families. The 22 lesson curriculum helps families eat smart and move more by focusing on dietary intake, food resource management, nutrition practices, and food safety. The curriculum focuses on behaviors that have been identified by CDC and others as important when addressing overweight and obesity: prepare and eat more meals at home, eat more fruits and vegetables, control portion size, decrease sugar sweetened beverages, increase physical activity and decrease television viewing. Dialogue learning theory is used as a basis for helping participants begin to make behavior changes needed to place them at reduced risk. The curriculum employs a unique delivery method that uses DVD/LCD technology that allows for the inclusion of video and computer presentations as part of the educational experience. Each lesson includes a food preparation activity and a move more activity. The curriculum is currently being piloted in North Carolina and Virginia. Preliminary pilot data will be presented including attitudes and abilities of the paraprofessionals to accept the use of the new technology.}, number={4}, journal={Journal of Nutrition Education and Behavior}, publisher={Elsevier BV}, author={Jones, Lorelei A. and Dunn, Carolyn and Cialone, Josephine and Thomas, Cathy}, year={2007}, month={Jul}, pages={S130} }
 @article{dunn_thomas_ward_pegram_webber_cullitan_2006, title={Design and implementation of a nutrition and physical activity curriculum for child care settings}, volume={3}, ISBN={1545-1151}, number={2}, journal={Preventing Chronic Disease}, author={Dunn, C. and Thomas, C. and Ward, D. and Pegram, L. and Webber, K. and Cullitan, C.}, year={2006}, pages={58} }
 @article{dunn_andersen_cialone_thomas_vodicka_newkirk_hardison_ritzman_2006, title={P14}, volume={38}, ISSN={1499-4046}, url={http://dx.doi.org/10.1016/j.jneb.2006.04.020}, DOI={10.1016/j.jneb.2006.04.020}, abstractNote={Families Eating Smart and Moving More (FESMM) is a program that offers families simple solutions to help them eat smart and move more. FESMM gives families the skills to be able to eat more meals at home, eat healthy when eating out, move more in their everyday routine and watch less television. Focus group data guided the development of the program. The program includes four modules: Eating Smart at Home - simple solutions for planning, shopping, fixing and eating more meals at home, Eating Smart on the Run - skills to choose wisely when eating foods away from home, Moving More, Everyday, Everywhere - incorporating activity into your everyday routine, and Moving More, Watching Less - simple strategies to help turn off the TV and turn on to other opportunities. Multiple strategies have been employed to deliver FESMM including PowerPoint presentations for family workshops and flip chart for use with individual clients. Multimedia components of the program include video vignettes an interactive CD (Fast Food & Families). Collateral materials designed to help families implement healthy eating and physical activity behaviors are included in the program. FESMM employs the train the trainer model. Agents with Cooperative Extension and other health professionals with the county health department were trained to deliver the program. FESMM is currently being delivered in multiple settings including WIC clinics and family physician offices. Lessons learned and information about implementation and evaluation of the program will be presented.}, number={4}, journal={Journal of Nutrition Education and Behavior}, publisher={Elsevier BV}, author={Dunn, Carolyn and Andersen, Kathy and Cialone, Josephine and Thomas, Cathy and Vodicka, Sheree and Newkirk, Jimmy and Hardison, Anne and Ritzman, Rosemary}, year={2006}, month={Jul}, pages={S21} }
 @article{dunn_thomas_reid_2005, title={Women living healthy, women living well: Digital solutions for living your best life}, volume={37}, ISSN={["1499-4046"]}, DOI={10.1016/S1499-4046(06)60251-0}, number={4}, journal={JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR}, author={Dunn, C and Thomas, C and Reid, I}, year={2005}, pages={215–216} }
 @article{dunn_thomas_pegram_ward_schmal_2004, title={Color me healthy, preschoolers moving and eating healthfully}, volume={36}, ISSN={["1499-4046"]}, DOI={10.1016/S1499-4046(06)60403-X}, number={6}, journal={JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR}, author={Dunn, C and Thomas, C and Pegram, L and Ward, D and Schmal, S}, year={2004}, pages={327–328} }
 @article{dunn_thomas_greene_pegram_2004, title={SyberShop: Digital solutions for eating healthy and being active}, volume={36}, ISSN={["1878-2620"]}, DOI={10.1016/S1499-4046(06)60405-3}, number={6}, journal={JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR}, author={Dunn, C and Thomas, C and Greene, C and Pegram, L}, year={2004}, pages={331–332} }