TY - JOUR TI - EFNEP's Families Eating Smart and Moving More: Integration of Video, Social Media, and PSE in EFNEP Delivery AU - Jones, Lorelei AU - Dunn, Carolyn AU - Foley, Emily AU - Burghardt, Mary AU - Rhew, Lori AU - van Rijn, Suzanne AU - Cialone, Josephine AU - Andersen, Kathy AU - Vodika, Sheree T2 - Journal of Nutrition Education and Behavior AB - 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. DA - 2017/7// PY - 2017/7// DO - 10.1016/J.JNEB.2017.05.267 VL - 49 IS - 7 SP - S54-S55 J2 - Journal of Nutrition Education and Behavior LA - en OP - SN - 1499-4046 UR - http://dx.doi.org/10.1016/J.JNEB.2017.05.267 DB - Crossref ER - TY - JOUR TI - Color Me Healthy for SNAP-Ed Supplemental Toolkit: A Comprehensive Approach to the Social-Ecological Model AU - Wass, Jenelle AU - Hofing, Gretchen AU - Goolsby, Lindsay AU - Haynes-Maslow, Lindsey AU - Dunn, Carolyn T2 - Journal of Nutrition Education and Behavior AB - 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. DA - 2017/7// PY - 2017/7// DO - 10.1016/J.JNEB.2017.05.263 VL - 49 IS - 7 SP - S53 J2 - Journal of Nutrition Education and Behavior LA - en OP - SN - 1499-4046 UR - http://dx.doi.org/10.1016/J.JNEB.2017.05.263 DB - Crossref ER - TY - JOUR TI - Is all parental non-involvement equal? Barriers to parental involvement and their relationship to Latino academic achievement AU - Alexander, J. AU - Cox, R. AU - Behnke, A.O. AU - Larzelere, R. T2 - The Hispanic Journal of Behavioral Sciences DA - 2017/// PY - 2017/// VL - 39 IS - 2 SP - 323–335 ER - TY - JOUR TI - Nutrition education for cardiovascular disease prevention in individuals with spinal cord injuries: study protocol for a randomized controlled trial AU - Lieberman, Jesse A. AU - McClelland, Jacquelyn W. AU - Goff, David C., Jr. AU - Racine, Elizabeth AU - Dulin, Michael F. AU - Bauman, William A. AU - Niemeier, Janet AU - Hirsch, Mark A. AU - Norton, H. James AU - Moore, Charity G. T2 - TRIALS AB - Individuals with chronic spinal cord injuries (SCIs) have an increased prevalence of cardiovascular disease (CVD) and associated risk factors compared with age-matched control subjects. Exercise has been shown to improve selected CVD risk factors in individuals with SCI, but using nutrition education as an intervention has not been evaluated in this population. This paper describes our research plan for evaluating the effect of nutrition education on individuals with SCI. In the present study, called Eat Smart, Live Better, we are using a randomized controlled design to test an intervention adapted from an existing evidence-based program that showed a positive effect on nutrition knowledge and behavior of older adults from the general population. There will be an inpatient group (n = 100) and a community group (n = 100). The aims of our study are to compare the intervention and control groups for (1) changes in nutritional behavior, nutritional knowledge, and dietary quality by participants in the program; (2) levels of adiposity and metabolic CVD risk factors at 12-month follow-up; and (3) differential effects among individuals with SCI in the acute rehabilitation setting and those living in the community. This is a randomized controlled trial of nutrition education. The treatment groups receive six nutrition education sessions. The control groups receive the one “standard of care” nutrition lecture that is required by the Commission on Accreditation of Rehabilitation Facilities. Treatment groups include both an inpatient group, comprising patients who have been admitted to an acute rehabilitation facility because of their recent SCI, and an outpatient group, consisting of community-dwelling adults who are at least 1 year after their SCI. A total of 200 participants will be randomized 1:1 to the intervention or control group, stratified by location (acute rehabilitation facility or community dwelling). To our knowledge, this will be the first reported study of nutrition education in individuals with SCI. The low cost and feasibility of the intervention, if shown to improve nutritional behavior, suggests that it could be implemented in rehabilitation facilities across the country. This has the potential of lowering the burden of CVD and CVD risk factors in this high-risk population. ClinicalTrials.gov, NCT02368405 . Registered on February 10, 2015. DA - 2017/12/4/ PY - 2017/12/4/ DO - 10.1186/s13063-017-2263-2 VL - 18 SP - SN - 1745-6215 KW - Spinal cord injury KW - Nutrition education KW - Cardiovascular disease prevention ER - TY - JOUR TI - Educating limited resource older adults for better choices to lower risk of food insecurity AU - Bird, Carolyn L. AU - McClelland, Jacquelyn W. T2 - INTERNATIONAL JOURNAL OF CONSUMER STUDIES AB - Abstract United States (U.S.) national and North Carolina state data on older adult food insecurity in combination with associated poor nutrition‐related health outcomes point to a critical need for interventions to improve their food security. Nearly 8% of North Carolinians aged 60 and older and 11% of those aged 50–59 are food insecure, placing North Carolina in the top ten states in the U.S. for food insecurity for both age groups. Therefore, the Better Choices intervention was designed to educate limited‐income older adults in ways to manage their meager resources to purchase more and healthier foods. The purpose of this study was to determine the effectiveness of the Better Choices intervention in improving the knowledge, attitude, and behavior of participants concerning their food money resource management. Older adults ( n = 453) with ages ranging from 59 to over 90 years participated in 8 weeks of educational programming delivered by educators in 15 participating North Carolina counties. In a cross‐over program design participating counties were randomly assigned to two groups, to create a control for the food money resource management treatment. A three‐points‐in‐time survey supported longitudinal measurement. Independent samples t ‐tests showed no significant differences between groups at baseline. Paired sample t ‐test results show the intervention was effective with statistically significant improvement of participants' knowledge regarding preparing a healthy meal on a budget, beans as a low‐cost alternative to meat, and the use of unit pricing to compare products to identify the best value. Participant‐developed action plans reflected planned behavior change. Study results show this group of older adults were capable of and willing to adopt new behaviors for a healthier lifestyle. While not a representative sample, the broad applicability of adult learning and planned behavior theories underpinning the program lead us to conclude that the methods and theories applied in this intervention should be of use to educators and practitioners serving limited‐resource older adult populations. DA - 2017/3// PY - 2017/3// DO - 10.1111/ijcs.12333 VL - 41 IS - 2 SP - 225-233 SN - 1470-6431 KW - food money resource management KW - food shopping behaviors KW - older adult food insecurity ER - TY - JOUR TI - Going public: Early disclosure of food risks for the benefit of public health AU - Chapman, B. AU - Erdozaim, M. S. AU - Powell, D. T2 - Journal of Environmental Health DA - 2017/// PY - 2017/// VL - 79 IS - 7 SP - 8-14 ER - TY - JOUR TI - Evaluating food safety risk messages in popular cookbooks AU - Levine, Katrina AU - Chaifetz, Ashley AU - Chapman, Benjamin T2 - BRITISH FOOD JOURNAL AB - Purpose Medeiros et al. (2001) estimate 3.5 million cases of foodborne illness in the USA annually are associated with inadequate cooking of animal foods or cross-contamination from these foods. Past research shows home food handling practices can be risk factors for foodborne illness. The purpose of this paper is to evaluate the communication of food safety guidance, specifically safe endpoint temperatures and cross-contamination risk reduction practices, in popular cookbook recipes. Design/methodology/approach Recipes containing raw animal ingredients in 29 popular cookbooks were evaluated through content analysis for messages related to safe endpoint temperature recommendations and reducing cross-contamination risks. Findings Of 1,749 recipes meeting study criteria of cooking raw animal ingredients, 1,497 contained a raw animal that could effectively be measured with a digital thermometer. Only 123 (8.2 percent) of these recipes included an endpoint temperature, of which 89 (72.3 percent) gave a correct temperature. Neutral and positive food safety behavior messages were provided in just 7.2 percent ( n =126) and 5.1 percent ( n =90) of recipes, respectively. When endpoint temperatures were not included, authors often provided subjective and risky recommendations. Research limitations/implications Further research is needed on the effect of these results on consumer behavior and to develop interventions for writing recipes with better food safety guidance. Practical implications Including correct food safety guidance in cookbooks may increase the potential of reducing the risk of foodborne illness. Originality/value Popular cookbooks are an underutilized avenue for communicating safe food handling practices and currently cookbook authors are risk amplifiers. DA - 2017/// PY - 2017/// DO - 10.1108/bfj-02-2017-0066 VL - 119 IS - 5 SP - 1116-1129 SN - 1758-4108 KW - Cooking KW - Food safety KW - Consumer risk KW - Temperature KW - Food preparation KW - Recipe ER - TY - JOUR TI - Is All Parental "Noninvolvement" Equal? Barriers to Involvement and Their Relationship to Latino Academic Achievement AU - Alexander, Jamie D. AU - Cox, Ronald B., Jr. AU - Behnke, Andrew AU - Larzelere, Robert E. T2 - HISPANIC JOURNAL OF BEHAVIORAL SCIENCES AB - High parental involvement has consistently been shown to enhance academic achievement among Latino youth. Still, some youth continue to thrive academically despite low parental involvement. The Theory of Rationality suggests that the impact of even potentially negative behaviors depends on how the behavior is interpreted. To test the application of this theory to parental “noninvolvement” among Latinos, we assessed how adolescent rationales about their parents’ noninvolvement in their schooling affected grade point average (GPA). Results showed that parental lack of transportation and feeling unwelcomed at school as reasons for noninvolvement were significantly and negatively related to GPA, and conflict with work schedule was significantly and positively related to GPA. Other reasons for noninvolvement were not significantly associated with GPA. Findings indicate that the meaning adolescents attribute to parental behavior may be a stronger predictor of academic achievement than the amount of involvement alone. DA - 2017/5// PY - 2017/5// DO - 10.1177/0739986317700837 VL - 39 IS - 2 SP - 169-179 SN - 1552-6364 KW - Latino KW - adolescent KW - parent involvement KW - academic achievement ER -