Social and Behavioral Sciences Commons^™

The Design And Impact Of A Clinic-Based Community Program On Food Insecurity, Healthy Eating Behaviors, And Mood, Tiffany Wesley Ardoin, Elizabeth Perry, Chelsea Morgan, Jared Hymowitz, Donald Mercante

School of Medicine Faculty Publications

Food insecurity is a national issue that disproportionately impacts Louisiana citizens, contributing to the state’s poor health outcomes. We know that the Supplemental Nutrition Assistance Program (SNAP) and food pantries improve access to food, but we have limited data on what interventions improve food insecurity. The Geaux Get Healthy Clinical Program at Our Lady of the Lake (GGHOLOL) is a clinic-based community program that leverages community partnerships and a clinical setting to provide education and access to resources for individuals with food insecurity. This prospective study examines the impact of GGHOLOL on food insecurity as a pre-post survey evaluation over …

Lessons Learned Adapting And Implementing Another Organization’S Program To Promote Healthy Aging, Erin Jewell, Theresa Serio, Karen Basinger, Jennifer Dixon Cravens, Lisa Mccoy, Mona Habibi, Shauna C. Henley

Journal of Human Sciences and Extension

Programming which promotes healthy aging may be lacking in states where nutrition and health interventions are directed earlier in life. Due to Maryland’s increasing aging population, a team of 10 University of Maryland Extension Family and Consumer Sciences educators received permission to adapt and implement the Iowa Department of Public Health’s, in partnership with the Iowa Department of Human Services and Department on Aging, Fresh Conversations program to fit the needs of Maryland’s older adults. The purpose of this manuscript is not to discuss research findings but rather to share our challenges, successes, and recommendations for adapting and implementing another …

Fruit And Vegetable Shopping Behavior And Intake Among Low-Income Minority Households With Elementary-Aged Children, Brittni N Metoyer, Ru-Jye Chuang, Minjae Lee, Christine Markham, Eric Brown, Maha Almohamad, Jayna M Dave, Shreela V Sharma

Journal Articles

Low-income children and families do not meet the recommendations for fruit and vegetable (FV) intake. This study aimed to assess the association between FV shopping behavior and child FV intake through a cross-sectional study design analyzing self-reported surveys (n = 6074) from adult-child dyads of Hispanic/Latino and African American participants enrolled in the Brighter Bites co-op program. Through quantitative mixed effects linear regression models, accounting for school-level clustering and adjusting for covariates, child FV intake was positively associated with shopping for FV at large chain grocery stores (p < 0.001), natural/organic supermarkets (p < 0.001), warehouse club stores (p = 0.002), discount superstores (p < 0.001), small local stores/corner stores (p = 0.038), convenience stores (p = 0.022), ethnic markets (p = 0.002), farmers’ markets/co-op/school farm stands (p < 0.001), and gardens (p = 0.009) among Hispanic/Latinos participants. Among African American participants, there was significant positive association between child FV intake and shopping for FV at natural/organic supermarkets (p < 0.001), discount superstores (p = 0.005), and convenience stores (p = 0.031). The relationship between location and frequency of shopping for FV and child FV intake varied between races. Further research is needed to better understand the influence of cultural and physical environmental factors. Nutrition education programs are vital to encouraging families to make healthier food choices and purchases to improve child FV consumption.

An Analysis Of Equity In Service Provided By The Snap-Ed Program: A Comparison Of Dietary Outcomes Among African American And White Participants In Louisiana, Matthew Greene, Rhiannon Kroeger, Samuel Stroope, Bailey Houghtaling, Denise Holson

Journal of Human Sciences and Extension

Structural racism has contributed to increased poverty, food insecurity, and obesity rates among African Americans relative to Whites. Nutrition education programs should therefore consider how well they serve this population. The objective of this investigation was to assess whether African American and White Supplemental Nutrition Assistance Program Education (SNAP-Ed) participants in Louisiana had comparable dietary behavior outcomes by conducting secondary data analysis of previous program evaluations from 2017-2018 and 2018-2019 among African American and White SNAP-Ed participants (n = 434). Variables measured included pre- to post-intervention changes in dietary behaviors (e.g., self-reported consumption frequency of fruit, vegetables, whole grains, low-fat …

Eat Well, Be Well: Basic Needs Initiative's Online Hub For Nutrition Education, Misha Moseley

Capstone Projects and Master's Theses

Basic Needs Initiative at California State University, Monterey Bay is a department that provides students with food, housing, and wellness resources. Over half of the university's students experience food insecurity, and over 85% use non-academic resources to learn about nutrition. This project adds a dietary health section to the department’s website to increase students’ access to nutrition education. It addresses the micro-level agency problem that too few students eat a healthy, balanced diet. Unhealthy eating is a risk factor for food insecurity, so the project indirectly addresses the macro-level health problem that too many college students in California experience food …

Examining The Perspectives And Experiences Of Nutrition Educators Working With Clients In Substance Use Recovery Settings, Cora Teets, Paula Plonski, Omolola A. Adedokun, Heather Norman-Burgdolf

Journal of Human Sciences and Extension

Substance use disorder (SUD) is one of the most detrimental health, social, and economic problems in the United States. Limited studies suggest providing tailored nutrition education during SUD treatment correlates with positive recovery outcomes. The University of Kentucky Nutrition Education Program conducted two focus group sessions to explore and determine educators’ instructional and programmatic needs who deliver nutrition education to clients in substance use recovery throughout Kentucky. The study team identified four emerging themes and several subthemes related to Nutrition Education Program educators working with clientele in recovery. The four emerging themes included: (1) current experiences working with the audience, …

4-H Student Nutrition Advisory Councils Support Positive Youth Development And Health Outcomes Among Underserved Populations, Shannon Klisch, Katherine E. Soule

The Journal of Extension

4-H SNAC Clubs engage youth in low-income schools with majority Latinx enrollment in leadership activities to increase schoolwide health and wellness. 4-H SNAC Clubs aim to develop youth health leaders, establish youth-adult partnerships, and increase access to 4-H in Latinx communities. Outcomes related to healthful living and positive youth development were assessed using the Teen Teacher Retrospective Survey (n=59) across five 4-H SNAC Clubs. Results show positive outcomes related to self-reported health behaviors for students and their families and leadership development. 4-H SNAC Clubs can increase access to 4-H among Latinx youth and support healthier communities through the Supplemental Nutrition …

Assessing Foods And Nutrition Programming Needs Of Family And Consumer Sciences Agents In North Carolina, Lindsey Haynes-Maslow, Zandra Alford, Carolyn Dunn

Journal of Human Sciences and Extension

North Carolina Extension specialists conducted a needs assessment of Family and Consumer Sciences (FCS) agents to determine their foods and nutrition programming needs. Researchers examined agent and community needs, agent-offered programming, and barriers and facilitators to program implementation. Results will help inform the development of targeted agent trainings, materials, programs, and technical assistance related to foods and nutrition. The study is intended to help maximize the success of FCS foods and nutrition programming by supporting agents in delivering high-quality, evidence-based programs. This paper reviews study implementation, results, and relevant implications for other Extension professionals interested in performing a similar analysis.

Investigating Elementary School Food Programs: Impacts On Child Knowledge And Dietary Behaviours, Paige Colley

Electronic Thesis and Dissertation Repository

Good nutrition is an important part of maintaining a healthy lifestyle. A balanced diet can promote positive health outcomes, protecting against health problems caused by nutritional deficiencies. Canada has reported poor diet quality and high rates of overweight and obesity among children. Obesity has been linked to several non-communicable diseases including type 2 diabetes, heart disease, and some forms of cancer. Efforts to improve lifelong, healthy eating behaviours must be implemented.

This dissertation investigated the impacts of school food programming on child nutrition. A Centrally Procured School Food Program (CPSFP) was implemented at 30 elementary schools in Southwestern Ontario, Canada. …

Plant-Powered: A Digital Plant-Based Nutrition Intervention For Low-Income Patients With Type Ii Diabetes, Ellen Pelos

Master's Projects and Capstones

Purpose: This project aimed to measure the acceptability and feasibility of plant-based diets among low-income individuals with type II diabetes at the Samaritan House Food Pharmacy and to create a user-centered pilot program to encourage the adoption of a plant-based diet.

Background: Plant-based diets are effective for preventing, treating, and reversing type II diabetes, but there is not much evidence about the acceptability and feasibility of these diets.

Methods: Focus groups were used to gather qualitative data about the acceptability and feasibility of plant-based diets in the target population. The researcher conducted interviews with Food Pharmacy program leaders to learn …

Wellness Policy Awareness Among School Leaders And The Impact On Written Policy Scores, Mariah Reil

Electronic Theses and Dissertations

Background: All schools participating in the National School Lunch Program must possess a written School Wellness Policy (SWP) as mandated by the Healthy, Hunger- Free Kids Act of 2010.1 School officials and leaders play a major role in SWP implementation. It is essential to written SWP implementation that school level officials and leaders in the district are aware of the SWP. However, the association between school leader awareness of SWP and policy quality has not yet been studied.
Purpose: The purpose of the present study was to determine if school leader awareness of a SWP impacts the written SWP quality. …

Qualitative Analysis Of Grocery Store And Farmers Market Manager Perceptions Regarding Use Of Fruit And Vegetable Educational Materials, Lacey Mccormack, Shelly Brandenburger, Karlys Wells, Suzanne Stluka

Health and Nutritional Sciences Faculty Publications

The Pick it! Try it! Like it! (PTL) educational resource set, developed to display in grocery stores and farmers markets, teaches individuals how to shop for and prepare healthy fruit and vegetable dishes. Because program buy-in must be obtained from location managers before implementation occurs, the purpose of this study was to qualitatively examine the perceptions that grocery store and farmers market managers have regarding PTL implementation. Locations that requested PTL materials during 2013-14 were contacted and asked to answer 13 questions. Responses were analyzed using the content analysis method with themes generated and frequencies reported. Analyses examined manager perceptions …

Development Of A Nutrition Education Program For The Mississippi Communities For Healthy Living Nutrition Intervention Using The Diffusion Of Innovations Theory, Holly F. Huye, Elaine Molaison, Laura H. Downey, Alicia S. Landry, Lashaundrea B. Crook, Carol L. Connell

Journal of Human Sciences and Extension

This research identified themes when exploring the Dietary Guidelines for Americans’ (DGA) attributes of relative advantage, compatibility, complexity, trialability, and observability to provide information for the design and structure of a nutrition education program for the Mississippi Communities of Healthy Living Nutrition Intervention. Diffusion of Innovations theory was used to develop education sessions to promote the adoption and consumption of a DGAbased healthy diet innovation in the Lower Mississippi Delta. Two focus groups were conducted with a purposive sample of 13 women in the community as well as one expert panel of six registered dietitians. Major themes identified for the …

Nutritional And Behavioral Repercussions Of Food Insecurity And The Impact Of Nutrition Education, Kelly Burgess

Mahurin Honors College Capstone Experience/Thesis Projects

Food insecurity occurs when an individual does not have consistent access to fresh, nutritious food in safe, socially acceptable, and affordable ways. This is a significant challenge facing Kentuckians, with one in six adults and one in four children experiencing some degree of food insecurity. The present study examines the effectiveness of customized nutrition education in improving 1) nutrition-related behaviors associated with food insecurity and 2) management of household food supply in food-insecure individuals with and without children. Participants were recruited through HOTEL INC, and one was from a household without children and one with children. A pre-assessment survey evaluated …

Implementing The Academy Of Nutrition And Dietetics Benchmarks For Nutrition Education For Children: Child-Care Providers’ Perspectives, Dipti A. Dev, Virginia Carraway-Stage, Daniel J. Schober, Brent A. Mcbride, Car Mun Kok, Samantha Ramsay

Department of Child, Youth, and Family Studies: Faculty Publications

Background — National childhood obesity prevention policies recommend that childcare providers educate young children about nutrition to improve their nutrition knowledge and eating habits. Yet, the provision of nutrition education (NE) to children in child-care settings is limited.

Objective — Using the 2011 Academy of Nutrition and Dietetics benchmarks for NE in child care as a guiding framework, researchers assessed child-care providers’ perspectives regarding delivery of NE through books, posters, mealtime conversations, handson learning, and sensory exploration of foods to young children (aged 2 to 5 years).

Design — Using a qualitative design (realist method), individual, semistructured interviews were conducted …

The Impact Of Visuals On Nutrition And Health Education Materials, Emily Clyatt, Elisa Shackelton, Laura Bellows

Journal of Human Sciences and Extension

No abstract provided.

What Parents Really Think About Their Feeding Practices And Behaviors: Lessons Learned From The Development Of A Parental Feeding Assessment Tool, Stephanie L. Sitnick, Lenna L. Ontai, Marilyn Townsend

Journal of Human Sciences and Extension

Interest in the role that parenting assumes in child obesity has increased the need for valid and reliable screening tools that are specific for populations targeted by programming efforts. While low-income families comprise a large audience for Cooperative Extension obesity prevention programs, valid and reliable selfadministered parenting assessments for this population are lacking. Development of such tools requires understanding low-income parents’ interpretations of questions related to their parenting. The current paper reports on interviews conducted with low-income parents (N = 44) of 3- to 5-year-old children during the development of a tool to assess parenting in the context of feeding. …

Nutrition Advice During Pregnancy: Do Women Receive It And Can Health Professionals Provide It?, Catherine Lucas, Karen E. Charlton, Heather Yeatman

Faculty of Science, Medicine and Health - Papers: part A

A healthy diet during pregnancy is essential for normal growth and development of the foetus. Pregnant women may obtain nutrition information from a number of sources but evidence regarding the adequacy and extent of this information is sparse. A systematic literature review was conducted to identify sources of nutrition information accessed by pregnant women, their perceived needs for nutrition education, the perceptions of healthcare providers about nutrition education in pregnancy, and to assess the effectiveness of public health programs that aim to improve nutritional practices. The Scopus data base was searched during January, 2013 and in February 2014 to access …

Understanding The Process By Which A Healthy Population Seeks Nutrition And Exercise Information, Sally Hillis

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Faced with an overwhelming amount of available sources and different perspectives, researchers in the field of Nutrition and Health Sciences continually strive to identify key factors that shape a healthy lifestyle. Employing a qualitative methods design, this pilot study research project utilized a constructivist grounded theory approach to develop a model explaining the process by which healthy individuals acquire nutrition and exercise information. This model rests on the philosophical views and actions of participants in seeking meaningful and reliable sources guiding their decision-making strategies and offers a more complete understanding of this process. Implications of this research would be to …

Toward Nutrition Education For Adults: A Systematic Approach To The Interface Design Of An Online Dietary Assessment Tool, Y. Probst, L. Lockyer, Linda Tapsell, D. Steel, O. Mckerrow, M. Bare

Professor Lori Lockyer

To support nutrition-related behavioural change, a dietitian can offer tailored educational programmes based on patients’ specific dietary behaviours. A model has been developed to integrate learning technologies into this process. This tool allows patients to self-report their dietary intake, creating awareness, and to receive individually tailored dietary advice from their General Practitioner (GP) via a dietitian, to assist with change. This article examines how a step-wise approach to the interface design has allowed a multidisciplinary approach to automated dietary assessment to be undertaken. Concentrating on the identification of core foods and on the questionnaire format using an outline of the …

Impact Of A Comprehensive Nutrition And Lifestyle Education Intervention On Body Weight And Health-Related Outcomes In Morbidly-Obese Hispanic-Americans Following Laparoscopic Roux-En Y Gastric Bypass, Monica Petasne Nijamkin

FIU Electronic Theses and Dissertations

As morbid obesity increasingly affects Hispanic-Americans, the incidence of Roux-en-Y gastric bypass procedures (RYGB) among this population rises. Prospective research on the impact of postoperative educational interventions focused on Hispanic-Americans is needed to prevent premature weight loss plateau, weight regain, nutritional deficiencies, and relapse of obesity-related comorbidities. This randomized-controlled study evaluated the impact of a comprehensive nutrition and lifestyle education intervention (6 biweekly postoperative sessions that incorporated motivational strategies for behavioral change) as compared to a non-comprehensive approach (printed guidelines for healthy lifestyle). The variables to consider are body weight, obesity-related comorbidities (depression, diabetes, dyslipidemia, and others), nutrient status, physical …

Toward Nutrition Education For Adults: A Systematic Approach To The Interface Design Of An Online Dietary Assessment Tool, Y. C. Probst, L. Lockyer, Linda C. Tapsell, D. Steel, O. Mckerrow, M. Bare

Faculty of Health and Behavioural Sciences - Papers (Archive)

To support nutrition-related behavioural change, a dietitian can offer tailored educational programmes based on patients’ specific dietary behaviours. A model has been developed to integrate learning technologies into this process. This tool allows patients to self-report their dietary intake, creating awareness, and to receive individually tailored dietary advice from their General Practitioner (GP) via a dietitian, to assist with change. This article examines how a step-wise approach to the interface design has allowed a multidisciplinary approach to automated dietary assessment to be undertaken. Concentrating on the identification of core foods and on the questionnaire format using an outline of the …