Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University SNAP & EFNEP: Regional Nutrition Education and Obesity Prevention Centers of Excellence Interagency and Partner Briefing Western Region Susan S. Baker, EdD Colorado State University Karen Barale, MS, RD Washington State University Extension

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Uniqueness of the Western Region 14 states, 3 US territories 8 time zones Urban, rural and island communities 3 FNS Regions Largest NIFA region Hispanic focus

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Overview RNECE-West Research Direct Education Long-term Follow Up AES Multi-State Collaboration PSE Environmental Support Activities Food Pantry E- Scans YPAR Sub-Awards Utah: Food Purchase Evaluation Alaska: Sugar Sweetened Beverage Analysis

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Long-Term Follow-Up Evaluation of Eating Smart Being Active

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Project Goals Improve evidence-base of direct nutrition education with adults Provide objective outcome data Assess behavior change post-graduation Align with SNAP-Ed Evaluation Framework

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Design & Timeline Summer 2015, Winter 2016 Formative work – testing strategies Develop protocols Begin long-term follow-up in CO, WA (BMI, BP, HbA1c) Winter 2017 Complete long-term follow up in CO, WA Begin long-term follow-up in six additional states Begin data analysis Summer 2018 Complete long-term follow-up in six states Final data analysis

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Behavior Checklist Revision AES Multi-state Collaboration (NC2169)

Project Design What content is in curricula? What are the most important concepts to teach? What measures of behavior exist? Version 1 Questions Are the questions easy to understand? sensitive to changes in behavior? How are they interpreted? Which response options are best? Version 2 Questions Are responses consistent? Do the questions measure the behaviors they intend to measure? Final Version Questions

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Timeline & Deliverables Sept August 2016 – Curricula content analysis – Sept – Question development – Fall 2014 – Cognitive interviews - December 2015 – Reliability Testing - March 2016 – Validity Testing - August 2016 October 2016 – New checklist complete

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Environmental Support Activities Combine direct education and PSE strategies to create comprehensive interventions Provide new resources for program implementers

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Design & Timeline Step 1: Literature Review Step 2: Formative Research Step 3: Environmental Support Activities and Evaluation Tool Development Step 4: Pilot and Finalize Activities; Evaluate; Disseminate Fall 2015 Winter - Summer 2016 Fall 2016 – Summer 2017 Fall 2017 – Summer 2018

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Food Pantry Environmental Assessment Tool

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Food Pantry Environmental Assessment Tool Develop and test an E-scan for Food Pantries Strengthen the evidence for – Environmental change in pantries – Policy actions – Food procurement

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Design & Timeline Winter 2015 Identify Environmental Scans Spring 2015 Consult experts Consult with e-scan tool developers Summer 2015 Small Scale Feasibility Test Food Pantry Key Informant Responses Fall 2015 Initiate in-depth Literature Review Form Regional Food Pantry Contact Network

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Design & Timeline Winter 2016 Draft Interview Questions Draft “Best Practices” Spring 2016 Collect Food Pantry Key Informant Perspectives Refine results with research literature Summer 2016 Finalize “What Works” Food Pantry Strategy Guide Draft Pilot E-scan Outline Pilot Testing sites August 2016 Pilot test e-scan with Regional Partners Revise based on pilot testing

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University YPAR: Youth Participatory Action Research in SNAP-Ed Public Health Institute, California

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Design & Timeline Implementation SNAP-Ed Hawaii & LA Central CA Initial training and monthly technical assistance Evaluation Validate End of Year Youth Survey Sept – June 2016 Conduct Youth Survey & Adult Facilitator Assessment of Participants each year Analyze data; complete assessment by August, 2017

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Sugar Sweetened Beverage Intake Among EFNEP Participants An Evaluation of the National EFNEP Database University of Alaska Fairbanks

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Project Summary Pre/post educational intervention Behavior Checklist Questionnaire 24 Hour Dietary Recall Secondary data analysis Quantity of sugar sweetened beverages (SSB) Cost of SSB using USDA CNPP Food Prices Database Pre/post comparison Measure of total diet quality USDA monitoring tool for diet quality of Americans Calculate impact of EFNEP on diet quality of participants Change in Healthy Eating Index (HEI) 2010

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University Evaluation of a Low Cost, Low Burden Technology for Evaluating EFNEP and SNAP- Ed Effectiveness 0 Utah State University University of Utah

Regional Nutrition Education and Obesity Prevention Centers of Excellence-Western Region at Colorado State University SNAP & EFNEP: Regional Nutrition Education and Obesity Prevention Centers of Excellence Interagency and Partner Briefing Western Region Susan S. Baker, EdD Colorado State University Karen Barale, MS, RD Washington State University Extension