+Nutrition Education and Low-income families Rachel Miller Summer Scholars 2012
+ Method: Literature review Interviews: Sue Snider: Expanded Food Nutrition Education Program (EFNEP), Supplemental Nutrition Assistance Program- Education (SNAP-Ed), University of Delaware Tricia Jefferson: YMCA-Delaware Jennifer Barr: Moms Moving Forward- Christiana Care Hospital, registered Dietician Google images
+ Importance of research: To analyze the effectiveness of nutrition education programs Obesity has more than tripled in the last 25 years: 8.7%-27.4% Overweight: 36.9%-62.0% Google images
+ Importance of research Limited access to healthy resources Limited understanding or concern for mealtime behaviors, portion sizing, healthy living Google images
+ Importance of Research Economic concerns outweigh health Time/ job conflicts Stigma & health care professionals Google images
+ Research Goal Low income hunger-obesity paradox How will nutrition education programs effectively deal with this problem? Google images
+ Research questions: How are low-income neighborhoods affected by poor nutrition? What are nutrition programs aimed at low income families trying to accomplish? What is the relationship between these programs and low- income individuals in the community? Do these programs meet the nutritional needs of low-income communities? Google images
+ Literature Review: Reviewed nationally based programs (school-based programs, early intervention programs) SNAP-Ed Federal program implemented in each state Nutrition education for SNAP members Goal: healthier food choices on a limited budget effective to a point Google images
+ Literature Review Expanded Food and Nutrition Education Program (EFNEP) Help low-income individuals attain a healthy lifestyle adult and youth programs Google images
+ Data Collection Improvements # improved # responded % in one or more improvement practice Food resource 62,884 75,418 83% management practice Nutrition 62,771 70,670 89% practice Food safety 50,256 75,996 66% practice Physical activity 11,389 23,172 49% practice
+ Literature Review: Nutrition Education aimed at toddlers (NEAT). Early intervention program 1. expand knowledge of food safety- hand washing, chocking prevention, etc 2. increase knowledge of self-regulation for toddler: portion setting, meal time behavior, hunger/ fullness 3. increase knowledge of managing family meals with toddlers – parent/ toddler relations surrounding food Slight improvements (proper food prep, mealtime interaction, portion sizing, food safety) but no significant long term diet changes Google images
+ Interviews Sue Snider: Expanded Food Nutrition Education Program (EFNEP), Supplemental Nutrition Assistance Program- Education (SNAP-Ed), University of Delaware Tricia Jefferson: YMCA-Delaware Jennifer Barr: Moms Moving Forward- Christiana Care Hospital, registered Dietician Google images
+ Interviews: Goals of nutrition education programs Group discussion and experiential learning Barriers to nutrition education programs: Trust Grants and proper funding Limited access to healthy foods Google images
+ Conclusions: Need proper funding for programs and expert financial planning Attentive staff: experts and paraprofessionals- help gain trust among community members Must be discussion based and include experiential learning/ activities- the more hands-on the better Discuss the importance of appropriate meal time behaviors, portion sizing, children setting their own preferences Learning the value of accessing healthy foods Google images
+ Long term goal: long term goal is to design the ideal or quintessential nutrition education program for low-income communities. Google images
+ Thank you! Dr. Bahira Trask Faculty advisor Google images
+ References "About SNAP-Ed." National Institute of Food and Agriculture (NIFA). N.p., n.d. Web. 12 July 2012. http://www.nifa.usda.gov/nea/food/fsne/about Arnold, C. G., &Sobal, J. (2000). Food practices and nutrition knowledge after graduating the expanded food and nutrition education program. Journal of Nutrition Education, 32(3), 130-138. Retrieved June 30, 2012, from the Psycinfo database. CHANCE. (n.d.). FNEC Home. Retrieved July 22, 2012, from http://www.fnec.cornell.edu/Our_Initiatives/CHANCE.cfm Camp FRESH at Christiana Care Health System. (n.d.). Christiana Care Health System. Retrieved July 23, 2012, from http://www.christianacare.org/campfresh Chaney, M. (1945). Integrating Nutrition Education and Activities in the School Program. Nutrition Education, 35, 728-731. Retrieved July 2, 2012, from the Web of Science database. "Child Nutrition and WIC Reauthorization Act of 2004 « Food Research & Action Center." Food Research & Action Center. N.p., n.d. Web. 12 July 2012. <http://frac.org/leg-act-center/legislative-successes/child-nutrition-and-wic- reauthorization-act-of-2004/>. Dammann, K. W., & Smith, C. (2009). Factors affecting low-income womens food choices and the perceived impact of dietary intake and socioeconomic status on their health and weight. Journal of Nutrition Education and Behavior , 41(4), 242-253. Retrieved June 22, 2012, from the psycinfo database. Expanded Food and Nutrition Education Program (EFNEP) . (n.d.). National Institute of Food and Agriculture (NIFA). Retrieved July 2, 2012, from http://www.csrees.usda.gov/nea/food/efnep/efnep.html Gleason, P. (1995). Participation in the national school lunch program and the school breakfast program. The American Journal of Clinical Nutrition, 61(1), 2135-2205. Retrieved July 1, 2012, from the psycinfo database. Gostin, L. (2007). Law as a tool to facilitate healthier lifestyles and prevent obesity. Journal of the American Medical Association, 297(1), 87-90. Retrieved June 22, 2012, from the Psycinfo database.
+ References continued Hammerschmidt, P., Tackett, W., Golzynski, M., &Golzynski, D. (2011). Barriers to and facilitators of healthful eating and physical activity in low-income schools. Journal of Nutrition Education and Behavior , 43(1), 63-68. Retrieved June 23, 2012, from the Psycinfo database. Lent, M., Hill, T., Dollahite, J., Wolfe, W., &Dickin, K. L. (2012). Healthy children, healthy families: parents making a difference! a curriculum integrating key nutrition, physical activity, and parenting practices to help prevent childhood obesity . Journal of Nutrition Education and Behavior , 44(1), 90-92. Retrieved July 2, 2012, from the Web of Science database. Nord, M., & Parker, L. (2010). How adequately are food needs of children in low-income households being met?. Children and Youth Services Review, 32(9), 1175-1185. Retrieved June 22, 2012, from the Psycinfo database. Horodynski, M. O., &Hoerr, S. (2004). Nutrition education aimed at toddlers- a pilot program for rural, low-income families. Family Community Health, 37(2), 103-113. Omar, M., Coleman, G., &Hoerr, S. (2001). Healthy eating for rural low-income toddlers: caregivers perceptions. Journal of Community Health Nursing, 18(2), 93-106. Retrieved July 2, 2012, from the Psycinfo database. Parmer, S., Salisbury-Glennon, J., Shannon, D., &Struempler, B. (2009). School gardens: an experiential learning approach for a nutrition education program toincrease fruit and vegetable knowledge, preference, and consumption among second-grade students . Journal of Nutrition Education and Behavior , 41(3), 212-217. Retrieved July 23, 2012, from the Web of Science database. Singh, G. K., Siahpush, M., Hiatt, R. A., &Timsina, L. R. (2011). Dramatic increases in obesity and overweight prevalence and body mass index among ethnic-immigrant and social class groups in the united states, 1976-2008. Journal of Community Health, 36(1), 94-110. Retrieved July 2, 2012, from the Web of Science database. Vartanian, T., Houser, L., &Harkness, J. (2011). Food stamps and dependency: disentangling the short-term and long-term economic effects of food stamp receipt and low income for young mothers. Journal of Sociology & Social Welfare, 38(4), 101- 119. Retrieved July 2, 2012, from the Web of Science database. Wilfley, Densie E.; Kass, Andrea.; Kolko, Rachel P.; Stein, Richard I.. In Child and adolescent therapy: Cognitive-behavioral procedures (4th ed), by Wilfey, Denise E., Kass, Andrea E., Kolko, Rachel P., Stein, Richard I. 283-323. New York, NY, US: Guilford Press, 2012.
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