Agency/Grantee Project Directors’ Meeting/Debriefing: SNAP-Ed and EFNEP Western Region Susan S. Baker, EdD Garry Auld, PhD Colorado State University Karen Barale, MS, RD Washington State University Extension

Uniqueness of the Western Region 14 states, 3 US territories 8 time zones Urban, rural and island communities 3 FNS Regions Largest NIFA region

RNECE-West Research PSE Direct Ed. Sub-Awards Biometric Long-term Follow-Up AES Multistate Evaluation Validation PSE Food Pantry E-Scan Sub-Awards Alaska: Sugar Sweetened Bev. Analysis Utah: Food Purchase Evaluation Youth Participatory Research (YPAR) Testing of Mediums to Reach Program Graduates Long‐term Environmental Support Activities Secondary Data Analysis

Long-Term Follow-Up Evaluation of Eating Smart • Being Active

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

Biometrics Collected BMI Blood Pressure HbA1c Height Weight Systolic Diastolic Pulse HbA1c 5 minute finger stick test

Initial Pre Observations Mean pre blood pressure 109.2 / 77.7 (<120/<80 is normal) Mean A1c 5.8 (<5.7 is normal, >6.5 is diabetic) Mean BMI 30.9 (>30 is obese) Some measures may be non-normal distributions

Post Observations Diastolic blood pressure and HbA1c show significant reductions Pre-Post Mean Differences (n=61) Weight (kg) BMI SBP DBP HbA1c -0.95 -0.24 -0.90 -1.72 -0.11 Pre-Post Paired T-tests One Tailed Two Tailed BMI 0.25 0.49 SBP 0.10 0.21 DBP** 0.01 0.02 A1c* 0.04 0.08

Remaining Work Continue data collection: pre, post, 6 & 12 months post Winter -Spring 2017 Continue data collection: pre, post, 6 & 12 months post Request no-cost extension Summer 2017 Continue 6 and 12 month data collections Continue data analysis Fall 2017 Data collection and analysis continues 2018 Final Data collection and analysis Final report Summer 2018

Dissemination Journal articles Poster submissions Experimental Biology Society for Nutrition Education and Behavior

Next Steps Seek funding Larger longitudinal study Cost-benefit analysis

AES Multi-state Collaboration Behavior Checklist Revision (NC2169)

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

Preliminary Results Reliability 33 questions tested 29 questions reliable 3 physical activity questions were replaced 1 FRM question was eliminated 32 reliable questions submitted to National EFNEP office

Remaining Work - Validity RNECE- funded Nutrition - February 2017 Food Security – February 2017 Food Resource Management – May 2017 Non-RNECE funded Food Safety – Summer 2017 Physical Activity – Summer 2017

Dissemination Journal Articles Session proposals Murray, E., Baker, S., Auld, G. (2016). Nutrition Recommendations from the US Dietary Guidelines Critical  to Teach Low-Income Adults:  Expert Panel Opinion. Journal of Academy of Nutrition and Dietetics. JAND 1565 proof submitted. Murray, E., Auld, G., Inglis-Widrick, R., Baker, S. (2015). Nutrition Content in a National Nutrition Education Program for Low-Income Adults: Content Analysis and Comparison with the 2010 Dietary Guidelines. Journal of Nutrition Education and Behavior, 47(6), 566-573. Submitted: Erin Murray, MSPH, RDN; Garry Auld, PhD; Susan Baker, EdD; Karen Barale, MS, RD; Karen Franck, PhD; Tarana Khan, PhD; Debra Palmer-Keenan, PhD; Jennifer Walsh, PhD. (2016) Methodology for Developing a New EFNEP Food and Physical Activity Behaviors Questionnaire  JNEB-D-16-00505 Session proposals EFNEP State Coordinators Meeting (submitted) SNEB Annual Meeting (accepted)

Next Steps NC2169 Multi-state Research Group will continue this work Spanish translation and testing Retrospective pre/post questionnaire

Food Pantry Environmental Assessment Tool

Project Goals Develop and test a scored environmental assessment Strengthen the evidence for Environmental change in pantries Policy actions Food procurement

Preliminary Results 41 interviews April/May 2016 13 states, urban and rural “Healthy” Environment described as access to fresh produce clients treated with dignity and respect within the food pantry setting

Pilot Tool Development Draft tool developed Pilot testing Summer 2016 5 states, 15 sites, 3 revisions Each tool tested five times Post-assessment pantry staff interviews

Preliminary Analysis: Food Pantry Self-assessment vs RNECE Assessment

Field Ready – Healthy Food Pantry Assessment Tool Draft Resource Guide – Aligned with Healthy Food Pantry Assessment Tool

Remaining Work Field Test, Wave 1 in progress (four states) Winter 2017 Field Test, Wave 1 in progress (four states) Field Test, Wave 2 begins (three states) Spring 2017 Expert review Resource Guide initiated for content validity Complete Wave 1 data collection Begin data analysis of reliability statistics Summer 2017 Complete Wave 2 data collection Continue data analysis Fall 2017 Complete data analysis Disseminate results

Dissemination Tool and resources on RNECE, University websites Journal Articles Session proposals submitted EFNEP Western Region State Coordinators Meeting (invited) SNEB Annual Meeting

Next Steps Submit to SNAP-Ed Toolkit Seek funding for future work Mobile application Web-based data system

RNECE-West Susan S. Baker, EdD Garry Auld, PhD Colorado State University Karen Barale, MS, RD Washington State University Extension