1. 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

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

3. 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

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

5. 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

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

7. 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

8. 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

9. 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

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

11. Next Steps Seek funding Larger longitudinal study
Cost-benefit analysis

12. AES Multi-state Collaboration Behavior Checklist Revision (NC2169)

13. 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?

14. 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

15. 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

16. 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),
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
Session proposals
EFNEP State Coordinators Meeting (submitted)
SNEB Annual Meeting (accepted)

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

18. Food Pantry Environmental Assessment Tool

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

20. 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

21. 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

22. Preliminary Analysis: Food Pantry Self-assessment vs RNECE Assessment

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

24. 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

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

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

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