1. Food eTalk: Online eLearning Nutrition Education
February 7, 2019
ASNNA
February 7, 2019
Food eTalk: Online eLearning Nutrition Education
for SNAP-Ed Eligible Adults in Georgia
Edda Cotto-Rivera, MPH, CHES®| Project Coordinator
Sarah Stotz, PhD, RD, CDE, LD| Research Associate
Jung Sun Lee, PhD, RDN| Professor, Principal Investigator
University of Georgia Supplemental Nutrition Assistance Program Education (UGA SNAP-Ed)
30 min presentation

2. Outline UGA SNAP-Ed Overview
February 7, 2019
Outline
UGA SNAP-Ed Overview
Food eTalk: UGA SNAP-Ed’s eLearning Overview
Background
Development
Implementation
Evaluation
Food eTalk: Let’s eLearn Together!

3. February 7, 2019
UGA SNAP-Ed | Overview
Funded by USDA SNAP-Ed Nutrition Education and Obesity Prevention Grant Program since 2013
One of the four SNAP-Ed Implementing Agencies in Georgia
Provides innovative evidence-based, culturally appropriate nutrition education and obesity prevention interventions for low-income Georgians
Based on collective capacity of UGA, infrastructure and network of the UGA Cooperative Extension, and collaboration with diverse stakeholders and communities across the state 3

4. Social Marketing Food Talk
February 7, 2019
UGA SNAP-Ed | Programs
UGA SNAP Ed
Food Talk
Direct Nutrition Education
(Food TalK, Food Talk: Better U, and Food Talk: Farmers Market curricula)
8 counties
Food eTalk
Innovative, mobile- friendly Online eLearning Nutrition Education
All 159 counties
Social Marketing Food Talk
eNewsletters, social media, and FNV campaigns
Healthy Child Care Georgia
Child Care/ECE Nutrition Education
Clarke county

5. UGA SNAP-Ed eLearning eLearning (online learning)
February 7, 2019
UGA SNAP-Ed eLearning
eLearning (online learning)
Traditionally used for higher education, degree seeking, continuing education
eLearning and nutrition education
Worksite wellness, weight loss, chronic disease management
Low-income audiences
Access to the Internet
Benefits

6. UGA SNAP-Ed eLearning | Goals
February 7, 2019
UGA SNAP-Ed eLearning | Goals
Serve our increasingly tech savvy audience
Provide alternatives to those who can’t get to class
Add learning tool to those who can attend class but would like a review
Reach individuals at the point of decision making
Expand nutrition education opportunities
statewide

7. UGA SNAP-Ed eLearning | Development
February 7, 2019
UGA SNAP-Ed eLearning | Development
Stotz S and Lee JS. Development of an online smartphone-based eLearning nutrition education program for low-income individuals. J Nutr Educ Behav, 50 (1):90-95, 2018

8. UGA SNAP-Ed eLearning | Website Development
February 7, 2019
UGA SNAP-Ed eLearning | Website Development
Learn Online Design Goals
Streamline site & content navigation
Reduce the number of clicks a user must make to launch a learning module
Reduce wasted screen area by removing margins & less important information
foodtalk.org

9. UGA SNAP-Ed eLearning | Evaluation
February 7, 2019
UGA SNAP-Ed eLearning | Evaluation
Comprehensive needs assessment and formative evaluation using longitudinal, mixed-methods single case study design
Needs assessment: Key informant interviews (N=10)
Formative evaluation: focus groups, individual interviews, self-administered surveys, LMS/website user tracking data (N=64)

10. UGA SNAP-Ed eLearning | Evaluation
February 7, 2019
UGA SNAP-Ed eLearning | Evaluation
Needs Assessment
No issues foreseen with access or literacy
Skill-based, step-by-step, specific topics, visual, recipes
Motivation to engage is a concern
Formative Evaluation
Traditional smartphone use to inform eLearning format
Short bouts of use
Specific learning topics
Video-based, entertaining
Motivation and barriers
Voluntary nature of SNAP-Ed
Special consideration for relevant content to increase motivation to engage
Unique approaches to address barriers to healthful eating
Stotz S, Lee JS, Rong H, Murray D. J Extension (In press), 2019
Stotz S, Lee JS, Hall J. Public Hlth Nutr, 21(17): , 2018
Stotz S, Lee JS, Rong H, Murray D. Health Promotion Practice, (18)1: , 2017

11. UGA SNAP-Ed eLearning | Evaluation
February 7, 2019
UGA SNAP-Ed eLearning | Evaluation
Outcome Evaluation
Post-lesson Qualtrics Survey
Retrospective pre-test design
To assess users’ change in self-efficacy and intention to follow specific health practices related to food resource management, food safety, healthy weight management, dietary intake, nutrition practices, or exercise
Focuses on ST1 (a, b, m, l), ST2 (a, b, d, e2, e3), ST3 (a), MT11 (d, e)

12. UGA SNAP-Ed eLearning | Food eTalk and Food eTalk: Better U
February 7, 2019
UGA SNAP-Ed eLearning |
Food eTalk and Food eTalk: Better U
Content based on validated UGA SNAP-Ed curricula (i.e., Food Talk and Food Talk: Better U)
Two comprehensive programs
Food eTalk
Food eTalk: Better U
6 Lessons
8-12 minute/lesson with additional cooking videos
4 ‘just in time’ videos
DASH diet principles
4 Lessons
2-3 minute/lesson
Cooking videos, exercise videos, ‘just in time’ videos
Diabetes Prevention Project (DPP) principles

13. UGA SNAP-Ed eLearning | Format
February 7, 2019
UGA SNAP-Ed eLearning | Format
foodtalk.org
foodtalk.org
Interactive games and lessons
Matching
Multiple choice
Slide-games
Voiceover feature
Videos
Cooking
Exercise
Just-in-Time
Nutrition Education Extenders

14. UGA SNAP-Ed eLearning | Features
February 7, 2019
UGA SNAP-Ed eLearning | Features
Developed for smartphone screen size
Visual
Short lessons
User friendly
Southern influence
Educational videos
Voiceover and closed captioning

15. UGA SNAP-Ed eLearning | Food eTalk: Better U
February 7, 2019
UGA SNAP-Ed eLearning | Food eTalk: Better U
Based on UGA SNAP-Ed Food Talk: Better U
First UGA SNAP-Ed Obesity Prevention Curriculum
4 interactive, 90 minute lessons
Healthy weight management principles
Strategies: SMART goal settings, tracking/journaling, problem solving skills, and small ‘shifts
Southern influenced recipes and resources
Mimic content and strategies of Food Talk: Better U
One lesson exclusively video based problem-based learning
foodtalk.org

16. UGA SNAP-Ed eLearning | Food eTalk: Better U
February 7, 2019
UGA SNAP-Ed eLearning | Food eTalk: Better U
Certificate of Completion
Nutrition Education Extenders!

17. UGA SNAP-Ed eLearning | Statewide Implementation
February 7, 2019
UGA SNAP-Ed eLearning | Statewide Implementation
Make eLearning and related resources available to SNAP-Ed eligible Georgians on UGA SNAP-Ed website at
eLearning lessons, games, videos
Promote eLearning for outreach and marketing opportunities if mobile Internet-accessing devices and wireless Internet are available
Expansion of UGA SNAP-Ed eLearning nutrition education program through safety net clinics in the Valdosta and Athens areas
Promotion of eLearning opportunities through UGA County Extension offices

18. UGA SNAP-Ed eLearning | Statewide Implementation through County Extension Offices
Promote UGA SNAP-Ed eLearning programs
Promote foodtalk.org
Distribute “Learn Online” postcards
Invite people to sign up for paper and online newsletters
Follow on Social media
Coordinate Outreach events and receive support from the UGA SNAP-Ed State office (Recruitment Coordinator-Extenders)
Distribute extenders for eLearners visiting County Extension Offices

19. UGA SNAP-Ed eLearning | Let’s eLearn Together!
February 7, 2019
UGA SNAP-Ed eLearning | Let’s eLearn Together!
Get out your smartphone or tablet
Navigate to
Click “Login/Sign Up” &
enter the following username and password
USERNAME:
PASSWORD: 4Us2Test
Select a lesson and enjoy!

20. February 7, 2019
References
Bensley RJ, Anderson J V, Brusk JJ, Mercer N, Rivas J. Impact of internet vs traditional Special Supplemental Nutrition Program for Women, Infants, and Children nutrition education on fruit and vegetable intake. J Am Diet Assoc. 2011;111(5): doi: /j.jada
Lohse B, Belue R, Smith S, Wambolt P, Cunningham-Sabo L. About Eating: An online program with evidence of increased food resource management skills for low-income women. J Nutr Educ Behav. 2015;2.
Au LE, Whaley S, Rosen NJ, Meza M, Ritchie LD. Online and In-Person Nutrition Education Improves Breakfast Knowledge, Attitudes, and Behaviors: A Randomized Trial of Participants in the Special Supplemental Nutrition Program for Women, Infants, and Children. J Acad Nutr Diet. 2016;116(3): doi: /j.jand
Au LE, Whaley S, Gurzo K, Meza M, Ritchie LD. If You Build It They Will Come: Satisfaction of WIC Participants With Online and Traditional In-Person Nutrition Education. J Nutr Educ Behav. 2016;48(5): e1. doi: /j.jneb
Smith A. Pew Research Center Report. US Smartphone Use in use-in-2015/.
Araque JC, Maiden RP, Bravo N, et al. Computer usage and access in low-income urban communities. Comput Human Behav ;29(4): doi: /j.chb
Stotz SA, Lee JS, Rong H, Murray D. The feasibility of an eLearning nutrition education program for low-income individuals. Health Promotion Practice. 2017;January(18)1;
Stotz SA, Lee JS. Development of an online smartphone-based eLearning nutrition education program for low-income individuals. J Nutr Educ and Behav. 2018; 50 (1):90-95
Stotz S, Lee JS, Rong H, Murray D. An eLearning nutrition education program for low-income adults: Perspectives of key stakeholders. J Extension (In Press).
Stotz S, Lee JS, Hall J. A mixed-methods formative evaluation using SNAP-Ed eligible adult Georgians’ experience with a smartphone-based eLearning nutrition education program. Public Hlth Nutr. 2018; 21(17):

21. February 7, 2019
Thank You!
Jung Sun Lee, PhD, RDN | Principal Investigator
Sarah Stotz, PhD, RD, CDE, LD| Research Associate|
Edda Z. Cotto-Rivera, MPH, CHES® | Project Coordinator |
University of Georgia Supplemental Nutrition Assistance Program Education
(UGA SNAP-Ed)
Funded by USDA SNAP-Ed Grant, RNECE South Innovative Sub-award, Georgia Nutrition Council Outreach Grant, Georgia CTSA Seed Grant (UL1TR002378), and UGA CAES Seed Grant