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Southeast Region FFY 17 SNAP-Ed Outcome Evaluation Results
ASNNA February 5, 2019 Suzanne Ryan-Ibarra PhD, MPH Amy DeLisio MPH, RD Housekeeping notes: all phones are on mute We will have a question and answer section at the end Feel free to type questions or comments into the chat box as they arise We will address chat box questions and comments during the Q&A session At that time, you can also use the “raise hand” function and we will unmute your line for you to speak
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Our Mission The Public Health Institute’s Center for Wellness and Nutrition (CWN) is a national leader in developing campaigns, programs, and partnerships to reduce obesity and promote equity in the most vulnerable communities across the country. CWN uses an integrated wellness model to address the Social Determinants of Health.
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The Beginning The Southeast Learning Community project was originally funded by CDC and implemented by Public Health Institute (PHI) in partnership with Southeast Regional Office Currently funded through SERO SNAP-Ed A needs assessment was conducted to prioritize regional opportunities and support The majority of respondents were interested in using the SNAP-Ed Evaluation Framework SERO Evaluation Work Group was formed
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SERO Regional Evaluation Project: Partnerships and Collaboration
USDA Southeast Region PHI CWN RNECE-South States Implementing Agencies Met Throughout FFY 2016 to plan SERO Regional Evaluation Project
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SERO Regional Evaluation Project: SERO FFY 2017 Regional Common Indicators
Measure outcomes of SNAP-Ed programs in the Southeast Region during FFY 17 related to: MT1 Healthy Eating Behaviors MT2 Food Resource Management Behaviors MT5 Nutrition Supports Adopted
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Methods Standardize responses from multiple survey instruments
Create analytical dataset (combined data from 25 implementing agencies) Standard meta-analysis – pooled relative risk, 95% confidence intervals Subgroup analyses – state, age group
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Methods – Survey Instrument Standardization (MT1c - Example)
24-Hour Recall WebNEERS Food Behavior Checklist Question n/a Do you eat more than one kind of fruit each day? Answers Cups N/A Never Seldom Sometimes Most times Always No Yes, sometimes Yes, often Yes, always Answer Standardization 1 = Yes, ate more than 1 kind of fruit 0 = No, did not eat more than 1 kind of fruit 1 = Always, Most times 0 = Sometimes, Seldom, Never, NA 1 = Yes, always/Yes, often 0 = Yes, sometimes/No We used the Dietary Guidelines for Americans to standardize responses across survey instruments. For example, IAs reported MT1c using 18 different instruments. 24-hour recall (n=1, Food Behavior Checklist (n=19) WebNEERS (n=11) Other (n=15)
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Results 25 implementing agencies submitted data
All age groups represented – children (38% of programs), teens (13% of programs), adults (38% programs), and seniors (11% of programs) Data was submitted for all MT1, MT2, and MT5 indicators
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Results – Healthy Eating Behaviors (MT1)
Indicator Description # Pre Total # Post Total MT1c More than 1 kind of fruit 36,833 32,317 MT1d More than 1 kind of vegetable 37,814 33,247 MT1g Drink water frequently 40,378 35,885 MT1h Fewer sugar-sweetened beverages 40,788 36,473 MT1i Choose low-fat/fat-free milk, milk products 38,094 33,719 MT1l Cups of fruit 8,048 6,867 MT1m Cups of vegetables 8,062 6,877 # of participants in 2 columns on the right
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Results – Healthy Eating Behaviors (MT1) (continued)
Indicator Description Pooled Relative Risk 95% Confidence Interval MT1c More than 1 kind of fruit 1.10 ( )* MT1d More than 1 kind of vegetable 1.14 ( )* MT1g Drink water frequently 1.04 ( )* MT1h Fewer sugar-sweetened beverages ( )* MT1i Choose low-fat/fat-free milk, milk products 1.09 ( )* *Statistically significant (p-value < 0.05). Statistically significant and positive improvements in all MT1 indicators
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Results from Pre- to Post-Test for MT1: Healthy Eating Behaviors, SERO Regional Evaluation FFY 17
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Results – Healthy Eating Behaviors (MT1) (continued)
Indicator Description Standardized Mean Difference 95% Confidence Interval MT1l Cups of fruit 0.36 ( )* MT1m Cups of vegetables 0.22 ( )* *Statistically significant (p-value < 0.05) Statistically significant and positive improvements in cups of vegetables (about 1/3rd cup more) and fruit (about 1/4th cup more)
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Results – Food Resource Management Behaviors (MT2)
Indicator Description # Pre Total # Post Total MT2a Choose healthy foods on a budget 14,571 10,773 MT2b Read nutrition labels 14,897 11,007 MT2g Not run out of food 14,427 10,657 MT2h Compare prices 14,195 10,501 MT2i Identify foods on sale 7,981 5,013 MT2j Shop with a list 14,155 10,490
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Results – Food Resource Management Behaviors (MT2) (continued)
Indicator Description Pooled Relative Risk 95% Confidence Interval MT2a Choose healthy foods on a budget 1.42 ( )* MT2b Read nutrition labels 1.74 ( )* MT2g Not run out of food 1.27 ( )* MT2h Compare prices 1.29 ( )* MT2i Identify foods on sale 1.11 ( )* MT2j Shop with a list 1.47 ( )* *Statistically significant (p-value < 0.05). Significant and positive changes in the MT2 indicators from pre to post.
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Results from Pre- to Post-Test for MT2: Food Resource Management Behaviors, SERO Regional Evaluation FFY 17
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Results – Policy, Systems, Environmental Changes (MT5)
Indicator Description Number MT5b Total number of policy changes 95 MT5c Total number of systems changes 225 MT5d Total number of environmental changes 322 Total PSE adopted 642 MT5e Total number of promotional changes for PSE 469 MT5f Reach of PSE changes 782,231 Reach counts do not include reach reported for promotional efforts (MT5e) only. 642 PSE changes reaching 782,231 people (3/4 million) Most common policy change was working on standards for healthier food policy (n=32). Most common systems change was prioritizing farm-to-table or increasing fresh or local produce (n=61). Most common environmental change was establishing, reinvigorating, or maintaining edible gardens (n=235). Most common promotional change was using posters/visual displays, taste testing (n=432).
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Results – Total PSE adopted compared by setting
Most common PSE setting is Learn (58% of PSE changes), followed by Shop (19% of PSE changes)
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Promoting the Results Topline report can be widely distributed once finalized: Begin conversations with Partners, Stakeholders and Decision Makers Improve current programming Prioritize Technical Assistance
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Thank you Brittany Souvenir and Veronica Bryant, USDA FNS
SERO Evaluation Workgroup State Implementing Agency partners Sharon Sugerman, MS, RD, FAND, Center for Wellness and Nutrition, Public Health Institute
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Follow us on LinkedIn and Twitter!
Follow us on LinkedIn and Twitter! @phi_wellness Suzanne Ryan-Ibarra Amy DeLisio
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