1. Andy Riesenberg, MSPH Food Security and Obesity Prevention Team Leader Food And Nutrition Service – Western Regional Office Implementing SNAP-Ed 2.0: Translating Obesity Prevention Research into Practice 1

2. Purpose 1. SNAP-Ed 2.0. 2. Evidence-based programs for nutrition education and obesity prevention. 3. Regional examples. 4. Evaluation outcomes. 2

3. SNAP-Ed 2.0 3

4. Key Elements 4

5. Evidence-Based Programs 5

6. Childhood Obesity Prevention Programs: Comparative Effectiveness 6 Source: Childhood Obesity Prevention Programs: Comparative Effectiveness Review and Meta-Analysis, June 2013. Available at www.effectivehealthcare.ahrq.gov/child-obesity-prevention.cfm.

7. 7

8. Discussion Question 8 What is the difference between evidence-based practice and practice-based evidence? Why are both important?

9. 9 Socio-Ecological Model

10. 10 Source: Institute of Medicine

11. Ten Essential Public Health Services 11

12. Implementing Environmental Approach 12

13. WRO Public Health Strategies 13

14. WRO Public Health Strategies 14

15. Public Health Strategies 15

16. Opportunities: Public Health Partnerships 16

17. SWRO Examples: Richard Burley 17 Multi-Level: Active Life Collaboration: SAFB Evidence based: UNM, Chili Plus Innovation: OSU, Farm To you

18. MPRO Examples: Star Morrison 18 Community Based Strategies (INEP) Community Based Social Marketing (“Pick a better snack”) Community Partnerships (School Health Wellness Coalitions, Family Gardening, Two-Buck Lunch) Public Health Programs Intergenerational Poverty Task Force

19. SERO Examples: Veronica Bryant 19 School Health and Wellness Committees Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) Cooking Matters – retail grocery stores Farmer’s Markets’ – marketing campaigns Department of Health and Environmental Control (DHEC) – nutrition education and BMI measurements

20. Influencing, but Not Implementing Environmental Changes Retail Stores (Example) 20 Allowable Costs Point-of-purchase marketing In-store nutrition displays Recipe cards/leave-behinds NERI Cooking demos/taste tests Store tours Technical assistance to retailers Unallowable costs Refrigeration units Beautification/Upkeep  Painting  Shelving  Flooring  Televisions Manufacturers coupons Retailer incentives

21. Non-allowable Policy Activities 21

22. Discussion Question # 2 22 What is an appropriate balance between nutrition education and environmental supports?

23. Turning Reach into Impact 23

24. WRO SNAP-Ed Evaluation Outcomes Framework 24

25. SNAP-Ed Evaluation Questions 25

26. 26 Evaluation Framework Logic Model

27. Discussion Question # 3 27 What does success in SNAP-Ed look like? How should we measure it?

28. Wrap-up 28 SNAP-Ed 2.0 emphasizes nutrition education and obesity prevention and offers more flexibility for targeting and programming. SNAP-Ed activities must be grounded in the best available evidence for preventing overweight and obesity in the low-income population. Outcomes should demonstrate behavioral changes for SNAP-Ed audiences. FNS is here to help.

29. Q&A 29 THANK YOU Andrew, Star, Richard, Veronica, and… Nancy, Martha, Sally