@article {2265, title = {The Expanded Food and Nutrition Education Program{\textquoteright}s Impact on Graduates{\textquoteright} Quality of Life}, journal = {Journal of Nutrition Education and Behavior}, volume = {51}, year = {2019}, month = {2019/02/01/}, pages = {217 - 223}, abstract = {

ObjectiveTo determine how the Expanded Food and Nutrition Education Program (EFNEP) affects the quality of life (QoL) of its low-income adult participants.MethodsA cross-sectional exploratory study using focus groups (n = 15) in 8 states with EFNEP participants (n = 111) 2\–4 months after graduation. Focus groups were conducted with non-Hispanic white (4 groups), black (4), English-speaking Hispanic (4), and Spanish-speaking Hispanic (3) respondents. A priori template analysis based on constructs from the University of Toronto\&$\#$39;s Quality of Life Profile for Adults and constant comparative procedures were used to generate results.ResultsParticipants reported following healthier dietary and physical activity behaviors and having increased motivation to improve themselves and greater satisfaction with life. All groups noted being a more positive influence on their families and a having willingness to learn and try new things.Conclusions and ImplicationsThe EFNEP enhances the QoL of its participants, which suggests that the program\&$\#$39;s benefits go beyond participants\’ documented nutrition and health-related behavior changes. In the future, EFNEP might examine whether improved QoL is also a predictor of sustained behavior change and a means for differentiating program impacts owing to variations in dose (number of contacts) or delivery methods (face-to-face vs online).

}, keywords = {EFNEP, low income, nutrition education, quality of life}, isbn = {1499-4046}, doi = {https://doi.org/10.1016/j.jneb.2018.07.021}, author = {Garry Auld and Susan S Baker and Hernandez-Garbanzo, Yenory and Infante, Natalia and Inglis-Widrick, Ruth and Procter, Sandra B. and Kathryn Yerxa} } @article {2263, title = {Communicating and Assessing Physical Activity: Outcomes From Cognitive Interviews With Low-Income Adults}, journal = {Journal of Nutrition Education and Behavior}, volume = {50}, year = {2018}, month = {2018/11/01/}, pages = {984 - 992}, abstract = {

ObjectiveThis investigation sought to identify the physical activity (PA) terms and concepts that are best understood by low-income adults.DesignThis was a cross-sectional study using semistructured cognitive interviews that employed retrospective verbal probing techniques.SettingInterviews were conducted in Expanded Food and Nutrition Education Program (EFNEP) sites in New Jersey, Tennessee, and Washington.ParticipantsA convenience sample of 57 adults participating in or eligible for participation in EFNEP.Phenomenon of InterestParticipants\’ interpretations and conceptualizations of PA concepts and terms.AnalysisTemplate and constant comparative analysis.ResultsParticipants interpreted many PA terms and concepts in unintended ways. Exercise was the term that came closest to conveying moderate to vigorous PA. Terms used to describe muscle-strengthening activities were mostly understood. Intentional engagement in extra activities was difficult for participants to conceptualize despite multiple tested wordings; making small changes to be active came closest to conveying this concept. Participants\’ comprehension of the PA terms differed by their PA and literacy levels.Conclusions and ImplicationsNutrition educators should be mindful of the terminologies they used in communicating messages and assessing PA behaviors to EFNEP participants or similar populations.

}, keywords = {exercise, health communication, health education, physical activity, public health}, isbn = {1499-4046}, doi = {https://doi.org/10.1016/j.jneb.2018.07.008}, author = {Li, Cheng and Garry Auld and D{\textquoteright}Alonzo, Karen and Palmer-Keenan, Debra} } @article {2254, title = {Nutrition Recommendations from the US Dietary Guidelines Critical to Teach Low-Income Adults: Expert Panel Opinion}, journal = {Journal of the Academy of Nutrition and Dietetics}, volume = {118}, year = {2018}, month = {2018}, pages = {201-203, 205-210}, keywords = {dietary guidelines, low income, nutrition recommendations}, doi = {10.1016/j.jand.2016.11.007}, author = {Erin K Murray and Susan S Baker and Garry Auld} } @article {2266, title = {Confirming the Reliability and Validity of Others{\textquoteright} Evaluation Tools Before Adopting for Your Programs}, journal = {Journal of Nutrition Education and Behavior}, volume = {49}, year = {2017}, month = {2017/05/01/}, pages = {441 - 450.e1}, abstract = {

ObjectiveTo confirm the reliability and validity of a previously validated evaluation instrument in a new context.MethodsIn a cross-sectional study, the processes and results of testing Cooking Matters\&$\#$39; (CM) use of the Expanded Food and Nutrition Education Program\&$\#$39;s Behavior Checklist as a retrospective pretest/posttest were described. The researchers determined reliability, face and content validity, and response-shift bias with 95 CM participants.ResultsMost items had acceptable face validity and moderate reliability; other items lacked reliability, or face or content validity (were unrelated to the CM curriculum).Conclusions and ImplicationsProper match between evaluation tools and curricula is needed for appropriate program assessment without which outcome data can be misleading or potentially invalid. Confirmation of validity is essential when adopting others\&$\#$39; evaluation tools in new contexts, particularly for programs with widespread use such as federally funded programs and national nonprofit organizations.

}, keywords = {low income, nutrition behavior checklist, Share Our Strength, validity}, isbn = {1499-4046}, doi = {https://doi.org/10.1016/j.jneb.2017.02.006}, author = {Garry Auld and Susan S Baker and Kathryn McGirr and Osborn, Kristen Suzanna and Skaff, Philip} } @article {2275, title = {Methodology for Developing a New EFNEP Food and Physical Activity Behaviors Questionnaire}, journal = {Journal of Nutrition Education and Behavior}, volume = {49}, year = {2017}, month = {2017/10/01/}, pages = {777 - 783.e1}, abstract = {

ObjectiveResearch methods are described for developing a food and physical activity behaviors questionnaire for the Expanded Food and Nutrition Education Program (EFNEP), a US Department of Agriculture nutrition education program serving low-income families.DesignMixed-methods observational study. The questionnaire will include 5 domains: (1) diet quality, (2) physical activity, (3) food safety, (4) food security, and (5) food resource management. A 5-stage process will be used to assess the questionnaire\&$\#$39;s test-retest reliability and content, face, and construct validity.SettingResearch teams across the US will coordinate questionnaire development and testing nationally.ParticipantsConvenience samples of low-income EFNEP, or EFNEP-eligible, adult participants across the US.InterventionsA 5-stage process: (1) prioritize domain concepts to evaluate (2) question generation and content analysis panel, (3) question pretesting using cognitive interviews, (4) test-retest reliability assessment, and (5) construct validity testing.Main Outcome MeasureA nationally tested valid and reliable food and physical activity behaviors questionnaire for low-income adults to evaluate EFNEP\&$\#$39;s effectiveness.AnalysisCognitive interviews will be summarized to identify themes and dominant trends. Paired t tests (P\ \≤\ .05) and Spearman and intra-class correlation coefficients (r\ \>\ .5) will be conducted to assess reliability. Construct validity will be assessed using Wilcoxon t test (P\ \≤\ .05), Spearman correlations, and Bland-Altman plots.

}, keywords = {EFNEP, evaluation, food and physical activity questionnaire, protocol, reliability, validity}, isbn = {1499-4046}, doi = {https://doi.org/10.1016/j.jneb.2017.05.341}, author = {Erin K Murray and Garry Auld and Susan S Baker and Barale, Karen and Franck, Karen and Khan, Tarana and Palmer-Keenan, Debra and Walsh, Jennifer} } @article {2255, title = {Collection Methods for the 24-Hour Dietary Recall as Used in the Expanded Food and Nutrition Education Program}, journal = {Journal of Nutrition Education and Behavior}, year = {2016}, note = {

In press, corrected proof

}, month = {11/2016}, keywords = {24-hour dietary recall, 5-pass dietary recall, dietary intake, survey}, doi = {10.1016/j.jneb.2016.10.009}, author = {Susan M H Gills and Susan S Baker and Garry Auld} } @article {2256, title = {EFNEP{\textquoteright}s Impact on Exemplary Educators{\textquoteright} Quality of Life}, journal = {Journal of Nutrition Education and Behavior}, volume = {48}, year = {2016}, month = {10/2016}, pages = {647-654}, chapter = {647}, keywords = {paraprofessional educator, quality of life, teacher}, doi = {10.1016/j.jneb.2016.07.004}, author = {Garry Auld and Susan S Baker and Infante, Natalia and Ruth Inglis-Widrick and Sandra B Proctor and Michael F Steger and Kathryn Yerxa} } @article {1932, title = {Formative evaluation of EFNEP curriculum: Ensuring the Eating Smart-Being Active curriculum is theory-based}, journal = {Journal of Extension}, volume = {53}, year = {2015}, note = {

Multiple States and Federal Level

}, abstract = {

The Eat Smart-Being Active curriculum\&$\#$39;s adherence to Adult Learning Theory and Social Cognitive Theory tenets was determined. Five reviewers assessed initial and revised versions of the curriculum using an assessment tool designed for this purpose. T-tests for differences in mean responses from initial review to follow up and Cronbach\&$\#$39;s alpha for internal consistency of each tenet were conducted. This curriculum was found to successfully incorporate the tenets of both theories and the content remained true to the dietary guidelines.

}, keywords = {Adult Learning Theory, nutrition education, Social Cognitive Theory}, issn = {1077-5315}, url = {https://archives.joe.org/joe/2015february/rb1.php}, author = {Elana Natker and Susan S Baker and Garry Auld and Kathryn McGirr and Barbara Sutherland and Katherine L Cason} } @article {2257, title = {Nutrition Content in a National Nutrition Education Program for Low-Income Adults: Content Analysis and Comparison With the 2010 Dietary Guidelines for Americans}, journal = {Journal of Nutrition Education and Behavior}, volume = {47}, year = {2015}, month = {11/2015}, pages = {566-573}, chapter = {566}, keywords = {curriculum, dietary guidelines, low-income population, nutrition education}, doi = {10.1016/j.jneb.2015.09.002}, author = {Erin K Murray and Garry Auld and Ruth Inglis-Widrick and Susan S Baker} } @article {1832, title = {Outcome effectiveness of a widely adopted EFNEP curriculum}, journal = {Journal of Nutrition Education and Behavior}, volume = {47}, year = {2015}, note = {

Multiple states and federal level

}, month = {01/2015}, pages = {19-27}, chapter = {19}, abstract = {

The objective of the study was to determine the effectiveness of the EFNEP Eating Smart-Being Active (ESBA) curriculum. A quantitative, multi-state, nonequivalent comparison group pretest post-test design was used to compare nutrition-related behavior changes in participants. ESBA was compared to previously used curricula for three different time periods in 5 states using the EFNEP evaluation tool. Adults enrolled in EFNEP completed their entry and exit paper work during one of three time points. The intervention was the eight-lesson adult curriculum. Analysis of variance and co-variance with pretest scores and demographic variables as co-variance) were used to analyze data with significance at or below .06. ESBA was found to be effective at eliciting positive nutrition-related behavior change.

}, keywords = {adult behavior change, nutrition education, outcome assessment}, doi = {10.1016/j.jneb.2014.07.001}, author = {Garry Auld and Susan S Baker and Conway, Lisa and Jamie S. Dollahite and Maria Carmen Lambea and Kathryn McGirr} } @article {1913, title = {Positive quality of life factors identified from EFNEP participant stories}, journal = {Journal of Extension}, volume = {52}, year = {2014}, note = {

Multiple states and the federal level

}, month = {08/2014}, abstract = {

The objective of the study was to qualitatively analyze the stories from participants and educators regarding the program\&$\#$39;s impacts in the context of quality of life. Researchers analyzed 1,057 stories by identifying key words and developing codes to best describe the information. After analysis, codes were grouped into themes. The research demonstrated that EFNEP is perceived to have positively affected the quality of life of participants. These results not only confirm broader EFNEP benefits, but suggest an additional variable (quality of life) to consider as a measurable outcome.

}, keywords = {qualitative research, quality of life}, issn = {1077-5315.}, url = {https://archives.joe.org/joe/2014august/a7.php}, author = {Wanda Koszewski and Megan Hlavacek and Kathryn Yerxa and Sandra B .Proctor and Garry Auld and Susan S Baker and Scottie Misner} } @article {1830, title = {EFNEP{\textquoteright}s impact on the quality of life of its participants and educators}, journal = {Journal of Nutrition Education and Behavior}, volume = {45}, year = {2013}, note = {

Multiple States and the federal level

}, month = {00/2013}, pages = {482-489}, chapter = {482}, abstract = {

The objective was to determine whether EFNEP affects the quality of life of its participants and educators. Quality of life was reassured 3 times for participants and educators before 6 months and after 12 months of training. Participants and educators were from Colorado, Kansas, Missouri and Nebraska. Additional educators were from Georgia and Texas. Additional participants were from Minnesota and Virginia. All spoke English. Chi-square and t-tests compared group demographics and repeated-measures ANOVA detected changes over time. ANCOVA examined the influence of demographic variables. Participants improved from pre to post in the Being domains, including Overall Being and in Social Belonging. Most improvements were sustained 3 months. Educators improved in the belonging domains and a number of scores continued to improve at 1 year after training, for example in Social Belonging and Community belonging. Implications projected that the quality of life profile has the potential to broadened the assessment of EFNEP impacts.

}, keywords = {low income, nutrition education, quality of life}, url = {https://doi.org/10.1016/j.jneb.2013.06.008}, author = {Garry Auld and Laura M Bauer and Susan S Baker and Wanda Koszewski and Sandra B Proctor and Michael F Steger} }