Effectiveness of Expanded Food and Nutrition Education Program in Changing Nutrition-Related Outcomes Among Adults With Low Income: A Systematic Review |
| |
| Institution: | 1. Rudd Center for Food Policy and Obesity, University of Connecticut, Hartford, CT;2. Department of Nutrition, Dietetics, and Food Sciences, Utah State University, Logan, UT;3. Department of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT;1. Department of Biology and Wildlife, University of Alaska Fairbanks, Fairbanks, AK;2. Prevention Research Center, Pacific Institute for Research and Evaluation, Berkeley, CA;3. Center for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska Fairbanks, Fairbanks, AK;1. Division of Nutritional Sciences, Cornell University, Ithaca, NY;2. Department of Food Science & Human Nutrition, Colorado State University, Fort Collins, CO;3. School of Health Sciences, Oakland University, Rochester, MI;4. College of Medicine, Medical Dietetics, The Ohio State University, Columbus, OH;5. University of Nevada Reno, Reno, NV;1. Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO;2. Department of Nutritional Sciences, University of Wisconsin-Madison, Madison, WI |
| |
| Abstract: | ObjectiveTo review the effect of the Expanded Food and Nutrition Education Program (EFNEP) in changing nutrition-related outcomes.MethodsRelevant research conducted before December 2020 was identified using PubMed, Web of Science, Google Scholar, and the EFNEP Research Database. The methodological quality of each eligible study was assessed.ResultsOf the 406 studies found, 30 were eligible; 26 studies were on EFNEP, and 4 included both EFNEP and Supplemental Nutrition Assistance Program Nutrition Education (SNAP-Ed). The sample sizes ranged from 35 to 122,961. Outcome measures included consumption of food groups, nutrients, other nutrition-related behaviors, and food security. At least 1 immediate behavior change (P < 0.05) was reported in each study, but long-term maintenance of behavior change was not evident.DiscussionThis review found a consistent, immediate improvement in nutrition behaviors after program participation but poor retention over time. Overall, variation in programming and outcome measures, incomplete reporting, and generally low study quality by modern standards precluded strong conclusions.Implications for Research and PracticeThis review identified the need for control groups, improved reporting of program protocols, theory-based curriculum, and measurement of long-term outcomes. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
