Creating Healthful Home Food Environments: Results of a Study with Participants in the Expanded Food and Nutrition Education Program |
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| Authors: | Karen Weber Cullen Agueda Lara Smalling Debbe Thompson Kathleen B. Watson Debra Reed Karen Konzelmann |
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| Affiliation: | 1. USDA/ARS Children''s Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX;2. Texas Tech University, College of Human Sciences, Department of Nutrition, Hospitality, and Retailing, Lubbock, TX;3. Organizational and Educational Consultant, Pearland, TX;1. Kasiska School of Health Professions, Pocatello, ID;2. Department of Nutrition, Dietetics, and Food Sciences, Utah State University, Logan, UT;3. School of Nursing, Idaho State University, Pocatello, ID;1. Centre for Children''s Health Research, Queensland University of Technology, South Brisbane, 4101, Australia;2. School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Brisbane 4059, Australia;3. School of Psychology, Australian Catholic University, Brisbane 4014, Australia;4. Institute for Social Science Research, The University of Queensland, Indooroopilly 4068, Australia;1. Department of Nutrition and Integrative Physiology, College of Health, University of Utah, Salt Lake City, UT;2. Center for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska Fairbanks, Fairbanks, AK;1. Department of Food Science and Nutrition, University of Minnesota, St Paul, MN;2. Division of Epidemiology and Community Health, University of Minnesota, St Paul, MN |
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| Abstract: | ObjectiveTo evaluate a modified curriculum for the 6-session Texas Expanded Food and Nutrition Education Program (EFNEP) promoting healthful home food environments and parenting skills related to obesity prevention.DesignTwo-group randomized control trial; intervention versus usual EFNEP curriculum.SettingTexas EFNEP classes.Participants1,104 EFNEP clients in 100 classes.InterventionSix short videos, with goal setting, problem solving, guided discussion, and handouts, incorporated into existing EFNEP classes.Main Outcome MeasuresBody mass index (BMI), diet, psychosocial variables with baseline measurements, immediately post, and 4 months later.AnalysisMixed-model repeated measures analysis of variance.Results100 classes were randomized (54 intervention/46 comparison), with 1,006 participants at baseline (582 intervention, 424 comparison, 97% women, 89% Hispanic). Significant improvements over time were found for both groups' consumption of most food items and nutrients, and nearly all psychosocial variables, regardless of study group. Only the intervention group had a significant BMI decrease at post. Fidelity to the intervention class session structure was high, and comments from intervention staff and clients were positive.Conclusion and ImplicationsExisting EFNEP programs in local communities could have a significant impact on family dietary behaviors for populations at risk of obesity. Replication with similar populations is warranted. |
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