scholarly journals Impact of a Supplemental Nutrition Assistance Program-Education (SNAP-Ed) Intervention on Usual Dietary Intake Among Indiana Adults (P04-025-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Rebecca Rivera ◽  
Yumin Zhang ◽  
Qi Wang ◽  
Melissa Maulding ◽  
Regan Bailey ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Nutrition Education ◽  
Diet Quality ◽  
Food Group ◽  
Supplemental Nutrition Assistance Program ◽  
Assistance Program ◽  
Purdue University ◽  
Nutrition Assistance

Abstract Objectives The goal of the Supplemental Nutrition Assistance Program-Education (SNAP-Ed) is to assist low-income households to improve diet quality. The objective of this study was to evaluate the long-term effects of SNAP-Ed nutrition education lessons on diet quality and key nutrient and food group outcomes among Indiana SNAP-Ed-eligible adults. Methods The study design was a parallel-arm randomized controlled nutrition education intervention. The intervention consisted of the first 4 lessons of the Indiana adult SNAP-Ed curriculum delivered to participants during the 4 to 10 weeks after their baseline assessment. Participants (≥18 yrs) eligible for SNAP-Ed and interested in receiving nutrition education lessons (direct SNAP-Ed) were recruited from 31 Indiana counties (N = 261) and completed baseline assessments from August 2015 to May 2016. Follow-up assessments were conducted approximately 1-year after baseline from August 2016 to May 2017 (n = 103). Dietary intake was assessed using up to 2 24-hour dietary recalls at each assessment time point. The main outcome measures were mean usual nutrient (calcium; vitamins D, A, C, E; magnesium; folate; potassium; fiber; dairy; fruit; vegetable; whole grains) the proportion meeting Estimated Average Requirements, exceeding Adequate Intakes, or meeting daily recommended servings, and diet quality as measured by the Healthy Eating Index-2010. This study is registered at www.clinicaltrials.gov as NCT03436784. Significance was P ≤ 0.05. Analyses were completed using SAS 9.4. Results No effect of direct SNAP-Ed was found on diet quality, nutrient, or food group intake in the treatment compared to the control group between baseline and the 1-year follow-up assessment (P > 0.05). Conclusions Direct SNAP-Ed did not improve long-term diet quality, nutrient, or food group intake among Indiana SNAP-Ed eligible adults. Funding Sources Funding for this research was provided by Purdue University as part of AgSEED Crossroads funding to support Indiana's Agriculture and Rural Development, Purdue University Frederick N. Andrews Fellowship, Purdue University Center for Families Justice Family Nutrition Award, the Purdue University Nutrition Education Program, and a USDA NIFA Hatch Project.

scholarly journals Reliability of the Indiana Supplemental Nutrition Assistance Program-Education (SNAP-Ed) Program Evaluation Survey (P04-074-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Rebecca Rivera ◽  
McKenna Deckard ◽  
Dennis Savaiano ◽  
Krystal Lynch ◽  
Melissa Maulding ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Correlation Coefficients ◽  
Supplemental Nutrition Assistance Program ◽  
Test Results ◽  
Short Term ◽  
Assistance Program ◽  
Post Test ◽  
Nutrition Assistance ◽  
Test Retest Reliability

Abstract Objectives Supplemental Nutrition Assistance Program-Education (SNAP-Ed) is a national program that delivers nutrition education to low-income households to improve nutrition-related behaviors. A pre-post survey, or Medium Term Survey (MTS), is used to determine participant behavior change as a result of the program. The objective of the present study was to determine the short-term (4–10 weeks) and long-term (1 year) reliability of the Indiana SNAP-Ed MTS. Methods Data for this secondary analysis was from a randomized controlled trial evaluation of Indiana SNAP-Ed. SNAP-Ed-eligible adults (≥18 yrs) living in Indiana and interested in receiving nutrition education were recruited from 2015–2016 (N = 261). Short-term and long-term test-retest reliability of the 17 pre- and post-test items on the Indiana SNAP-Ed MTS were determined using Spearman correlations. MTS pre-test results from the control group who did not receive SNAP-Ed were compared with post-test results collected 4–10 weeks (short-term) later and 1 year (long-term) later, respectively. Analyses were completed using SAS 9.4. Significance was P ≤ 0.05. Results The Indiana SNAP-Ed MTS demonstrated poor test-retest reliability with correlation coefficients of 0.4 to 0.6 for 15 items over the short-term (P < 0.05) and correlation coefficients of 0.3 to 0.7 for 11 items over the long-term study period (P < 0.05) among Indiana SNAP-Ed-eligible adults who did not receive the SNAP-Ed intervention (n = 62). Conclusions Among Indiana SNAP-Ed-eligible adults, the Indiana SNAP-Ed MTS is not a reliable survey instrument to assess nutrition-related behaviors over a short-term or long-term time period. Further research is needed to develop reliable survey items to conduct program evaluation. Funding Sources This activity was funded by the Purdue Office of Undergraduate Research Scholarship, the Purdue Nutrition Education Program, and a USDA NIFA Hatch Project.

Goal-setting program improves nutrition and physical activity among Supplemental Nutrition Assistance Program eligible adults

2020 ◽  
Vol 23 (11) ◽  
pp. 1924-1930
Author(s):  
V Karamanian ◽  
B Zepka ◽  
A Ernst ◽  
C West ◽  
G Grode ◽  
...  
Keyword(s):  
Physical Activity ◽  
Nutrition Education ◽  
Goal Setting ◽  
Education Program ◽  
Supplemental Nutrition Assistance Program ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
Nutrition Education Program ◽  
Nutrition Assistance

AbstractObjective:To examine the impact of Nutrition for Life (NFL), a goal-setting nutrition education program, on the knowledge, self-efficacy and behaviour of adults eligible for Supplemental Nutrition Assistance Program-Education.Design:NFL was developed using a 4-week goal-setting behavioural strategy focused on nutrition, physical activity and meal planning techniques. A quantitative repeated-measures design using self-reported data was collected at pre- and post-interventions and at 1-week and 1-month follow-ups.Setting:Two Federally Qualified Health Centers in Philadelphia, PA, USA.Participants:A total of ninety-eight participants enrolled in the intervention; the majority were women (80·2 %), Black/Non-Hispanic (75·0 %) and 45–54 year old (39·6 %).Results:Participants showed significant improvement in knowledge, self-efficacy and behaviour. Specifically, mean daily intake for vegetables increased by 0·31 cup (P < 0·05) and for fruits by 0·39 cup (P < 0·01) at 1-week follow-up. Participants also showed healthier behaviour at 1-month follow-up. Planning at least seven meals per week increased from 14·8 to 50 % (P < 0·01), completing at least 30 min of physical activity every day in the last week increased from 16·7 to 36 % (P < 0·01) and consuming water with all meals increased from 39 to 70·6 % (P < 0·01).Conclusions:The implementation of a goal-oriented nutrition education program offers a promising approach at achieving positive behaviour change among SNAP-eligible adults.

scholarly journals Diet Quality and Associations with Food Security among Women Eligible for Indiana Supplemental Nutrition Assistance Program-Education

2020 ◽  
Vol 150 (8) ◽  
pp. 2191-2198
Author(s):  
Rebecca L Rivera ◽  
Yumin Zhang ◽  
Qi Wang ◽  
Melissa K Maulding ◽  
Janet A Tooze ◽  
...  
Keyword(s):  
Food Security ◽  
Nutrition Education ◽  
Diet Quality ◽  
Whole Grains ◽  
Supplemental Nutrition Assistance Program ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
Food Security Status ◽  
Usual Intake ◽  
Nutrition Assistance

ABSTRACT Background The diet quality among adults receiving nutrition education lessons through Supplemental Nutrition Assistance Program-Education (SNAP-Ed) is currently unknown. Objectives The objectives of this study were to characterize the diet quality of Indiana SNAP-Ed-eligible women; estimate their mean usual intake of fruits, vegetables, dairy, and whole grains compared to Dietary Guidelines for Americans (DGA) recommendations; and determine if these dietary outcomes differed by food security status. Methods SNAP-Ed paraprofessionals recruited participants from August 2015 to May 2016 for this secondary analysis of cross-sectional data collected as the baseline assessment for a randomized controlled trial. Participants were SNAP-Ed-eligible women aged ≥18 y interested in nutrition education lessons. Dietary outcomes were assessed by one or two 24-h dietary recalls. The Healthy Eating Index (HEI)-2010 was used to characterize diet quality. Mean usual intake of food groups was estimated using the National Cancer Institute Method. Food security status was classified using the US Household Food Security Survey Module. Data were analyzed in October 2019. Results Mean ± SEM HEI-2010 total score was 42 ± 0.9 for the study sample. Mean ± SE usual intake of servings of fruits (0.61 ± 0.08 cups [144.32 ± 18.93 mL]), vegetables [1.4 ± 0.10 cups (331.2 ± 23.66 mL)], dairy [1.5 ± 0.11 cups (354.88 ± 26.02 mL)], and whole grains [0.48 ± 0.06 ounces (13.61 ± 1.70 g)] did not differ by food security subgroup. Mean HEI-2010 total score was significantly higher by 4.8 ± 2.0 points for the food-secure than for the food-insecure subgroup (P = 0.01). Mean HEI-2010 component scores were 1.1 ± 0.5 points higher for whole grain (P = 0.01) and 1.0 ± 0.5 points higher for dairy (P = 0.05) in the food-secure than in the food-insecure subgroup. The proportions of the study sample not meeting the DGA recommendations for food group intake were ≥85% for both food-secure and -insecure subgroups. Conclusions Indiana SNAP-Ed-eligible women reported poor diet quality, highlighting their need for nutrition interventions aiming to improve food security and diet as per DGA recommendations in low-income populations.

scholarly journals The Provision of Assistance Does Not Substantially Impact the Accuracy of 24-Hour Dietary Recalls Completed Using the Automated Self-Administered 24-H Dietary Assessment Tool among Women with Low Incomes

2019 ◽  
Vol 149 (1) ◽  
pp. 114-122 ◽  
Author(s):  
Sharon I Kirkpatrick ◽  
Patricia M Guenther ◽  
Deirdre Douglass ◽  
Thea Zimmerman ◽  
Lisa L Kahle ◽  
...  
Keyword(s):  
Low Income ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Food Group ◽  
Supplemental Nutrition Assistance Program ◽  
Assistance Program ◽  
Plate Waste ◽  
Low Incomes ◽  
Portion Sizes ◽  
Nutrition Assistance

ABSTRACT Background Evidence is lacking informing the use of the Automated Self-Administered 24-h Dietary Assessment Tool (ASA24) with populations characterized by low income. Objective This study was conducted among women with low incomes to evaluate the accuracy of ASA24 recalls completed independently and with assistance. Methods Three hundred and two women, aged ≥18 y and with incomes below the Supplemental Nutrition Assistance Program thresholds, served themselves from a buffet; amounts taken as well as plate waste were unobtrusively weighed to enable calculation of true intake for 3 meals. The following day, women completed ASA24-2016 independently (n = 148) or with assistance from a trained paraprofessional in a small group (n = 154). Regression modeling examined differences by condition in agreement between true and reported foods; energy, nutrient, and food group intakes; and portion sizes. Results Participants who completed ASA24 independently and those who received assistance reported matches for 71.9% and 73.5% (P = 0.56) of items truly consumed, respectively. Exclusions (consumed but not reported) were highest for lunch (at which participants consumed approximately 2 times the number of distinct foods and beverages compared with breakfast and dinner). Commonly excluded foods were additions to main dishes (e.g., tomatoes in salad). On average, excluded foods contributed 43.6 g (46.2 kcal) and 40.1 g (43.2 kcal) among those in the independent and assisted conditions, respectively. Gaps between true and reported intake were different between conditions for folate and iron. Within conditions, significant gaps were observed for protein, vitamin D, and meat (both conditions); vitamin A, iron, and magnesium (independent); and folate, calcium, and vegetables (assisted). For foods and beverages for which matches were reported, no difference in the gap between true and reported portion sizes was observed by condition (P = 0.22). Conclusions ASA24 performed relatively well among women with low incomes; however, accuracy was somewhat lower than previously observed among adults with a range of incomes. The provision of assistance did not significantly impact accuracy.

Role of Supplemental Nutrition Assistance Program in Improving Diet Quality: Implications for Nurses

2020 ◽  
Vol 21 (2) ◽  
pp. 62-70
Author(s):  
Victoria M. Pak ◽  
Erin Ferranti ◽  
Ingrid Duva ◽  
Melissa Owen ◽  
Sandra B. Dunbar
Keyword(s):  
Public Health ◽  
Diet Quality ◽  
Low Income ◽  
Supplemental Nutrition Assistance Program ◽  
Health Concern ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
Health Goals ◽  
National Public Health ◽  
Nutrition Assistance

The Supplemental Nutrition Assistance Program (SNAP) provides access to healthy food for low-income individuals and households. Food security, however, does not necessarily achieve higher diet quality for beneficiaries. Diet quality is an important consideration for the development and management of chronic illness, a significant public health concern. In this study, we review incentives and disincentives implemented to improve the diet quality, the evidence on SNAP including benefits, challenges, and the politics of funding. New interventions and policies will be needed in order to improve the overall diet quality of SNAP households. SNAP should align with nutritional science to meet national public health goals. Nurses are trusted advocates for patients and the public and are uniquely positioned to aid in this effort. Informed by evidence, nurses willing to leverage their influence, can lead this needed change.

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