scholarly journals Use of Policy, Systems, and Environmental Change Strategies Within Supplemental Nutrition Assistance Program Education (SNAP-Ed), 2014–2016 (P04-160-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Michael Burke ◽  
Stacy Gleason ◽  
Anita Singh ◽  
Margaret Wilkin

Abstract Objectives SNAP-Ed is the nutrition education and obesity prevention component of the Supplemental Nutrition Assistance Program, the nation's largest nutrition assistance program for eligible low-income households. The 2010 Child Nutrition Act directed SNAP-Ed to include multi-level and public-health approaches, which was operationalized through policy, systems, and environmental change strategies (PSE). This analysis examines how states incorporated and planned to use PSEs in SNAP-Ed programming. Methods Data were collected from all 50 states, District of Columbia, Guam and the U.S. Virgin Islands (collectively described as “states”) for fiscal years 2014 through 2016. The data sources were state SNAP-Ed plans, annual reports, and administrative data. Qualitative methods were used to abstract the textual information from state plans and annual reports. Numerical data were collected from administrative data sets. Both textual and numerical data were categorized, counted, and relative frequencies were calculated. Results Between 2014 and 2016, the percentage of states that included PSEs as a statewide goal for SNAP-Ed increased from 25 to 47 and the percentage that planned to implement at least one PSE increased from 56 to 98. Among states that planned to implement PSEs in 2016, the 3 most common settings were places where people learn (e.g., schools) (92%), live (e.g., local communities) (90%), and work (e.g., worksites) (83%). States partnered with a wide range of organizations to deliver PSEs, with the 3 most common being government programs or agencies (77%), agricultural organizations (58%), and others non-specified (e.g., food alliances, wellness committees) (48%). Between 2014 and 2016, the percentage of states that planned to target environmental settings from the SNAP-Ed evaluation framework increased from 31 to 78. Conclusions States increasingly planned to use and were using PSEs across a range of settings and partners in SNAP-Ed between 2014 and 2016. This increase is encouraging as PSEs are important to use in conjunction with direct nutrition education and social marketing to improve nutrition and prevent obesity. Funding Sources U.S. Department of Agriculture, Food and Nutrition Service.

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Rebecca Rivera ◽  
Yumin Zhang ◽  
Qi Wang ◽  
Melissa Maulding ◽  
Regan Bailey ◽  
...  

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.


2020 ◽  
pp. 1-9
Author(s):  
Bhagyashree Katare ◽  
Krystal Lynch ◽  
Dennis Savaiano

Abstract Objective: To evaluate the relationship between neighbourhood food environment perceptions and obesity among Supplemental Nutrition Assistance Program-Education (SNAP-Ed) or Expanded Food and Nutrition Education Program (EFNEP) participants. Design: A cross-sectional study conducted during SNAP-Ed or EFNEP programme participation in six states in the Midwest US between May 2016 and November 2017. Setting: Community centres, food pantries and other SNAP-Ed or EFNEP recruitment locations. Participants: Convenience sample of 1743 low-income, adult nutrition education programme participants. Results: Controlling for participant location and other demographic variables, those who perceived that a large selection of fruits and vegetables were available to them were 22 % less likely to be obese (adjusted odds ratio 0·78, 95 % CI 0·63, 0·97). In addition, participants who perceived the distance to the grocery store where they purchased most of their groceries to be greater than 5 miles were 1·36 times more likely to be overweight or obese than those who travelled shorter distances for their groceries. Conclusions: SNAP-Ed or EFNEP participants’ weight status may be associated with their perceptions of their neighbourhood food environments. Programmes incorporating nutrition education and food access initiatives should attempt to better understand participant perceptions in order to address barriers in their efforts and to ensure that healthy food is accessible to low-income residents.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Rebecca Rivera ◽  
McKenna Deckard ◽  
Dennis Savaiano ◽  
Krystal Lynch ◽  
Melissa Maulding ◽  
...  

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.


2020 ◽  
Vol 23 (11) ◽  
pp. 1924-1930
Author(s):  
V Karamanian ◽  
B Zepka ◽  
A Ernst ◽  
C West ◽  
G Grode ◽  
...  

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.


2021 ◽  
Vol 111 ◽  
pp. 496-500
Author(s):  
Marianne Bitler ◽  
Jason Cook ◽  
Jonathan Rothbaum

The Supplemental Nutrition Assistance Program (SNAP), the only universal US means-tested safety net program, has a low benefit-reduction rate. Thus, many SNAP recipients are working. We apply recent methods to study whether there is evidence of moral hazard among SNAP recipients. We see if individuals respond to incentives in SNAP eligibility by bunching near kink points in the budget set. While this responsiveness has been shown for various taxes and tax credits, little work has examined responsiveness of safety net program participants to kinks in their eligibility formulae. We use novel administrative data on eligibility determination and find little evidence of responsiveness around these kinks.


Author(s):  
Lindsey Haynes-Maslow ◽  
Annie Hardison-Moody ◽  
Megan Patton-Lopez ◽  
T. Elaine Prewitt ◽  
Carmen Byker Shanks ◽  
...  

The Supplemental Nutrition Assistance Program (SNAP) is a critical program that helps reduce the risk of food insecurity, yet little is known about how SNAP addresses the needs of rural, food-insecure residents in the United States (U.S.). This study examines how rural, food-insecure residents perceive SNAP. Semi-structured interviews were conducted with 153 individuals living in six diverse rural regions of Arkansas, Montana, North Carolina, Oregon, Texas, and West Virginia. SNAP was described as a crucial stop-gap program, keeping families from experiencing persistent food insecurity, making food dollars stretch when the family budget is tight, and helping them purchase healthier foods. For many rural residents interviewed, SNAP was viewed in a largely positive light. In efforts to continue improving SNAP, particularly in light of its relevance during and post-coronavirus (COVID-19) pandemic, policymakers must be aware of rural families’ perceptions of SNAP. Specific improvements may include increased transparency regarding funding formulas, budgeting and nutrition education for recipients, effective training to improve customer service, connections among social service agencies within a community, and increased availability of automation to streamline application processes.


2018 ◽  
Vol 108 (12) ◽  
pp. 3493-3540 ◽  
Author(s):  
Justine Hastings ◽  
Jesse M. Shapiro

We use a novel retail panel with detailed transaction records to study the effect of the Supplemental Nutrition Assistance Program (SNAP) on household spending. We use administrative data to motivate three approaches to causal inference. The marginal propensity to consume SNAP-eligible food (MPCF) out of SNAP benefits is 0.5 to 0.6. The MPCF out of cash is much smaller. These patterns obtain even for households for whom SNAP benefits are economically equivalent to cash because their benefits are below their food spending. Using a semiparametric framework, we reject the hypothesis that households respect the fungibility of money. A model with mental accounting can match the facts. (JEL D12, H75, I12, I18, I38)


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