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J Nutr Educ Behav. 2009 Nov-Dec;41(6):380-8. doi: 10.1016/j.jneb.2008.12.007.

Creating healthful home food environments: results of a study with participants in the expanded food and nutrition education program.

Author information

1
USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030-2600, USA. kcullen@bcm.tmc.edu

Abstract

OBJECTIVE:

To 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.

DESIGN:

Two-group randomized control trial; intervention versus usual EFNEP curriculum.

SETTING:

Texas EFNEP classes.

PARTICIPANTS:

1,104 EFNEP clients in 100 classes.

INTERVENTION:

Six short videos, with goal setting, problem solving, guided discussion, and handouts, incorporated into existing EFNEP classes.

MAIN OUTCOME MEASURES:

Body mass index (BMI), diet, psychosocial variables with baseline measurements, immediately post, and 4 months later.

ANALYSIS:

Mixed-model repeated measures analysis of variance.

RESULTS:

100 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 IMPLICATIONS:

Existing 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.

PMID:
19879493
DOI:
10.1016/j.jneb.2008.12.007
[Indexed for MEDLINE]

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