| Creating healthful home food environments: results of a study with participants in the expanded food and nutrition education program. | |
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MedLine Citation:
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PMID: 19879493 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Karen Weber Cullen; Agueda Lara Smalling; Debbe Thompson; Kathleen B Watson; Debra Reed; Karen Konzelmann |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Journal of nutrition education and behavior Volume: 41 ISSN: 1878-2620 ISO Abbreviation: J Nutr Educ Behav Publication Date: 2009 Nov-Dec |
Date Detail:
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Created Date: 2009-11-02 Completed Date: 2010-01-25 Revised Date: 2013-01-15 |
Medline Journal Info:
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Nlm Unique ID: 101132622 Medline TA: J Nutr Educ Behav Country: United States |
Other Details:
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Languages: eng Pagination: 380-8 Citation Subset: IM |
Affiliation:
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USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030-2600, USA. kcullen@bcm.tmc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Analysis of Variance Body Mass Index Curriculum* Diet / psychology, standards* Ethnic Groups Female Health Behavior Health Promotion / methods Humans Male Menu Planning Nutritional Sciences / education* Obesity / prevention & control* Parenting* / psychology Public Assistance Self Efficacy |
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