ResearchResearch and Professional BriefA “Contract for Change” Increases Produce Consumption in Low-Income Women: A Pilot Study
Section snippets
Methods
This intervention targeted English-speaking, low-income women (<130% of federal poverty level) who were potential recipients of University of California Cooperative Extension Expanded Food and Nutrition Education (EFNEP)/Food Stamp Nutrition Education (FSNEP) programs in seven California counties: San Joaquin, Solano, Sonoma, Mendocino, Santa Clara, Butte, and Calaveras. Counties were chosen to provide representation from both rural and urban areas. Women were eligible for the study if they
Results and Discussion
Three-hundred forty-five women were screened for this pilot study. From this cohort, 65 (19%) clients were enrolled, 38 (58%) completed surveys at the final time point, and 35 (54%) completed surveys at the follow-up time point. Due to dropouts, the treatment groups were greatly skewed. Five women (13%) completed the control lesson series, 14 (37%) completed the education lesson series, and 19 (50%) completed the contract lesson series. There were no significant differences between the three
Conclusions
Readiness to change and actual behavior change for produce intake can be demonstrated after brief interventions. The results of this pilot study show that goal-setting exercises can be an easy and effective means to increase the success of existing community-based education programs in low-income women. To this end, the California State EFNEP/FSNEP program has adopted the “Contract for Change” as a tool for county educators. It is recommended that future studies consider the limitations
K. Heneman is a post-doctoral researcher, A. Block-Joy and S. Zidenberg-Cherr are cooperative extension specialists, and F. M. Steinberg is an associate professor, Department of Nutrition, University of California
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Effectiveness of Expanded Food and Nutrition Education Program in Changing Nutrition-Related Outcomes Among Adults With Low Income: A Systematic Review
2021, Journal of Nutrition Education and BehaviorCitation Excerpt :Among studies that reported using the self-reported approach,11,22,24,25,28, 30,33,34,39,40,47,48 3 studies used self-report with guidance from a paraprofessional.11,30,34 Furthermore, studies assessing other nutrition-related behaviors, such as menu planning, food shopping, and food preparation practices, used behavior checklists with different number of items (7–26 items).9,11,21,23,24,29,31,36,37,39–41,44,48 The data collection subcomponent of the quality assessment tool rated the dietary assessment tools used in 16 studies as “weak,”9,11,21–23,25–30,32,33,42,47,48 9 as “strong,”31,34,35,38,39,41,43,45,46 and 5 as “moderate.”24,36,37,40,44
ShopSmart 4 Health: Results of a randomized controlled trial of a behavioral intervention promoting fruit and vegetable consumption among socioeconomically disadvantaged women
2016, American Journal of Clinical NutritionIntention to change nutrition-related behaviors in adult participants of a supplemental nutrition assistance program-education
2015, Journal of Nutrition Education and BehaviorThe Effect of Goal Setting on Fruit and Vegetable Consumption and Physical Activity Level in a Web-Based Intervention
2014, Journal of Nutrition Education and BehaviorA randomized controlled trial of a community-based nutrition education program for low-income parents
2014, Journal of Nutrition Education and BehaviorCitation Excerpt :One pilot study did include a control group that received life skills rather than food and nutrition education as 1 of 3 arms. The other groups included usual EFNEP and EFNEP education enhanced with a “contract for change.”28 Although there was an indication that outcomes were better with the enhanced education group, there was no difference between the traditional EFNEP group and the control group.
Revised WIC Food Package Improves Diets of WIC Families
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K. Heneman is a post-doctoral researcher, A. Block-Joy and S. Zidenberg-Cherr are cooperative extension specialists, and F. M. Steinberg is an associate professor, Department of Nutrition, University of California
Davis. S. Donohue is an EFNEP advisor, Butte County
L. Garcia is an FSNEP advisor, Sonoma County
A. Martin is an FSNEP advisor, San Joaquin County
D. Metz is an FSNEP advisor, Solano County
D. Smith is an FSNEP advisor, Calaveras County
E. West is an EFNEP advisor, Santa Clara County; all with the Cooperative Extension, University of California, Davis.