Changes in Nutrition Education: A Policy, Systems, and Environmental Approach

Savoie‐Roskos, Mateja R.; DeWitt, Kaitlin; Coombs, Casey

doi:10.1016/j.jneb.2018.02.007

Cited by 10 publications

(5 citation statements)

References 4 publications

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“…The need for technical assistance for I+PSE implementation and evaluation has been widely reported ( 2 ), including by those using the SNAP-Ed Evaluation Framework ( 79 – 81 ). Naja-Riese and colleagues ( 9 ) noted in their review of national SNAP-Ed results that implementing agencies still focused most of their activities and evaluation measures at the traditional individual-change level, despite the intended focus on PSE change.…”

Section: Discussionmentioning

confidence: 99%

Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review

Cunningham‐Sabo

Tagtow²,

et al. 2022

Prev. Chronic Dis.

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Introduction Policy, systems, and environmental (PSE) change approaches frequently address healthy eating and active living (HEAL) priorities. However, the health effects of PSE HEAL initiatives are not well known because of their design complexity and short duration. Planning and evaluation frameworks can guide PSE activities to generate collective impact. We applied a systematic mapping review to the Individual plus PSE Conceptual Framework for Action (I+PSE) to describe characteristics, achievements, challenges, and evaluation strategies of PSE HEAL initiatives. Methods We identified peer-reviewed articles published from January 2009 through January 2021 by using CINAHL, Web of Science, MEDLINE, PsycINFO, and CAB Abstracts databases. Articles describing implementation and results of PSE HEAL initiatives were included. Activities were mapped against I+PSE components to identify gaps in evaluation efforts. Results Independent reviewers examined 437 titles and abstracts; 52 peer-reviewed articles met all inclusion criteria. Twenty-four focused on healthy eating, 5 on active living, and 23 on HEAL. Descriptive analyses identified federal funding of initiatives (typically 1–3 years), multisector settings, and mixed-methods evaluation strategies as dominant characteristics. Only 11 articles reported on initiatives that used a formal planning and evaluation framework. Achievements focused on partnership development, individual behavior, environmental or policy changes, and provision of technical assistance. Challenges included lack of local coalition and community engagement in initiatives and evaluation activities and insufficient time and resources to accomplish objectives. The review team noted vague or absent descriptions of evaluation activities, resulting in questionable characterizations of processes and outcomes. Although formation of partnerships was the most commonly reported accomplishment, I+PSE mapping revealed a lack of engagement assessment and its contributions toward initiative impact. Conclusion PSE HEAL initiatives reported successes in multiple areas but also challenges related to partnership engagement and community buy-in. These 2 areas are essential for the success of PSE HEAL initiatives and need to be adequately evaluated so improvements can be made.

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Section: Discussionmentioning

confidence: 99%

Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review

Cunningham‐Sabo

Tagtow²,

et al. 2022

Prev. Chronic Dis.

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“…One systematic review found that all twelve included interventions improved diet-related outcomes like food choice and diet quality [ 13 ], but another review found that the included studies did not promote sustained dietary change [ 14 ]. Given that food choice and eating behaviors differ because of both individual and environmental influences, experts suggest that dietary interventions that include both individual education as well as environmental and policy changes optimize effectiveness of behavior change [ 15 , 16 , 17 , 18 ]. Most food pantry interventions, however, have used only 1 mode of intervention (e.g., nutrition education [ 19 ], environmental improvements [ 11 , 20 ], or policy changes) [ 3 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Fresh Shelves, Healthy Pantries: A Pilot Intervention Trial in Baltimore City Food Pantries

Gunen

Reznar

Yan

et al. 2022

IJERPH

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The objective of this study was to evaluate the impact of a multi-modal pilot intervention on the stocking and acquisition of healthy foods in urban food pantries. An intervention that consisted of three 8-week phases, each focused on promotion of one food group: (1) lean & low-sodium proteins; (2) fruits & vegetables; and (3) healthy carbohydrates was conducted in 3 intervention and 4 comparison food pantries. Food stocking variety scores measured changes in the stocking of promoted healthful foods at pantries. Food Assortment Scoring Tool (FAST) scores measured healthfulness of client bags. Intervention and comparison pantries showed an increase during the study in the total variety score for promoted options, with no significant differences between groups. Mean healthfulness scores for intervention client bags (n = 34) significantly increased from 58.2 to 74.9 (p < 0.001). This pilot trial identified logistically feasible strategies to promote healthy options effectively in food pantries, even in pantries with limited resources.

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“…More broadly in the academic literature, PSEs have proven to be difficult to implement and evaluate, 11,12 with calls for more research and translational science on PSEs and their role in improving public health nutrition. 13,14 Although difficult, PSEs are successfully implemented and evaluated in community nutrition. For example, Coleman and colleagues 15 found that school policy changes to improve nutrition led to more healthy food choices during lunchtime and fewer unhealthy outside foods in intervention schools than control schools.…”

Section: Introductionmentioning

confidence: 99%

Policy, Systems, and Environmental Change Strategies in the Supplemental Nutrition Assistance Program-Education (SNAP-Ed)

Burke

Gleason²,

Singh

et al. 2022

Journal of Nutrition Education and Behavior

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Objective: To categorize and quantify how states planned to use policy, systems, and environmental (PSE) change strategies in the Supplemental Nutrition Assistance Program-Education (SNAP-Ed). Methods: Qualitative content analysis of SNAP-Ed annual plans from all 50 states, District of Columbia, Guam, and the US Virgin Islands between fiscal years 2014 and 2016. Results: Between 2014 and 2016, the percentage of states that included PSEs as a statewide goal increased from 25% to 47%, and the percentage that planned to implement at least 1 PSE increased from 56% to 98%. Among states that planned to implement PSEs in 2016, the 3 most common settings were places in which people learn (92%), live (90%), and work (83%). Conclusions and Implications:The increased planned use of PSEs in SNAP-Ed was considerable and encouraging as PSEs are important to use in conjunction with direct education and social marketing to improve nutrition and prevent obesity.

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Changes in Nutrition Education: A Policy, Systems, and Environmental Approach

Cited by 10 publications

References 4 publications

Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review

Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review

Fresh Shelves, Healthy Pantries: A Pilot Intervention Trial in Baltimore City Food Pantries

Policy, Systems, and Environmental Change Strategies in the Supplemental Nutrition Assistance Program-Education (SNAP-Ed)

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