Intention to Change Nutrition-Related Behaviors in Adult Participants of a Supplemental Nutrition Assistance Program–Education

Savoie‐Roskos, Mateja R.; Mispireta, Monica; Rankin, Linda L.; Neill, Karen; LeBlanc, Heidi; Christofferson, D.

doi:10.1016/j.jneb.2014.08.009

Cited by 17 publications

(8 citation statements)

References 13 publications

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“…SNAP-Ed is delivered to low-income individuals at or below 185% of poverty-to-income ratio (PIR) with a primary focus on low-income women and is administered at the state-level. Few studies have evaluated the effect of SNAP-Ed on dietary intakes among adults although the program was associated with increased intention to change nutrition-related behaviors among adults [ 2 ], and a SNAP-Ed intervention was effective in improving children’s fruit and vegetable intakes [ 3 ]. In addition, little is known about dietary intakes of SNAP-Ed participating or eligible women, particularly regarding meeting the Dietary Guidelines for Americans (DGA) policy goals [ 4 ], and how state-level program participants compare to the nation.…”

Section: Introductionmentioning

confidence: 99%

Poor Dietary Guidelines Compliance among Low-Income Women Eligible for Supplemental Nutrition Assistance Program-Education (SNAP-Ed)

et al. 2018

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The Supplemental Nutrition Assistance Program-Education (SNAP-Ed) program aims to improve nutritional intakes of low-income individuals (<185% poverty threshold). The objective of this study was to describe the compliance with Dietary Guidelines for Americans (DGA) recommendations for fruits, vegetables, and whole grains among SNAP-Ed eligible (n = 3142) and ineligible (n = 3168) adult women (19–70 years) nationwide and SNAP-Ed participating women in Indiana (n = 2623), using the NHANES 2007–2012 and Indiana SNAP-Ed survey data, respectively. Sensitivity analysis further stratified women by race/ethnicity and by current SNAP participation (<130% poverty threshold). Nationally, lower-income women were less likely to meet the fruit (21% vs. 25%) and vegetable (11% vs. 19%) guidelines than higher-income women, but did not differ on whole grains, which were ~5% regardless of income. The income differences in fruit and vegetable intakes were driven by non-Hispanic whites. Fewer SNAP-Ed-eligible U.S. women met fruit (21% vs. 55%) and whole grain (4% vs. 18%) but did not differ for vegetable recommendations (11% vs. 9%) when compared to Indiana SNAP-Ed women. This same trend was observed among current SNAP participants. Different racial/ethnic group relationships with DGA compliance were found in Indiana compared to the nation. Nevertheless, most low-income women in the U.S. are at risk of not meeting DGA recommendations for fruits (79%), vegetables (89%), and whole grains (96%); SNAP-Ed participants in Indiana had higher compliance with DGA recommendations. Increased consumption of these three critical food groups would improve nutrient density, likely reduce calorie consumption by replacing high calorie choices, and improve fiber intakes.

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Section: Introductionmentioning

confidence: 99%

Poor Dietary Guidelines Compliance among Low-Income Women Eligible for Supplemental Nutrition Assistance Program-Education (SNAP-Ed)

et al. 2018

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“…Results of this study are aligned with previous findings. The participation in SNAP-Ed evidence-based interventions has a positive influence in nutrition-related behaviours intention among SNAP-Ed participants (19) . Participation in SNAP-Ed services supported by a small monetary incentive has the potential to encourage individuals to initially enroll and improve retention rates for populations that are particularly hard to reach and follow-up (20,21) .…”

Section: Discussionmentioning

confidence: 95%

Goal-setting program improves nutrition and physical activity among Supplemental Nutrition Assistance Program eligible adults

Karamanian

Zepka

Ernst

et al. 2020

Public Health Nutr.

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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.

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“…These findings are in line with the findings of evaluation studies of other nutrition education interventions in low-SES groups. However, these studies only assessed short-term changes in the use of food labels and knowledge and skills related to resource management [67,68]. Further, the effects on the consumption of liquid butter are in line with the evaluation study of the first version of the GAF intervention [57].…”

Section: Discussionmentioning

confidence: 96%

The Effectiveness of the Good Affordable Food Intervention for Adults with Low Socioeconomic Status and Small Incomes

Bessems

Linssen

Lomme³

et al. 2020

IJERPH

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Good Affordable Food (GAF) is a small-group nutrition education intervention for adults with low socioeconomic status and small incomes. It aims to empower participants to save money on groceries and consume healthier diets. This paper reports the short-term and longer-term effects on behavioural determinants and self-reported behavioural changes. A quasi-experimental control group design was applied with a baseline measurement, a post-test immediately after the intervention, and a follow-up measurement after six months. The study included 237 participants (intervention group: n = 131; control group: n = 106) at baseline, 197 at post-test, and 152 at follow-up. Data were collected by telephone, mostly using closed interview questions. Positive short-term and longer-term effects were found for attitude towards the costs of healthy foods, food label use, and the use of liquid butter or oil to prepare hot meals. Short-term intervention effects related to knowledge towards saving money on groceries, self-efficacy towards healthy eating, portion size awareness, and mindful eating. GAF was effective in changing some determinants and behaviours related to cost and food consumption, however, mostly in the short term. Thereby, it is an example of combining pricing and health information in nutrition education that developers of effective nutrition education for low-income groups can build on.

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Intention to Change Nutrition-Related Behaviors in Adult Participants of a Supplemental Nutrition Assistance Program–Education

Cited by 17 publications

References 13 publications

Poor Dietary Guidelines Compliance among Low-Income Women Eligible for Supplemental Nutrition Assistance Program-Education (SNAP-Ed)

Poor Dietary Guidelines Compliance among Low-Income Women Eligible for Supplemental Nutrition Assistance Program-Education (SNAP-Ed)

Goal-setting program improves nutrition and physical activity among Supplemental Nutrition Assistance Program eligible adults

The Effectiveness of the Good Affordable Food Intervention for Adults with Low Socioeconomic Status and Small Incomes

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