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Impact Report

For plan KA 703. Nutrition Education and Behavior
Date December 30, 2009, 3:30 pm
For Objective Short-term Show short-term objectives
Impact Report Kitchen Creations A total of 785 individuals (White 41%, Hispanic 39%, Native American 17%, African American 1%, Asian American 1%, Other 1%) participated in 45 Kitchen Creations cooking schools in 26 counties during 2009. Classes were team taught by local Extension Home Economists and a health care professional. Four bilingual cooking schools were held during FY09, one in Bernalillo, Dona Ana, Lea, and Luna Counties. Kitchen Creations cooking schools consist of four, three-hour long lessons. The cooking schools feature current nutrition recommendations for people with diabetes and hands-on food preparation and cooking experiences. Participants completed demographics and knowledge questionnaire and program evaluations at the completion of the cooking school. Funding for Kitchen Creations is provided in part through a grant from the New Mexico Department of Health ($197,000). ICAN Ideas for Cooking and Nutrition Program (ICAN) is the umbrella name used in New Mexico to refer to both the Supplemental Nutrition Assistance Program Education (SNAP ED) and Expanded Food and Nutrition Education Program (EFNEP) programs. The primary goal of the ICAN program is to provide individuals with limited resources educational programs that increase the likelihood of all participants making healthy food choices consistent with the most recent dietary advice as reflected in the Dietary Guidelines for Americans and the MyPyramid. During FY09 SNAP ED reached 24,964 adults (White 25.1%, African American 2.1%, Native American 14.4%, Asian 0.9%, Hawaiian/Pacific Islander 0.3%, Hispanic 57.2%) and 37,461 youth (White 16.1%, African American 2.3%, Native American 12.3%, Asian 0.3%, Hawaiian/Pacific Islander 0.1%, Hispanic 58.9%) in 474 sites in New Mexico, including the Zuni Reservation with the following results: The Adult Behavior Survey is administered in a pre/post format. During FY09 participants indicated a positive change in behaviors on each of the 16 questions. • 30% increase in comparing prices at the grocery store • 130% increase in using nutrition labels when deciding what foods to buy • 66% increase in purchasing healthy items at the grocery store • 55% increase in preparing healthy meals at home each day • 71% increase in involving their child in meal preparation each day • 19% increase in sitting down for family meals • 48% increase in eating breakfast daily • 92% increase in eating fruits and vegetables for snacks each day • 30% increase in drinking water • 60% increase in performing 30 minutes of physical activity each day • 44% increase in watching less than 2 hours of television each day • 122% increase in paying attention to portion size • 100% increase in eating at least 3 ounces of whole grains each day • 105% increase in eating at least 4 cups of fruits and vegetable each day • 80% increase in drinking at least 3 cups from the dairy group each day • 56% increase in drinking less than one cup of sugary beverages each day Every item on the adult behavior survey showed substantial change from pre to post. The lowest amount of change was 19%, and the highest was 130%. Some of the items which showed the least change are those that are least emphasized by many of our educators, such as involving children in meal preparation and watching less television. In general, items related directly to nutrition scored highest, except for comparing prices. Youth Evaluation Results The Youth Behavior Survey is administered in a pre/post format. During FY09 youth participants indicated a positive change in 11 of the 12 behavior questions. The 12th question remained unchanged. • 6% increase in eating breakfast each day • 8% increase in drinking water when thirsty • 2% increase in performing 30 minutes of physical activity each day • 9% increase in eating fruits or vegetables for snacks each day • 0% change in watching less than 2 hours of television each day • 13% increase in paying attention to portion size • 23% increase in knowledge about how much to eat from each group of MyPyramid • 20% increase in knowledge about the importance of calcium • 100% increase in knowledge about how to properly wash hands • 133% increase in knowledge about how physical activity improves health • 21% increase in knowledge about identifying dark green vegetables • 49% increase in knowledge about calories Every item on the youth behavior survey showed change from pre to post. The knowledge questions all had higher rates of change than the behavior questions. Among the behavior questions, change was greater on the four nutrition questions than on the two questions related to physical activity. The knowledge questions all show substantial spread. During FY09 EFNEP reached 929 adults and 2,053 youth in Bernalillo and Dona Ana counties. Fifteen educators provided 16,872 hours of education to graduate 801 adults (White 9%, African American 1%, Native American 3%, Hispanic 86%) and 2,053 youth (White 14%, African American 6%, Native American 3%, Hispanic 75%). Two evaluation tools are used with the adult EFNEP population – a 24-hour food recall and a 10-question Behavior Change questionnaire. The following results were reported using the 24-hour food recall: • 11.1% increase in intake of grains • 33.3% increase in intake of fruits • 18.2% increase in intake of vegetables • 30.8% increase in intake of milk • 12.1% increase in intake of meats & beans A summary of the nutrient adequacy ratio or protein, iron, calcium, vitamin A, C, and B6 show an increase of 16.7%. The 10-question Behavior Change Questionnaire shows the following results: • 47% improved in the area of planning meals • 41% improved in the area of comparing prices • 41% improved in having food o the month • 47% improved in using a grocery list • 40% improved in following recommended guidelines for letting foods sit out • 57% improved in thawing foods properly • 41% improved in providing health food choices for their families • 41% improved in preparing foods without adding salt • 55% improved in using the Nutrition Facts label to make food choices • 41% improved in providing breakfast for their children Funding for SNAP ED is provided from USDA/FNS through New Mexico Human Services Department, Income Support division for $2,022,785. An equal dollar amount of math comes from New Mexico State University. Funding for EFNEP is provided through a grant from USDA/CSREES for $589,841. Funding for these programs is also provided through the New Mexico Legislature for $200,000. General Nutrition In addition to the funded series of nutrition education classes, home economist around the state conducted a variety of programs to meet the needs of the individuals in their counties. Classes included both one-time programs and mini-series classes that were taught in schools, senior centers, activity centers, and churches. Topics included: snacks, gifts, nutrition and health, food safety, grilling, feeding your newborn, feeding your young child, and food preservation. Food preservation and food safety remain the most consistently taught courses in the state. The need for families to have safe food at affordable cost will continue to be a priority for teaching and training in the coming year. Funding for some of these programs is provided by two grants through the New Mexico Department of Health ($50,000)