Note: This site is for reviewing legacy plan of work data from 2007-2011. If you are looking for the current plan of work interface, visit pow.nmsu.edu.
KA 703. Nutrition Education and Behavior (Grant County)
Plan Goals
Improve health of New Mexicans through healthy food choices, food preparation skills and food resource management. Includes state staff Martha Archuleta, Kari Bachman, Karen Halderson, K’Dawn Jackson, Carmen Moreno, Lourdes Munoz and Linda Wells as well a
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KA 703. Nutrition Education and Behavior
Impact Reports
Kitchen Creations
21 individuals participated in the 2008 FY Kitchen Creations (16 Fall 09, 5 Spring 09) The spring class was offered at the small rural community in Cliff. I had received many requests to have one, however, it was not well attended! These classes were taught on two long Saturdays 2 sessions each day. Participants learned how to us the Diabetes Food Guide Pyramid and the 50/50 method to plan meals, how to identify serving sizes and number of servings, foods that raise blood sugar, and how to prepare more nutritious meals. Of the 21 individuals completing the sessions they noted the changes they would make in their meal preparation: 21 reported that their knowledge of label reading would be more helpful than before the class, 19 would eat at least 2 servings of whole grains per day, 21 would eat at least 2 servings of non-starchy vegetables at dinner, 16 would use more herbs and spices to flavor foods instead of salt and fat, 19 would measure food portions, 19 would use the 50/50 method and 18 would use the diabetic food guide pyramid to plan a day’s meal. Some other comments were, “Choices, Eating does not have to be boring to be heart healthy.” “Excellent class, taste new foods and learned about high fiber foods and low carb and how it helps with cholesterol”, “Wonderful ideas”, “Great food, excellent tips”
Strong Women Strong Bones
This program from Tufts University has been my all time favorite and most successful. It has been successful for me as a participant and an instructor. I feel and see the results myself and therefore can “practice what I preach”. I myself have dropped a dress size, feel better, have more energy, sleep better, am stronger, less joint pain, more active, eat better, and feel guilty if I miss. This program has become a personal commitment to me.
I began the program July 20, with two different groups. Groups one consisted of 18 participants, of which 11 committed and are still on-going. We met three times a week at lunch hour. Demographics of this group were all female, 1 black American, 11 White Females , 1 Black American Female, ages vary from 35 to 69 years of age.
Group Two consisted of 10 participants of which 7 are still committed and on-going. We met two times a week at 9:30 AM. Demographics of this group were all female, 2 Hispanic Females and 8 White Females, ages vary from 65 – 82.
18 Participant evaluations Overall from both groups are as follows:
Overall satisfied with class (18 marked 5)
Instructor helpful(18 marked 4)
Facility safe, clean and comfortable (14 marked 5, 4 marked #4)
Feel health is better due to program (14 marked 5, 4 marked 4)
Feel physically stronger (17 marked 5, 1 marked 4)
Have more energy (12 marked 5, 6 marked 4)
Sleep Better (6 marked 5, 7 marked 4, 4 marked 3, and 1 marked 2)
Less painful joints (9 marked 5, 8 marked 4, 1 marked 3)
Have become more active (12 marked 5, 4 marked 4, 2 marked 3)
The majority reported toning (visible to instructor and participants!) and improved balance. All mention how the “group” keeps them going and working harder than the days they have to do it on their own. Off the record comments: Can get up off of toilet and out of church pews much better after SWSB, Can put my underwear on now without having to hold onto something. Great fun with both groups!
Keep Moving Keep Healthy
This Joslin Diabetes Center sponsored program was a successful one for Grant County. We collaborated with the NM Dept of Health Diabetes nurses, Melvyn Gelb and Mary Ann Finn. The first session I also had assistance from two members from the Whitewater Extension Club (one a retired nurse). The last three groups were beginnings for diabetes support groups to meet once a month. All are still going. Dept of Health continues these meetings and filled in the months between 2nd meeting and final. The “screenings” for blood pressure and A1-c were administered as controlled as possible, but were not under lab conditions. The majority in all four groups showed maintained or improvement in both categories, as well as improved LDL when tests would cooperate. There were a couple of occasions whereby the cholesterol machines would not generate results.
Group A: General Public, advertised through newspaper, radio for new years resolutions, first class date: Jan 14, 2009. Participants total first meeting, 18 (White females, 9; Hispanic females, 8; Hispanic males 1. 2nd Meeting, 2/11/2009, participants attending 5 (white female, 3; Hispanic female, 1; Hispanic male, 1). 3rd meeting 4/30/09, participants attending 7 ( white female, 5; Hispanic female, 2) ½ of final participants noted that KMKH had helped them get their family/friends to join in becoming more active, 100% found the program useful in getting them started and/or motivated to exercise. Comments: “This is a great program, it teaches us that we don’t have to go to great lengths for better health. Small steps are effective too”.
Group B: LULAC (League of United Latin American Citizens) First class date: 2/11/09; participants total 9 (all Hispanic female). Second Class date: March 12, 2009; participants attending, 7 (all Hispanic female). Third class date: 5/7/09; participants attending, 6 (all Hispanic female). All participants noted this class had motivated them to increase their activity levels and their “buddy system” kept them committed. All noted that it had motivated friends and other family members to increase activity levels. Comments: “Thank you, thank you, what a wonderful way to get you started”, “motivating”
Group C: Health Dept Employees (Next door) First Class date: 3/12/2009; participants total 14(white female, 7; Hispanic female, 6; Hispanic male, 1). 2nd Class date: 4/9/09; participants attending 10 (Hispanic female 6; White female, 3; Hispanic Male, 1) 3rd meeting date, June 12, 2009; participants attending, 12 (Hispanic female, 4; White female, 5). 66% reported that KMKH had found the program helped them get their family/friends to join them in becoming more active. 100% reported that the program motivated them to become more active. Comments: “helpful”, “encouraging”, “the other thing I need to do to manage my diabetes”
Group D: Knights of Columbus, Bayard, NM. First Class held May 13, 2009; participants attending: 16 (Hispanic female, 10; Hispanic male, 6) 2nd Meeting, 6/24/09, Participants attending: 10 (Hispanic female, 7; Hispanic male, 3) 3rd Meeting, 8/27/09; Participants attending: 10 (Hispanic female, 5; Hispanic male, 5). 20% of final participants reported that KMKH had helped them get their friends/family to join them in becoming more active and 70% reported it had motivated themselves to exercise more. 100% reported that they would recommend this program to others.
ICAN Grant County
ICAN Nutrition Educators continue to step up to the challenge of reaching Grant County’s underserved. FY 2008 -2009 they graduated 130 Adult participants and 905 Youth participants. Indirect contacts totalled _______, one time contacts ________.......(will report more detail, when I receive Dr. Bocks report for final FY)
With the creation of the County Action Plan, we have the roadmap to measure outreach for 2009 -2010.
21 individuals participated in the 2008 FY Kitchen Creations (16 Fall 09, 5 Spring 09) The spring class was offered at the small rural community in Cliff. I had received many requests to have one, however, it was not well attended! These classes were taught on two long Saturdays 2 sessions each day. Participants learned how to us the Diabetes Food Guide Pyramid and the 50/50 method to plan meals, how to identify serving sizes and number of servings, foods that raise blood sugar, and how to prepare more nutritious meals. Of the 21 individuals completing the sessions they noted the changes they would make in their meal preparation: 21 reported that their knowledge of label reading would be more helpful than before the class, 19 would eat at least 2 servings of whole grains per day, 21 would eat at least 2 servings of non-starchy vegetables at dinner, 16 would use more herbs and spices to flavor foods instead of salt and fat, 19 would measure food portions, 19 would use the 50/50 method and 18 would use the diabetic food guide pyramid to plan a day’s meal. Some other comments were, “Choices, Eating does not have to be boring to be heart healthy.” “Excellent class, taste new foods and learned about high fiber foods and low carb and how it helps with cholesterol”, “Wonderful ideas”, “Great food, excellent tips”
Strong Women Strong Bones
This program from Tufts University has been my all time favorite and most successful. It has been successful for me as a participant and an instructor. I feel and see the results myself and therefore can “practice what I preach”. I myself have dropped a dress size, feel better, have more energy, sleep better, am stronger, less joint pain, more active, eat better, and feel guilty if I miss. This program has become a personal commitment to me.
I began the program July 20, with two different groups. Groups one consisted of 18 participants, of which 11 committed and are still on-going. We met three times a week at lunch hour. Demographics of this group were all female, 1 black American, 11 White Females , 1 Black American Female, ages vary from 35 to 69 years of age.
Group Two consisted of 10 participants of which 7 are still committed and on-going. We met two times a week at 9:30 AM. Demographics of this group were all female, 2 Hispanic Females and 8 White Females, ages vary from 65 – 82.
18 Participant evaluations Overall from both groups are as follows:
Overall satisfied with class (18 marked 5)
Instructor helpful(18 marked 4)
Facility safe, clean and comfortable (14 marked 5, 4 marked #4)
Feel health is better due to program (14 marked 5, 4 marked 4)
Feel physically stronger (17 marked 5, 1 marked 4)
Have more energy (12 marked 5, 6 marked 4)
Sleep Better (6 marked 5, 7 marked 4, 4 marked 3, and 1 marked 2)
Less painful joints (9 marked 5, 8 marked 4, 1 marked 3)
Have become more active (12 marked 5, 4 marked 4, 2 marked 3)
The majority reported toning (visible to instructor and participants!) and improved balance. All mention how the “group” keeps them going and working harder than the days they have to do it on their own. Off the record comments: Can get up off of toilet and out of church pews much better after SWSB, Can put my underwear on now without having to hold onto something. Great fun with both groups!
Keep Moving Keep Healthy
This Joslin Diabetes Center sponsored program was a successful one for Grant County. We collaborated with the NM Dept of Health Diabetes nurses, Melvyn Gelb and Mary Ann Finn. The first session I also had assistance from two members from the Whitewater Extension Club (one a retired nurse). The last three groups were beginnings for diabetes support groups to meet once a month. All are still going. Dept of Health continues these meetings and filled in the months between 2nd meeting and final. The “screenings” for blood pressure and A1-c were administered as controlled as possible, but were not under lab conditions. The majority in all four groups showed maintained or improvement in both categories, as well as improved LDL when tests would cooperate. There were a couple of occasions whereby the cholesterol machines would not generate results.
Group A: General Public, advertised through newspaper, radio for new years resolutions, first class date: Jan 14, 2009. Participants total first meeting, 18 (White females, 9; Hispanic females, 8; Hispanic males 1. 2nd Meeting, 2/11/2009, participants attending 5 (white female, 3; Hispanic female, 1; Hispanic male, 1). 3rd meeting 4/30/09, participants attending 7 ( white female, 5; Hispanic female, 2) ½ of final participants noted that KMKH had helped them get their family/friends to join in becoming more active, 100% found the program useful in getting them started and/or motivated to exercise. Comments: “This is a great program, it teaches us that we don’t have to go to great lengths for better health. Small steps are effective too”.
Group B: LULAC (League of United Latin American Citizens) First class date: 2/11/09; participants total 9 (all Hispanic female). Second Class date: March 12, 2009; participants attending, 7 (all Hispanic female). Third class date: 5/7/09; participants attending, 6 (all Hispanic female). All participants noted this class had motivated them to increase their activity levels and their “buddy system” kept them committed. All noted that it had motivated friends and other family members to increase activity levels. Comments: “Thank you, thank you, what a wonderful way to get you started”, “motivating”
Group C: Health Dept Employees (Next door) First Class date: 3/12/2009; participants total 14(white female, 7; Hispanic female, 6; Hispanic male, 1). 2nd Class date: 4/9/09; participants attending 10 (Hispanic female 6; White female, 3; Hispanic Male, 1) 3rd meeting date, June 12, 2009; participants attending, 12 (Hispanic female, 4; White female, 5). 66% reported that KMKH had found the program helped them get their family/friends to join them in becoming more active. 100% reported that the program motivated them to become more active. Comments: “helpful”, “encouraging”, “the other thing I need to do to manage my diabetes”
Group D: Knights of Columbus, Bayard, NM. First Class held May 13, 2009; participants attending: 16 (Hispanic female, 10; Hispanic male, 6) 2nd Meeting, 6/24/09, Participants attending: 10 (Hispanic female, 7; Hispanic male, 3) 3rd Meeting, 8/27/09; Participants attending: 10 (Hispanic female, 5; Hispanic male, 5). 20% of final participants reported that KMKH had helped them get their friends/family to join them in becoming more active and 70% reported it had motivated themselves to exercise more. 100% reported that they would recommend this program to others.
ICAN Grant County
ICAN Nutrition Educators continue to step up to the challenge of reaching Grant County’s underserved. FY 2008 -2009 they graduated 130 Adult participants and 905 Youth participants. Indirect contacts totalled _______, one time contacts ________.......(will report more detail, when I receive Dr. Bocks report for final FY)
With the creation of the County Action Plan, we have the roadmap to measure outreach for 2009 -2010.
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 need of the individuals in their counties. Classes included both one time programs and mini-series classes which 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.
The Sithsonian exhibit visited Eastern New Mexico University and was titled America by Food. With the food related theme the promoters incorporated activities that served 6,000 people. Weekly movies with a food theme were played as well as one time demonstrations.
Kitchen Creations
A total of 818 individuals (White 44%, African American 1%, Native American 11%, Asian American 1%, Hispanic 40%, Other 3%) participated in 46 Kitchen Creations cooking schools during 2008. Classes were team taught by local Extension Home Economists and a health care professional. Two bilingual cooking schools were held in Dona Ana county in FY2008.
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 a 3-day food record and demographics and knowledge questionnaire prior to attending the class and one month after completing the four Kitchen Creations classes.
The 3-day food records were analyzed for energy, calories from fat and saturated fat, grams of fat, saturated fat, protein, carbohydrates, fiber, sugar, milligrams of cholesterol, sodium, diabetes exchange groups and percent of calories from protein, carbohydrates and fat. Analysis of this data showed an improvement of nutrition recommendations for people with diabetes. Participants showed a decrease in energy, fat energy, fat grams, percent of calories from fat, fat exchanges, saturated fat grams, carbohydrate grams, cholesterol and sodium. Bread exchanges and other carbohydrate exchanges also decreased. Vegetable exchanges increased in women but not in men.
ICAN/EFNEP
Ideas for Cooking and Nutrition Program (ICAN) is the umbrella name used in New Mexico to refer to both the Food Stamp Nutrition Education Program (FSNEP) 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 2008 FSNEP reached 35,427 adults (White 25.1%, African American 2.1%, Native American 14.4%, Asian 0.9%, Hawaiian/Pacific Islander 0.3%, Hispanic 57.2%) and 32,498 youth (White 16.1%, African American 2.3%, Native American 12.3%, Asian 0.3%, Hawaiian/Pacific Islander 0.1%, Hispanic 58.9%) in 411 sites in New Mexico, including the Zuni Reservation with the following results:
*Increase the consumption of fruits and vegetables among adults and youth participants by 30% statewide (actual 60%)
*Increase the consumption of whole grains among adult and youth participants by 20% statewide (actual 49%)
*Increase the consumption of dairy products among adult and youth participants by 20% statewide (actual 48%)
*Increase the number of adult participants who maintain a balance between calorie Intake and calorie expenditure by 20% statewide (actual 56%)
*Increase the number of adult participants who use shopping lists by 20% statewide (actual 42%)
*Increase the number of adult and youth participants who compare food prices by 20% statewide (actual 31%)
*Increase the number of adult participants who prepare a food budget by 20% statewide (actual 54%)
*Increase the number of adult and youth participants who wash their hands immediately after handling raw meat or poultry by 20% statewide (actual 11%)
*Increase the number of adult and youth participants who keep perishable foods at room temperature for less than two hours by 20% statewide (actual 36%)
*Increase the number of adult participants who keep food in the house to make last minute meals by 20% statewide (actual 31%)
*Increase the number of adult participants who cook extra food to use for lunches or meals on busy days by 30% statewide (actual 44%)
*Increase the number of youth participants who cook at home by 40% statewide (actual 52%)
During the last quarter of 2008 the evaluation tool for FSNEP was changed and administered to 220 adults. Preliminary data analysis for the 16 question pre- and post-survey show substantial improvement at the group level. More rigorous analysis will be conducted for adults and youth during 2009.
During 2008 EFNEP reached 882 adults and 2,175 youth in Bernalillo and Dona Ana counties. Fifteen educators provided 15,392 hours of education to graduate 801 adults (White 8%, African American 1%, Native American 2%, Hispanic 83%) and 2,175 youth (White 16%, African American 3%, Native American 1%, Hispanic 79%) .
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:
* 15.5% increase in intake of grains
* 16.6% increase in intake of fruits
* 36.4% increase in intake of vegetables
* 28.6% increase in intake of milk
* 15.3% increase in Intake of meats & beans
A summary of the nutrient adequacy ratio for protein, iron, calcium, vitamins A, C, and B6 show an increase of 16.7%.
The 10 question Behavior Change Questionnaire show the following results:
* 45% improved in the area of planning meals
* 45% improved in the area of comparing prices
* 42% improved in having food for the month
* 45% improved in using a grocery list
* 40% improved in following recommended guidelines for letting foods sit out
* 58% improved in thawing foods properly
* 38% improved in providing healthy food choices for their families
* 38% improved in prepared foods without adding salt
* 51% improved in using Nutrition Facts to make food choices
* 45% improved in providing breakfast for their children
Keep Moving Keep Healthy (KMKH)
Keep Moving, Keep Healthy with Diabetes is an educational program developed by Joslin Diabetes Center that targets adults who have diabetes or at risk for developing diabetes. This program is designed to assist individuals in addressing barriers to increasing physical activity and to become more active. KMKH helps individuals with diabetes begin self-management of their diabetes and for those at risk for developing diabetes to help prolong a diagnosis with proper diet and being more physically active. In 2008 plans were made to implement this program in at least 10 counties for 2009 with the assistance of a grant from Joslin ($51,604) materials are provided for each participant to include an exercise DVD, a pedometer, a tape measure, and medical testing – A1C, total cholesterol, and blood pressure. Training materials were developed and promoted through Centra. Training for the home economist was
Coordinated Approach to Children's Health (CATCH)
CATCH is the largest evidence-based coordinated school health program in the United States, teaching children to identify, practice, and adopt healthy eating and physical activity behaviors. In 2008 13,028 students (White 37.7%, African American 3.5%, Native American 3.9%, Hispanic 55.4%) received CATCH programming through one of the 44 participating elementary schools during the school day, 1,218 students (ethnicity information not collected) received CATCH programming during after school through the YMCA, and another 110 students (ethnicity information not collected) received CATCH programming. Funding for the CATCH program is provided from the New Mexico Department of Health for in school programming ($255,000) and from the New Mexico Public Education Department for after school programming ($100,000).
Fit Families
Fit Families is a Healthy lifestyle program for overweight children and their families which provides the knowledge, skills, abilities, and support to learn and incorporate healthy eating behavior and physical activity in their daily lives and improve self-esteem, all of which will improve health and enhance quality of life. Pediatricians, specialists, dietitians, school nurses, youth organizations, and case managers refer clients and patients, expanding their ability to address the problem of childhood obesity.
Six series of Fit Families classes were held in 2008. A total of 165 children and family members participated (attended some of the classes); 70% of the participants graduated (attended at least 5 of the 7 classes) from the program. Of the total 165 participants, 5% were Non-Hispanic and 89% Hispanic, 2% each were either both, African American or other.
Fit Families has expanded to the southern part of Dona Ana County in 2008 by proving 3 classes in Anthony, funded through the New Mexico Department of Health. These classes serve the needs of this border community which are primarily Spanish speakers. A bi-monthly newsletter was developed to mail to children who participated in Fit Families and contains family-oriented exercise activities, food recipes, and health tips.
Funding for Fit Families is provided through a grant from General Mills ($24,000). A new grant was awarded for $15,000 from the New Mexico Diabetes Prevention & Control Program (Department of Health) for 2008.
In addition to the funded series of nutrition education classes, home economist around the state conducted a variety of programs to meet the need of the individuals in their counties. Classes included both one time programs and mini-series classes which 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.
The Sithsonian exhibit visited Eastern New Mexico University and was titled America by Food. With the food related theme the promoters incorporated activities that served 6,000 people. Weekly movies with a food theme were played as well as one time demonstrations.
Kitchen Creations
A total of 818 individuals (White 44%, African American 1%, Native American 11%, Asian American 1%, Hispanic 40%, Other 3%) participated in 46 Kitchen Creations cooking schools during 2008. Classes were team taught by local Extension Home Economists and a health care professional. Two bilingual cooking schools were held in Dona Ana county in FY2008.
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 a 3-day food record and demographics and knowledge questionnaire prior to attending the class and one month after completing the four Kitchen Creations classes.
The 3-day food records were analyzed for energy, calories from fat and saturated fat, grams of fat, saturated fat, protein, carbohydrates, fiber, sugar, milligrams of cholesterol, sodium, diabetes exchange groups and percent of calories from protein, carbohydrates and fat. Analysis of this data showed an improvement of nutrition recommendations for people with diabetes. Participants showed a decrease in energy, fat energy, fat grams, percent of calories from fat, fat exchanges, saturated fat grams, carbohydrate grams, cholesterol and sodium. Bread exchanges and other carbohydrate exchanges also decreased. Vegetable exchanges increased in women but not in men.
ICAN/EFNEP
Ideas for Cooking and Nutrition Program (ICAN) is the umbrella name used in New Mexico to refer to both the Food Stamp Nutrition Education Program (FSNEP) 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 2008 FSNEP reached 35,427 adults (White 25.1%, African American 2.1%, Native American 14.4%, Asian 0.9%, Hawaiian/Pacific Islander 0.3%, Hispanic 57.2%) and 32,498 youth (White 16.1%, African American 2.3%, Native American 12.3%, Asian 0.3%, Hawaiian/Pacific Islander 0.1%, Hispanic 58.9%) in 411 sites in New Mexico, including the Zuni Reservation with the following results:
*Increase the consumption of fruits and vegetables among adults and youth participants by 30% statewide (actual 60%)
*Increase the consumption of whole grains among adult and youth participants by 20% statewide (actual 49%)
*Increase the consumption of dairy products among adult and youth participants by 20% statewide (actual 48%)
*Increase the number of adult participants who maintain a balance between calorie Intake and calorie expenditure by 20% statewide (actual 56%)
*Increase the number of adult participants who use shopping lists by 20% statewide (actual 42%)
*Increase the number of adult and youth participants who compare food prices by 20% statewide (actual 31%)
*Increase the number of adult participants who prepare a food budget by 20% statewide (actual 54%)
*Increase the number of adult and youth participants who wash their hands immediately after handling raw meat or poultry by 20% statewide (actual 11%)
*Increase the number of adult and youth participants who keep perishable foods at room temperature for less than two hours by 20% statewide (actual 36%)
*Increase the number of adult participants who keep food in the house to make last minute meals by 20% statewide (actual 31%)
*Increase the number of adult participants who cook extra food to use for lunches or meals on busy days by 30% statewide (actual 44%)
*Increase the number of youth participants who cook at home by 40% statewide (actual 52%)
During the last quarter of 2008 the evaluation tool for FSNEP was changed and administered to 220 adults. Preliminary data analysis for the 16 question pre- and post-survey show substantial improvement at the group level. More rigorous analysis will be conducted for adults and youth during 2009.
During 2008 EFNEP reached 882 adults and 2,175 youth in Bernalillo and Dona Ana counties. Fifteen educators provided 15,392 hours of education to graduate 801 adults (White 8%, African American 1%, Native American 2%, Hispanic 83%) and 2,175 youth (White 16%, African American 3%, Native American 1%, Hispanic 79%) .
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:
* 15.5% increase in intake of grains
* 16.6% increase in intake of fruits
* 36.4% increase in intake of vegetables
* 28.6% increase in intake of milk
* 15.3% increase in Intake of meats & beans
A summary of the nutrient adequacy ratio for protein, iron, calcium, vitamins A, C, and B6 show an increase of 16.7%.
The 10 question Behavior Change Questionnaire show the following results:
* 45% improved in the area of planning meals
* 45% improved in the area of comparing prices
* 42% improved in having food for the month
* 45% improved in using a grocery list
* 40% improved in following recommended guidelines for letting foods sit out
* 58% improved in thawing foods properly
* 38% improved in providing healthy food choices for their families
* 38% improved in prepared foods without adding salt
* 51% improved in using Nutrition Facts to make food choices
* 45% improved in providing breakfast for their children
Keep Moving Keep Healthy (KMKH)
Keep Moving, Keep Healthy with Diabetes is an educational program developed by Joslin Diabetes Center that targets adults who have diabetes or at risk for developing diabetes. This program is designed to assist individuals in addressing barriers to increasing physical activity and to become more active. KMKH helps individuals with diabetes begin self-management of their diabetes and for those at risk for developing diabetes to help prolong a diagnosis with proper diet and being more physically active. In 2008 plans were made to implement this program in at least 10 counties for 2009 with the assistance of a grant from Joslin ($51,604) materials are provided for each participant to include an exercise DVD, a pedometer, a tape measure, and medical testing – A1C, total cholesterol, and blood pressure. Training materials were developed and promoted through Centra. Training for the home economist was
Coordinated Approach to Children's Health (CATCH)
CATCH is the largest evidence-based coordinated school health program in the United States, teaching children to identify, practice, and adopt healthy eating and physical activity behaviors. In 2008 13,028 students (White 37.7%, African American 3.5%, Native American 3.9%, Hispanic 55.4%) received CATCH programming through one of the 44 participating elementary schools during the school day, 1,218 students (ethnicity information not collected) received CATCH programming during after school through the YMCA, and another 110 students (ethnicity information not collected) received CATCH programming. Funding for the CATCH program is provided from the New Mexico Department of Health for in school programming ($255,000) and from the New Mexico Public Education Department for after school programming ($100,000).
Fit Families
Fit Families is a Healthy lifestyle program for overweight children and their families which provides the knowledge, skills, abilities, and support to learn and incorporate healthy eating behavior and physical activity in their daily lives and improve self-esteem, all of which will improve health and enhance quality of life. Pediatricians, specialists, dietitians, school nurses, youth organizations, and case managers refer clients and patients, expanding their ability to address the problem of childhood obesity.
Six series of Fit Families classes were held in 2008. A total of 165 children and family members participated (attended some of the classes); 70% of the participants graduated (attended at least 5 of the 7 classes) from the program. Of the total 165 participants, 5% were Non-Hispanic and 89% Hispanic, 2% each were either both, African American or other.
Fit Families has expanded to the southern part of Dona Ana County in 2008 by proving 3 classes in Anthony, funded through the New Mexico Department of Health. These classes serve the needs of this border community which are primarily Spanish speakers. A bi-monthly newsletter was developed to mail to children who participated in Fit Families and contains family-oriented exercise activities, food recipes, and health tips.
Funding for Fit Families is provided through a grant from General Mills ($24,000). A new grant was awarded for $15,000 from the New Mexico Diabetes Prevention & Control Program (Department of Health) for 2008.
Home Economist time is primarily focused in the areas of nutrition and built around the ICAN program (25%+ time allocation) and Diabetes outreach via Kitchen Creations, and agency collaborations.
ICAN Report FY 08: Fully staffed, 1 full time Nutrition Educator, 1 3/4 time Nutrition Educator and 1 1/2 time program assistant. Total Adult contacts: 1884 Total Youth: 4230. Total Group contacts Adult: 1875 Youth 1445. Total Graduates of 4 or more class sessions Adults: 130 Youth: 676. Indirect contacts Adults: 1875 Youth 676.
Diabetes Focus: Kitchen Creations classes. One held Fall of 07 in Bayard community (26 participants started, 22 finished) and One held Spring 08 in Silver City (18 stared, 12 finished). THe FY 2007 KC report found 75% of participants learned how to use the Diabetes Food Guide pyramid, 69% measure their food portions, 65% use the 50/50 method, 75% read food labels to find amount of carbohydrate/serving, 38% eat at least 2 servings of whole grains/day, 50% eat at least 2 servings of non-starchy vegetables at dinner, 63% use more herbs and spices for flavor foods rather than salt and fat.
Home Economist spent quite a bit of time Fall of 07 and early Spring 08 working with collaboration of agency's to film "mini-KC" live tv segments to hit home the message of managing diabetes through better nutrition.
These 4 30-minute segments will air on the local cable television stations and will repeat many times for viewers to watch beginning November 2008. This was a grant funded project through the Grant County Health Council. Grant County provided the groceries and KC curriculum, CDE, Melvyn Gelb delivered the diabetes information. Home Economist delivered the cooking tips and general information.
Home Economist is member of the local LaVida (Lifestyles and Values influence Diabetes Awareness) advisory board (grant funded HMS, Hidalgo Medical Services) and works closely with the Wellness coalition and the NM Dept of Health to address issues of diabetes, obesity, and other health issues related to diet.
Home Economist writes monthly columns in the local newspaper, 1/2 of which generally deal with nutrition.
Home Economist active with local Farmer's Market and community gardens as well as summer lunch program and coaltition to end hunger in New Mexico. Exploring avenues to reach more recipients of commodities and get them enrolled in ICAN cooking classes.
Home Economist also active with HERO collaboration with UNM.
Organ Wise Guys program accepted by 3 elementary schools. Two assembly's given as of this reporting (fall 08). Plans to use for KIDs Kows and More.
Milk Group presentation given jointly with ICAN staff for Kids, Kows and More. (587 contacts)
ICAN Report FY 08: Fully staffed, 1 full time Nutrition Educator, 1 3/4 time Nutrition Educator and 1 1/2 time program assistant. Total Adult contacts: 1884 Total Youth: 4230. Total Group contacts Adult: 1875 Youth 1445. Total Graduates of 4 or more class sessions Adults: 130 Youth: 676. Indirect contacts Adults: 1875 Youth 676.
Diabetes Focus: Kitchen Creations classes. One held Fall of 07 in Bayard community (26 participants started, 22 finished) and One held Spring 08 in Silver City (18 stared, 12 finished). THe FY 2007 KC report found 75% of participants learned how to use the Diabetes Food Guide pyramid, 69% measure their food portions, 65% use the 50/50 method, 75% read food labels to find amount of carbohydrate/serving, 38% eat at least 2 servings of whole grains/day, 50% eat at least 2 servings of non-starchy vegetables at dinner, 63% use more herbs and spices for flavor foods rather than salt and fat.
Home Economist spent quite a bit of time Fall of 07 and early Spring 08 working with collaboration of agency's to film "mini-KC" live tv segments to hit home the message of managing diabetes through better nutrition.
These 4 30-minute segments will air on the local cable television stations and will repeat many times for viewers to watch beginning November 2008. This was a grant funded project through the Grant County Health Council. Grant County provided the groceries and KC curriculum, CDE, Melvyn Gelb delivered the diabetes information. Home Economist delivered the cooking tips and general information.
Home Economist is member of the local LaVida (Lifestyles and Values influence Diabetes Awareness) advisory board (grant funded HMS, Hidalgo Medical Services) and works closely with the Wellness coalition and the NM Dept of Health to address issues of diabetes, obesity, and other health issues related to diet.
Home Economist writes monthly columns in the local newspaper, 1/2 of which generally deal with nutrition.
Home Economist active with local Farmer's Market and community gardens as well as summer lunch program and coaltition to end hunger in New Mexico. Exploring avenues to reach more recipients of commodities and get them enrolled in ICAN cooking classes.
Home Economist also active with HERO collaboration with UNM.
Organ Wise Guys program accepted by 3 elementary schools. Two assembly's given as of this reporting (fall 08). Plans to use for KIDs Kows and More.
Milk Group presentation given jointly with ICAN staff for Kids, Kows and More. (587 contacts)
Home Economist brand new to Job 08-06. Year concentrated on building agency and community liaisons as well as overseeing existing ICAN Nutrition Program, Extension Association Clubs, Home Ec related 4-H ties, etc.
Kitchen Creations: As of this date 3 series completed, 4 sessions each. February 06 class conducted in Silver City, Co-op Extension Service meeting room every Saturday 10 am - 2 pm. This class received great interest since there had been no classes for nearly 2 years due to previous Home Economist retirement. 36 individuals pre-registered, and 26 completed the series. 100% stated that the series had been helpful to them, and that they would implement nutrition changes in their diets and those of their families. Many of the participants have attended the diabetes classes conducted by area Certified Diabetes Educators through Gila Regional Medical Center and Hidalgo Medical Services "La Vida" (Life Styles and Values Impact Diabetes Awareness) programs.
Majority of participants stated on their evaluations of each session (and the overall) that the information given during the Kitchen Creations classes connected the information given in the above mentioned classes in a very practical way. We could see light bulbs coming on! I continue to see these class participants throughout the community and they continue to report how they're doing or inquire about the next class or materials for other friends or family members. This was a good cross section of community population.
The second Kitchen Creation series was a trial down in Hidalgo County. I participated in it as a courtesy and further learning experience. The CDI and I traveled down 45 minutes each way (ON MY OWN TIME, SINCE IT'S NOT MY COUNTY). This liaison is paying off with upcoming local TV shows (4 scheduled with Grant County Health Council grant funded) to be filmed around the KC nutrition format. In addition, I will be a guest on both radio (Spanish station) and TV morning show discussing nutrition holiday tips.
The Lordsburg class was not very representative of their community. Of the 12 who signed up, only 7 attended and of those 5 were White Caucasian Female. This community’s real need is with the predominant Hispanic culture and their incidence of diabetes. The HMS headquarter office actually is in Lordsburg, but several community events may well have affected our attendance and response. We scheduled it at the end of May overlapping into the first two weeks of June and their also had been two teen suicides at the high school during our first week. These events and the timing were not good. The HMS promotora's were also in transition in the community and therefore I feel we lacked their "buy in" as they were brand new and just trying to earn their own viability.
KC Bayard, New Mexico: 36 pre-registered, great cross section of population. Average participation in all four sessions is 22. We conducted two sessions in Sept and then skipped one week due to county fair, and picked up the last two in October. Breaks in the session are difficult and it appears we need to block four weeks in a row, as evidenced by the February classes. I'm entertaining the idea that Saturday's may work better than weekday evening classes as well, particularly in the winter months.
Agency liaisons with HMS also granted me contact with an annual "las Mujeres" program they conduct in Bayard. June 23, 2007 the event was held, contacts were 87, 54 Hispanic females, 18 Hispanic male, 12 Anglo females, 3 Anglo males. My presentation was demonstrating their lunch preparation with a lo-carb tortilla turkey avocado wrap which each one prepared at their tables. (Groceries supplied by HMS, and I prepped the onions, grouped the tables, etc.)
Home Economist did participate in the 06 Grant County Fair, as well as the 07 Fair. 06 a booth display was set up and manned regarding "What does 65 lbs. of sugar have to do with you" visual realities of amounts of sugar in soft drinks. 07 county fair, ICAN demonstrated fresh salsa's and their nutritional qualities and uses.
This topic on hazards of sugar and soft drinks was presented to various groups throughout the year and it was received with positive comments. I also see many of these audience members and they relay the message that they've "cut down" or "cut out" sodas. Other nutrition messages such as "Label Fables" were carried to several groups formally and also informally in settings such as the local Farmer's Market, whereby our office presented a united front with 5 appearances throughout the summer with pertinent info for available items at the market. Total signatures for all presentations totaled 373. This also represented a good demographic representation of Grant County. Early June we covered eggs, their nutrition and how to "coddle them" for deviling, July we were available for food preservation information, August we did salsa demos and grilled vegetables and served samples along with recipes, we judged the salsa contest the following weekend, and made one last appearance with "Apples" and pressure canner testing offered. We also are on the agenda with the Harvest Festival at the Mimbres Valley with "last of the season" ideas for green tomatoes, pumpkins, apples, etc. One of the Greatest Impacts was hanging our NMSU Banner, Co-Op Extension Service at the Farmer's Market and receiving questions on "what does NMSU have to do with Extension?" This presented great talking points and also let us know we have our work cut out for us to have the entire county make the connection!
The ICAN Nutrition Program was an interesting year! Both ICAN Educators had been in their positions over 8 years (since the Pilot program) and survived without a home economist for the previous year and a half!
This offered advantages and disadvantages. We also volunteered to be the first county for Linda Wells Management Evaluation! Change and personnel changes were necessary to get us back on track. These issues have been addressed and we are just now (Oct 1) fully re-staffed and ramping up. One Educator who has stayed on is doing great and very excited about her position with NMSU. The numbers for the FY will be forthcoming soon. Next year's numbers and outreach will be phenomenal.
Kitchen Creations: As of this date 3 series completed, 4 sessions each. February 06 class conducted in Silver City, Co-op Extension Service meeting room every Saturday 10 am - 2 pm. This class received great interest since there had been no classes for nearly 2 years due to previous Home Economist retirement. 36 individuals pre-registered, and 26 completed the series. 100% stated that the series had been helpful to them, and that they would implement nutrition changes in their diets and those of their families. Many of the participants have attended the diabetes classes conducted by area Certified Diabetes Educators through Gila Regional Medical Center and Hidalgo Medical Services "La Vida" (Life Styles and Values Impact Diabetes Awareness) programs.
Majority of participants stated on their evaluations of each session (and the overall) that the information given during the Kitchen Creations classes connected the information given in the above mentioned classes in a very practical way. We could see light bulbs coming on! I continue to see these class participants throughout the community and they continue to report how they're doing or inquire about the next class or materials for other friends or family members. This was a good cross section of community population.
The second Kitchen Creation series was a trial down in Hidalgo County. I participated in it as a courtesy and further learning experience. The CDI and I traveled down 45 minutes each way (ON MY OWN TIME, SINCE IT'S NOT MY COUNTY). This liaison is paying off with upcoming local TV shows (4 scheduled with Grant County Health Council grant funded) to be filmed around the KC nutrition format. In addition, I will be a guest on both radio (Spanish station) and TV morning show discussing nutrition holiday tips.
The Lordsburg class was not very representative of their community. Of the 12 who signed up, only 7 attended and of those 5 were White Caucasian Female. This community’s real need is with the predominant Hispanic culture and their incidence of diabetes. The HMS headquarter office actually is in Lordsburg, but several community events may well have affected our attendance and response. We scheduled it at the end of May overlapping into the first two weeks of June and their also had been two teen suicides at the high school during our first week. These events and the timing were not good. The HMS promotora's were also in transition in the community and therefore I feel we lacked their "buy in" as they were brand new and just trying to earn their own viability.
KC Bayard, New Mexico: 36 pre-registered, great cross section of population. Average participation in all four sessions is 22. We conducted two sessions in Sept and then skipped one week due to county fair, and picked up the last two in October. Breaks in the session are difficult and it appears we need to block four weeks in a row, as evidenced by the February classes. I'm entertaining the idea that Saturday's may work better than weekday evening classes as well, particularly in the winter months.
Agency liaisons with HMS also granted me contact with an annual "las Mujeres" program they conduct in Bayard. June 23, 2007 the event was held, contacts were 87, 54 Hispanic females, 18 Hispanic male, 12 Anglo females, 3 Anglo males. My presentation was demonstrating their lunch preparation with a lo-carb tortilla turkey avocado wrap which each one prepared at their tables. (Groceries supplied by HMS, and I prepped the onions, grouped the tables, etc.)
Home Economist did participate in the 06 Grant County Fair, as well as the 07 Fair. 06 a booth display was set up and manned regarding "What does 65 lbs. of sugar have to do with you" visual realities of amounts of sugar in soft drinks. 07 county fair, ICAN demonstrated fresh salsa's and their nutritional qualities and uses.
This topic on hazards of sugar and soft drinks was presented to various groups throughout the year and it was received with positive comments. I also see many of these audience members and they relay the message that they've "cut down" or "cut out" sodas. Other nutrition messages such as "Label Fables" were carried to several groups formally and also informally in settings such as the local Farmer's Market, whereby our office presented a united front with 5 appearances throughout the summer with pertinent info for available items at the market. Total signatures for all presentations totaled 373. This also represented a good demographic representation of Grant County. Early June we covered eggs, their nutrition and how to "coddle them" for deviling, July we were available for food preservation information, August we did salsa demos and grilled vegetables and served samples along with recipes, we judged the salsa contest the following weekend, and made one last appearance with "Apples" and pressure canner testing offered. We also are on the agenda with the Harvest Festival at the Mimbres Valley with "last of the season" ideas for green tomatoes, pumpkins, apples, etc. One of the Greatest Impacts was hanging our NMSU Banner, Co-Op Extension Service at the Farmer's Market and receiving questions on "what does NMSU have to do with Extension?" This presented great talking points and also let us know we have our work cut out for us to have the entire county make the connection!
The ICAN Nutrition Program was an interesting year! Both ICAN Educators had been in their positions over 8 years (since the Pilot program) and survived without a home economist for the previous year and a half!
This offered advantages and disadvantages. We also volunteered to be the first county for Linda Wells Management Evaluation! Change and personnel changes were necessary to get us back on track. These issues have been addressed and we are just now (Oct 1) fully re-staffed and ramping up. One Educator who has stayed on is doing great and very excited about her position with NMSU. The numbers for the FY will be forthcoming soon. Next year's numbers and outreach will be phenomenal.