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Published on: September 18, 2018
Outcome effectiveness of the widely adopted EFNEP curriculum Eating Smart-Being Active
Garry Auld1, Susan Baker1, Lisa Conway2
1Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO.
Objective:
To determine the effectiveness of the Expanded Food and Nutrition Education Program (EFNEP) curriculum Eating Smart-Being Active (ESBA).
Design And Setting:
A quantitative, multi-state, nonequivalent comparison group pretest-posttest design was used to compare nutrition-related behavior changes in participants. ESBA was compared to previously used curricula for 3 different time periods in 5 states using the EFNEP evaluation tool.
Participants:
Adults enrolled in EFNEP who completed their entry and exit paperwork during any of the 3 time points.
Intervention:
An 8-lesson adult curriculum based on the Dietary Guidelines for Americans and MyPlate.
Analysis:
Analysis of variance and covariance (with pretests scores and demographic variables as covariates) were used to analyze data with significance at P ≤ .05.
Results:
ESBA elicited a mean positive behavior change for food resource management (P < .01), food safety (P ≤ .001), nutrition (P < .001), and physical activity level in participating states (P ≤ .01). Compared with previous curricula, ESBA produced better mean outcomes in food resource management, nutrition, physical activity, and intakes of fruit and vegetables.
Conclusion And Implications:
ESBA is effective at eliciting positive nutrition-related behavior change. The results of this multi-state, practice-based approach suggest that ESBA is effective in multiple settings and has external validity for use in EFNEP and other community nutrition programs.
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