Improving Adult Program Outreach and Impacts

1. Improving Adult Program Outreach and Impacts Amanda R. Scott, MS, RD, LD – Program Specialist Danielle Hammond, RD – Extension Assistant Gloria Fernandez-VanZante, MS, MPH, RD, LD Extension Agent

2. Adult Program Goals Food Recall Data • Increase of .5 cups of total fruit and vegetable intake • Increase of .5 cups of total milk intake Every participant may not reach this goal, but we want to trend in this direction…

3. FY 2010 Adult Program Goals Behavior Checklist/Physical Activity Data • At least 90% +/- 3% improve nutrition practices • At least 85% +/- 3% improve food resource management practices • At least 65% +/- 3% improve food safety practices • At least 30% +/- 3% improve physical activity behaviors

4. Focus Points for the Adult Program • Meet or Exceed Your Quota • Focus on Diet Quality • Increasing vegetable and fruit intakes • Increasing dairy food intakes • Focus on EFNEP Survey results • Food Resource Management Skills • Nutrition Practices • Food Safety skills

5. Travel and Paperwork Reviews: What to Expect • Travel voucher is compared to your weekly calendar • These are your records of activities and should match each other • From there, several groups are selected and you must provide the following for each group: • Sign-in sheets, enrollment and exit forms, food recalls, EFNEP surveys, WAT summary sheet, and the group needs planning tool

6. Travel and Paperwork Reviews: What to Expect • Recorded classes on enrollment forms are verified against the attendance records • Each participant should sign the enrollment sheet as verification they attended the class • Enrollment forms, exit forms, food recalls, and EFNEP surveys are reviewed for completeness and accuracy • Comments are returned to your supervising agent

7. Importance of Accurate EFNEP Paperwork • Shows how we used our federal funds • Shows whether or not our program is targeting the correct audience • Shows whether or not our program is in line with federal policies • Shows whether or not our program is effective • Allows for feedback to be given to NEAs • Allow for feedback on participant progress

8. Importance of Accurate Food Recalls • As emphasized in the Dietary Guidelines, we want our participants to consume more vegetables, fruit, and low-fat dairy foods • The food recall allows us to capture information about the eating habits of a participant • The more detailed the food recall, the better chance we have at capturing changes in their dietary habits These are crucial impact indicators for EFNEP

11. Improving Food Recall Accuracy • Currently in EFNEP we use a 3 pass food recall method which was developed by USDA and modified for use in a group setting • There is now a 5 pass food recall method • We will be training everyone on this method in the late summer/early fall • There are excellent training materials that we will be using from Oklahoma State University

12. The 5 Food Recall Passes • Quick List • Forgotten Foods • Time and Occasion • Food Details • Final Probe

13. Video Clip:OSU Food Recall Training

14. Discussion Time:What are some challenges you face when collecting food recalls? What are some solutions to these challenges?

15. Importance of Accurate EFNEP Surveys • Allows us to gather information about other aspects of our program: • Food resource management practices • Food safety practices • Nutrition practices • The EFNEP surveys provide an overall snapshot of program effectiveness

16. Food Resource Management Questions • How often: • You plan meals ahead of time • You compare prices before you buy food • You run out of food before the end of the month • You shop with a grocery list

17. Food Safety Questions • How often: • You let meat and dairy foods sit out for more than two hours • You defrost (thaw) frozen foods at room temperature

18. Nutrition Practice Questions • How often: • You think about healthy food choices when deciding what to feed your family • You prepare foods without adding salt • You use the “Nutrition Facts” on the food label • Your children eat breakfast • You eat whole wheat bread, cereal, or pasta • Serve more than one kind of fruit to your family • Serve more than two vegetables during your family’s main meal • Use reduced fat (2%), low fat (1%) or non fat (skim) milk

19. Improving EFNEP Survey Accuracy • Explain questions to the participants in an easy to understand way • When teaching, remember these survey questions and how they relate to the subject matter you are teaching • The survey questions addressed in each session can be found on page 1 of the session plans under “program indicators addressed”

21. Discussion Time:What are some challenges you face when collecting EFNEP surveys? What are some solutions to these challenges?

22. Helping Participants Understand the Survey Questions • According to our most current data, the following survey questions are least improved in our state: • How often do you use reduced fat (2%), low fat (1%), or non fat (skim) milk? • How often do you let meat and dairy foods sit out for more than 2 hours? • How often do you run out of food before the end of the month?

23. Helping Participants Understand the Survey Questions How often do you use reduced fat (2%), low fat (1%), or non fat (skim) milk? • Related to diet quality and increasing dairy food consumption • Related to key messages from MyPlate

24. Helping Participants Understand the Survey Questions How often do you let meat and dairy foods sit out for more than 2 hours? • Important food safety rule • Important as our food safety impact indicators have traditionally been low compared to other states

25. Helping Participants Understand the Survey Questions How often do you run out of food before the end of the month? • Important impact indicator for low-income families

26. Using the Group Needs Planning Tool • The group needs planning tool can help you assess the learning needs of your groups • It requires you to identify learning goals for your groups based on the entry EFNEP surveys and food recalls • View this tool as a way to improve your program impact indicators and help participants move toward healthier food choices

27. Let’s Review this Planning Tool

28. Notes from the Field:Discussion from Nueces County on using EFNEP paperwork to improve program outcomes

29. Questions?