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Innovative Technological Strategies to Engage SNAP-Ed Parents in CO

Learn about the research-based technological strategies being used by Colorado SNAP-Ed Implementing Agencies to engage and impact hard-to-reach SNAP-Ed parents.

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Innovative Technological Strategies to Engage SNAP-Ed Parents in CO

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  1. Innovative Technological Strategies to Engage SNAP-Ed Parents in CO Jini Puma, PhD University of Colorado Denver ASNNA Conference 2019

  2. Thanks to our team members! • Max Young • Julie Atwood • Deanna LaFlamme • Sharon Scarbro • Diane Brogden • Maria Saldana • Brenda Ortega Mendoza • Divyani Pendleton • Jennie Quinlan • Nichelle Ortez • Heather Owen • Gloria Richardson

  3. Colorado SNAP-Ed Conceptual Model

  4. Presentation Agenda • Innovative technological strategies (research-based) being used by CO SNAP-Ed Implementing Agencies to engage and impact hard-to-reach SNAP-Ed parents. • Text2BHealthy CO • Culture of Wellness in Preschool (COWP) Program - Parent Wellness Workshop (PWW) interactive wellness electronic support system • MyCoBenefits – App created by Colorado Department of Human Services (CDHS) which allows SNAP recipients to see benefit balances and available SNAP-Ed courses

  5. How does it work? • Provides health messaging via texts 2-3/times per week. • There are at least two core texts/week that focus on the following topics: • Increasing fruit and vegetable consumption • Increasing physical activity behaviors as a family/Reducing sedentary behaviors • Reducing sugar-sweetened beverage consumption/Increasing water consumption • A 3rd text may include information about local wellness-related events (e.g., farmers market locations, school events, etc.)

  6. How does it work? • Texts are sent in English and Spanish (depending on the preference of the parent recipient) • Texts include recipes, video links and other interactive resources that contain information that connect the parents to the school-based nutrition and physical activity curriculums and other local wellness-related events.

  7. How does it work? • There will be 4 text messaging libraries (cycles) for any given program year. Each library cycle will contain approximately 30 core text messages that address each of the following themes (in this order): • Theme 1: Fruits and Vegetables • Theme 2: Physical Activity/Sedentary Behaviors • Theme 3: Sugary Sweetened Beverages/Water Consumption

  8. How does it work? • Each theme will contain 7-8 core messaging texts and 2-4 evaluation question texts. • Each cycle will also include the following kinds of texts: • Knowledge • Attitude • Self-efficacy • Social Norms • Environmental Constraints/Resource Management • Intention/goal-setting • Skills

  9. How does it work?

  10. Reach(as of Jan. 10, 2019) • Total = 2,284 (14% of our child reach) • English = 70.4% • Spanish = 29.6%

  11. Percent Enrolled by Month Timeframe: 1/1/18 – 12/31/18

  12. Conditional Probability of Opting Out

  13. Survival Curve for Opting Out by Language Chi-Square = 25.11, p < .001 At 6-months, survival rate for Spanish-speakers is 93% and for English-speakers is 81%

  14. Outcome Results p < .05 p < .0001

  15. Outcome Results p < .0001 p < .0001

  16. Outcome Results • Water and Sugary Drinks • (n = 201, 13.9%) p < .05 NS p < .05 p < .01

  17. COWP Parent Wellness Workshop (PWW) Family Meals and Eating Together Family Health Summary (FHS) Helping Children be Good Eaters Better Beverage Eating Fruits and Vegetables Staying Active as a Family/FHS

  18. COWP PWW Demographics

  19. COWP PWW Results Over Time NS = Non-Significant; *p < .05; **p < .01; - Not assessed

  20. Cumulative Obesity Risk Score Frequencies for Children and Their Caregivers

  21. Cumulative Obesity Risk Score • Correlation between child risk score and adult risk score, r = .55, p < .0001 • r between child risk score and BMI % = .11, p <.05; r between adult risk score and BMI = .18, p < .01 • There was statistically significant change over time for both groups. • Children: t = 9.63, p < .0001 • Adults: t = 8.58, p < .0001

  22. MyCoBenefits App ←Here is an example of the map feature! For additional questions reach out to Max.Young@state.co.us CDHS launched a smart phone app giving instant mobile access to SNAP benefit balances SNAP-Ed is a component Displays nutrition facts and available adult classes through a map showing courses near the client Changes the referral process

  23. Funded by….

  24. Thank You! Jini Puma, PhD Assistant Professor Colorado School of Public Health University of Colorado Denver jini.puma@ucdenver.edu 720-514-2729

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