OBJECTIVE: To evaluate a modified curriculum for the 6-session Texas Expanded Food and Nutrition Education Program (EFNEP) promoting healthful home food environments and parenting skills related to obesity prevention. DESIGN: Two-group randomized control trial; intervention versus usual EFNEP curriculum. SETTING: Texas EFNEP classes. PARTICIPANTS: 1,104 EFNEP clients in 100 classes. INTERVENTION: Six short videos, with goal setting, problem solving, guided discussion, and handouts, incorporated into existing EFNEP classes. MAIN OUTCOME MEASURES: Body mass index (BMI), diet, psychosocial variables with baseline measurements, immediately post, and 4 months later. ANALYSIS: Mixed-model repeated measures analysis of variance. RESULTS:100 classes were randomized (54 intervention/46 comparison), with 1,006 participants at baseline (582 intervention, 424 comparison, 97% women, 89% Hispanic). Significant improvements over time were found for both groups' consumption of most food items and nutrients, and nearly all psychosocial variables, regardless of study group. Only the intervention group had a significant BMI decrease at post. Fidelity to the intervention class session structure was high, and comments from intervention staff and clients were positive. CONCLUSION AND IMPLICATIONS: Existing EFNEP programs in local communities could have a significant impact on family dietary behaviors for populations at risk of obesity. Replication with similar populations is warranted.
RCT Entities:
OBJECTIVE: To evaluate a modified curriculum for the 6-session Texas Expanded Food and Nutrition Education Program (EFNEP) promoting healthful home food environments and parenting skills related to obesity prevention. DESIGN: Two-group randomized control trial; intervention versus usual EFNEP curriculum. SETTING: Texas EFNEP classes. PARTICIPANTS: 1,104 EFNEP clients in 100 classes. INTERVENTION: Six short videos, with goal setting, problem solving, guided discussion, and handouts, incorporated into existing EFNEP classes. MAIN OUTCOME MEASURES: Body mass index (BMI), diet, psychosocial variables with baseline measurements, immediately post, and 4 months later. ANALYSIS: Mixed-model repeated measures analysis of variance. RESULTS: 100 classes were randomized (54 intervention/46 comparison), with 1,006 participants at baseline (582 intervention, 424 comparison, 97% women, 89% Hispanic). Significant improvements over time were found for both groups' consumption of most food items and nutrients, and nearly all psychosocial variables, regardless of study group. Only the intervention group had a significant BMI decrease at post. Fidelity to the intervention class session structure was high, and comments from intervention staff and clients were positive. CONCLUSION AND IMPLICATIONS: Existing EFNEP programs in local communities could have a significant impact on family dietary behaviors for populations at risk of obesity. Replication with similar populations is warranted.
Authors: Joanna Buscemi; Angela Odoms-Young; Melinda L Stolley; Lara Blumstein; Linda Schiffer; Michael L Berbaum; Jennifer McCaffrey; Anastasia McGee Montoya; Carol Braunschweig; Marian L Fitzgibbon Journal: Contemp Clin Trials Date: 2014-06-18 Impact factor: 2.226
Authors: Stephanie A P Schuette; Evelyn Cordero; Katherine Slosburg; Elizabeth L Addington; David Victorson Journal: Am J Lifestyle Med Date: 2017-05-05
Authors: Olatokunbo Osibogun; Oluseye Ogunmoroti; Lena Mathews; Victor Okunrintemi; Martin Tibuakuu; Erin D Michos Journal: J Am Heart Assoc Date: 2021-04-09 Impact factor: 5.501
Authors: Joanna Buscemi; Angela Odoms-Young; Melinda R Stolley; Linda Schiffer; Lara Blumstein; Margaret H Clark; Michael L Berbaum; Jennifer McCaffrey; Carol Braunschweig; Marian L Fitzgibbon Journal: Nutrients Date: 2019-05-05 Impact factor: 5.717