Incorporating Farmers’ Market Tours into the Expanded Food and Nutrition Education Program: Best Practices and Lessons Learned

Research indicates that low-income consumers are less likely to shop at farmers’ markets and that these individuals are often those with the lowest intake of fresh fruits and vegetables. This project aimed to improve familiarity with farmers’ markets among low-income consumers through guided tours of farmers’ markets, implemented as part of the Expanded Food and Nutrition Education Program (EFNEP). EFNEP Program Assistants (PAs) in five counties in North Carolina received training and partnered with a local Cooperative Extension agent to deliver a farmers’ market tour at the mid-point of a nine-lesson series on healthy eating. Forty-eight participants completed the series, completing a pre-and post-class series behavior change assessment and dietary recall. At entry, 54% of participants said they ate food that came from a local farm, compared to 94% at exit. Interviews with all PAs found that participants: plan to visit the farmers’ market again in the future, tried new recipes with foods purchased at the market, and learned how to talk with and ask questions of farmers’ market vendors. We argue that farmers’ market tours are a promising strategy for increasing familiarity with local foods, when carried out as part of a series of nutrition education classes

Development and Evaluation of a Family-Based Cooking and Nutrition Education Program

Low-income families experience many barriers to purchasing and preparing healthful foods. To help address some of these barriers, a team created a family-based cooking class, Healthy All Together, in which participants learn strategies for how to stretch their food dollars and feed their families healthful meals. In this article, we describe the development of Healthy All Together, report program impacts, and summarize program feedback from participants and instructors. Of particular importance is the idea that engaging children in cooking through a family-based class has the potential to help families consider how to use strategies to mitigate barriers to healthful cooking

Incorporating Nutrition Education Classes into Food Pantry Settings: Lessons Learned in Design and Implementation

The project reported here evaluated the effectiveness of nutrition education at food pantries. We offer best practices for future Extension-based nutrition programming with this clientele. Three classes were offered at food pantries through the Expanded Food and Nutrition Education Program (EFNEP). Entry and exit surveys were collected for each series, including 24-hour food recalls. Seventy-three percent of participants reported an increase in vegetable consumption, and 82% reported positive changes in consumption of at least one food group. Nutrition education in food pantries is promising, particularly for Extension-led programs like SNAP-Ed and EFNEP, to address nutrition behaviors among food insecure populations

The Four Domain Food Insecurity Scale (4D-FIS): Development and evaluation of a complementary food insecurity measure

The U.S. Department of Agriculture (USDA) Food Security Survey Module (FSSM) is a valuable tool for measuring food insecurity, but it has limitations for capturing experiences of less severe food insecurity. To develop and test the Four Domain Food Insecurity Scale (4D-FIS), a complementary measure designed to assess all four domains of the food access dimension of food insecurity (quantitative, qualitative, psychological, and social).Low-income Black, Latina, and White women (n = 109) completed semi-structured (qualitative) and structured (quantitative) interviews. Interviewers separately administered two food insecurity scales, including the 4D-FIS and the USDA FSSM adult scale. A scoring protocol was developed to determine food insecurity status with the 4D-FIS. Analyses included a confirmatory factor analysis to examine the hypothesized structure of the 4D-FIS and an initial evaluation of reliability and validity. A four-factor model fit the data reasonably well as judged with fit indices. Results showed relatively high factor loadings and inter-factor correlations indicated that factors were distinct. Cronbach's alpha for the overall scale was 0.90 (subscale ? ranged from 0.69 to 0.91) and provided support for the scale's internal consistency reliability. There was fair overall agreement between the 4D-FIS and USDA FSSM adult scale, but agreement varied by category. Findings provide preliminary support for the 4D-FIS as a complementary measure of food insecurity, with implications for researchers, practitioners, and policymakers working in U.S. communities

Evaluation of a Policy, Systems, and Environmental-Focused Faith-Based Health Promotion Program

Objective: This study assessed the impact and lessons learned from implementing policy, systems, and environmental (PSE) changes through Faithful Families Thriving Communities (Faithful Families), a faith-based health promotion program, in 3 southern states. Methods: Faithful Families classes and PSE changes were implemented through a coordinated effort between the Expanded Food and Nutrition Education Program (EFNEP) and Supplemental Nutrition Assistance Program–Education (SNAP-Ed). Changes were measured using a faith community assessment, site reports, and annual reporting. Results: Thirteen faith communities participated in the intervention. A total of 34 PSE changes were implemented across the 3 states, affecting 11 faith communities with 4,810 members across sites. Conclusions and Implications: Programs such as Faithful Families can allow EFNEP and SNAP-Ed to coordinate to implement PSE changes in community settings. However, these types of coordinated programs to support faith communities require time for relationship building and trust, adequate training, and strong support for faith-based lay leaders as they carry out this work

Addressing the root causes of food and housing insecurity among college students

Universities have implemented a range of initiatives to address food and housing insecurity, but few studies have examined how campus communities are engaging around these issues. This article explores how North Carolina State University conducted asset-mapping workshops, a community-based participatory research (CBPR) method, to mobilize the campus community and identify solutions to address the root causes of food insecurity and other forms of basic needs insecurity among students. Workshop participants identified exemplary resources focused on addressing students’ immediate needs (e.g., campus food pantries, a student emergency fund). At the same time, they stated that basic needs insecurity is tied to longer-term, systemic issues like wage inequality and a lack of affordable housing. Participants also noted that historically marginalized students (e.g., LGBTQ+, low-income, first-generation college) often experience food and housing insecurity in complex ways requiring targeted solutions. Our results suggest that CBPR methods like asset mapping offer an approach that, when done well, can center the voices and experiences of diverse campus populations to identify and address the complex structural and systemic processes that shape students’ experiences of food and housing insecurity

Partners at Play: Engaging Parks and Recreation Departments in Extension’s Health Promotion Work

As Extension assumes a more prominent role in health promotion efforts at the national and local levels, it is increasingly important to build strong, sustainable partnerships with organizations that address health and health disparities across the socio-ecological model. Given the role that the built environment plays in fostering and impeding health and physical activity, we argue that state and local Extension staff should build and maintain strong partnerships with organizations that carry out this work at the national, state, and local levels, such as Parks and Recreation departments. This article presents a case study of how Extension staff in one North Carolina county built strong and sustainable partnerships with Parks and Recreation to create and enhance access to places to be active, particularly in low-income and communities of color. Drawing on this case study, we outline best practices that can facilitate these types of partnerships, based on experience from a two-year community-based research and Extension project at North Carolina State University

Multi-Level Partnerships Support a Comprehensive Faith-Based Health Promotion Program

This article examines the role of multi-level partnerships in implementing Faithful Families Eating Smart and Moving More, a faith-based health promotion program that works with low-resource faith communities in North Carolina. This program incorporates a nine-lesson individual behavior change program in concert with policy and environmental change. We offer an overview of the program, an evaluation of its effects on individual behavior changes and policy, and environment and practice changes and provide suggestions on lessons learned for Extension professionals who wish to partner with faith communities to promote nutrition and physical activity