Food Talk: Better U

FTBU targets SNAP-Ed eligible adults in communities. Community sites for this implementation undergo initial site qualification and eligibility determination based on GIS using Census and free- and reduced-price lunch data. In FY2018, 45 sites/partners and 11 settings were eligible and used for FTBU implementation. A majority of FTBU participants (81.3%, 369/454) reported a household income <185% of the federal poverty line, and GIS analysis confirmed that FTBU participants live in areas with a high level of poverty. Settings: Community-wide Age/Population Group: Pregnant/Breastfeeding, Parents/Caregivers, Adults, Older Adults Race: All Ethnicity: Hispanic or Latino Origin, Not of Hispanic or Latino Origin

FTBU includes 6 components: Interactive learning activity: aim is to convey the main nutrition concepts in a fun, interactive manner. Interactive sharing among participants: aim is to build an intra-class sense of community and accountability. Guided PA: aim is to demonstrate easily replicated physical activities that can be done at home with a minimum of equipment thereby increasing total daily minutes of PA. Cooking demonstration and recipe tasting: aim is to impact the number of times a week participants choose to cook and eat at home thereby improving nutrient intake and potentially reducing caloric intake. Goal setting: aim is to harness the potential of personal goal setting in encouraging positive behavior change around food tracking, physical activity, and intake of sugar-sweetened beverages. Food and/or PA tracking homework: aim is to provide tools and structure around moving toward long-term behavior change and meeting goals.

Materials associated with the FTBU direct education curriculum include the following: 4 teaching scripts, 4 take-home booklets, 4 evaluation surveys, posters to assist with a food recall activity, sharing session cue cards, sweet enough flip book, food and beverage cards for sweet enough activity, table tents for taste and rate activity, 5 skit scripts for what gets in the weigh activity, sign-in form, graduation certificate, fillable recruitment flyer, and trifold brochure.

The outcome evaluation for FTBU showed significant improvement in diet, exercise, and food resource management behaviors among participants. The percent of participants "often" or "always" eating more than one kind of fruit each day and one kind of vegetable each day increased by 11.7% (p<.0001) and 13.9% (p<.0001), respectively, from pre- to post-test. The mean number of cups of fruits consumed per day increased significantly by 0.18 cup (p=.0154). The % of participants who reported "never" drinking sugar-sweetened beverages increased significantly by about 6% (p<.05). The % of participants who mostly or always read the nutrition facts labels increased by 10.4% (p<.0001), and similar improvement was seen in the % of participants choosing healthy foods on a budget. The % engaging in PA to make muscles stronger on most days increased by almost 25% (p<.001). Additional details on FTBU can be found in the following: Stotz, S. A., Sanville, L., Cotwright, C., Reed, R., Habibi, M., Lee, J. S. (2019). Development of a healthful weight management nutrition education curriculum for low-income adults . J Extension  (In Press). Evidence Base: Research-tested

Based on the SNAP-Ed Evaluation Framework, the following outcome indicators can be used to evaluate intervention progress and success.   Readiness and Capacity - Short Term (ST) Changes - Medium Term (MT) Effectiveness and Maintenance - Long Term (LT) Population Results (R) Individual ST1 , ST2 , ST3 MT1 , MT2 , MT3     Environmental Settings       Sectors of Influence       ST1n: 50.7% reported improved confidence to choose foods/beverages with less sugar ST2a: 60.8% reported improved confidence to choose healthy foods for family ST3a: 66.9% reported improved confidence to be physically active for 30 minutes on most days of the week MT1c: % meeting guideline for eating fruit significantly increased from 26.5% to 38.3% MT1d: % meeting guideline for eating vegetables significantly increased from 40.4% to 54.2% MT1g: % meeting guideline for drinking water significantly increased from 50.6% to 60.9% MT1h: % meeting guideline for drinking sugar-sweetened beverages significantly increased from 36.6% to 43.0% MT2a: % meeting guideline for choosing healthy foods for my family on a budget significantly increased from 55.7% to 64.7% MT2b: % meeting guideline for comparing labels significantly increased from 32.8% to 43.2% MT3c: % meeting guideline for strength building significantly increased from 32.9% to 56.8%

FTBU evaluation materials include: Formative tools, including focus group and in-depth interview guides Participant surveys with measures adopted from the nationally representative surveys and validated measures recommended by the SNAP-Ed Evaluation Framework Class observation tool used for process evaluation and focusing on seven key domains: class organization, lessons, recipe demonstration, diet recall data collection, general data collection, class sharing, and physical activity.

Website: The Food eTalk website includes a blog, recipes, videos, food glossary, and SNAP-Ed Resources. Contact Person(s): Jung Sun Lee, PhD, RDN Principle Investigator, University of Georgia Phone:  706-542-6783 Email:  leejs@uga.edu     *Updated as of August 28, 2023