To present primary outputs and outcomes at year 5 of iCook 4-H
iCook 4-H was a 2-year control/treatment intervention study (n=228 dyads) followed by dissemination testing (n=57 dyads). The final curriculum is 8, 2-hour sessions designed to impact health-promoting behavior for 9-10 year olds and their adult food preparer. The content includes food preparation and family activities to encourage cooking, eating, and playing together. Four seasonal newsletters serve as boosters following sessions. Evidence-based pre/post program outcome evaluations of dyads with a fidelity instrument to test intended versus actual implementation accompany the curriculum. A curriculum implementation training course is on the eXtension Campus Moodle website and in development is a novel dissemination framework, eB4CAST, to document impact and effect of evidence-based research.
During the intervention study, physical assessments were measured for youth and surveys were completed by dyads. In dissemination, program outcomes were assessed.
Conclusions and Implications
Based on 57% retention, treatment versus control youth were higher for baseline adjusted BMI z-scores, fruit/vegetable intake (2.16 vs 1.67 cups/day; P=0.04) and dairy (0.57 cups/day; P=0.02). No intake differences remained after 1000 kcal standardization. For treatment adults versus control, food resource management was 0.87 points higher (P=0.02). Program outcomes in treatment versus control was higher, for youth, cooking skills (P=0.0002) and culinary self-efficacy (P=0.03) and, for adults: measure of “cooking, eating, playing together” (P=0.04). iCook 4-H is being prepared for national distribution.
© 2017 Published by Elsevier Inc.