Advertisement

Making the Healthy Choice the Easy Choice: Online Training in Policy, Systems, and Environmental Approaches

Published:September 02, 2020DOI:https://doi.org/10.1016/j.jneb.2020.07.008
      In response to high obesity rates among low-income populations in the US,
      • Ogden CL
      • Fakhouri TH
      • Carroll MD
      • et al.
      Prevalence of obesity among adults, by household income and education—United States, 2011–2014.
      2 of the largest federal nutrition education programs, the Expanded Food and Nutrition Education Program (EFNEP) and the Supplemental Nutrition Assistance Program Education (SNAP-Ed), have shifted their program guide to include using policy, systems, and environmental (PSE) approaches to complement direct nutrition education.

      US Department of Agriculture, National Institute of Food and Agriculture. Expanded Food and Nutrition Education Program (EFNEP) Integrating Policy, Systems, and Environmental Change Efforts. Washington, DC: US Department of Agriculture, National Institute of Food and Agriculture; 2019.https://nifa.usda.gov/sites/default/files/EFNEP-PSE-Guidance-20191204.pdf. Accessed May 10, 2020.

      ,

      US Department of Agriculture, Food and Nutrition Service. Supplemental Nutrition Assistance Program Education (SNAP-Ed) Plan Guidance Federal Fiscal Year 2020. Washington, DC: US Department of Agriculture, Food and Nutrition Service; 2019. https://snaped.fns.usda.gov/sites/default/files/documents/SNAP-Ed%20Plan%20Guidance%20FY%202020%20Complete.pdf. Accessed May 10, 2020.

      However, research with both cooperative extension and public health practitioners—the most common implementers of EFNEP and SNAP-Ed—indicates that many practitioners lack the knowledge or skills needed to incorporate PSE approaches into their efforts.
      • Lu AH
      • Dickin K
      • Dollahite J
      Development and application of a framework to assess community nutritionists’ use of environmental strategies to prevent obesity.
      • Schwarte L
      • Samuels SE
      • Boyle M
      • Clark SE
      • Flores G
      • Prentice B
      Local public health departments in California: changing nutrition and physical activity environments for obesity prevention.
      • Shah HD
      • Adler J
      • Ottoson J
      • Webb K
      • Gosliner W
      Leaders’ experiences in planning, implementing, and evaluating complex public health nutrition interventions.
      In addition, practitioners may require different skills to implement PSE strategies tailored to different communities.
      • Lu AH
      • Dickin K
      • Dollahite J
      Development and application of a framework to assess community nutritionists’ use of environmental strategies to prevent obesity.
      ,
      • Shah HD
      • Adler J
      • Ottoson J
      • Webb K
      • Gosliner W
      Leaders’ experiences in planning, implementing, and evaluating complex public health nutrition interventions.
      For example, in rural communities, PSE approaches often require few partners and thus can be readily implemented by a well-connected local nutrition professional who knows what, if any, PSE efforts are underway. In urban communities in which complex networks often involve more partners, additional upfront time may be needed to build relationships, determine existing PSE efforts, and assess whether to join these or initiate new efforts.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic and Personal

      SNEB Member Login

      SNEB Members, full access to the journal is a member benefit. Login via the SNEB Website to access all journal content and features.
      Join SNEB today online

      Subscribe:

      Subscribe to Journal of Nutrition Education and Behavior
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      REFERENCES

        • Ogden CL
        • Fakhouri TH
        • Carroll MD
        • et al.
        Prevalence of obesity among adults, by household income and education—United States, 2011–2014.
        MMWR Morb Mortal Wkly Rep. 2017; 66: 1369-1373
      1. US Department of Agriculture, National Institute of Food and Agriculture. Expanded Food and Nutrition Education Program (EFNEP) Integrating Policy, Systems, and Environmental Change Efforts. Washington, DC: US Department of Agriculture, National Institute of Food and Agriculture; 2019.https://nifa.usda.gov/sites/default/files/EFNEP-PSE-Guidance-20191204.pdf. Accessed May 10, 2020.

      2. US Department of Agriculture, Food and Nutrition Service. Supplemental Nutrition Assistance Program Education (SNAP-Ed) Plan Guidance Federal Fiscal Year 2020. Washington, DC: US Department of Agriculture, Food and Nutrition Service; 2019. https://snaped.fns.usda.gov/sites/default/files/documents/SNAP-Ed%20Plan%20Guidance%20FY%202020%20Complete.pdf. Accessed May 10, 2020.

        • Lu AH
        • Dickin K
        • Dollahite J
        Development and application of a framework to assess community nutritionists’ use of environmental strategies to prevent obesity.
        J Nutr Educ Behav. 2014; 46: 475-483
        • Schwarte L
        • Samuels SE
        • Boyle M
        • Clark SE
        • Flores G
        • Prentice B
        Local public health departments in California: changing nutrition and physical activity environments for obesity prevention.
        J Public Health Manag Pract. 2010; 16: e17-e28
        • Shah HD
        • Adler J
        • Ottoson J
        • Webb K
        • Gosliner W
        Leaders’ experiences in planning, implementing, and evaluating complex public health nutrition interventions.
        J Nutr Educ Behav. 2019; 51: 528-538
      3. US Department of Agriculture, National Institute of Food and Agriculture. Regional Nutrition Education and Obesity Prevention Centers of Excellence (RNECE).https://nifa.usda.gov/program/regional-nutrition-education-and-obesity-prevention-centers-excellence-rnece. Accessed May 10, 2020.

        • Hill TF
        • Stark CM
        • Sellers DE
        • Scott-Pierce M
        • Dollahite JS
        Training needs of nutrition educators engaged in policy, systems, and environmental approaches.
        J Nutr Educ Behav. 2020; 52: 1131-1138
      4. Regional Nutrition Education and Obesity Prevention Center of Excellence. DACUM PSE Competency Chart for SNAP-Ed Coordinators. Knoxville, TN: Policy, Systems, and Environmental Change Center at the University of Tennessee; 2018.https://snapedpse.org/wp-content/uploads/2018/04/SNAP_DACUM.pdf. Accessed May 10, 2020.

        • Stokols D.
        Translating social ecological theory into guidelines for community health promotion.
        Am J Health Promot. 1996; 10: 282-298
      5. Hill TF, Stark C, Dollahite J, Wakoff Z. Making the Healthy Choice the Easy Choice.https://www.ecornell.com/custom/pse/. Accessed May 10, 2020.

      6. University of North Carolina Center for Health Promotion and Disease Prevention. SNAP-Ed toolkit: obesity prevention interventions and evaluation framework.https://snapedtoolkit.org/framework/index. Accessed May 10, 2020.

      7. University of North Carolina Center for Health Promotion and Disease Prevention. SNAP-Ed toolkit. https://snapedtoolkit.org. Accessed May 10, 2020.

      8. National Collaborative on Childhood Obesity Research. NCCOR measures registry.https://www.nccor.org/nccor-tools/measures. Accessed on May 10, 2020.

        • King DK
        • Glasgow RE
        • Leeman-Castillo B
        • Reaiming RE-AIM
        Using the model to plan, implement, and evaluate the effects of environmental change approaches to enhancing population health.
        Am J Public Health. 2010; 100: 2076-2084
        • Findholt N.
        Application of the community readiness model for childhood obesity prevention.
        Public Health Nurs. 2007; 24: 565-570
      9. Regional Nutrition Education and Obesity Prevention Center of Excellence. Policy, Systems, and Environmental Change Center at the University of Tennessee. Creating healthy local places.https://psechange.org/. Accessed May 10, 2020.