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GEM No. 597| Volume 52, ISSUE 12, P1166-1170, December 2020

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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.
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        • Fakhouri TH
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        Prevalence of obesity among adults, by household income and education—United States, 2011–2014.
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