Supplemental Nutrition Assistance Program Education (SNAP-Ed) at the Michigan Fitness
Foundation is a collaboration of local and regional organizations whose work focuses
on improving the health of Michigan's most vulnerable citizens. While organizations
select and implement locally relevant programming, evaluation plans are designed to
report common fruit and vegetable consumption measures aligned with the SNAP-Ed Evaluation
Use of Theory or Research
Aligned with the social ecological framework, SNAP-Ed works to address factors of
health behavior across multiple levels of influence. While there is broad literature
and understanding on the factors that influence healthy eating, programs can do the
most good by addressing the local needs of the communities they serve.
Youth (grades 6-12) and adults (aged 18+) who received SNAP-Ed programming that included
evidence-based nutrition education interventions based on local needs assessments.
Design a common program evaluation that could be applied to a variety of direct education
interventions to support local-level objectives and be aggregated to demonstrate state-level
Participants received a dietary questionnaire pre- and post-intervention. Participant
data were matched based on demographic indicators and data were aggregated at the
state-level. Descriptive statistics were calculated for all variables of interest,
and Wilcoxon Signed Rank tests were used to compare differences pre- and post-intervention
for fruit and vegetable consumption.
Participants included 1512 youth and 647 adults from SNAP-Ed programs delivered by
20 community organizations across Michigan. A statistically significant increase was
found for youth frequency of fruit consumption (pre: 1.62 ± 1.62; post: 1.75 ± 1.69;
P = .022) and of vegetable consumption (pre: 1.70 ± 1.97; post: 1.88 ± 2.17; P = .002). Results were similar for adults with a statistically significant increase
in frequency of fruit consumption (pre: 3.17 ± 1.23; post: 3.66 ± 1.19; P < .001) and of vegetable consumption (pre: 3.35 ± 1.14; post: 3.80 ± 1.14; P < .001).
Implementation of locally relevant SNAP-Ed programming selected by community organizations
can positively impact fruit and vegetable consumption. Future research should explore
characteristics across locally relevant programs to identify key implementation variables
for greatest impact.