Source: CHN NEBRASKA submitted to NRP
NTAE 2.0: BUILDING ON SUCCESS FROM NTAE 1.0 TO STRENGTHEN GUSNIP FOR ALL AUDIENCES
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
ACTIVE
Funding Source
Reporting Frequency
Annual
Accession No.
1031111
Grant No.
2023-70414-40461
Cumulative Award Amt.
$14,000,000.00
Proposal No.
2023-05827
Multistate No.
(N/A)
Project Start Date
Sep 1, 2023
Project End Date
Aug 31, 2027
Grant Year
2024
Program Code
[NTAE]- Nutrition Training Assistance and Evaluation
Recipient Organization
CHN NEBRASKA
8401 WEST DODGE RD SUITE 100
OMAHA,NE 681143494
Performing Department
(N/A)
Non Technical Summary
The Nutrition Incentive Program Training, Technical Assistance, Evaluation, and Information (NTAE) Center supports potential applicants, grantees, and the Gus Schumacher Nutrition Incentive Program (GusNIP) as a whole. GusNIP brings together partners from food, healthcare, and research sectors to improve the health and nutrition of participating households, facilitate growth in underrepresented communities and geographies (UCGs), and collect and compile data to identify best program practices. The first NTAE Center (NTAE 1.0) was authorized from 2019-2023. NTAE 1.0 was led by the Gretchen Swanson Center for Nutrition (GSCN), the prime awardee, in partnership with Fair Food Network (FFN). GSCN and FFN assembled partners and resources, known collectively as the Nutrition Incentive Hub (Hub).The proposed work for 2.0 will provide training and technical assistance (T&TA), evaluation, and informational support services to potential applicants, nutrition incentive (NI) and produce prescription (PPR) projects, and GusNIP as a whole. NTAE 2.0 will be led by GSCN, in partnership with FFN and University of California San Francisco (UCSF). The NTAE and Hub will continue to inform efforts that maximize the effectiveness and efficiency of GusNIP projects in meeting GusNIP priorities, increase fruit and vegetable purchases, and improve the nutrition of participating households. Specifically, 2.0 will:1.Engage GusNIP audiences to improve and sustain GusNIP NI/PPR projects, with an emphasis on reaching underrepresented communities and geographies (UCGs). To achieve this, we integrate meaningful engagement of GusNIP audiences into 2.0 governance.2.Provide and continuously improve T&TA services that optimize the experience of GusNIP audiences. To achieve this, we assemble robust partnerships and technologies to maximize USDA NIFA's return on investment in NI/PPR projects.3.Conduct a rigorous evaluation of NI/PPR projects centered on diversity, equity, inclusion, and accessibility (DEIA) principles. To achieve this, we advance the evidence for NI/PPR with continued scientific rigor, while centering DEIA.Ultimately, these efforts are intended to meet the long-term goal of making safe, nutritious food available to all Americans, which is a strategic goal of the U.S. Department of Agriculture.
Animal Health Component
25%
Research Effort Categories
Basic
25%
Applied
25%
Developmental
50%
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
70460991010100%
Goals / Objectives
Building upon the work of the Gus Schumacher Nutrition Incentive Program (GusNIP) Nutrition Incentive Program Training, Technical Assistance, Evaluation, and Information (NTAE) Center from 2019-2023 (NTAE 1.0), the goal of NTAE 2.0 (hereafter 2.0) is to create an integrated system of efficient and streamlined implementation and evaluation support services directly informed by the communities and geographies we serve. To achieve this goal in 2.0, the NTAE will carry out the following objectives:1.Engage GusNIP audiences to improve and sustain GusNIP nutrition incentive (NI)/produce prescription (PPR) Programs, with an emphasis on reaching underrepresented communities and geographies (UCGs). Objective 1 integrates meaningful engagement of GusNIP audiences into 2.0 governance.2.Provide and continuously improve training and technical assistance (T&TA) services that optimize the experience of GusNIP audiences. Objective 2 assembles robust partnerships and technologies to maximize USDA NIFA's return on investment in NI/PPR projects.3.Conduct a rigorous evaluation of NI/PPR projects centered on diversity, equity, inclusion, and accessibility (DEIA) principles. Objective 3 advances the evidence for NI/PPR with continued scientific rigor, while centering DEIA.In 2.0, the NTAE will contribute to the long-term goal of making safe, nutritious food available to all Americans (USDA's Strategic Goal 4).
Project Methods
Methods for Objective 1Objective 1 engages GusNIP audiences to improve and sustain GusNIP NI/PPR programs, with an emphasis on reaching UCGs. Activities to achieve Objective 1 involve forming and implementing a GLC, implementing CBIF and CBIF awards annually, and conducting targeted outreach to UCGs, including tailored resources, webinars, and 1:1 and group T&TA. Field visits with outreach teams will be conducted to inform the development of tailored resources to UCGs. Milestones to create the GLC will be achieved, and outputs will be measured each year.Methods for Objective 2Objective 2 provides and continuously improves T&TA services that optimize the experience of GusNIP audiences. NTAE 2.0 will develop integrated technology systems to enhance access to all T&TA services through a "single point of entry" and enhance access to evaluation results through dashboards and data visualizations. Activities also include maintaining and refining Hub website and portal with new resources and developing and offering DEIA-focused and tailored training throughout the grant lifecycle. Resources such as Communities of Practice virtual groups and culturally competent trainings will be informed by the GLC during biannual meetings and feedback from GusNIP audiences through a T&TA annual survey.To ensure seamless data deposition of core metrics, including making data publicly available and transferable at the end of the project period, we will build upon systems, infrastructure, and resources developed in 1.0. A team of advisors will help grantees to use NTAE core and optional data metrics to submit firm-level reports and to develop and deploy participant-level surveys, and we will survey grantees annually about their experience with the advisor model and T&TA broadly. In 2.0, grantees and applicants will continue to receive tailored IRB assistance and support for intellectual property protections, from the pre-application stage throughout the lifecycle of their grant. IRB resources will emphasize the unique needs of human subjects protections among grantees, including PPR grantees and data sovereignty for Tribes, and we will compile a list of public and private IRBs to help connect grantees without IRB access.Methods for Objective 3Objective 3 conducts a rigorous evaluation of NI/PPR projects centered on DEIA principles. In 2.0, evaluation will be guided by lessons learned from 1.0 (e.g., cultural appropriateness of dietary questions), diverse community experiences, and rigorous, feasible, and community engaged evaluation approaches. We will work with Praxis Project and the GLC on a core metrics review and pilot process to consider potential refinements to update the core metrics.We will ensure surveys are culturally competent and centered on DEIA principles by leveraging resources such as the National Culturally and Linguistically Appropriate Services Standards from the U.S. Department of Health and Human Services. Strategies may include using more culturally sensitive language and visual aids (e.g., pictures), incorporating Indigenous Traditional Ecological Knowledge, and including constructs relevant to specific sub-populations. Culturally specific adaptations will be piloted in Y2 with broader implementation and resource deployment in Y3 and Y4.In 2.0, we will leverage the evaluation systems we developed to compile project data from grantees and evaluate project performance that complements individual project evaluation teams. We will generate an annual report to Congress on grantees' project outcomes, including project results and grant funds used. We will enhance our secure data management systems and work with our data management and analysis team to compile GusNIP data to produce annual aggregate reporting (i.e., Congressional Report, public facing reports), individual grantee data sets and reports, substudies, and manuscripts. In-depth mixed method substudies will augment core metrics data and aggregate findings to fill specific knowledge gaps.NTAE Project Coordinators will produce monthly progress dashboards reflecting the status of Objectives 1-3 and their associated outputs and outcomes. These reports will be provided to GLC members, partners, and staff quarterly to identify quality improvement opportunities. Annual grantee surveys will inform NTAE implementation and ensure we are meeting both our objectives and GusNIP audiences' needs.

Progress 09/01/23 to 08/31/24

Outputs
Target Audience:Target audiences are applicants, grantees, practitioners, Tribes, residents (i.e., NI/PPR participants), farmers, grocers, health professionals, healthcare and insurance providers, researchers and evaluators, and members of underrepresented communities and geographies (UCGs). In addition, the NTAE engages with several groups to help achieve program goals and objectives, including produce distributors, regional food system practitioners, nutrition education providers, point-of-sale (POS) companies, cooperative extensions, funders, USDA NIFA and FNS, and applicable state agencies. Changes/Problems:In the first year of this cooperative agreement, the NTAE has not encountered any major problems or delays in the proposed plan. However, the NTAE has made slight adjustments to the timeline proposed in the grant application to accommodate more time needed for formative efforts. Planning for all tasks and deliverables under each objective has begun, but the timeline for launch and completion has been modified for some deliverables. For example: Field visits, focused outreach, and resources specifically for UCGs will be completed in Y2 through Y4 rather than Y1 to ensure the NTAE has time to plan these efforts and is well positioned to support UCGs. New data visualization pages, peer-reviewed literature, and revised resources will be uploaded to the website beginning in Y2 rather than Y1 to accommodate the transition to a new technology vendor. Core metrics refinements and adaptations will extend into Y2 and Y3. Implementing the new TA annual survey and NTAE self-evaluation will start in Y2 rather than Y1 to accommodate integrated technology system planning procedures to inform the self-evaluation focus. The objectives and activities with a modified timeline are noted below: Objective 1 Activities, Outputs, Outcomes, and Milestones Build capacity and promote program growth and sustainability in UCGs. Form and implement a GLC 30 GLC members (including 4 residents) reflecting GusNIP audiences: Previously Y1, modified to Y1-Y4 Select GLC members & work on core metrics: Added to Y1 Conduct targeted outreach to UCGs Identify 3-6 experts and organizations annually representing UCGs: Previously Y1-Y4, modified to Y2-Y4 Focused outreach strategies tailored to UCGs annually, including resources (n=5-20), 2-3 UCG specific webinars, 1:1 and group T&TA: Previously Y1-Y4, modified to Y2-Y4 2 field visits with UCG states and/or Territories and associated resources (n=6-10): Previously Y1-Y3, modified to Y2-Y4 Increase number of GusNIP applications from UCGs annually: Previously Y2-Y4, modified to Y1-Y4 Objective 2 Activities, Outputs, Outcomes, and Milestones Collect and provide best practices for NI/PPR projects. Maintain and refine Hub website and portal Relevant NI/PPR peer-reviewed literature catalogued in Searchable Resource Library: Previously Y1-Y2, modified to Y2 New and existing resources updated with new information and DEIA best practices (n=10-20 annually): Previously Y1-Y4, modified to Y2-Y4 Ensure training is culturally competent and centered on DEIA principles. Develop and offer DEIA trainings DEIA strategic plan developed and implemented: Previously Y1-Y4, modified to end of Y1-Y4 Work with grantees on human subjects and intellectual property protections. Provide tailored IRB support throughout the grant lifecycle IRB resources with an emphasis on unique needs of PPR grantees and Tribes: Previously Y1-Y4, modified to end of Y1-Y4 Support intellectual property protections Intellectual property resources, including Indigenous Traditional Ecological Knowledge: Previously Y1-Y4, modified to end of Y1-Y4 Objective 3 Activities, Outputs, Outcomes, and Milestones Maintain and improve instrument design and mechanism for reporting core data sets. Update core metrics through a community engaged approach Needed adaptions and metric additions identified with GLC: Previously Y1, modified to Y1-Y2 Culturally sensitive metrics are piloted and refined: Previously Y2, modified to Y2-Y3 Ensure data surveying is culturally competent and centered on DEIA principles. Develop culturally tailored metrics for participant survey DEIA study findings review with GLC: Previously Y1, modified to Y1-Y2 Resources and pilot of new culturally tailored scales: Previously Y2-Y3, modified to Y2-Y4 Use evaluation data to inform NTAE 2.0 implementation. Develop and implement internal NTAE quality improvement strategies Monthly review sessions of dashboards with NTAE leadership: Previously Y1-Y4, modified to Y2-Y4 TA annual survey collected among GusNIP audiences to inform overall strategy and TA offerings: Previously Y1-Y4, modified to Y2-Y4 Dashboards to monitor and facilitate NTAE progress toward objectives, outputs, and outcomes: Previously Y1-Y4, modified to Y2-Y4 What opportunities for training and professional development has the project provided?During Y1 of NTAE 2.0, staff and consultants enhanced their work-related skills and knowledge by completing professional development and learning opportunities. Online courses completed by NTAE staff primarily focused on skill-building, including data analysis (PowerBI and ArcGIS) and project management. The majority of CNHI staff members attended a workshop titled "An Equity Centered Approach to Research and Evaluation" as part of an ongoing series focused on recognizing implicit biases, awareness of personal privilege, and incorporating diverse perspectives in research/projects. NTAE staff and consultants led and/or participated in several CNHI professional development groups to foster information sharing, mentoring, and team building across roles, including program advisors, supervisors, project managers, research associates, and research scientists. Throughout the year, NTAE staff sought further education across a broad span of topic areas by attending virtual and in-person seminars and traveling to a wide range of professional conferences. Topic areas covered by these webinars/seminars and conferences included technological innovation, food systems, food sovereignty, reducing environmental impacts, DEIA, food policy, malnutrition, Cooperative Extension, and state-specific nutrition incentive projects. The list below includes professional development and learning activities that the broader Nutrition Incentive Hub engaged in throughout this reporting period. Online Courses Spatial Data Science: The New Frontier in Analytics (Esri course) Project Management Essentials with Certified Associate in Project Management (CAPM) Prep Workshops Being Who We Say We Are: Negotiating Power and Building Relationships in Food Systems Research Family Nutrition Program Professional Development Webinar Series - Food Insecurity and Eating Disorders Nutrition and Obesity Policy Research and Evaluation Network (NOPREN) State of the Science - Food is Medicine in 2023 An Equity Centered Approach to Research and Evaluation Racial Equity Workshop American Diabetes Association Grantee Workshop Conferences/Meetings Food and Nutrition Conference & Expo Annual Meeting (Denver, CO) PPR Mini Convening (Chicago, IL) Growing Produce Prescriptions Programs in Rhode Island Summit (Providence, RI) 2023 Milken Institute Future of Health Summit (Washington, DC) 2024 American Public Health Association (APHA) Annual Meeting (Atlanta, GA) Food As Medicine Policy Summit (Washington DC) 2023 USDA NIFA Community Nutrition Project Directors Meeting (New Orleans, LA) Health and Human Services (HHS) Inaugural Food is Medicine Summit: Building a Dynamic Future (Washington, DC) Food is Medicine Midwest Convening (Topeka, KS) Food is Medicine: Data and Metrics (Washington, DC) 2024 Healthy Eating Research (HER) Grantee Meeting (Denver, CO) 45th Annual Meeting & Scientific Sessions for Society of Behavioral Medicine (SBM) (Philadelphia, PA) Convening on Understanding, Measuring, and Addressing Racism in the Food System: Applying an Anti-Racist Praxis to Improve Sovereignty, Community Resilience, Well-Being, and Justice (Chicago, IL) Inaugural Symposium: Cultivating Health in a Changing World - Cardiovascular Health and Wellness (Arizona) White House Minority Health Forum (Washington, DC) Association for International Agricultural and Extension Education (AIAEE) Annual conference (Orlando, FL) National Institutes of Health (NIH) Advancing Health Equity Through Culture-Centered Dietary Interventions to Address Chronic Diseases (Virtual) Webinars and Seminars USDA Programs, Investments, and Innovations to Prevent and Reduce Food Loss and Waste New Frontiers to Prevent Diabetes and Malnutrition Health Affairs Briefing: Tacking Structural Racism in Health National Heart, Lung, and Blood Institute (NHLBI): New directions in Community-Based Interventions to Improve Food Access in Baltimore Risk to Resilience: Encouraging Girls' Physical and Mental Health Through Nutrition Academy of Nutrition and Dietetics Food Security Affinity Group Measuring Diet Quality Across the Lifespan: Introducing the New Healthy Eating Index-Toddlers-2020 and Healthy Eating Index-2020 National Institutes of Health (NIH) - Culture-Centered Dietary Interventions to Address Chronic Diseases NIFA Food and Nutrition Security Webinar Series: Promoting Indigenous Food Sovereignty Centers for Disease Control and Prevention (CDC) Moving Forward: What it Means for the Future of Health Communication Food Insecurity Among Veterans: Resources to Screen and Intervene A Supermarket-Research Partnership: Origins, Lessons Learned, and Future Directions HER NOPREN Resilient Food Systems and Nutrition Work Group Inter-Institutional Network for Food, Agriculture, and Sustainability (INFAS) Annual Summit Racism and Other Macrosocial Determinants of Health: Moving from Explanation to Action Using Ag Data Commons to Share USDA-funded Work Talking Data Equity with Dr. Joanna Redden on Data Harms Study Groups Professional Development Groups: Consultant Program Advisors Project Managers & Project Coordinators Supervisors Research Scientists Research Associates Registered Dietitian Nutritionists How have the results been disseminated to communities of interest?Program results have been disseminated to GusNIP audiences and other communities of interest through webinars (see question 8 "Other Products" for a complete list), mini convenings (see question 8 "Other Products"), 1-on-1 and cohort calls, website resources and information, biweekly digest emails for GusNIP, GusCRR, and ARPA practitioners and grantees, numerous topical discussion boards, and media relations. In addition, the NTAE: Hosted an EBT Integration Working Group Kickoff Meeting (mini convening) in Boston, MA with 26 attendees from 10 different states. Programs gathered to learn from incentive programs in Massachusetts and Rhode Island on how to add incentive benefits to the EBT card at brick-and-mortar and farm direct locations. Published 6 peer-reviewed manuscripts to disseminate original GusNIP research. Delivered presentations for several GusNIP and USDA webinars and at several conferences and national meetings. Disseminated information on the biweekly digest Nutrition Incentive Hub Newsletter (2,000+ recipients), Facebook, LinkedIn, and X/Twitter channels, bringing together the public, practitioners, grocers, farmers markets, produce wholesalers, industry technology, and USDA to facilitate information sharing and communications around Nutrition Incentive Hub events, webinars, and updates about GusNIP. Highlighted 11 grantees, partners, and farmers on the Nutrition Incentive Hub social media platforms, including Facebook, LinkedIn, and X/Twitter, to elevate grantee stories. Posted over 60 social media posts across 3 social media platforms about industry news, learnings, and work conducted by the NTAE. Drafted and disseminated 3 press releases about the GusNIP Site Map launch, round 5 of the CBIF, and USDA NIFA's $52 million investment in GusNIP. Collaborated with Nutrition Incentive Hub partners to promote GusNIP and GusCRR results on various social media platforms and newsletters. What do you plan to do during the next reporting period to accomplish the goals?In Y2, the NTAE will continue promoting and enhancing firm- and participant-level data collection while disseminating results through high-quality products. We will continue to build grantees' capacity to document success and improve programming by updating our website and secure portal and launching a new integrated system for all GusNIP audiences. We will enhance services to underrepresented communities and geographies through establishment of a robust GusNIP Learning Circle and a DEIA strategic plan. We will continue to improve data visualization and storytelling through data dashboards. We will support new and existing grantees through a centralized advising model where grantees receive implementation, reporting, and evaluation support through a simplified interface. We will continue to offer networking opportunities to foster peer support and shared learning among grantees. Finally, we will disseminate GusNIP results through peer-reviewed manuscripts and evaluation reports. The following summarizes Y2 activities and products organized by objective/goal: OBJ 1: Engage GusNIP audiences to improve and sustain GusNIP NI/PPR Programs, with an emphasis on reaching underrepresented communities and geographies (UCGs). To build capacity and promote program growth and sustainability in UCGs, the NTAE will: Collate feedback related to outgoing and incoming NI and PPR RFAs to USDA NIFA. Provide 1:1 and group support to NI and PPR applicants during the FY25 RFA season. Develop self-assessment/readiness tool for prospective NI/PPR applicants to determine fit with GusNIP. Offer additional rounds of CBIF in FY24, including one round supporting capacity building efforts amongst grantees and another round supporting first-time applicants for GusNIP. Host a webinar series and 1:1 consultation for CBIF awardees that are first-time GusNIP applicants to prepare applicants for administrative review and ensure understanding of the FY25 RFA. Increase NTAE knowledge of Tribal food security through training for NTAE staff, partners and specialists. Continue to tailor outreach materials to UCGs and Tribal communities. Present and attend conferences and meetings featuring UCGs. Continue new GusNIP Indigenous Rural Learning Circle for PPR serving indigenous and rural communities. Recruit all members of the GLC and launch meetings to inform and guide NTAE services. OBJ 2: Provide and continuously improve T&TA services that optimize the experience of GusNIP audiences. To collect and provide best practices for NI/PPR projects, the NTAE will: Maintain web portal and technology support to ensure smooth grantee data entry and construction of a quality core metrics dataset. Transition to the new technology vendor, and work closely with the vendor, NTAE staff, and core partners to develop and deploy the integrated technology system. To disseminate information and assist w/collaboration across GusNIP audiences and Coordinate communication between NTAE & all GusNIP audiences, the NTAE will: Continue integrated support to NI and PPR grantees through the updated advising model. Refine GusNIP applicant support, with an emphasis on first-time applicants and organizations to pass the USDA Administrative Review and submit applications through Grants.gov. Consolidate and organize all resources on the Nutrition Incentive Hub website for increased navigability for applicants, practitioners, and grantees. Introduce new communities of practices led by NTAE specialists, responsive to the programmatic needs of grantees. Host and provide scholarships to mini convenings tailored to specific grantee categories (e.g., PPR, NI, farm direct, brick-and-mortar, program size, experience level) including one in New York City (June 2024) to support both NI and PPR grantees that are new to GusNIP and one in Hawaii (August 2024) focused on how GusNIP NI and PPR projects are supporting community resilience and local food systems. Re-launch the online discussion board to increase communication between specialists, grantees, and practitioners. To ensure training is culturally competent and centered on DEIA principles, the NTAE will: Collaborate with a DEIA consultant and NTAE core partners to develop DEIA strategic plan. To ensure seamless data deposition of core metrics, the NTAE will: Continue integrated support to NI and PPR grantees through the updated advising model. Determine integration of TA specialists into advising model. Provide up to $50,000 in stipend funding to support grantees in meeting participant-level surveying requirements. Conduct a satisfaction survey among grantees to assess advising support provided by the NTAE. Collect healthcare metrics from a subset of PPR grantees. To receive, maintain, and transition via a warm hand-off a publicly accessible on-line site, the NTAE will: Review new and existing resources updated with new information and DEIA best practices. Review 4-8 new external resources (including 2 on-demand videos) and 2-5 internal resources annually based on emerging needs. Maintain external- and internal-facing resources through annual review. Review IRB resources with an emphasis on unique needs of PPR grantees and Tribes. Review intellectual property resources, including indigenous traditional ecological knowledge. Maintain and enhance existing website and portal. To work with grantees on human subjects and intellectual property protections, the NTAE will: Continue to guide grantees through documenting IRB approval with USDA NIFA, modifications and continuing reviews of existing IRB protocols, and communications with for-profit-IRBs. Work with the Indigenous Food and Agriculture Initiative and other partners to develop plan for creating indigenous traditional ecological knowledge resources. OBJ 3: Conduct a rigorous evaluation of NI and PPR projects centered on DEIA principles. To compile project data from grantees, the NTAE will: Host informational kickoff webinars on firm-level and participant-level reporting and evaluation requirements in FY25. Offer ongoing support to grantees through firm-level reporting and survey advising help desks. To maintain and improve instrument design and mechanism for reporting core data sets, the NTAE will: Begin a pilot process to collect and refine culturally sensitive metrics. Work with the GLC to identify new core metrics and to adapt original metrics as needed. Refine policies, inclusion criteria, and exclusion criteria around analysis methods for core metrics. Compile core metrics data that will be used to produce annual aggregate reports, sub-studies, and manuscripts. To ensure data surveying is culturally competent and centered on DEIA principles, the NTAE will: Begin a pilot process to collect and refine culturally sensitive metrics. Work with the GLC to identify new core metrics and to adapt original metrics as needed. To generate an annual report to Congress on grantees' project outcomes, the NTAE will: Develop a Congressional Report that is responsive to Congressional needs and the Y1 Impact Findings Report that communicates comprehensive results in a culturally appropriate and community-informed manner. Develop the NTAE 2.0 Y1 Impact Findings infographic, social marketing toolkit, and other companion pieces to optimize accessibility and reach diverse audiences. Develop and distribute individual grantee reports to all Y1 grantees. To use evaluation data to inform NTAE 2.0 implementation, the NTAE will: Make recommendations and gather partner feedback on guiding implementation science framework(s) for self-evaluation. Engage with technology partners to understand internal technical assistance tracking capabilities and outline needs. Develop and implement self-evaluation survey for grantees. Engage with core partners to better understand data dashboard KPIs. Produce a workflow process to review data dashboard pages with partners, GLC members, and funders.

Impacts
What was accomplished under these goals? In Year 1 (Y1) of NTAE 2.0, the NTAE began development of an updated and integrated support system to provide efficient and streamlined implementation and support services for the communities and geographies GusNIP serves. The NTAE continued to provide Training and Technical Assistance (T&TA) in both implementation and evaluation to a growing number of Nutrition Incentive (NI) and Produce Prescription (PPR) grantees. In addition, core partners of NTAE 2.0 including Center for Nutrition and Health Impact (CNHI; formerly the Gretchen Swanson Center for Nutrition), Fair Food Network (FFN), and University of California San Francisco (UCSF) piloted a new program advising model where implementation, reporting, and evaluation support were streamlined across partners and simplified for new grantees. Program advisors were trained in the new model and onboarded grantees according to the new 2.0 protocols. As a result, many grantees launched their projects and started submitting both firm- and participant-level data, with plans in place to clean, aggregate, analyze, and report results during Year 2 (Y2). During this formative year of NTAE 2.0, staff laid the foundation for streamlined and efficient work to be accomplished in future years. We planned and initiated many cross-partnership meetings to facilitate communication and collaboration between core partners and Nutrition Incentive Hub specialists. CNHI created 9 work groups, each with their own NTAE 2.0 statements of work and official work plans. We established and convened an Indigenous Rural Learning Circle to enhance service to Tribal communities. Finally, we engaged 56 applicant organizations from underrepresented communities and geographies (UCGs) for the FY24 grant cycle and awarded $900,000 through the Capacity Building and Innovation Fund (CBIF) to support GusNIP applicants from UCGs. OBJ 1: Engage GusNIP audiences to improve and sustain GusNIP NI/PPR Programs, with an emphasis on reaching underrepresented communities and geographies (UCGs). To build capacity and promote program growth and sustainability in UCGs, the NTAE: Engaged with 6 applicant organizations from 18 different UCGs for the FY24 NI grant and 50 applicant organizations from 19 different UCGs for the FY24 PPR grant. Awarded $900,000 to 41 organizations across 23 states, Washington D.C., and Puerto Rico through the CBIF to provide capacity building support for organizations preparing to apply for a GusNIP award in FY24. Selected and began working with a consultant that will guide and implement the GusNIP Learning Circle (GLC). Facilitated a new GusNIP Indigenous Rural Learning Circle for PPR projects to build capacity among Indigenous and rural communities. OBJ 2: Provide and continuously improve T&TA services that optimize the experience of GusNIP audiences. To collect and provide best practices for NI/PPR projects, the NTAE: Developed an interview guide and completed 12 interviews with NTAE scientists, Project Director, Co-Project Director, project managers, research associates, and program advisors to evaluate team understanding and needs for an integrated system. Conducted 6 focus groups with NTAE staff and core partners (33 participants representing 3 organizations) to further envision an integrated technology system. Used results from interviews and focus groups for technology work group to develop a list of requirements and a request for proposals (RFP) to develop an integrated technology system. A review committee with representatives from all NTAE core partners (CNHI, FFN, UCSF) reviewed 7 vendor applications, received presentations from 3 vendors, and selected 1 vendor to move forward with development. Conducted a data visualization page audit for existing pages to better understand KPIs for new dashboard pages. Developed and disseminated 7 internal resources and 62 external, public facing resources via the Searchable Resource Library. To disseminate information and assist w/collaboration across GusNIP audiences and Coordinate communication between NTAE & all GusNIP audiences, the NTAE: Conducted 155 consultations with PPR applicants and 31 consultations with NI applicants during the FY24 PPR RFA through 1:1s, group sessions, and webinars. Developed 13 new resources associated with FY24 RFA support. Provided 31 scholarships to GusNIP grantees to attend the annual Project Directors Meeting in New Orleans, 6 scholarships to GusNIP grantees to attend the National Grocers Association Show in Las Vegas, and 8 scholarships to GusNIP grantees to attend the Mobile Market Summit in Phoenix. Hosted an EBT Integration Working Group Kickoff Meeting in Boston with 26 attendees from 10 different states. Programs gathered to learn from incentive programs in Massachusetts and Rhode Island on how to add incentive benefits to the EBT card at brick-and-mortar and farm direct locations. Hosted 8 communities of practice, each meeting monthly or bi-monthly, including 2 new communities of practice focused on farmers market incentive technology and communications/marketing. Hosted 4 learning cohorts on participant engagement, state funding, and local sourcing. Hosted 9 GusNIP RFA-specific webinars (See "Webinars" in "Other Products" below). To ensure training is culturally competent and centered on DEIA principles, the NTAE: Convened partners and GusNIP Learning Circle (GLC) consultant in April 2024 to begin developing DEIA strategic plan and trainings. To ensure seamless data deposition of core metrics, the NTAE: Piloted a modified advising model to provide integrated implementation, reporting, and evaluation support to FY24 grantees (e.g., kickoff webinar, onboarding calls, recurring check-in meetings, ad-hoc support). Provided $14,000 total in funding to 8 grantees for participant-level survey stipends. Ensured continuing education for Program Advisors through biweekly meetings. To receive, maintain, and transition via a warm hand-off a publicly accessible on-line site, the NTAE: Maintained the website and portal with the NTAE 1.0 technology consultant with minor updates and fixes that arose (e.g., adding Territories to grantee map). Updated 19 resources in the Nutrition Incentive Hub website. Extended existing technology contract and coordinated efforts between new technology consultant and previous technology consultant to transition materials and knowledge. To work with grantees on human subjects and intellectual property protections, the NTAE: Guided FY24 grantees through documenting Institutional Review Board (IRB) approval with USDA NIFA and completing human subjects research training (e.g., CITI). Assisted grantees with existing IRB protocol modifications and continuing reviews. Served as liaison between grantees and for-profit IRBs to advocate for expedited review, IRB fees control, and translation of requested edits to submitted IRB packages. OBJ 3: Conduct a rigorous evaluation of NI and PPR projects centered on DEIA principles. To compile project data from grantees, the NTAE: Hosted informational kickoff webinars for firm-level and participant-level data collection. Provided ongoing firm-level reporting and participant-level data collection support through centralized advising help desks. To maintain and improve instrument design and mechanism for reporting core data sets, the NTAE: Began planning a process to update core metrics and guidance to grantees by discussing at partner meetings and mini convenings and soliciting feedback from the External Evaluators Community of Practice. To use evaluation data to inform NTAE 2.0 implementation, the NTAE Engineered and disseminated the GusNIP Site Map, a geographic information system (GIS) map designed to display GusNIP NI and PPR sites alongside demographic base layers (i.e. poverty status, race and Hispanic origin, low income, low access areas, etc.) to better understand GusNIP's reach.

Publications

  • Type: Journal Articles Status: Accepted Year Published: 2023 Citation: Parks CA, Mitchell E, Byker Shanks C, et al. Which program implementation factors lead to more fruit and vegetable purchases? An exploratory analysis of nutrition incentive programs across the United States. Curr Dev Nutr. 2023;7(12):102040-102040. doi:https://doi.org/10.1016/j.cdnut.2023.102040.
  • Type: Journal Articles Status: Accepted Year Published: 2024 Citation: Stotz S, Fricke H, Byker Shanks C, et al. Strengthening nutrition incentive and produce prescription projects: an examination of a capacity building and innovation fund. J Agric Food Syst Community Dev. 2024;13(2):161-174. doi:https://doi.org/10.5304/jafscd.2024.132.016.
  • Type: Journal Articles Status: Accepted Year Published: 2024 Citation: Long CR, Yaroch A, Byker Shanks C, et al. Perspective: leveraging electronic health record data within food is medicine program evaluation: considerations and potential paths forward. Adv Nutr. Published online February 1, 2024. doi:https://doi.org/10.1016/j.advnut.2024.100192.
  • Type: Journal Articles Status: Accepted Year Published: 2024 Citation: Figueroa R, Houghtaling B. Food is medicine and implementation science: a recipe for health equity. Transl Behav Med. Published online February 16, 2024. doi:https://doi.org/10.1093/tbm/ibae005.
  • Type: Journal Articles Status: Accepted Year Published: 2024 Citation: Houghtaling B, Short E, Shanks C, et al. Implementation of food is medicine programs in healthcare settings: A narrative review. J Gen Intern Med. 2024. https://doi.org/10.1007/s11606-024-08768-w.
  • Type: Journal Articles Status: Accepted Year Published: 2024 Citation: Houghtaling, B., Zhang, N., Yaroch, A., Milburn Atkinson, C., Byker Shanks, C. How does eligibility for GusNIP produce prescriptions relate to fruit and vegetable purchases and what factors shape the relationship? A protocol for a secondary analysis of nationally representative data in the United States. BMJ Open. 2024;14:e085322. doi: 10.1136/bmjopen-2024-085322.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Fung Uy W, Her K. NTAE considerations for optional metrics: Focus on sociodemograhic items. PowerPoint presented at: GusNIP External Evaluators Community of Practice; September 23, 2023; Virtual.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Akin J, Quattro R. GusNIP Y4 impact findings and Y1-4 cumulative reports. Presented at: GusNIP Partners Meeting; September 30, 2023; Chicago, IL.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Buckingham-Schutt L, Byrd L, Groves G, Stotz S. Food and nutrition security in action: The role of the RDN in nutrition incentive programs. Presented at: 2023 Food and Nutrition Conference and Expo; October 9, 2023; Denver, CO.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Mitchell E, et al. Food security round table. Presented at: Tufts Community Union Food Security Panel; October 11, 2023; Boston, MA.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Houghtaling B. Evaluation of Gus Schumacher Nutrition Incentive Program (GusNIP) nutrition incentive projects. Presented at: SNAP Healthy Eating Incentives Workshop; October 11-12, 2023; Auburn, AL.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Houghtaling B. Implementation of food is medicine programs in healthcare settings: A narrative review. Paper presented at: Virginia Tech Human Nutrition, Food, and Exercise 5204 course; November 11, 2023; Blacksburg, VA.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Byker Shanks C, Smith A, Hesterman O. A cross sector approach to nutrition security. Presented at: Come to the Table Mountain Plains Region; November 14, 2023; Virtual.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Houghtaling B. Barriers and facilitators to nutrition incentive and produce prescription program implementation in brick-and-mortar retail settings using the Exploration, Implementation, Preparation, Sustainment (EPIS) framework. Presented at: Healthy Food Retail Working Group, Nutrition and Obesity Policy Research and Evaluation (NOPREN) network; November 28, 2023; Virtual.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Long CR. Using a social drivers of health lens for metrics and evaluation. Presented at: The Root Cause Coalition National Summit; December 12, 2023; Kansas City, MO.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Yaroch A, Byker Shanks C. GusNIP NTAE. Presented at: USDA Project Directors Meeting; December 5, 2023; New Orleans, LA.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Byker Shanks C, Ammerman A, Alenstrof K, Harvey S. Food is medicine programs in deeply frontier communities. Presented at: Food is Medicine Midwest Convening; Aspen Institute and Sunflower Foundation; January 25, 2024; Topeka, KS.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Long CR, Yaroch AL. What are we learning from GusNIP produce prescription projects? Presented at: Food is Medicine Midwest Convening; Aspen Institute and Sunflower Foundation; January 26, 2024; Topeka, KS.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Mitchell E. PRx in the wider food is medicine context. Panelist at: RI Food Policy Council's Summit: Growing Produce Prescription Programs in Rhode Island; February 28, 2024; Providence, RI.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Houghtaling B. Using implementation science to advance nutrition programs and policies. Research office hour led at: 2024 Healthy Eating Research Annual Meeting; March 6-8, 2024; Denver, CO.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Houghtaling B. Barriers and facilitators to the implementation of food is medicine programs. Presented at: 2024 Virginia Food is Medicine Summit; March 20-21, 2024; Richmond, VA.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Byker Shanks C. Pillars 1&3 of Biden's Strategy on Hunger, Nutrition, and Health. Speaker. Presented at: Nutrition Leadership Network: Western MCH; April 11, 2024; Oakland, CA.