Source: SOUTH DAKOTA STATE UNIVERSITY submitted to NRP
USING BEHAVIORAL AND ENVIRONMENTAL TOOLS TO IDENTIFY WEIGHT RELATED FACTORS ASSOCIATED WITH HEALTH IN COMMUNITIES OF YOUNG ADULTS
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
1011038
Grant No.
(N/A)
Cumulative Award Amt.
(N/A)
Proposal No.
(N/A)
Multistate No.
NC-_old1193
Project Start Date
Oct 11, 2016
Project End Date
Sep 30, 2021
Grant Year
(N/A)
Program Code
[(N/A)]- (N/A)
Recipient Organization
SOUTH DAKOTA STATE UNIVERSITY
PO BOX 2275A
BROOKINGS,SD 57007
Performing Department
College of Education & Human Sciences
Non Technical Summary
Excessive weight gain is associated with increased risk of developing many serious diseases, including cardiovascular disease, hypertension, and type 2 diabetes. Despite extensive efforts to promote weight management, these efforts only reach a small proportion of the population at risk and even effective programs promoting individual behavior change may have limited effectiveness in environments that promote weight gain. Furthermore, there are limited validated tools used to effectively assess the perception of the environment in which these individuals live. Using the ecological perspective to understand how different factors interact to influence food and physical activity behaviors, we can inform more tailored interventions that lead to lasting behavior change. Therefore research is needed to elucidate the combination of individual and environmental factors associated with unhealthy weight gain among our targeted population of young adults, including those in under-represented, low-income communities.Participants in this multi-state research group have applied theory-based behavioral constructs to design intervention programs to promote healthful eating and exercise behaviors in young adults with a goal of preventing unhealthy weight gain. Although these programs have been effective in improving dietary behavior, they did not prevent weight gain. Obesity currently affects 17 percent of children and adolescents and greater than 30% of adults in the United States [1]. The socio-ecological framework is designed to account for the multiple societal levels that influence food and physical activity choices because the individual is studied in the context of interpersonal identity and support, organizations, community and public policy. Using the socio-ecological model to understand how different factors interact to influence food and physical activity behaviors is an important approach to understanding behavior change in this population. The previous five years of this multi-state research have been devoted to the development, validation and refinement of tools designed to: 1) evaluate the healthfulness of the environment, 2) evaluate the perceptions of the target community of the healthfulness of the environment, and 3) define the relationship between environmental and behavioral factors that influence excessive weight gain.The purpose of this renewal is to implement a newly developed model with consideration of cross-sector collaborations and to capture sustainability of change in environments, behavior and perception on college campuses and in low-income communities. Additionally, there will be continued effort on environment and behavioral instrument development, refinement, validation, and translation for under-represented or non-represented settings (e.g. low income communities who qualify for food assistance), as well as continued exploration of mechanisms of interaction between lifestyle behaviors and environmental factors in influencing healthy behaviors and health status of young adults using previous and ongoing work. This approach aligns with the U.S. Department of Agriculture's focus on policy, systems, and environmental (PSE) approaches that address the outer levels of the socio-ecological model. It is also the intention of the PSE approach to supplement individual, group, and community-based educational strategies used by nutrition and physical activity educators in a multi-component program delivery model. It is argued that education in combination with PSE is more effective in tackling the prevention of overweight and obesity.
Animal Health Component
50%
Research Effort Categories
Basic
0%
Applied
50%
Developmental
50%
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
72460991010100%
Goals / Objectives
Implement a new dissemination model (eB4CAST) to benchmark community-programing efforts for effectiveness in change and sustainability. Continue environment and behavioral instrument development, refinement and validation of the Healthy Campus Environmental Audit and Behavior Environment Perceptions Survey for college campuses Adapt and test the environment and behavior instruments in low-income communities. Develop and pilot the novel and comprehensive Healthy Community Index on college campuses and adapt for use in low-income communities. Continue exploration of mechanisms of interaction between lifestyle behaviors and environmental factors in influencing healthy behaviors and health status of young adults using existing datasets from this group’s previous and ongoing work.
Project Methods
Objective 1.eB4CAST was developed by this group to capture intervention/program adoption, usability, fidelity and future application in additional target populations. eB4CAST was built to document research findings to support the projected continuation and translation into current health practices. Prior to the implementation of a program, a community is given a report based on geographical location and other key data that are publicly available through indirect measures such as census, county and state databases. As the program is implemented, direct measures at four levels of the community are captured through surveys to state, county, local community, and individual levels, which then contribute to direct data. A report that compiles all the direct and indirect data is then given to the local leaders to share current impact. This is repeated over time as the intervention/program is repeated. Combining the two levels (direct and indirect) allows eB4CAST to measure effectiveness during roll out of new program structure and adaptation. Data are organized into four sections of eB4CAST; Capture, Assemble, Suitability, and Timelessness:Capture: captures information regarding individual and community environmental and socio-economic data.Assemble: captures data regarding the function and effectiveness of the program, including fidelity measurements.Sustainability: documents the impact of the program on the participants and community.Timelessness: gathers direct feedback about participant feelings regarding program longevity and impact and the community's capability and desire to continue supporting the program.Objective 2In Year 1 (2016-17) the revised Healthy Campus Environmental Audit will be tested in a small sample and revised accordingly.TheHCEAis a comprehensive series of objective assessments to determine the environmental supports for health promotion and obesity prevention. Components of the audit are:The Full Restaurant Evaluation Supporting a Healthy (FRESH) Dining Environment AuditThe Convenience Store Supporting Healthy Environment for Life-promoting Food (SHELF) AuditHealthfulness Vending Evaluation for Nutrient-Density (VENDing) AuditPhysical Activity Campus Environmental Supports (PACES) AuditSneakers and Spokes Walkability/Bike-ability AuditHealthy Environment Policies, Opportunities, Initiatives, Notable Topics Survey (POINTS) AuditCampus Environment Demographics AuditValidation studies for each of the HCEA components will be conducted in Year 1 (2016-17). Validation will include testing of the Qualtrics and/or the Rutgers automated versions and comparing each component of the HCEA to 1-2 existing environmental audits as a comparative measure.The process for the behavioral and perceptual assessment survey development will be more complex. The behavioral assessment component of the College Environmental Behavior and Perceptions Survey (CEBPS) is based on existing validated instruments and only needs minor refinement using items from a survey currently being used in the FRUVED study. However, the perceptual component of that instrument was developed to assess student perceptions of the healthfulness of their college environment with items mirroring areas assessed in the environmental audit (HCEA). This component, with 16 individual items, did not have an identifiable factor structure; thus, we need a new approach to develop a valid perception instrument. The perception section of the CEBPS will be revised using standard procedures [66, 67] with the objective of developing a psychometrically valid instrument called Behavioral Environmental Perceptions Survey (BEPS) for college student populations.The initial steps will be to identify key constructs related to perceptions of the environment, review existing items from the College Environmental Behavior and Perceptions Survey (CEBPS) as well as the Behavior Environment Changeability Survey (BECS) surveys, generate additional items through brainstorming, and develop a prototype survey with approximately 100 items. Items will be reviewed by experts in the working group, tested for fit with constructs using Q-sort techniques, and reviewed by students in cognitive interviews. The prototype instrument will then be administered to a convenience sample of 300 students for initial factor analysis. Year 1 of this renewal (2016-2017) will focus on the development of the pilot Behavioral Environmental Perceptions Survey (BEPS/behavior-perceptions Survey) instrument to administer to a diverse group of 600 college students on selected campuses for exploratory and confirmatory analyses (not all states will be required to participate). In addition, cognitive validation procedures, similar to those used in developing the College Environmental Behavior and Perceptions Survey (CEBPS), will be conducted on additional selected campuses. Based on these results, refinements will be made for a final BEPS instrument. In Year 2 (2017-2018) all campuses will administer the refined versions of the environmental audit (HCEA) and the behavior-perceptions survey (BEPS) simultaneously.Objective 3. To accomplish Objective 3, Year 02 (2017-2018) will focus on adapting the Behavior Environmental Perceptions Survey (BEPS) for low-income populations. Selected universities will administer the survey to a convenience sample (n=400). Using exploratory analysis (exploratory factor analysis), the instrument will be refined to include items fitting into identifiable factors reflecting the breadth of constructs related to community perceptions of the environment. Decisions will be made to determine other constituents that should be included in data assessment, including demographic as well as behavioral items. In Year 03 (2018-2019), the instrument will be administered to a wider audience of diverse community members (n=2,400) with additional validation items. Confirmatory analyses (factor analysis, structural equation modeling, internal consistency) will validate the psychometric structure, and the instrument will be validated based on additional items. Additional validation analyses will compare the relationship between previously identified behaviors and perceptual scores. Similarly, behavioral items will be compared to previous data as a validation of these items. The end product will be a validated Behavioral Environmental Perceptions Survey for low-income communities (BEPS-Communities), which can be disseminated to other institutions and used as a component of the Healthy Community Index.In addition, during Year 02 (2017-2018) prototype audits of the HCEA will be pilot tested in low-income communities. In Year 03 (2018-2019), a pilot of the complete HCEA will be conducted by selected multistate researchers. The modified HCEA will be administered validated in Year 04 (2019-2020).Objective 4.Create a Healthy Community Index (HCI) with evidence-based scoring system. The final Index will be delivered via web-based interface and include appropriate feedback and suggestions for change. Development of the HCI will include the following steps:Conduct literature search.Administer the Environmental Audit (HCEA) on 60 diverse campuses (traditional, two-year, etc). To achieve a sample of 60, each of the 12 multistate team members will administer the audit on their own campus and recruit 4 other sites for implementation of the audit.Collect self-reported health outcomes via online survey (e.g. weight change, visits to health care provider, quality of life) among selected students and employees (e.g. sophomores and juniors; employees with 1-2 years of service)Compare results from the environmental audit (HCEA) and health outcomes at the 60 campuses to determine final Healthy Community Index and scoring system via statistical analysesObjective 5.Exploration will continue on the associations among identified variables and their contributions to weight-related factors.

Progress 10/11/16 to 09/30/21

Outputs
Target Audience:This project was targeted a evaluating the support on college campuses to support healthfulness. Thus, college campus environments are included as one target audience. During the five years greater than 15 college campuses were in process of the supporting the tools. Since we are also attempting to adapt the tools that were developed on college campuses to assessing community support for healthfulness, a second audience would be communities. The project is particularly focused on communities that have a higher number of residences who are considered limited income. Two communities in South Dakota were included in the piloting of the tools. Efforts: This project delivered health programing informally to youth, high schoolers, and young adults on college campuses and those from economically disadvantaged communities. Changes/Problems:I have had delays due to COVID. We put the environmental assessment on hold during this time. We plan to continue with those assessments next year What opportunities for training and professional development has the project provided?I have trained five graduate students during this time on the methods for conducting qualitative research and methods for conducting the environmental assessments. Students also gained greater proficiency in summarizing the literature, preparing presentations, and preparing peer-reviewed manuscripts for publication. During this five-year period, I participated in two annual conferences annually, Academy of Nutrition and Dietetics and the Society for Nutrition Education and Behavior. During the non-COVID years, the graduate students presented at the Society for Nutrition Education and Behavior. How have the results been disseminated to communities of interest?The results have been disseminated through peer reviewed journal articles and presentations at national meetings. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? Objective 1: Implement a new model (eB4CAST) to benchmark community, wellness-programing efforts for their effectiveness and sustainability. _100__% Accomplished. This is an ongoing project to develop an instrument to benchmark community wellness programs. The impact of having this instrument is that those leading community wellness programs and interventions will have a comprehensive, easy to use tool to provide outcome impact of programing on the community. The tool has been shown to be useful and favorable in two large community based interventions. The intent of the tool is to have it automated with easy customization to the respective wellness intervention and community. The goal of the tool is to improve science communication about healthfulness in the environment with stakeholders. We are still exploring how to automate this tool for wider dissemination to use in communities of interest. Objective 2: Continue environment and behavioral instrument development, refinement and validation of the Behavior Environment Perceptions Survey for college campuses and the Healthy Campus Environmental Audit. 90% accomplished. The Behavioral Environment Perception Survey measures the college student and administrator perceptions of the healthfulness of campus environment. The instrument is a 21-item survey that includes perception of the environment to support physical activity, healthful eating, mental health, barriers to healthful eating and peer influences. The strengths of the instrument include comprehensive instrument development process involving a large sample from multiple universities, breadth of constructs, and strong psychometric properties. Development of a Healthy Campus Environmental Audit is nearly complete. This is a series of validated tools that can be used to benchmark the policies, environment, and practices to support healthful behavior on campuses. The tools developed evaluate campus dining (FRESH), convenience stores (SHELF), vending machines (VENDING), recreation services (PACES), walkability/bikeability, and policies supporting healthfulness (POINTS). The impact of a validated and reliable tool to measure the healthfulness of the campus environment will be the ability to readily assess and develop programing specific to the needs of campus. We are still working on developing the overall scoring for the Healthy Campus Environmental Audit. Work on this objective was halted due to COVID 19. Plans are to resume in Spring 2022. Objective 3. Adapt and test the environment and behavior instruments in low-income communities. 10% accomplished. Work has started on adapting the audits developed for the campus to a low-income community. In-depth interviews are being conducted with nutrition educators in low socioeconomic status communities to gather information about what is considered "healthy" in their community. The interviews were analyzed and an underlying theme across the communities is availability and access to food that is healthier and environmental supports for activity such as walking paths, sidewalks, and facilities for physical activity. The interviews were repeated with the extension personnel and community leaders to capture their perceptions of healthfulness of the environments due to COVID 19. Evaluation of the interviews for results is in process. Objective 4. Develop and pilot the novel, comprehensive Healthy Community Index on college campuses and test the feasibility in low-income communities. 10% accomplished. The methods to gather the information on adaption of the campus instruments to low-income communities are in development. We have started focus groups with Extension Nutrition Assistant partners to query for their perception of healthfulness in their community. The plan is to redo these focus groups to assess the influence of the pandemic on the environment. Objective 5. Continue exploration of mechanisms of interaction between lifestyle behaviors and environmental factors in influencing healthy behaviors and health status of young adults. 50% accomplished. Below is a short summary of the outcomes from some of the work investigating objective 5. Many college students lack the ability to choose and/or prepare healthy meals, with consequences of convenient, but unhealthy food choices. The objective of this feasibility project was to determine whether cooking classes for college students would improve knowledge and behavior to eat healthfully and practice food safety. A series of 3 cooking classes was provided to students, focusing on simple, healthy recipes with inclusion of food safety education and nutrition instruction. Pre- and posttest surveys assessed nutrition knowledge; frequency of healthy eating; confidence, ability, and cooking frequency; and food safety knowledge. The classes were effective in increasing nutrition knowledge, cooking confidence, and ability, according to posttest surveys. Individuals who are obese report an increased intake of ready-made or convenience-meals offering higher calorie and lower nutrient density. Using data from GetFruved high school student intervention, the association between cooking frequency to prepare and cook a main meal from basic ingredients (CF) with diet quality was explored. 1563 high school students from five districts in 4 states (Kansas, Tennessee, Florida, and South Dakota) were recruited to complete on-line surveys assessing for age, sex, location, height, weight, CF, frequency of breakfast and fast food consumption, and fiber, added sugars, and ounce equivalents of whole grains per day (WG) using the Dietary Screener Questionnaire, and cup equivalents of fruit and vegetable (FV) using the National Cancer Institute Screener. Multiple linear regression with CF as independent variable and frequency of breakfast, fast food consumption, fiber, sugar, FV, and WG as dependent variables controlling for location, sex, ethnicity, and BMI z-score were performed.There were significant expected decreases in frequency of fast food consumption and added sugar consumption; and increases in fiber, WG and FV with increased frequency of CF. These results support a positive relationship between frequency of preparing a main meal from basic ingredients and diet quality as measured by fiber, WG and FV and alludes to the need for education on meal preparation and cooking skills in adolescents to support healthful diets for obesity prevention. The renewal was drafted, and this objective is included in the renewal.

Publications

  • Type: Journal Articles Status: Published Year Published: 2021 Citation: Bunde K, Gjesvold D, Kattelmann KK, McCormack LA, Vukovich MD. Increased frequency of nutritional counseling improves weight status and lipids in renal transplant recipients. Topics in Clinical Nutrition. 36(1): 3-12, 2021. DOI: 10.1097/TIN.0000000000000231


Progress 10/01/19 to 09/30/20

Outputs
Target Audience:The target audience is those in the lower socioeconomic communities. Efforts: An in-depth interview was conducted with one Extension Nutrition Assistant and a community leader from a low-income community. Changes/Problems: I have had delays due to COVID. We put the environmental assessment on hold during this time. We plan to continue with those assessments next year. What opportunities for training and professional development has the project provided? I have trained one graduate student in how to complete focus groups and also complete the environmental assessments I participated in a face-to-face Academy of Nutrition and Dietetics national meeting in October 2019. This provided opportunity for increased knowledge in applied human nutrition expertise. I participated and was a session moderator the Society for Nutrition Education and Behavior virtual conference August 2020. This interaction allowed enhancement of knowledge of nutrition behavior and impacts on sustainability. How have the results been disseminated to communities of interest?The results have been disseminated through peer reviewed journal articles. What do you plan to do during the next reporting period to accomplish the goals?Objective 2. Work will continue to refine the Healthy Campus Environmental Audit. We will investigate collaborating with a partnership organization to disseminate the tools. Objective 3. Focus groups will be conducted to determine the factors that need to be included in the instrument to assess behaviors and environment of low-income communities. Objective 4. Qualitative work will be completed as the first step in determining the feasibility of the Healthy Campus Audit in low-income communities. Objective 5. Work will continue on the exploration of mechanisms of interaction between lifestyle behaviors and environmental factors in influencing healthy behaviors and health status of young adults. With the change in funding focus from obesity prevention to sustainable agriculture, a grant was submitted focusing on improving dietary behavior through sustainable agriculture practices. If funded, those objectives will be incorporated into the research agenda.

Impacts
What was accomplished under these goals? Objective 1: Implement a new model (eB4CAST) to benchmark community, wellness-programing efforts for their effectiveness and sustainability._95__% Accomplished. This is an ongoing project to develop an instrument to benchmark community wellness programs. The impact of having this instrument is that those leading community wellness programs and interventions will have a comprehensive, easy to use tool to provide outcome impact of programing on the community. The tool has been shown to be useful and favorable in two large community based interventions. The intent of the tool is to have it automated with easy customization to the respective wellness intervention and community. We are still exploring how to automate this tool for wider dissemination. Objective 2: Continue environment and behavioral instrument development, refinement and validation of the Behavior Environment Perceptions Survey for college campuses and the Healthy Campus Environmental Audit. 90% accomplished. The Behavioral Environment Perception Survey measures the perceptions of the healthfulness of campus environment. The instrument is a 21-item survey that includes perception of the environment to support physical activity, healthful eating, mental health, barriers to healthful eating and peer influences. Development of a Healthy Campus Environmental Audit is nearly complete. As part of this audit we have developed easy-to-use validated tools to assess the environment and be used in the Healthy Campus Environmental Audit. A walkability/bikeability assessment of campuses was developed and tested for validity in relation to college students walking behaviors and BMI. The walkability/bikeability audit tool is a 12-item audit and assesses the ease of walking and biking on a campus. A second component of the Health Campus Environmental Audit is the assessment of the healthfulness of the food environment. The Full Restaurant Evaluation Supporting a Healthy (FRESH) Dining Environment is a simple tool that was developed and validated to assess cafeterias and restaurants. The impact of a validated and reliable tool to measure the healthfulness of the campus environment will be the ability to readily assess and develop programing specific to the needs of campus. We are still working on developing the overall scoring for the Healthy Campus Environmental Audit. Work on this objective was halted due to COVID 19 as we need additional campuses to increase the sample size. Objective 3. Adapt and test the environment and behavior instruments in low-income communities. 5% accomplished. Work has started on adapting the audits developed for the campus to a low-income community. In-depth interviews are being conducted with nutrition educators in low socioeconomic status communities to gather information about what is considered "healthy" in their community. We are redoing the interviews to capture their perceptions of healthfulness of the environments due to COVID 19. Objective 4. Develop and pilot the novel, comprehensive Healthy Community Index on college campuses and test the feasibility in low-income communities. 10% accomplished. The methods to gather the information on adaption of the campus instruments to low-income communities are in development. We have started focus groups with Extension Nutrition Assistant partners to query for their perception of healthfulness in their community. The plan is to redo these focus groups to assess the influence of the pandemic on the environment. Objective 5. Continue exploration of mechanisms of interaction between lifestyle behaviors and environmental factors in influencing healthy behaviors and health status of young adults. 50% accomplished. Below is a short summary of the outcomes from some of the work investigating objective 5. Many college students lack the ability to choose and/or prepare healthy meals, with consequences of convenient, but unhealthy food choices. The objective of this feasibility project was to determine whether cooking classes for college students would improve knowledge and behavior to eat healthfully and practice food safety. A series of 3 cooking classes was provided to students, focusing on simple, healthy recipes with inclusion of food safety education and nutrition instruction. Pre- and posttest surveys assessed nutrition knowledge; frequency of healthy eating; confidence, ability, and cooking frequency; and food safety knowledge. The classes were effective in increasing nutrition knowledge, cooking confidence, and ability, according to posttest surveys. Individuals who are obese report an increased intake of ready-made or convenience-meals offering higher calorie and lower nutrient density. Using data from GetFruved high school student intervention, the association between cooking frequency to prepare and cook a main meal from basic ingredients (CF) with diet quality was explored. 1563 high school students from five districts in 4 states (Kansas, Tennessee, Florida, and South Dakota) were recruited to complete on-line surveys assessing for age, sex, location, height, weight, CF, frequency of breakfast and fast food consumption, and fiber, added sugars, and ounce equivalents of whole grains per day (WG) using the Dietary Screener Questionnaire, and cup equivalents of fruit and vegetable (FV) using the National Cancer Institute Screener. Multiple linear regression with CF as independent variable and frequency of breakfast, fast food consumption, fiber, sugar, FV, and WG as dependent variables controlling for location, sex, ethnicity, and BMI z-score were performed. There were significant expected decreases in frequency of fast food consumption and added sugar consumption; and increases in fiber, WG and FV with increased frequency of CF. These results support a positive relationship between frequency of preparing a main meal from basic ingredients and diet quality as measured by fiber, WG and FV and alludes to the need for education on meal preparation and cooking skills in adolescents to support healthful diets for obesity prevention. The renewal was drafted and this objective is included in the renewal.

Publications

  • Type: Journal Articles Status: Published Year Published: 2020 Citation: Olfert MD, Barr ML, Hagedorn RL, Wattick RA, Zhou W, Horacek TM, Mathews AE, Kattelmann KK, Kidd T, White AA, Brown ON, Morrell JS, Franzen-Castle L, Shelnutt KP, Byrd-Bredbenner C, Tolar-Peterson T, Greene GW and Colby SE. eB4CAST Approach Improves Science Communication With Stakeholders in a College-Based Health Program. Frontiers in Public Health. 2020;8:158. doi: 10.3389/fpubh.2020.00158.
  • Type: Journal Articles Status: Accepted Year Published: 2020 Citation: McElrone M, Colby S, Franzen-Castle L, Olfert M, Kattelmann K, Fouts H, Spence M, Kavanagh K, White AA. A community-based cultural adaptation process: Developing a relevant cooking curriculum to address food security for Burundian and Congolese refugee families. Health Promotion Practice. 2020; doi: 10.1177/1524839920922496 accepted for publication
  • Type: Journal Articles Status: Accepted Year Published: 2020 Citation: McElrone M, Colby S, Fouts HN, Spence M, Kavanagh K, Franzen-Castle L, Olfert MD, Kattelmann K, White AA. Feasibility and acceptability of implementing a culturally adapted cooking curriculum for Burundian and Congolese refugee families. Ecology of Food and Nutrition. 2020; doi: 10.1080/03670244.2020.1759575
  • Type: Journal Articles Status: Published Year Published: 2020 Citation: *Barr A, Hanson A, Kattelmann K. Effect of cooking classes on healthy eating behavior among college students. Topics in Clinical Nutrition. 35:62-70, 2020. doi: 10.1097/TIN.0000000000000197.
  • Type: Journal Articles Status: Published Year Published: 2020 Citation: *Block M, Kattelmann K, Meendering J, McCormack L. Relationship of Weight-Related Eating Behaviors and Weight-Loss of Participants Enrolled in a Proprietary Weight Loss Program. Nutrition and Metabolic Insights. 2020; https://doi.org/10.1177/1178638820928413.
  • Type: Journal Articles Status: Published Year Published: 2020 Citation: Allison C, Colby S, Opoku-Acheampong A, Kidd T, Kattelmann K, Olfert MD, Zhou W. Accuracy of self-reported BMI using objective measurement in high school students. Journal of Nutritional Science. 2020;9(e35):1-8.
  • Type: Journal Articles Status: Published Year Published: 2020 Citation: Colby S, Zhou W, Allison C, Mathews A, Olfert MD, Morrell JS, Byrd-Bredbenner C, Greene G, Brown O, Kattelmann K, Shelnutt K. Development and validation of the short healthy eating index survey with a college population to assess dietary quality and intake. Nutrients. 2020;12(9), 2611; https://doi.org/10.3390/nu12092611.
  • Type: Journal Articles Status: Published Year Published: 2020 Citation: *Gebhart K, Kattelmann K, Wey H, McCormack L, Bowne M, Sltuka S, Meendering J. Fidelity of implementation of train-the-trainer methodology for delivery of a preschool nutrition and physical activity curriculum. European Journal of Educational Research. 2020;9(4), 1483-1490. https://doi.org/10.12973/eu-jer.9.4.1483.
  • Type: Theses/Dissertations Status: Other Year Published: 2020 Citation: Paige PappadackisThesis, Effects of a Campus Dining Tour Intervention on for First Year Students Perception of Healthfulness of Environment, May 2020


Progress 10/01/18 to 09/30/19

Outputs
Target Audience:The target audience that was involved with research this past year was 1052 high school students from two separate high schools in SD and 138 enrolled college students from South Dakota State University. Also, to begin the work in the lower socioeconomic communities, an in-depth interview was conducted with one Extension Nutrition Assistant. Efforts: An evidence based curriculum for a health campus eating tour was developed implemented, and tested on South Dakota State University Campus. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest?The results have been disseminated through peer reviewed journal articles and poster presentations at national meetings. What do you plan to do during the next reporting period to accomplish the goals?Objective 2. Work will continue to refine the Healthy Campus Environmental Audit. We will investigate collaborating with a partnership organization to disseminate the tools. Objective 3. Focus groups will be conducted to determine the factors that need to be included in the instrument to assess behaviors and environment of low-income communities. Objective 4. Qualitative work will be completed as the first step in determining the feasibility of the Healthy Campus Audit in low-income communities. Objective 5. Work will continue on the exploration of mechanisms of interaction between lifestyle behaviors and environmental factors in influencing healthy behaviors and health status of young adults. With the change in funding focus from obesity prevention to sustainable agriculture, a grant was submitted focusing on improving dietary behavior through sustainable agriculture practices. If funded, those objectives will be incorporated into the research agenda.

Impacts
What was accomplished under these goals? Objective 1: Implement a new model (eB4CAST) to benchmark community, wellness-programing efforts for their effectiveness and sustainability._90__% Accomplished. This is an ongoing project to develop an instrument to benchmark community wellness programs. The impact of having this instrument is that those leading community wellness programs and interventions will have a comprehensive, easy to use tool to provide outcome impact of programing on the community. The intent of the tool is to have it automated with easy customization to the respective wellness intervention and community. This tool was used to provide feedback to the intervention communities in the iCook 4-H obesity prevention program. It was during the iCook 4-H intervention, we incorporated the Ripple Mapping Effect into the outcome evaluation of the tool. Ripple Mapping Effect is a guided focus group type methodology. Objective 2: Continue environment and behavioral instrument development, refinement and validation of the Behavior Environment Perceptions Survey for college campuses and the Healthy Campus Environmental Audit. 90% accomplished. The Behavioral Environment Perception Survey measures the perceptions of the healthfulness of campus environment. The instrument is a 21-item survey that includes perception of the environment to support physical activity, healthful eating, mental health, barriers to healthful eating and peer influences. Development of a Healthy Campus Environmental Audit is nearly complete. As part of this audit we have developed easy-to-use validated tools to assess the environment and be used in the Healthy Campus Environmental Audit. A walkability/bikeability assessment of campuses was developed and tested for validity in relation to college students walking behaviors and BMI. The walkability/bikeability audit tool is a 12-item audit and assesses the ease of walking and biking on a campus. A second component of the Health Campus Environmental Audit is the assessment of the healthfulness of the food environment. The Full Restaurant Evaluation Supporting a Healthy (FRESH) Dining Environment is a simple tool that was developed and validated to assess cafeterias and restaurants. The impact of a validated and reliable tool to measure the healthfulness of the campus environment will be the ability to readily assess and develop programing specific to the needs of campus. We are still working on developing the overall scoring for the Healthy Campus Environmental Audit. Objective 3. Adapt and test the environment and behavior instruments in low-income communities. 5% accomplished. Work has started on adapting the audits developed for the campus to a low-income community. In-depth interviews are being conducted with nutrition educators in low socioeconomic status communities to gather information about what is considered "healthy" in their community. Objective 4. Develop and pilot the novel, comprehensive Healthy Community Index on college campuses and test the feasibility in low-income communities. 10% accomplished. The methods to gather the information on adaption of the campus instruments to low-income communities are in development. We have started focus groups with Extension Nutrition Assistant partners to query for their perception of healthfulness in their community. Objective 5. Continue exploration of mechanisms of interaction between lifestyle behaviors and environmental factors in influencing healthy behaviors and health status of young adults. 50% accomplished. Below is a short summary of the outcomes from the papers published this past year investigating objective 5. Work continued on USDA Funded Grant--Get Fruved, a social marketing and environmental change intervention seeking to prevent unwanted weight gain among high school and college students. The intervention, a non-diet approach focusing on increasing healthy diet choices, physical activity, and stress management, was initially developed and tested on college campuses. Because prevention of unwanted weight gain was the primary outcome, propensity score matching and counterfactual modeling was used to evaluate weight change between individuals at intervention and control schools. Evaluations from the year 04 randomized control trial (RCT) on college campuses indicated a positive intervention effect after adjusting for age, gender, race and ethnicity, baseline Body Mass Index (BMI), baseline stress score, and dropout propensity. Specifically, the weight of the intervention group, on average, increased 0.77 lbs. less than the control group (P < .01) Many young adults experience unwanted weight gain upon entering college. Making healthy choices in a food environment with a plethora of convenience and fast foods is important for preventing unwanted weight gain. This project determined if a Healthy Campus Dining Tour intervention improves perception, behavior, and priorities related to healthier choices on campus. Participants were recruited for this quasi-experimental study from freshman introductory classes at a land-grant public university and assigned to intervention or a control group. Intervention participants completed a 50-minute Healthy Campus Dining Tour that educated on how to make healthier choices at each of the campus dining locations (vending, convenience, kiosk, and all-you-can-eat dining). Both groups were assessed pre- and post-intervention for agreement with questions assessing perception of healthful food choices in the campus environment, frequency of certain healthful dietary behaviors and importance of food choice priorities. Outcomes were dichotomized as more or less positive responses and logistic regression was used to determine odds of responses between intervention and control. One hundred and twenty participants (n?=?45 intervention, n?=?75 control) that completed the surveys. Most participants were 18 years of age, female, white, freshmen status, and lived in a campus residence hall. Greater odds of perceiving healthier foods in restaurants, dining halls, and vending were seen in intervention group versus control group. Odds of increased frequency of healthful behaviors and increased importance of food choice priorities did not differ between groups. A community-based program targeting overweight and obesity prevention among adolescents in limited resource, minority communities was developed. This is the culmination of the Ignite grant funded work. Summary of analyzed data for a tri-state, quasi-experimental project including six communities (one control and one intervention community from each state, KS, SD, and OH) who are responsible for creating and implementing one nutrition and one physical activity program addressing overweight and obesity among 6thto 8thgrade youth. A mixed methods approach was used in collecting community food and physical activity environmental data, student health behavior questionnaire data, intervention community focus group data, steering committee annual meeting transcripts and ripple effect mapping (REM) data. The outcome of the project was a potential framework for creating community-focused, sustainable and effective adolescent obesity prevention programs. Outcomes reported from REM data support this framework by increased student awareness and importance of positive health behaviors, as well as the willingness to adopt these health behaviors; positive changes in school culture related to collaboration, involvement and commitment to wellness; an increase in school-community partnerships; improvements in the school physical environment; and increased opportunities for physical activity before, during and after school and in the community. This implies community-centered efforts, guided by community stakeholders, educators and youth have led to changes related to policy, system, and environment which promote healthier dietary and physical activity behaviors in youth living in limited-resource communities.

Publications

  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Christianson J, Kattelmann K, Riggsbee K, Moret L, Vilaro M, Olfert M, Mathews AEW, Barr M, Colby S. Promoting wellness on college campuses: identifying and addressing the wellness needs of college students. Topics in Clinical Nutrition. 2019; 34(2):125-137. doi: 10.1097/TIN.0000000000000184.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Horacek TM, Yildririm ED, Seidman D, Byrd-Bredbenner C, Colby S, White AA, Shelnutt KP, Olfert MD, Mathews AE, Riggsbee K, Franzen-Castle L, Morrell JS, Kattelmann K. Redesign, field-testing, and validation of the physical activity campus environmental supports (PACES) audit. J. Environ. Publich Health. 2019; Article ID 5819752, 13 pages,https://doi.org/10.1155/2019/5819752.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Ford AD, Colby SE, McElrone M, Franzen-Castle L, Oldert MD, Kattelmann KK, White AA. Cooking frequency associated with dietary quality in iCook-4H participants at baseline. Nutr. & Metabolic Insights 2019;12:1-7. https://doi.org/10.1177/1178638819836790.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Hanson AJ, Kattelmann KK, McCormack LA, Zhou W, Brown ON, Horacek TM, Shelnutt KP, Kidd T, Opoku-Acheampong A, Franzen-Castle LD, Olfert MD, Colby SE. Cooking and meal planning as predictors of fruit and vegetable intake and BMI in first-year college students. Int. J. Environ. Res. Public Health. 2019;16:2462. doi:10.3390/ijerph16142462.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Kolady DE, Kattelmann K, Scaria J. Effects of health-related claims on millennials willingness to pay for probiotics in the U.S.: Implications for regulation. J. Functional Foods 2019; 60: DOI: 10.1016/j.fff2019.103434.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Franzen-Castle L, Colby S, Kattelmann KK, Olfert MD, Mathews DR, Yerxa K, Baker B, Krehbiel M, Lehrke T, Wilson K, Flanagan SM, Ford A, Aguirre T, White AA. Development and of the iCookl 4-H curriculum for youth and adults: cooking, eating, and playing together for childhood obesity prevention. J Nutr Educ Behav. 2019;51:S60-S68.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Olfert MD, Hagedorn RL, Barr ML, Colby SE, Kattelmann KK, Franzen-Castle L, White AA. Dissemination using infographic reports depicting program impact of a community-based research program: eB4CAST in iCook 4-H. J. Nutr. Educ. Behav. 2019;51:s52-s59. DOI: https://doi.org/10.1016/j.jneb.2018.10.013.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: 10. Olfert MD, King SJ, Hagedorn FL, Barr M, Baker BA, Colby SE, Kattelmann KK, Franzen-Castle L, White AA. Ripple effect mapping outcomes of a childhood obesity prevention program from youth and adult dyads using a qualitative approach: iCook 4-H. J. Nutr. Educ. Behav. 2019;51:S41-S51. DOI: https://doi.org/10.1016/j.jneb.2018.08.002.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Horacek TM, Simon M, Yildrim ED, White AA, Shelnutt KP, Riggsbee K, Olfert MD, Morrell JS, Mathers AE, Zhou W, Kidd T, Kattelmann K, Greene G, Franzen-Castle L, Colby S, Byrd-Bredbenner C, Brown O. Development and validation of the policies, opportunities, initiatives and notable topics (POINTS) audit for campuses and worksites. Int. J. Environ. Res Public Health. 2019;16(5):778 https://doi.org/10.3390/ijerph16050778
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Horacek TM, Yildirim ED, Schreider MM, Byrd-Bredbenner C, Colby S, White AA, Shelnutt KP, Olfert MD, Mathews AE, Riggsbee K, Franzen-Castle L, Morrell JS, Kattelmann K. Development and validation of the vending evaluation for nutrient-density (vend)ing audit. Int. J. Environ. Res. Public Health 2019;16(3): 514; https://doi.org/10.3390/ijerph16030514.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Kattelmann KK, Meendering JR, Hofer EJ, Merfeld CM, Olfert MD, Hagedorn RL, Colby SE, Franzen-Castle L, Moyer J, Mathews DR, White AA. The iCook 4-H Study: Report on physical activity and sedentary time in youth participating in a multicomponent program promoting family cooking, eating, and playing together. J Nutr Ed Behav. 2019;51:s30-s40. DOI: https://doi.org/10.1016/j.jneb.2018.09.002.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: 12. White AA, Cobly SE, Franzen-Castle L, Kattelmann KK, Olfert MD, Gould TA, Hagedorn RL, Mathews DR, Moyer J, Wilson K, Yerxa K. The iCook 4-H study: an intervention and dissemination test of a youth/adult out-of-school program. J. Nutr. Educ. Behav. 2019;51:s2-s20. DOI: https://doi.org/10.1016/j.jneb.2018.09.002
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Colby S, Moret L, Olfert MD, Kattelmann K, Franzen-Castle L, Riggsbee K, Payne M, Ellington A, Springer C, Allison C, Wiggins S, Butler R, Mathews D, White AA. Incorporating Technology Into the iCook 4-H Program, a Cooking Intervention for Adults and Children: Randomized Controlled Trial. JMIR Pediatr Parent 2019;2(2):e11235. URL: https://pediatrics.jmir.org/2019/2/e11235. DOI: 10.2196/11235.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Staub D, Colby SE, Olfert MD, Kattelmann K, Zhou W, Horacek TM, Greene GW, Radosavljevic I, Franzen-Castle L, Mathews AE. A multi-year examination of gardening experience and fruit and vegetable intake during college. Nutrients. 2019;11(9): 2088. https://doi.org/10.3390/nu11092088.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Colin C, Kattelmann K. Restricting Saturated Fat May Not Be Required to Reduce Risk of Cardiovascular Disease: A Narrative Review. Topics in Clin. Nutr. 2019;34:315-332. doi: 10.1097/TIN.0000000000000184.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Kidd T, Lindshield E, Kattelmann K, Zies K, Muturi N. Adolescent obesity prevention project yields policy, system, and environmental changes in middle schools. J. Nutr. Educ. Behav. 2019;51:S10.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Pappadackis P, Kattelmann K, Weidauer L, McCormack L, Colby S. The effects of a campus dining tour intervention on first year students perception of healthfulness of environment. J. Nutr. Educ. Behav. 2019;51:S87.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Allison C, Opoku-Acheampong A, Kidd T, Kattelmann K, Olfert M, Zhou W, Colby S. Agreement of self-reported and objectively measured BMI in the adolescent population. J. Nutr. Educ. Behav. 2019;51:S35.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: McElrone M, Colby S, Kavanagh K, Spence M, Fouts K, Franzen-Castle L, Olfert M, Kattelmann K, White A. Cultural adaption of a cooking curriculum for Burundian and Congolese refugee families. J. Nutr. Educ. Behav. 2019;51:S7.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Colby S, Olfert MD, Mathews A, Kattelmann K, Kidd T, Brown O, White A, Horacek T, Shelnutt K, Byrd-Bredbenner C, Greene G, Franzen-Castle L, Morrell J, Zhou W. Fruving the world: a social marketing and environmental change intervention. J. Nutr. Educ. Behav. 2019;51:S10
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Alvarez D, Zien AE, Vilaro M, Colby S, Shelnutt K, Zhou W, Olfert M, Horacek T, Greene G, Byrd-Bredbenner C, Morrell J, White A, Kidd T, Brown O, Kattelmann K, Mathews A. Food insecure students identify price as the most important determinant of their food choices. J. Nutr. Educ. Behav. 2019;51:S94.
  • Type: Theses/Dissertations Status: Published Year Published: 2019 Citation: Megan TschakertThesis, Relationship Of Weight-Related Eating Behaviors and Weight-Loss Of Participants Enrolled In a Proprietary Weight-Loss Program, May 2019.
  • Type: Journal Articles Status: Submitted Year Published: 2019 Citation: Haskell JE, Baker BA, Olfert MD, Colby SE, Franzen-Castle L, Kattelmann KK, White AA. Using the Ripple Effects Maps to identify story threads.: a framework to link private to public value. J Human Science Extension. 2019;7:1-23.


Progress 10/01/17 to 09/30/18

Outputs
Target Audience:The target audience that was involved with research this past year was 1052 high school students from two separate high schools in SD and 138 enrolled college students from South Dakota State University. Efforts: An evidence based curriculum for a health campus eating tour was developed implemented, and tested on South Dakota State University Campus. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?The training activities that occurred this past year were those associated with the healthy campus eating tours. College students majoring in nutrition and dietetics were trained to healthy campus ambassadors and lead the healthy campus tours. How have the results been disseminated to communities of interest?The results have been disseminated through peer reviewed journal articles and poster presentations at national meetings. What do you plan to do during the next reporting period to accomplish the goals?Objective 1. Work will continue to collect data to refine eB4CAST to benchmark community, wellness-programing efforts for their effectiveness and sustainability. Objective 2. Work will continue to refine the Healthy Campus Environmental Audit. Objective 3. Focus groups will be conducted to determine the factors that need to be included in the instrument to assess behaviors and environment of low-income communities. Objective 4. Qualitative work will be completed as the first step in determining the feasibility of the Healthy Campus Audit in low-income communities. Objective 5. Work will continue on the exploration of mechanisms of interaction between lifestyle behaviors and environmental factors in influencing healthy behaviors and health status of young adults. With the change in funding focus from obesity prevention to sustainable agriculture, a grant was submitted focusing on improving dietary behavior through sustainable agriculture practices. If funded, those objectives will be incorporated into the research agenda.

Impacts
What was accomplished under these goals? Objective 1:50% Accomplished. This is an ongoing project to develop an instrument to benchmark community wellness programs. The impact of having this instrument is that those leading community wellness programs and interventions will have a comprehensive, easy to use tool to provide outcome impact of programing on the community. The intent of the tool is to have it automated with easy customization to the respective wellness intervention and community. This tool was used to provide feedback to the intervention communities in the iCook 4-H obesity prevention program. It was during the iCook 4-H intervention, we incorporated the Ripple Mapping Effect into the outcome evaluation of the tool. Ripple Mapping Effect is a guided focus group type methodology. This methodology was incorporated as part of the eB4CAST benchmarking tool. Objective 2: 75% accomplished. Work continues on refining the instruments to measure the young adult perceptions about wellness on college campuses and the campus environmental support of wellness to develop an easy to use audit tool for the healthfulness and support of environmental healthfulness on campus. Analysis of previously collected data from 1594 young adults on college campuses was used to determine health behaviors and attitudes towards weight-related behaviors. This data combined with additional knowledge from published data from other studies a College Environmental Perceptions Survey (CEPS) was developed. Reliability and validity testing were completed. The 15 item CEPS appears to be a valid and reliable tool for assessing college students' perceptions of their health-related campus environment. Development of a Healthy Campus Environmental Audit continues. As part of this audit we have developed easy-to-use validated tools to assess the environment and be used in the Healthy Campus Environmental Audit. A walkability/bikeability assessment of campuses was developed and tested for validity in relation to college students walking behaviors and BMI. The walkability/bikeability audit tool is a 12-item audit and assesses the ease of walking and biking on a campus. A second component of the Health Campus Environmental Audit is the assessment of the healthfulness of the food environment. The Full Restaurant Evaluation Supporting a Healthy (FRESH) Dining Environment is a simple tool that was developed and validated to assess cafeterias and restaurants. The impact of a validated and reliable tool to measure the healthfulness of the campus environment will be the ability to readily assess and develop programing specific to the needs of campus. Additionally, the tool, once developed, can be used for bench marking wellness and healthfulness of the campus environment. Objective 3.0% accomplished. Work has not started on this objective. Objective 4. 10% accomplished. The methods to gather the information on adaption of the campus instruments to low-income communities are in development. However, some work has been done on this objective through the Ignite grant "Igniting Youth to Create Healthier Communities." Through the grant funded work to establish the intervention in communities of limited income we have determined that some of the facilitators and barriers to physical activity in youth. Barriers identified in the youth included lack of motivation and confidence, distance to the activities, and lack of options that adolescents like. Facilitators were acceptance by peers, prioritization by the family, more education for the activity, and more gender equal opportunities.There is an association between adolescents' motivation for health and outcome expectancies. Other predictors for motivation include the perceptions for physical activity and for peers' motivation for health and outcome expectancies. Nutrition related predictors include adolescents' perceptions on food availability and self-efficacy for health food choice. Understanding how to easily measure and benchmark the healthfulness of a community environment will assist communities in developing and maintaining healthful environments for prevention of excessive weight gain and disease prevention. Objective 5.50% accomplished. Below is a short summary of the outcomes from the papers published this past year investigating objective 4. Analysis of data collected from a previously funded USDA/NIFA/AFRI integrated grant project that focused on developing a tailored, on-line intervention focusing on increasing healthful behaviors to prevent excessive weight gain in 18-24 year olds was used to explore the influence of environment on intentions to eat healthily and actual dietary behavior. Data was collected on 1401 students and 41 convenience stores across 13 US college campuses. The environment influences dietary intake. Campus level fruits/vegetables availability were positively associated to healthful meal intentions and inversely associated with Body Mass Index of the students. An observational study was used to explore the availability of "more healthful" (MH) versus "less healthful" (LH) entrée items in the campus dining and determine if students' purchases are reflective of what is offered. Purchases of the available entrée items in the campus dining at South Dakota State University in one academic year were collected and categorized as either MH or LH according to the American Heart Association guidelines. Of the total entrée items available, 15.0% were MH and 85.0% were LH. In the fall, 8.0% of purchases were MH and 92.0% purchases were LH as compared to 8.9% MH and 91.1% LH in the spring. Whites were less likely than non-whites to purchase a MH entrée. Females were two times more likely to choose MH entrées than males. The campus dining offerings and students' purchases of entrees were primarily LH. Work with campus dining providers to create profitable, yet healthful, dining entrees is needed to improve the healthfulness of offerings. To identify the relationship between both childhood and recent (within the past 12 months) gardening experiences and current F/V intake among college students, a cross-sectional evaluation of 1,121 college freshmen from the FRUVED grant with suboptimal fruit and vegetable consumption from eight US universities was analyzed. Participants completed the National Cancer Institute Fruit and Vegetable Screener and questions about gardening experiences. Respondents were grouped as having gardened or not gardened during childhood and recently. Of the student participants, 11% reported gardening only during childhood, 19% reported gardening only recently, 20% reported gardening both as a child and recently, and 49% of students reported never having gardened. Students who gardened both during childhood and recently had a significantly higher mean current intake of F/V compared with students who never gardened (2.5±0.6 vs 1.9±0.5 cup equivalents [CE], respectively; P<0.001). In addition, F/V intake increased with frequency of recent gardening engagement when comparing students who did not garden with those who gardened monthly or weekly (2.1±0.5 CE, 2.4±0.6 CE, and 2.8±0.7 CE, respectively; P<0.001). This analysis suggests that the combination of childhood and recent gardening experience is associated with greater current F/V intake among first-year college students not currently meeting national F/V recommendations. Work continues on developing interventions to improve dietary behavior among young adults. To increase the selection of healthier foods by students on campus, healthy campus eating tours were developed and delivered to freshman. We hypothesize that those who participate in a healthy campus eating tour will have increased perception of healthier food choices. The outcomes from this intervention are still being analyzed.

Publications

  • Type: Journal Articles Status: Published Year Published: 2017 Citation: Walsh J, White A, Kattelmann K. Stage-based healthy lifestyles program for non-college young adults. Health Behav. Educ. 2017;117:148-161. http://dx.doi.org/10.1108/HE-02-2016-0005.
  • Type: Journal Articles Status: Published Year Published: 2017 Citation: Muturi, N., Kidd, T., Kattelmann K., Lindshield, E., Adhikari, K., Zies, S. Motivation for obesity reduction among adolescents in low-income communities in three U.S. States. Journal of Communication and Healthcare. 2017; published online 28 June 2017; http://dx.doi.org/10.1080/17538068.2017.1343757
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Horacek TM, Dede Yildirim E, Kattelmann K, Byrd-Bredbenner C, Brown O, Colby S, Greene G, Hoerr S, Kidd T, Koenings MM, Morrell J, Olfert MD, Phillips B, Shelnutt K, White A. Path analysis of campus walkability/bike-ability and college students physical activity attitudes, behaviors and body mass index. Am J Health Promo. 2018, 32:578-586. doi: 10.1177/0890117116666357.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Lieschner K, McCormack L, Britt B, Heiberger G, Kattelmann K. The healthfulness of entrees and students purchases in a university campus dining environment. Healthcare. 2018, 6(2):28. doi:10.3390/healthcare6020028.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Hagedorn R, White J, Franzen-Castle L, Colby S, Kattelmann K, White A, Olfert MD. Teens implementing a childhood obesity prevention program in the community: feasibility and perceptions of a partnership with HSTA and iCook 4-H. Int. J. Environ. Res. Public Health. 2018, 15(5), 934; https://doi.org/10.3390/ijerph15050934.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Kattelmann K, Hofer E, Merfeld C, Meendering J, Olfert M, McNamara J, Colby S, Meade R, Franzen-Castle L, Aguirre T, Mathews D, Moyer J, White A. Quality of life associated with physical activity but not sedentary time in youth. J. Child Obes. 2018, 3(S1), 001, DOI:10.21767/2572-5394.100052.
  • Type: Journal Articles Status: Published Year Published: 2017 Citation: Jensen BS, Anderson-Knott M, Bowne M, Boeckner L, Stluka S, Kattelmann K, Meendering J. Innovation and Collaboration: Creating a Transdisciplinary Childhood Obesity Prevention (TOP) Graduate Certificate Program. Health and Interprofessional Practice, 2017; 3(2):eP1125. https://doi.org/10.7710/2159-1253.1125.
  • Type: Journal Articles Status: Published Year Published: 2017 Citation: Sowers MF, Colby S, Greene GW, Pickett M, Franzen-Castle L, Olfert MD, Shelnutt K, Brown O, Horacek TM, Kidd T1, Kattelmann KK1, White AA1, Zhou W, Riggsbee K, Yan W, Byrd-Bredbenner C. Survey Development to Assess College Students' Perceptions of the Campus Environment. Am J Health Behav. 2017 Nov 1;41(6):701-709. doi: 10.5993/AJHB.41.6.4.
  • Type: Journal Articles Status: Published Year Published: 2017 Citation: Colby S, Zhou W, Sowers MF, Olfert MD, Morrell J, Koenings M, Kidd T, Horacek TM, Greene GW, Brown O, White AA, Hoerr SL, Byrd-Bredbenner C, Kattelmann KK. College students health behavior clusters: differences by sex. Am J Health Behav. 2017; 41(4):378-389. doi: 10.5993/AJHB.41.4.2.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Horacek TM, Yildirim ED, Simon MB, Byrd-Bredbenner C, White AA, Shelnutt KP, Olfert MD, Morrell J, Mathews A, Kidd, Kidd T, Kattelmann K , Franzen-Castle L, Colby S, Brown O. Development and validation of the full restaurant evaluation supporting a healthy (FRESH) dining environment audit. J Hunger Enviro Nutr. 2018; https://doi.org/10.1080/19320248.2018.1434103.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Loso J, Staub D, Colby SE, Olfert M, Kattelmann K, Vilaro M, Colee J, Zhou W, Franzen-Castle L, Mathews A. Gardening experience Is associated with increased fruit and vegetable intake among first-year college students: a cross-sectional examination. J Acad Nutr Diet. 2018;118(2):275-283. doi: 10.1016/j.jand.2017.09.005.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Olfert MD, Barr ML, Hagedorn RL, Franzen-Castle L, Colby SE, Kattelmann KK, White AA. Health Disparities Score Composite of Youth and Parent Dyads from an Obesity Prevention Intervention: iCook 4-H. Healthcare. 2018; 6(2):5. https://doi.org/10.3390/healthcare6020051
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Chen B, Kattelmann K, Daniels A, Zies S, Lindshield E, Kidd T. Rural adolescents barriers and facilitators to physical activity. Health Behav Policy Rev. 2018;5(3):36-49, DOI:https://doi.org/10.14485/HBPR.5.3.4.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: White JA, Hagedorn RL, Waterland NL, Barr ML, Famodu OA, Root AE, White AA, Colby SE, Franzen-Castle L, Kattelmann KK, Olfert MD. Development of iGrow: A curriculum for youth/adult dyads to increase gardening skills, culinary competence, and family meal time for youths and their adult caregivers. Int. J. Environ. Res. Public Health. 2018;157:1401. https://doi.org/10.3390/ijerph15071401
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Opoku-Acheampong A, Kidd T, Adhikari K, Muturi N, Kattelmann, K. Assessing physical activity, fruit, vegetable, and sugar-sweetened beverage intake patterns of college students in Kansas. J. Nutrition Education & Behavior. Available online 25 June 2018. https://doi.org/10.1016/j.jneb.2018.02.001
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Olfert MD, Famodu OA, Flanagan S, Smith E, Leary MP, Hagedorn RL, White JA, Koenings M, Colby SE, Kattelmann KK, Franzen-Castle L, White A. The Effect of iCook 4-H, an Obesity Prevention Program, on Blood Pressure and Quality of Life in Youth and Adults. J. Childhood Obesity. 2018;3(1): 4, DOI: 10.21767/2572-5394.100044.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: McElrone M, Colby SE, Franzen-Castle L, Olfert MD, Kattelmann KK, White A. Prevalence and predictors of household food insecurity among adult/youth dyads at the initiation of the iCook 4-H two-year obesity prevention study. J. of Childhood Obesity. 2018;3(1):2. DOI: 10.21767/2572-5394.100055.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Horacek T, Yildirim ED, Kattelmann K, Byrd-Bredbenner C, Brown O, Colby S, Greene G, Hoerr S, Kidd T, Koenings M, Morrell J, Olfert MD, Phillips B, Shellnut K, White A. Multilevel structural equation modeling of students dietary intentions/behaviors, BMI, and the healthfulness of convenience stores. Nutrients. 2018;10:1569. https://doi.org/10.3390/nu10111569.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Barr ML, Colby S, Riggsbee K, Leischner K, Mathew AE, Vilaro MJ, Kattelmann KK, Olfert MD. Health behaviors of student community research partners when designing and implementing a healthy lifestyle intervention on college campuses. Behav. Sci. 2018;8:99. https://doi.org/10.3390/bs8110099
  • Type: Journal Articles Status: Awaiting Publication Year Published: 2018 Citation: Kattelmann KK, Meendering JR, Hofer EJ, Merfeld CM, Olfert MD, Hagedorn RL, Colby SE, Franzen-Castle L, Moyer J, Mathews DR, White AA. The iCook 4-H Study: Report on physical activity and sedentary time in youth participating in a multicomponent program promoting family cooking, eating, and playing together. J Nutr Ed Behav. 2018; Accepted for publication Sept 2018.
  • Type: Journal Articles Status: Under Review Year Published: 2018 Citation: Christianson J, Kattelmann K, Riggsbee K, Moret L, Vilaro M, Olfert M, Mathews AEW, Barr M, Colby S. Promoting wellness on college campuses: identifying and addressing the wellness needs of college students. Topics in Clinical Nutrition, 2018 In Review.
  • Type: Other Status: Published Year Published: 2018 Citation: Staub D, Colby S, Olfert M, Kattelmann K, Zhou W, Vilaro M, Shelnutt K, Mathews A. Skin carotenoid status as a biomarker of health and disease risk among adolescents. J Acad. Nutr. Dietetics. 2018;118:A134.
  • Type: Other Status: Published Year Published: 2018 Citation: *Barr A, Hanson A, Kattelmann K. Effect of cooking classes on health eating behavior among college students. J. Nutr. Educ. Behav. 2018;50(7):S157.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Olfert MD, Hagedorn RL, White JA, Baker BA, Colby SE, Franzen-Castle L, Kattelmann KK, White AA. An Impact Mapping Method to Generate Robust Qualitative Evaluation of Community-Based Research Programs for Youth and Adults. Methods and Protocols. 2018; 1(3):25. https://doi.org/10.3390/mps1030025.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Muturi N, Kidd T, Daniels AM, Kattelmann K, Khan T, Lindshield E, Zies S, Adhikari K. Examining the role of youth empowerment in preventing adolescence obesity in low-income communities. J Adolescence. 2018;68:242-251. https://doi.org/10.1016/j.adolescence.2018.08.001
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Olfert MD, Barr M, Riggsbee K, Kattelmann K, Leischner K, Mathews A, Vilaro M, Colby S. A community based participatory approach to training young adults to design and implement a social marketing framed lifestyle intervention on their college campus. Educ. Sci. 2018;8:150; doi:10.3390/educsci8030150.
  • Type: Other Status: Published Year Published: 2018 Citation: White A, Franzen-Castle L, Kattelmann K, Tschakert M, Colby S, McElrone M, Olfert MD, Hagedorn M. Expanding impact through diversification; year 6 of iCook 4-H. J. Nutr. Educ. Behav. 2018;50(7):S114.
  • Type: Other Status: Published Year Published: 2018 Citation: McNamara J, Olfert MD, Sowers M, Colby S, White A, Byrd-Bredbenner C, Kattelmann K, Franzen-Castle L, Brown O, Kidd T, Shelnutt K, Greene. Development of an instrument measuring perceived environmental healthfulness: behavior environment perception survey (BEPS). J. Nutr. Educ. Behav. 2018;50(7):S12-13.
  • Type: Other Status: Published Year Published: 2018 Citation: Colby S, Olfert MD, Mathews A, Kattelmann K, Kidd T, Brown O, White A, Horacek T, Shelnutt K, Byrd-bredbenner C, Greene G, Morrell J. Get Fruved: the RCT year. J. Nutr. Educ. Behav. 2018;50(7):S116-117.
  • Type: Other Status: Published Year Published: 2018 Citation: Chen B, Kattelmann K, Zies S, Jess M, Lindshield E, Kidd T. Using community based participatory research to ignite yout to create healthier communities. J. Nutr. Educ. Behav. 2018;50(7):S199.
  • Type: Other Status: Published Year Published: 2018 Citation: Riggsbee K, Colby S, Kidd T, Brown O, White A, Horacek T, Olfert MD, Mathews A, Kattelmann K, Shelnutt K, Franzen-Castle L, Greene G. Development and pilot testing of a community based participatory research obesity prevention program on college campuses. J. Nutr. Educ. Behav. 2018;50(7):S55.
  • Type: Other Status: Published Year Published: 2017 Citation: Wiggins S, Colby S, Allison C, Butler R, Olfert M, Kattelmann K, Franzen-Castle L, White A. iCook 4-H: Parenting Typology Reflected in Youth Created Cooking Videos. J. Nutr. Educ. Behav. 2017;49:S67-68.
  • Type: Other Status: Published Year Published: 2017 Citation: Meendering J, Boeckner L, Jensen B, Stluka S, Fischer J, Anderson-Knott M, De Guzman M. The Transdisciplinary Obesity Prevention Graduate Certificate Program: Student Perceptions of Impact. J. Nutr. Educ. Behav. 2017;49:S116-S117.
  • Type: Other Status: Published Year Published: 2017 Citation: Chen B, Kattelmann K, Daniels AM, Adhikari K, Zies S, Lindshield E, Kidd T. Clustering of Youth Empowerment and Health Behaviors Among Sixth to Eighth Grade Adolescents. J. Nutr. Educ. Behav. 2017;49:S25.
  • Type: Other Status: Published Year Published: 2017 Citation: Hanson A, Kattelmann K, Colby S, Mathews A, Olfert M, Brown O, Horacek T, Kidd T, White A. An Evaluation of the Relationship Between Physical Activity, Cooking, Dietary Behavior and Wellness Indicators in College Students: GetFRUVED Study. J. Nutr. Educ. Behav. 2017;49:S29-30.
  • Type: Other Status: Published Year Published: 2017 Citation: Tschakert M, Kattelmann K, Meendering J, McCormack L. Relationship of Weight-Related Eating Behaviors and Weight-Loss of Participants Enrolled in a Proprietary Weight Loss Program. J. Nutr. Educ. Behav. 2017;49:S83-S84.
  • Type: Other Status: Published Year Published: 2017 Citation: Hicks D, Kattelmann K. Development of a Quantitative Measure of Community Readiness to Change for Health and Wellness. J. Nutr. Educ. Behav. 2017;49:S44-45.
  • Type: Other Status: Published Year Published: 2018 Citation: *Christianson J, Kattelmann K, Moret L, Riggsbee K, Vilaro M, Olfert MD, Mathews A, Barr M, Colby S. College campus wellness progras: identifying and addressing the health needs of college students. J. Nutr. Educ. Behav. 2018;50(7):S110.
  • Type: Other Status: Published Year Published: 2018 Citation: Kidd T, Lindshield E, Kattelmann K, Zies S, Koushik A, Muturi N. Community-based participatory research targeted toward the prevention of adolescent obesity: ripple effect mapping outcomes. J. Nutr. Educ. Behav. 2018;50(7):S112.
  • Type: Other Status: Published Year Published: 2017 Citation: Karsky K, Kattelmann K, Wey H, McCormack L, Bowne M, Stluka S, Shafrath T, Wells K, Meendering J. Effectiveness of Train the Trainer Methodology for Delivery of a Preschool Nutrition and Physical Activity Curriculum. J. Nutr. Educ. Behav. 2017;49:S50
  • Type: Other Status: Published Year Published: 2017 Citation: Colby S, Mathews A, Olfert M, Kattelmann K, Kidd T, White A, Horacek T, Franzen-Castle L, Greene G, Byrd-Bredbenner C, Zhou W, Brown O, Shelnutt K. A Social Marketing and Environmental Change Intervention: Get Fruved Years 01-03. J. Nutr. Educ. Behav. 2017;49:S112-S113.
  • Type: Other Status: Published Year Published: 2017 Citation: White A, Franzen-Castle L, Kattelmann K, Colby S, Olfert M. Outputs and Outcomes at Year 5 of the Out-of-School Program for Youth and Adult Dyads: iCook 4-H. J. Nutr. Educ. Behav. 2017;49:S123.
  • Type: Other Status: Published Year Published: 2017 Citation: Allison C, Colby S, Kattelmann K, Franzen-Castle L, Olfert M, Butler R, Payne M, White A. Skills Demonstrated in Cooking Videos in Response to Weekly Cooking Lessons. J. Nutr. Educ. Behav. 2017;49:S73.
  • Type: Other Status: Published Year Published: 2017 Citation: Kidd T, Lindshield E, Kattelmann K, Zies S, Adhikari K, Muturi N. Community-Based Participatory Research Targeted Toward the Prevention of Adolescent Obesity: Project Accomplishments and Post Assessment Plan. J. Nutr. Educ. Behav. 2017;49:S116.
  • Type: Other Status: Published Year Published: 2017 Citation: Gould T, Yerxa K, Franzen-Castle L, Brison C, Aguirre T, Kattelmann K, Wilson-Sweebe K, Colby S, McElrone M, Olfert M, Hagedorn R, White A. Efficacy of the iCook 4-H Dissemination Using Outcome and Fidelity of Implementation Measures. J. Nutr. Educ. Behav. 2017;49:S27-28.
  • Type: Other Status: Published Year Published: 2017 Citation: Allison C, Wiggins A, Yan W, Zhou W, Olfert M, Kattelmann K, Mathews A, Brown O, Kidd T, Horacek T, White A, Colby. Gender differences in use of social media for health-related information. FASEB J. 2017;31:lb430.
  • Type: Other Status: Published Year Published: 2017 Citation: Kattelmann K, LIndshield E, Remley D, Kidd T. Igniting youth to create healthier communities: year 4 policy changes. FASEB J. 2017;31:630.36.
  • Type: Other Status: Published Year Published: 2017 Citation: *Chen B, Kattelmann K, Daniels A, Zies S, Lindshield E, Kidd T. A qualitative examination of barriers and facilitators to physical activity for rural adolescents. FASEB J. 2017;31:641.2.
  • Type: Other Status: Published Year Published: 2017 Citation: Olfert MD, Hagedorn RL, Famodu OA, Barr ML, King SJ, Colby SE, Franzen-Castle L, Kattelmann K, White A. A Childhood Obesity Prevention Program to Increase Cooking, Eating, and Playing Together in Families: iCook 4-H Study. Annual Adolescent and Young Adult Research Symposium. Pittsburgh, PA. May 2017
  • Type: Other Status: Published Year Published: 2017 Citation: Morris AM, Hagedorn RL, Barr ML, King SJ, Famodu OA, Clark RL, Charlier CM, White A, Colby SE, Kattelmann K, Franzen-Castle L, Olfert MD. Application of a Novel Forecasting and Footprinting Dissemination Framework to a Community Based Childhood Obesity Prevention Program. The FASEB J. 2017;31(1): S302.7.
  • Type: Other Status: Published Year Published: 2017 Citation: King SJE, Hagedorn RL, Famodu OA, Barr ML, Morris AM, Colby SM, Franzen-Castle L, Kattelmann KK, White AA, Olfert MD. Using Impact Mapping in a Culinary Program Targeting Youth and Adult Dyads. Annual Adolescent and Young Adult Research Symposium. Pittsburgh, PA. May 2017
  • Type: Theses/Dissertations Status: Submitted Year Published: 2018 Citation: Andrea HansonThesis, Influencers of Fruit and Vegetable Intake and Body Mass Index in College Students, May 2018.


Progress 10/11/16 to 09/30/17

Outputs
Target Audience:The target audience for this report are those residing on college campuses particularly the first-year students. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?New graduate students completed the CITI training, environmental assessment training, and training to take anthropometric assessments. How have the results been disseminated to communities of interest?Results have not been disseminated to the communities of interest. What do you plan to do during the next reporting period to accomplish the goals?Goal 1: Continue to collaborate with multi-state partners to refine the dissemination model. Goal 2: Continue to collaborate iwth multi-state partners to refine the behavioral and environmental assessment tools. Goal 3: Work on this goal will not be addressed during the next reporting period. Goal 4: Work on this goal will not be addressed during the next reporting period. Goal 5: Analyses will continue to meet this goal.

Impacts
What was accomplished under these goals? Goal 1: Work continues on the development of a new dissemination model to benchmark community-programing efforts. This work is completed with my multi-state team through NC1193. We have developed a prototype tool that collects readily available public data and combines with survey assessment data to benchmark the community. Approximately 20% of the expected work towards accomplishment of the goal is completed. Goal 2: Work continues on the development on the refinement of the behavioral and environmental instrument along with my multi-state partners. We have developed the survey and administered to approximately 200 college students. Factor analysis has been completed and refinements continue. The environmental assessments are being conducted on over 100 additional campuses for continued validation of the instruments. The environmental instruments that are being developed are: The Full Restaurant Evaluation Supporting a Healthy (FRESH) Dining Environment Audit evaluates the nutrition environment of dining establishments including restaurants (fast food, sit down, cafes), dining halls, cafeterias, buffets and food courts [53]. The audit evaluates the food and preparation descriptions to determine healthfulness of menu items, rather than a nutrient analysis perspective, and the availability/extensiveness of other supports for making healthy dining decisions. The Convenience Store Supporting Healthy Environment for Life-promoting Food (SHELF) Audit evaluates the healthfulness of the food store environment of convenience stores, drug stores, dollar/discount stores, mini-marts, bodegas/corner stores, and food carts [54]. The audit evaluates the presence of healthier foods and the availability/extensiveness of other environmental supports for making healthy food purchasing decisions. Healthfulness Vending Evaluation for Nutrient-Density (VENDing) Audit evaluates the nutrition environment of vending machines (snack, beverage and prepared foods) using nutrient density healthfulness scores and the availability of environmental supports for making healthy vending purchase decisions [55]. Physical Activity Campus Environmental Supports (PACES) Audit evaluates the recreation facilities and programs for a campus environment and the availability and extensiveness of the environmental physical activity supports [56]. Sneakers and Spokes Walkability/Bike-ability Audit is adapted from the Centers for Disease Control and Prevention's (CDC's) Healthier Worksite Initiative Walkability Audit [57] and evaluates the safety and quality features of walking/biking path segments on a campus. Healthy Environment Policies, Opportunities, Initiatives, Notable Topics Survey (POINTS) Audit evaluates and benchmarks the extensiveness and quality of health promotion/obesity prevention initiatives/interventions, programs, resolutions/pledges and policies for a campus environment [58]. The audit surveys campus professionals with expertise who categorize the extensiveness of each health promotion/obesity prevention topic rather than recording/evaluating every specific initiative/program in the environment. Campus Environment Demographics Audit tracks the geographic, demographic and environmental variables necessary to describe, modify and compare campus results. Note: Syracuse University is the lead institution who developed and refined these tools. The work has been supported, pilot-test and implement by NC1193 Regional Research (15 states) to enhance our work and effectiveness with young audits. Approximately 20% of the work has been completed. Goal 3: No work has started on this goal. Goal 4: This goal is the next step from Goal 2 and no work has started on this goal. Goal 5: Work on this goal is being funded through the AFRI grant of which University Tennesse is the lead. Along with my multi-state partners, we have collected height, weight, and behavioral data on 1153 freshmen at our respective schools. We have also used the instruments listed above to complete environmental assessments. The analysis is on-going and approximately 20% of the expected work to determine the interactions between lifestyle behaviors and environmental factors in influencing health behaviors is completed.

Publications

  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Kidd, T., Lindshield, E., Kattelmann, K., Adhikari, K., Muturi, N., and Zies, S. Ignite-sparking youth to create healthy communities: a protocol for community-centered effort for the prevention of adolescent obesity. Int. J. Nurs.Clin. Pract. 2016;3:189. doi:10.15344/2394-4978/2016/189.
  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Comstock C, Kattelmann K, Zastrow M, McCormack L, Lindshield E, Li Y, Muturi N, Adhikari K, Kidd T. Assessing the environment for support of youth physical activity in rural communities. J. Nutr. Educ & Behav. 2016;48:234-241
  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Remley D, Zies S, Stefura B, Leone R, Kattelmann K, & Kidd T. Assessing Physical Activity Determinants in Urban Settings: Comparison of Perceptions and Environmental Audit Findings. Journal of the National Extension Association of Family & Consumer Sciences. 2016;11:65-82. http://www.neafcs.org/assets/documents/journal/2016%20jneafcs.pdf.
  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Muturi, N. W., Kidd, T., Khan, T., Kattelmann, K., Zies, S., Lindshield, E., & Adhikari, K. An examination of factors associated with self-efficacy for food choice and healthy eating among low-income adolescents in three US states. Frontiers in Communication, 2016;21 doi: 10.3389/fcomm.2016.00006.
  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Olesen M, Kattelmann K, Meendering J, Stluka S. Jumpin Jacks: Social marketing campaign aimed to increase awareness of healthful behavior in South Dakota fourth grade students. J. Human Sciences and Extension. 2016;4:20-33.
  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Miller A, Franzen-Castle L, Aguirre T, Krehbiel M, Colby S, Kattelmann K, Olfert M, Mathews D, White A. Food-Related Behavior and Intake of Adult Main Meal Preparers of 9-10 Year-Old Children Participating in iCook 4-H: A Five-State Childhood Obesity Prevention Pilot Study. Appetite. 2016;101:163-171. http://dx.doi.org/10.1016/j.appet.2016.03.006
  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Byrd-Bredbenner C, Quick V, Koenings M, Martin-Biggers J, Kattelmann KK. Relationship of cognitive load on eating and weight related behaviors of young adults. Eat Behav. 2016;21:89-94. doi: 10.1016/j.eatbeh.2016.01.002.
  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Horacek TM, Dede Yildirim E, Kattelmann K, Byrd-Bredbenner C, Brown O, Colby S, Greene G, Hoerr S, Kidd T, Koenings MM, Morrell J, Olfert MD, Phillips B, Shelnutt K, White A. Path analysis of campus walkability/bike-ability and college students physical activity attitudes, behaviors and body mass index. Am J Health Promo. 2016. DOI: 10.1177/0890117116666357.
  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Walsh J, White A, Kattelmann K. Stage-based healthy lifestyles program for non-college young adults. Health Behav. Educ. 2017;117:148-161. http://dx.doi.org/10.1108/HE-02-2016-0005.
  • Type: Journal Articles Status: Published Year Published: 2016 Citation: Muturi, N., Kidd, T., Kattelmann K., Lindshield, E., Adhikari, K., Zies, S. Motivation for Obesity Reduction among Adolescents in Low-income Communities in Three U.S. States. Journal of Communication and Healthcare. 2017; published online 28 June 2017; http://dx.doi.org/10.1080/17538068.2017.1343757