Source: RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY submitted to NRP
ADVANCING AND EXPANDING HOMESTYLES: SHAPING HOME ENVIRONMENTS AND LIFESTYLES TO PREVENT CHILDHOOD OBESITY
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
AFRI COMPETITIVE GRANT
Reporting Frequency
Annual
Accession No.
1011953
Grant No.
2017-68001-26351
Cumulative Award Amt.
$4,000,000.00
Proposal No.
2016-10786
Multistate No.
(N/A)
Project Start Date
May 1, 2017
Project End Date
Apr 30, 2025
Grant Year
2019
Program Code
[A2101]- Childhood Obesity Prevention: Integrated Research, Education, and Extension to Prevent Childhood Obesity
Recipient Organization
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
3 RUTGERS PLZA
NEW BRUNSWICK,NJ 08901-8559
Performing Department
Nutritional Sciences
Non Technical Summary
This multi-disciplinary, multi-institutional, multi-state, integrated Research, Education, and Extension project will advance and expand the progress of HomeStyles toward reducing risk of childhood overweight and obesity. HomeStyles, an in-home family intervention, enables and motivates English- and Spanish-speaking parents to shape home environments and weight-related lifestyle practices to prevent childhood obesity. Segment 1 of HomeStyles focused families with preschoolers (ages 2-5). This renewal project will generate new knowledge about how participation in HomeStyles-Segment 1 longitudinally affects weight-related aspects of home environments and lifestyle practices. This project also will conduct a dissemination feasibility study to determine how to effectively diffuse the innovations of the evidence-based HomeStyles-Segment 1 intervention to parents of children enrolled in preschool. This project will create a novel, culturally-competent HomeStyles-Segment 2 responsive to the developmentally unique needs of middle childhood (6-11 years) and deliver it online and in SNAP-Ed sessions. Further, this project will build the expertise of the next generation of nutrition and health education professionals in creating effective childhood obesity prevention programs through formal coursework and hands-on practicums. A multifactorial approach is used because diet, exercise, and sleep are associated with childhood obesity risk and successful results are likely to be generated by addressing multiple lifestyle practices in a family context. This intervention will apply community-based participatory research principles and be aligned with current obesity prevention recommendations and behavior change theories. This project will provide a sustainable model for confronting and combating obesity and safeguarding health that can be brought to scale nationwide.
Animal Health Component
100%
Research Effort Categories
Basic
(N/A)
Applied
100%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
70360201010100%
Knowledge Area
703 - Nutrition Education and Behavior;

Subject Of Investigation
6020 - The family and its members;

Field Of Science
1010 - Nutrition and metabolism;
Goals / Objectives
Goal 1: To conduct a dissemination feasibility study to determine how to most effectively and efficiently diffuse the innovations of the evidence-based Segment 1 HomeStyles program to families with children enrolled in preschools. Supporting Objectives: A) To update the current website platform to be fully responsive to the latest computer operating systems and mobile technologies.B) To apply community-based participatory research (CBPR), social marketing, and effective health communication principles to create "marketing" materials suitable for use in preschool/daycare facilities to promote parent adoption of HomeStyles.C) To develop and implement brief trainings for preschool/daycare staff on childhood obesity prevention and benefits of disseminating the HomeStyles program to parents.Goal 2: To create a new, second segment (Segment 2) of HomeStyles tailored to families with children 6 to 11 years and conduct a randomized controlled trial (RCT) to determine whether this novel, age-appropriate, family intervention enables and motivates English- and Spanish-speaking parents to shape their home environments and weight-related lifestyle practices (diet, exercise, sleep) to reduce risk of obesity during middle childhood more than those in the control condition. Supporting Objectives: A) To align middle childhood HomeStyles with obesity prevention recommendations from the Institute of Medicine, Centers for Disease Control and Prevention, White House Task Force, Healthy People 2020 goals, 2015 Dietary Guidelines, and SNAP-Ed and EFNEP guidance.B) To apply CBPR principles by actively collaborating with the target audience (stakeholders) during development of the expanded program.C) To adapt and/or create valid, reliable, more efficient methods for assessing the degree to which home environments and weight-related lifestyle practices prevent excessive weight gain in middle childhood.D) To conduct formative/developmental, process, and outcome/impact evaluation of the expanded program.E) To compare the effectiveness 2 delivery modes of the intervention: independent learning via online delivery and SNAP-Ed group sessions.Goal 3: To build sustainability for Segment 2 of HomeStyles. Supporting Objectives: A) To refine the program using outcomes data to permit parents to independently assess home environments and lifestyle practices and set goals for reshaping them.B) To create and deliver train-the-trainer inservice sessions that demonstrate implementation and evaluation of HomeStyles in local settings and archive the sessions online to support community outreach organizations.C) To disseminate study findings and project materials to health professionals, Extension professionals, organizations serving parents, and parents themselves to promote widespread use beyond the study period.Goal 4: To build the expertise of the next generation of nutrition and health education professionals in creating, implementing, evaluating, and disseminating effective childhood obesity prevention programs via formal college coursework and hands-on practicums that actively involve undergraduate and graduate students (e.g., nutrition, family and consumer sciences, public health), dietetic interns, and medical students in all project activities. Supporting Objectives: A) To create and implement formal college coursework that develops student expertise related to: factors contributing to childhood obesity, characteristics of effective obesity prevention interventions, use of health behavior change theories in interventions, strategies for assessing weight-related behaviors and interventions, methods for building intervention sustainability (e.g., community partnerships, grant writing skills) as well as understanding the mission and vision of Cooperative Extension.B) To develop a series of mentored practicums that enable students to actively apply coursework content to real world situations.C) To increase sustainability of the formal education curricular materials by creating teaching modules, recording webinar presentations, and holding workshops at professional meetings to promote their use.
Project Methods
The approach will ensure inclusion of the components of effective health interventions: health behavior change theoretical basis (i.e., Social Cognitive Theory), family involvement, participatory planning and implementation strategies (i.e., expert advisors, Adult Learning Theory, CBPR principles, stakeholder input), clear messages to participants delivered using motivational interviewing principles, and ongoing support for participants.Dissemination Feasibility Study of Segment 1 HomeStyles for Families with Preschoolers. This Activity will be guided by the RE-AIM framework (Reach to target audience, Effectiveness/Efficacy, Adoption by setting, Implementation consistency and costs, Maintenance of intervention effects in target audience and setting), which focuses on factors critical to successfully translating research interventions into applications that work in the real world. Reaching the target audience (parents) will occur in preschools. Individual interviews with preschool directors will be conducted to identify strategies for types of resources to provide (e.g., posters, flyers, newsletter, parent events, sample guides) to reach parents and promote adoption by each setting, implementation needs (e.g., staff preparation formats such as trainings to describe HomeStyles' value and how to promote it to families), and documentation of dissemination activities to establish effectiveness, implementation, and maintenance. All dissemination materials will undergo formative testing to ensure they engage and motivate parents.Develop and Formative Test HomeStyles for Families with Middle Childhood Kids. The intervention will be congruent with White House and IOM recommendations for home-centered obesity prevention interventions and critical elements for effective interventions. The middle childhood segment will provide intensive, interactive, fun, non-judgmental opportunities for parents to shape their home environments and lifestyle practices to protect child health. It also will promote positive strategies and changes that adults can control in their environments to reduce risk of excessive weight gain in 6-11 year olds. Social Cognitive Theory, Adult Learning Theory, ARCS Model of Motivational Design, and principles of cultural competency and motivational interviewing will inform the intervention delivery. The intervention will have ~12 brief interactive lessons. Each lesson will focus on strategies parents can use in partnership with their middle childhood-aged kids to shape one aspect of the home environment and lifestyle and include engaging materials (in English and Spanish for parents with supporting materials designed especially for kids) and, in some cases enhancement supplies for facilitating change. The delivery modes to be used are: online (English and a mirror site in Spanish) and regular SNAP-Ed group sessions. The intervention content will address salient factors affecting childhood obesity to address in the home environment with middle childhood kids are described below. To further ensure that the intervention addresses the most important topics, we will seek input from external peer-reviewer advisors; conduct focus groups with parents and children.Identify/Modify/Create and Pilot-test Assessment Instruments for HomeStyles for Families with Middle Childhood Kids. The outcome measures are participating parent BMI and child BMI percentile and z-score, Home Environment Characteristics and Lifestyle Practices, Parent Dietary Intake, Feeding Practices, Physical Activity, Healthy Home Environment Self-Efficacy, Motivation, and Social Support; and Youth Dietary Intake, Sleep, and Activity. Instruments will be brief, easy to administer, valid, reliable, and acceptable to the target audience. Existing instruments validated with a diverse population will be used whenever available. When a validated instrument cannot be located, existing instruments measuring outcomes of interest will be examined and whenever possible modified and validated with our study population, otherwise the instrument will be created de novo. Instrument modification and creation will follow a systematic process to establish validity, reliability, and acceptability to the target audience.Conduct Randomized Controlled Trial of Segment 2 HomeStyles Intervention for Families with Middle Childhood Kids. Participants will be parents with at least 1 child (aged 6 to 11 years) who is overweight or obese or is at risk of becoming so. There are 2 treatment groups (experimental and control) per delivery mode (online and SNAP-Ed), for a total of 4 study groups. Online intervention participants will be recruited via announcements sent to community, religious, Extension, civic, online parent-related groups, school based-parent groups, workplaces, healthcare providers, and social media sites. Recruitment materials will describe the project and invite parents to complete a brief online questionnaire to determine eligibility (e.g., has at least one child aged 6 to 11 years). The randomized controlled trial will be conducted and reported according to CONSORT standards. Experimental and control groups will engage in activities at the same time. SNAP-Ed control group participants will receive usual group sessions focusing on maximizing food dollars and online control group will receive a home safety intervention. Process evaluation will be conducted to determine: fidelity (whether the intervention was delivered as planned), "dose" of program delivered to (completeness) and received by (exposure and satisfaction) participants, reach of the program (participation rate), recruitment (procedures and success rate), and context (environmental effects on program outcomes and impacts).Analyze Data, Refine HomeStyles Intervention for Families with Middle Childhood Kids to Support Its Sustainability. The project team will analyze outcomes data and satisfaction ratings and use them to refine the intervention. The refined intervention will be assembled into an electronic "kit" and posted to the project website for widespread access. Training materials and instructional sessions (webinars, workshops at professional meetings, simulation active learning labs) that demonstrate implementation and evaluation of the intervention materials in local settings and assess interest in adoption will be created. Training sessions and "kit" availability will be advertised widely (e.g., via listservs of professional organizations, presentations at professional meetings) and archived online for long-term access.Report & Disseminate Project Outcomes. An electronic reference "manual" describing the intervention for families with kids in middle childhood, project goals and objectives, underlying philosophy/theoretical underpinnings, structure, motivational interviewing, program content, and assessment instruments will be developed. Family intervention outcomes will be reported according to CONSORT standards for RCTs and disseminated through presentations at professional meetings and peer-reviewed publications. In addition, a series of press releases will be developed to attract attention of media targeted to parents and organizations serving parents to increase their awareness of the project's findings and create interest in using project materials.Formal Classroom Education and Practicums for Undergraduate, Graduate, and Medical Students and Dietetic Interns. The multi-institution participation will give inter-disciplinary students opportunities to collaborate in virtual environments. To increase sustainability and extend the intervention development efforts, an electronic "kit" containing instructional materials (e.g., syllabus, assignments, classroom activities, webinar recordings) will be posted to the project website and workshops will be held at professional meetings to promote adoption of the project materials.

Progress 05/01/17 to 04/30/25

Outputs
Target Audience:Parents of preschool children Parents of school-age children School-age children Undergraduate students, graduate students, post-doctoral associates, dietetic interns Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?This project has formally and informally trained undergraduate and graduate students, and dietetic interns to develop obesity prevention intervention materials and conduct focus groups and surveys; created obesity prevention intervention materials; created and implemented training materials for instructors and facilitators, monitored data collection activities; recruited and retained participants, and managed and analyzed data. Additionally, we have provided online virtual training in childhood obesity prevention for childcare workers nationwide. How have the results been disseminated to communities of interest?Results have been and will continue to be disseminated via presentations at professional meetings and peer-reviewed journal articles. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? Goal 1 The dissemination feasibility study data collected before COVID have been analyzed. Remaining materials were disseminated to preschools and childcare facilities. Part A-The re-designed and re-programmed website to be fully responsive to variable screen sizes (e.g., different sizes of screen on phones, tablet, and computer monitor) was completed and has been maintained to current standards. Part B-Findings from preschool director interviews were used to create parent recruitment materials, resources, and document dissemination activities. Formative testing is complete. Findings were presented at the American Society for Nutrition meeting and were used to implement the dissemination study. Part C-The brief trainings for preschool/daycare staff on childhood obesity prevention and benefits of disseminating the HomeStyles program to parents have been designed with implementation ongoing before COVID, but was terminated early due to COVID-related closings of preschools and childcare agencies. Goal 2 The creation of the second segment of HomeStyles tailored to families with children 6 to 11 years is complete. Part A-The HomeStyles Segment 2 materials are aligned with obesity prevention recommendations from the IOM, CDC, White House Task Force, Healthy People 2030, Dietary Guidelines, and SNAP-Ed and EFNEP guidance. Constant surveillance was conducted to identified new and/or revised recommendations for inclusion in materials (e.g., Dietary Guidelines 2020-2025 and Healthy People 2030). Part B-Throughout development of these materials, parents in Florida, New Jersey, and West Virginia were involved by participating in focus groups and cognitive interviews. Focus groups were conducted with 194 children and 185 parents. Cognitive interviews were conducted with 78 parents. Faculty and graduate students were trained to content analyze focus group data; findings were presented at the American Society for Nutrition and Academy of Nutrition and Dietetics. Focus group findings were published in peer-reviewed journals. Cognitive interviews with parents related to the intervention guide content were completed with English speaking parents. Guides were translated and cognitive interviews of content were completed with Spanish speaking parents. Materials for children have been written and the content cognitive tested. Design cognitive interviews of children's materials were completed. Part C-Methods for assessing the degree to which home environments and weight-related lifestyle practices to prevent excessive weight gain in middle childhood have continued and have been field tested. The assessment instruments have been identified/modified/created, undergone content validity review, refined, undergone cognitive testing, pre-tested, pilot tested, field tested, psychometrically analyzed, and refined. Data dictionaries and protocol manuals have been refined and finalized. The finalized assessment instruments have been translation to Spanish and an online survey was completed. Part D- Formative/developmental evaluation was completed. Part E-Plans for comparing the 2 delivery modes are complete. Plan for web delivery of materials was completed. The online randomized controlled trial was registered with ClinicalTrials.gov (ClinicalTrials.gov Identifier: NCT04802291) and protocol paper was published. The SNAP-Ed delivery mode is registered at ClinicalTrials.gov (Identifier: NCT05019339) and protocol paper was published. The SNAP-ed delivery mode randomized controlled trial is complete. Data collection for the online randomized controlled trial is complete. Data analysis will continue and publications are forthcoming. Goal 3 Part A- The HomeStyles program has been refined using outcomes data and is available via the program website for the coming years. Part B- Train-the-trainer inservice sessions that demonstrate implementation and evaluation of HomeStyles were developed. Part C- Study dissemination will continue with future publications and presentations. Goal 4 Part A-The 1-credit childhood obesity course developed and taught in Year 1 and refined and offered again in Year 2 was further refined into self-instructional modules (topics include Quantitative data collection and analysis, Systematic Literature Search, Abstract Writing, nutrition legislation and policy, role of land grant institutions, obesity prevention programs, and skills for reporting research findings including creation of an infographic reporting results, Quantitative Data Collection and analysis, research protocol development, Research Paper writing and Presentation). Key components of the 1-credit course were folded into a 3-credit undergraduate course for dietetics majors and a 3-credit graduate course. Part B-A total of 55 undergraduate students, 30 graduate students, 61 dietetic interns, and 2 post-doctoral associates have participated in mentored practicums. Part C-Self-instruction modules were created and field-tested with 4 graduate students and 9 dietetic interns. Modules were utilized and updated in undergraduate and graduate instruction and will continue after project end. Free-standing, self-instructional, continuing education modules for nutrition and health professionals were refined.

Publications

  • Type: Theses/Dissertations Status: Under Review Year Published: 2025 Citation: Pozzoli, A. HomeStyles 2: A Web-Based Obesity Prevention Program for Families with Children in Middle Childhood. Dissertation Proposal, Rutgers University
  • Type: Theses/Dissertations Status: Under Review Year Published: 2025 Citation: Chen, S. Homestyles-China: A Web-Based Cardiometabolic Disease Prevention Program For U.S. Adults Of Chinese Heritage, Dissertation Proposal, Rutgers University
  • Type: Conference Papers and Presentations Status: Published Year Published: 2024 Citation: Pozzoli, A. and Byrd-Bredbenner, C. (2024) Mothers with High Body Dissatisfaction Have Greater Depression, Anxiety, Stress, and Poorer Mental Health Quality of Life. Journal of the Academy of Nutrition and Dietetics, 124:A61.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2024 Citation: Pozzoli, A. and Byrd-Bredbenner, C. (2024) Mothersÿ¿ÿ¿ÿ¿ÿ¢ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ Daily Screentime Links with Maternal and Child Weight-Related Behaviors and Health. Journal of the Academy of Nutrition and Dietetics, 124:92.
  • Type: Theses/Dissertations Status: Published Year Published: 2024 Citation: 3. Chen, S., and Byrd-Bredbenner, C. (2024) Cultural and Linguistical Adaptation the Homestyles Intervention to Promote Cardiometabolic Health in U.S. Adults of Chinese Heritage (USACH). Journal of the Academy of Nutrition and Dietetics, 124:A49.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2024 Citation: Pozzoli, A. and Byrd-Bredbenner, C. (2024) Disordered Eating Styles Are Associated with School-Age Girlsÿ¿ÿ¿ÿ¿ÿ¢ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ Weight Status. Journal of the Academy of Nutrition and Dietetics, 124:A88.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2024 Citation: Pozzoli, A., and Byrd-Bredbenner, C. (2024) Relationships Among Maternal Body Dissatisfaction and Weight-Related Cognitions. Current Developments in Nutrition, 8:Suppl 2:468.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2024 Citation: Pozzoli, A., and Byrd-Bredbenner, C. (2024) Mothersÿ¿ÿ¿ÿ¿ÿ¢ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ Perception of Sonsÿ¿ÿ¿ÿ¿ÿ¢ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ÿ¿ Weight Status Is Associated With Maternal Child Weight Concerns, Feeding Styles, and Child Eating Styles, 8:Suppl 2:142.


Progress 05/01/23 to 04/30/24

Outputs
Target Audience:Parents of preschool children Parents of school-age children School-age children Undergraduate students, graduate students, post-doctoral associates, dietetic interns Changes/Problems:Lingering effects of COVID continue to slow study recruitment. What opportunities for training and professional development has the project provided?This project has formally and informally trained undergraduate and graduate students to develop obesity prevention intervention materials and conduct focus groups and surveys; created obesity prevention intervention materials; created and implemented training materials for instructors and facilitators, monitored data collection activities; recruited and retained participants, and managed and analyzed data. Additionally, we have provided online virtual training in childhood obesity prevention for childcare workers nationwide. How have the results been disseminated to communities of interest?Results have been disseminated via presentations at professional meetings and peer-reviewed journal articles. What do you plan to do during the next reporting period to accomplish the goals?The achieve our goals for the next year, we plan to continue to conclude all remaining work on this project as well as continue to disseminate project materials and results.

Impacts
What was accomplished under these goals? Goal 1 The dissemination feasibility study data collected before COVID have been analyzed. Remaining materials were disseminated to preschools and childcare facilities. Part A-The re-designed and re-programmed website to be fully responsive to variable screen sizes (e.g., different sizes of screen on phones, tablet, and computer monitor) was completed and has been maintained to current standards. Part B-Findings from preschool director interviews were used to create parent recruitment materials, resources, and document dissemination activities. Formative testing is complete. Findings were presented at the American Society for Nutrition annual meeting in June 2018 and were used to implement the dissemination study. Part C-The brief trainings for preschool/daycare staff on childhood obesity prevention and benefits of disseminating the HomeStyles program to parents have been designed with implementation ongoing before COVID, but was terminated early due to COVID-related closings of preschools can childcare agencies. Goal 2 The creation of the second segment of HomeStyles tailored to families with children 6 to 11 years is complete. Part A-The HomeStyles Segment 2 materials are aligned with obesity prevention recommendations from the IOM, CDC, White House Task Force, Healthy People 2030, Dietary Guidelines, and SNAP-Ed and EFNEP guidance. Constant surveillance was conducted to identified new and/or revised recommendations for inclusion in materials (e.g., Dietary Guidelines 2020-2025 and Healthy People 2030). Part B-Throughout development of these materials, parents in Florida, New Jersey, and West Virginia were involved by participating in focus groups and cognitive interviews. Focus groups were conducted with 194 children and 185 parents. Cognitive interviews were conducted with 78 parents. Faculty and graduate students were trained to content analyze focus group data; findings were presented at the American Society for Nutrition in June 2018 or Academy of Nutrition and Dietetics in October 2018 or October 2019. Focus group findings were published in peer-reviewed journals. Cognitive interviews with parents related to the intervention guide content were completed with English speaking parents. Guides were translated and cognitive interviews of content were completed with Spanish speaking parents. Materials for children have been written and the content cognitive tested. Design cognitive interviews of children's materials were completed. Part C-Methods for assessing the degree to which home environments and weight-related lifestyle practices to prevent excessive weight gain in middle childhood have continued and have been field tested. The assessment instruments have been identified/modified/created, undergone content validity review, refined, undergone cognitive testing, pre-tested, pilot tested, field tested, psychometrically analyzed, and refined. Data dictionaries and protocol manuals have been refined and finalized. The finalized assessment instruments have been translation to Spanish and an online survey was completed. Part D- Formative/developmental evaluation was completed. Part E-Plans for comparing the 2 delivery modes are complete. Plan for web delivery of materials was completed. The online randomized controlled trial was registered with ClinicalTrials.gov (ClinicalTrials.gov Identifier: NCT04802291) and protocol paper was published. The SNAP-Ed delivery mode is registered at ClinicalTrials.gov (Identifier: NCT05019339) and protocol paper was published. Goal 3 The SNAP-ed deliver mode randomized controlled trial is complete; data collection for the online randomized controlled trial is nearing completion. Goal 4 Part A-The 1-credit childhood obesity course developed and taught in Year 1 and refined and offered again in Year 2 was further refined into self-instructional modules (topics include Quantitative data collection and analysis, Systematic Literature Search, Abstract Writing, nutrition legislation and policy, role of land grant institutions, obesity prevention programs, and skills for reporting research findings including creation of an infographic reporting results, Quantitative Data Collection and analysis, research protocol development, Research Paper writing and Presentation). Part B-A total of 29 undergraduate students, 27 graduate students, 50 dietetic interns, and 2 post-doctoral associates have participated in mentored practicums. Part C-Self-instruction modules were created and field-tested with 4 graduate students and 9 dietetic interns. Modules were utilized and updated in undergraduate and graduate instruction Year 2 forward. Creation of free-standing, self-instructional, continuing education modules for nutrition and health professionals were refined.

Publications

  • Type: Journal Articles Status: Published Year Published: 2023 Citation: 1. Santiago, E., Quick, V., Olfert, M., and Byrd-Bredbenner, C. (2023) Relationships of Maternal Employment and Work Impact with Weight-Related Behaviors and Home Environments of Mothers and Their School-Age Children. International Journal of Environmental Research and Public Health.20(14), 6390. https://www.mdpi.com/1660-4601/20/14/6390
  • Type: Journal Articles Status: Published Year Published: 2023 Citation: 2. Park, K., Posluszny, H., Byrd-Bredbenner, C., Worobey, J., and Quick, V. (2023) Associations Between Current Eating Behaviors Among Mothers of Preschool Children and Recalled Weight-based Teasing During Their Childhood. Pediatric Nutrition, Academy of Nutrition and Dietetics, Pediatric Nutrition Practice Group, January
  • Type: Conference Papers and Presentations Status: Published Year Published: 2023 Citation: 1. Zeldman, J., Ramirez, K., Chambers, L., Brunson, L, Li, Y., Oâ¿¿Neal, L., Olfert, M., Byrd-Bredbenner, C., and Shelnutt, K. (2023) The Impact of HomeStyles-2 Nutrition Education Curriculum on Family Mealtime Behaviors, Supports, and Perceptions of Parents/Caregivers of Children Ages 6 to 11. Journal of the Academy of Nutrition and Dietetics, 123:A37. Presented at Food Nutrition Conference and Expo, Denver, October
  • Type: Conference Papers and Presentations Status: Published Year Published: 2023 Citation: 2. Brunson, L., Carman, K., Ramirez, I., Lu, X., Oâ¿¿Neal, L., Olfert, M.D., Byrd-Bredbenner, C., and Shelnutt, K. (2023) Impact of a Virtual Nutrition Education Intervention on Fruit and Vegetable Intake and Cognitions of Adults Participating in SNAP-Education. Journal of Nutrition Education and Behavior. 55:S22-23. Presented at the Society for Nutrition Education Annual Meeting, Washington, D.C., July.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2023 Citation: 3. Ramirez, I., Chambers, K.A., Brunson, L., Lu, X., Oâ¿¿Neal, L., Olfert, M.D., Byrd-Bredbenner, C., and Shelnutt, K. (2023) HomeStyles-2 Nutrition Education Curriculum Positively Impacts Physical Activity Behaviors in SNAP-Eligible Adults. Journal of Nutrition Education and Behavior. 55:S97. Presented at the Society for Nutrition Education Annual Meeting, Washington, D.C., July.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2023 Citation: 4. Najduch, E., Ramirez, I., Chambers, K.A., Brunson, L., Lu, X., ONeal, L., Olfert, M., Byrd-Bredbenner, C., Shelnutt, K. (2023) Homestyles-2 Nutrition Education Curriculum Improves Aspects of Mental Health of Parents/Caregivers of Children Ages 6 to 11. Journal of Nutrition Education and Behavior, 55:S22. Presented at the Society for Nutrition Education Annual Meeting, Washington, D.C., July
  • Type: Conference Papers and Presentations Status: Published Year Published: 2023 Citation: 5. Moreno, M., Brunson, L., Carman, K., Ramirez, I., Lu, X., ONeal, L., Olfert, M., Byrd-Bredbenner, C., Shelnutt, K. (2023) Impact of HomeStyles-2 on Sugary Beverage Availability and Intake and Cognitions of Adults Participating in SNAP-Education. Journal of Nutrition Education and Behavior, 55:S98. Presented at the Society for Nutrition Education Annual Meeting, Washington, D.C., July.
  • Type: Theses/Dissertations Status: Published Year Published: 2023 Citation: Brunson, L. MS Thesis (2023) Homestyles-2: Determining The Impact of A Virtual Nutrition Education Intervention On Fruit And Vegetable Intake, Home Availability, and Related Cognitions of Adults Participating in Snap-Education. Gainesville, University of Florida.


Progress 05/01/22 to 04/30/23

Outputs
Target Audience:Parents of preschool children Parents of school-age children School-age children Undergraduate students, graduate students, post-doctoral associates, dietetic interns Changes/Problems:Lingering effects of COVID have slowed recruitment. Additionally, the backlog onregistration for 10dlc campaigns (in this case, mobile health text messaging use in delivery of the project's intervention) and associated required changes to our website and text delivery of the intervention messages has further delayed recruitment. What opportunities for training and professional development has the project provided?This project has formally and informally trained undergraduate and graduate students to develop obesity prevention intervention materials and conduct focus groups and surveys; created obesity prevention intervention materials; created and implemented training materials for instructors and facilitators, monitored data collection activities; recruited and retained participants, and managed and analyzed data. Additionally, we have provided online virtual training in childhood obesity prevention for childcare workers nationwide. How have the results been disseminated to communities of interest?Results have been disseminated via presentations at professional meetings and peer-reviewed journal articles. What do you plan to do during the next reporting period to accomplish the goals?The achieve our goals for the next year, we plan to continue work on Goal 3 to implement and complete the randomized controlled trial data collection. We also plan to conclude work on Goal 4 as well as continue to disseminate project materials and results.

Impacts
What was accomplished under these goals? Goal 1 The dissemination feasibility study data collected before COVID have been analyzed. Remaining materials were disseminated to preschools and childcare facilities. Part A-The re-designed and re-programmed website to be fully responsive to variable screen sizes (e.g., different sizes of screen on phones, tablet, and computer monitor) was completed and has been maintained to current standards. Part B-Findings from preschool director interviews were used to create parent recruitment materials, resources, and document dissemination activities. Formative testing is complete. Findings were presented at the American Society for Nutrition annual meeting in June 2018 and were used to implement the dissemination study. Part C-The brief trainings for preschool/daycare staff on childhood obesity prevention and benefits of disseminating the HomeStyles program to parents have been designed with implementation ongoing before COVID, but was terminated early due to COVID-related closings of preschools can childcare agencies. Goal 2 The creation of the second segment of HomeStyles tailored to families with children 6 to 11 years is complete. Part A-The HomeStyles Segment 2 materials are aligned with obesity prevention recommendations from the IOM, CDC, White House Task Force, Healthy People 2030, Dietary Guidelines, and SNAP-Ed and EFNEP guidance. Constant surveillance was conducted to identified new and/or revised recommendations for inclusion in materials (e.g., Dietary Guidelines 2020-2025 and Healthy People 2030). Part B-Throughout development of these materials, parents in Florida, New Jersey, and West Virginia were involved by participating in focus groups and cognitive interviews. Focus groups were conducted with 194 children and 185 parents. Cognitive interviews were conducted with 78 parents. Faculty and graduate students were trained to content analyze focus group data; findings were presented at the American Society for Nutrition in June 2018 or Academy of Nutrition and Dietetics in October 2018 or October 2019. Focus group findings were published in peer-reviewed journals. Cognitive interviews with parents related to the intervention guide content were completed with English speaking parents. Guides were translated and cognitive interviews of content were completed with Spanish speaking parents. Materials for children have been written and the content cognitive tested. Design cognitive interviews of children's materials were completed. Part C-Methods for assessing the degree to which home environments and weight-related lifestyle practices to prevent excessive weight gain in middle childhood have continued and have been field tested. The assessment instruments have been identified/modified/created, undergone content validity review, refined, undergone cognitive testing, pre-tested, pilot tested, field tested, psychometrically analyzed, and refined. Data dictionaries and protocol manuals have been refined and finalized. The finalized assessment instruments have been translation to Spanish and an online survey created. Part D- Formative/developmental evaluation was completed. Part E-Plans for comparing the 2 delivery modes are complete. Plan for web delivery of materials was completed. The online randomized controlled trial was registered with ClinicalTrials.gov (ClinicalTrials.gov Identifier: NCT04802291) and protocol paper was published. The SNAP-Ed delivery mode is registered at ClinicalTrials.gov Identifier: NCT05019339) and protocol paper was published. Goal 3 The SNAP-ed deliver mode randomized controlled trial is underway; the online randomized controlled trial has been launched. Recruitment of families lags behind projections. Goal 4 Part A-The 1-credit childhood obesity course developed and taught in Year 1 and refined and offered again in Year 2 was further refined into self-instructional modules (topics include Quantitative data collection and analysis, Systematic Literature Search, Abstract Writing, nutrition legislation and policy, role of land grant institutions, obesity prevention programs, and skills for reporting research findings including creation of an infographic reporting results, Quantitative Data Collection and analysis, research protocol development, Research Paper writing and Presentation). Part B-A total of 8 undergraduate students, 15 graduate students, 12 dietetic interns, and 2 post-doctoral associates have participated in mentored practicums. Part C-Self-instruction modules were created and field-tested with 4 graduate students and 9 dietetic interns. Modules are being utilized and updated in undergraduate and graduate instruction Year 2 forward. Creation of free-standing, self-instructional, continuing education modules for nutrition and health professionals are in refinement.

Publications

  • Type: Journal Articles Status: Published Year Published: 2022 Citation: Keresztes, M., Delaney, C.L., and Byrd-Bredbenner, C. (2022) Maternal Mental Health Status Is Associated with Weight-Related Parenting Cognitions, Home Environment Characteristics, and Childrenâ¿¿s Behaviors. International Journal of Environmental Research and Public Health,19:13855.
  • Type: Journal Articles Status: Published Year Published: 2022 Citation: Delaney, C.L. and Byrd-Bredbenner, C. (2022) Relationships Among Family Social Support and Weight Related-Behaviors of School-Age Children: Exploratory Analysis of an Online Survey. International Journal of Environmental Research and Public Health, 19:8501.
  • Type: Journal Articles Status: Published Year Published: 2022 Citation: Carman, K., Oâ¿¿Neal, L.J., Byrd-Bredbenner, C., Olfert, M., and Shelnutt, K.P. (2022) HomeStyles-2 for SNAP-Ed Families with Children in Middle Childhood: Cluster Randomized Trial Protocol. Contemporary Clinical Trials. 117:106771
  • Type: Conference Papers and Presentations Status: Published Year Published: 2022 Citation: Delaney, C. and Byrd-Bredbenner, C. (2022) â¿¿Itâ¿¿s not worth it⿝: Associations Between the Effort Mothers Perceive is Needed to Get Children to be Physically Activity and Child Health, Behavior, and Home Environments. Journal of the Academy of Nutrition and Dietetics, 122:A32. Presented at Food Nutrition Conference and Expo, Orlando, October.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2022 Citation: Rielly, T., Delaney, C., and Byrd-Bredbenner, C. (2022) Comparisons of Maternal Feeding Practices and Child Eating Behaviors by Child BMI Percentile Status. Journal of the Academy of Nutrition and Dietetics, 122:A15. Presented at Food Nutrition Conference and Expo, Orlando, October.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2022 Citation: Rielly, T., Delaney, C., and Byrd-Bredbenner, C. (2022) U.S. Mothersâ¿¿ and Chinese Caregivers: Differences in Child Weight Concerns, Child Feeding Practices, and Child Eating Behaviors. Journal of the Academy of Nutrition and Dietetics, 122:A65. Presented at Food Nutrition Conference and Expo, Orlando, October.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2022 Citation: Delaney, C. and Byrd-Bredbenner, C. (2022) Electronic Media Use During Family Meals Links with Health Status, Dietary Intake, Home Mealtime Environment, and Family Function. Journal of the Academy of Nutrition and Dietetics, 122:A61. Presented at Food Nutrition Conference and Expo, Orlando, October.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2023 Citation: Olfert M. Adult Lifelong Learning: Certificate for the Wellness Educator in HomeStyles Project. Active Living Conference, National Institute for Health Campus, Bethesda, MD, March 13-16, 2023
  • Type: Conference Papers and Presentations Status: Published Year Published: 2022 Citation: Olfert M. Nutrition Education Strategies, Foreign Agriculture Service, USDA Nutrition and Food Safety Summit, Dubai, UAE, May 2022
  • Type: Conference Papers and Presentations Status: Published Year Published: 2022 Citation: Olfert M. Evaluating Community Interventions, Foreign Agriculture Service, USDA Nutrition and Food Safety Summit, Dubai, UAE, May 2022


Progress 05/01/21 to 04/30/22

Outputs
Target Audience:Parents of preschool children Parents of school-age children School-age children Undergraduate students, graduate students, post-doctoral associates, dietetic interns Changes/Problems:The COVID pandemic has stalled our progress, especially with recruiting participants and collecting data. We are poised to resume these activities as soon as guidance from authoritative sources (e.g., our universities, CDC) deem it safe to do so. What opportunities for training and professional development has the project provided?This project has formally and informally trained undergraduate and graduate students to develop obesity prevention intervention materials and conduct focus groups and surveys; created obesity prevention intervention materials; created and implemented training materials for instructors and facilitators, monitored data collection activities; recruited and retained participants, and managed and analyzed data. Additionally, we have provided online virtual training in childhood obesity prevention for childcare workers nationwide. How have the results been disseminated to communities of interest?Results has been disseminated via presentations at professional meetings and peer-reviewed journal articles. What do you plan to do during the next reporting period to accomplish the goals?The achieve our goals for the next year when COVID-related circumstances are deemed safe to proceed, we plan to continue to recruit preschools to participate in the Goal 1 dissemination study and/or analyze data and report findings. In addition, we plan to continue work on Goal 3 to implement and complete the randomized controlled trial data collection. We also plan to continue work on all parts of Goal 4.

Impacts
What was accomplished under these goals? Goal 1 The dissemination feasibility study was underway before COVID, but has stalled due to COVID-related closing of preschool and childcare. Part A-The re-designed and re-programmed website to be fully responsive to variable screen sizes (e.g., different sizes of screen on phones, tablet, and computer monitor) was completed and has been maintained to current standards. Part B-Findings from preschool director interviews were used to create parent recruitment materials, resources, and document dissemination activities. Formative testing is complete. Findings were presented at the American Society for Nutrition annual meeting in June 2018 and are being used to implement the dissemination study. Part C-The brief trainings for preschool/daycare staff on childhood obesity prevention and benefits of disseminating the HomeStyles program to parents have been designed with implementation ongoing before COVID, but was stalled due to COVID-related closings of preschools can childcare agencies. Goal 2 The creation of the second segment of HomeStyles tailored to families with children 6 to 11 years is complete. Part A-The HomeStyles Segment 2 materials are aligned with obesity prevention recommendations from the IOM, CDC, White House Task Force, Healthy People 2030, Dietary Guidelines, and SNAP-Ed and EFNEP guidance. Constant surveillance was conducted to identified new and/or revised recommendations for inclusion in materials (e.g., Dietary Guidelines 2020-2025 and Healthy People 2030). Part B-Throughout development of these materials, parents in Florida, New Jersey, and West Virginia were involved by participating in focus groups and cognitive interviews. PreCOVID: Focus groups were conducted with 194 children and 185 parents. Cognitive interviews were conducted with 78 parents. Faculty and graduate students were trained to content analyze focus group data; findings were presented at the American Society for Nutrition in June 2018 or Academy of Nutrition and Dietetics in October 2018 or October 2019. Focus group findings were published in peer-reviewed journals. Cognitive interviews with parents related to the intervention guide content were completed with English speaking parents. Guides were translated and cognitive interviews of content were completed with Spanish speaking parents. Materials for children have been written and the content cognitive tested. Design cognitive interviews of children's materials were completed. Part C-Methods for assessing the degree to which home environments and weight-related lifestyle practices to prevent excessive weight gain in middle childhood have continued and have been field tested. The assessment instruments have been identified/modified/created, undergone content validity review, refined, undergone cognitive testing, pre-tested, pilot tested, field tested, psychometrically analyzed, and refined. Data dictionaries and protocol manuals have been refined and finalized. The finalized assessment instruments have been translation to Spanish and an online survey created. Part D- Formative/developmental evaluation is underway was completed. Part E-Plans for comparing the 2 delivery modes are complete. Web delivery of materials is complete. The online randomized controlled trial is registered with ClinicalTrials.gov (ClinicalTrials.gov Identifier: NCT04802291) and protocol paper is published. The SNAP-Ed delivery mode is registered at ClinicalTrials.gov Identifier: NCT05019339) and protocol paper is in peer-review. Goal 3 The SNAP-ed deliver mode randomized controlled trial is underway; the online randomized controlled trial will be launched in mid-2022. Goal 4 Part A-The 1-credit childhood obesity course developed and taught in Year 1 and refined and offered again in Year 2 was further refined into self-instructional modules (topics include Quantitative data collection and analysis, Systematic Literature Review, Abstract Writing, nutrition legislation and policy, role of land grant institutions, obesity prevention programs, and skills for reporting research findings including creation of an infographic reporting results, Quantitative Data Collection and analysis, research protocol development, Research Paper writing and Presentation). Part B-A total of 8 undergraduate students, 15 graduate students, 12 dietetic interns, and 2 post-doctoral associates have participated in mentored practicums. Part C-Self-instruction modules were created and field-tested with 4 graduate students and 9 dietetic interns. Modules are being utilized in undergraduate and graduate instruction Year 2 forward. Creation of free-standing, self-instructional, continuing education modules for nutrition and health professionals are nearing completion.

Publications

  • Type: Theses/Dissertations Status: Published Year Published: 2021 Citation: Rielly, T. (2021) Child Caregiver Feeding Behaviors, Child Eating Behaviors, and Weight Status of Preschool-aged Children in the United States and China. New Brunswick, NJ: Rutgers University
  • Type: Conference Papers and Presentations Status: Published Year Published: 2021 Citation: Park, K., Quick, V., Worobey, J., and Byrd-Bredbenner, C. (2021) Associations of recalled weight-based teasing during childhood with eating behaviors and psychological characteristics among mothers with young children. Journal of the Academy of Nutrition and Dietetics, 121:A-87.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2021 Citation: Delaney, C. and Byrd-Bredbenner, C. (2021) Weight-related Behaviors of Mothers with Young Children Differ by Maternal Education Level. Journal of the Academy of Nutrition and Dietetics, 121:A-65..
  • Type: Conference Papers and Presentations Status: Published Year Published: 2021 Citation: Delaney, C. and Byrd-Bredbenner, C. (2021) Variations in Maternal Eating Behaviors, Child Feeding Behaviors, and Home Food Environments by Family Size. Journal of the Academy of Nutrition and Dietetics, 121:A-98.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2021 Citation: Delaney, C. and Byrd-Bredbenner, C. (2021) Relationships Among Household Size and Physical Activity Cognitions, Home Environments, and Behaviors of Mothers with Young Children. Journal of the Academy of Nutrition and Dietetics, 121:A-30
  • Type: Conference Papers and Presentations Status: Published Year Published: 2021 Citation: Santiago, E. and Byrd-Bredbenner, C. (2021) Associations Among Maternal Employment Status and Weight-Related Cognitions, Home Environment Characteristics, Behaviors, and BMI. Journal of the Academy of Nutrition and Dietetics, 121:A-86.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2021 Citation: Carman, K., Zeldman, J., Ramirez Sierra, I., Berman, S., Oÿ¢ÿ¿ÿ¿Neal, L.J., Shelnutt, K. (2021) Development of a Motivational Interviewing Training for Paraprofessional Nutrition Educators, University of Florida, Gainesville, FL.
  • Type: Journal Articles Status: Published Year Published: 2022 Citation: 1. Byrd-Bredbenner, C., Santiago, E., Eck, K.M., Delaney, C.L., Quick, V.M., Pozzoli, A., Worobey, J., Shelnutt, K.P., and Olfert, M.D. (2022) HomeStyles-2: Randomized Controlled Trial Protocol for a Web-Based Obesity Prevention Program for Families with Children in Middle Childhood. Contemporary Clinical Trials, 112:106644. doi.org/10.1016/j.cct.2021.106644
  • Type: Journal Articles Status: Published Year Published: 2021 Citation: Quick, V., Delaney, C., Eck, K., and Byrd-Bredbenner, C. (2021) Family Social Capital: Links to Health and Weight-Related Behaviors of Mothers and Young Children. Nutrients, 13:1428. www.mdpi.com/2072-6643/13/5/1428
  • Type: Other Status: Published Year Published: 2021 Citation: Motivational Interviewing Facilitatorsÿ¢ÿ¿ÿ¿ Guide Presentation & Script (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: Motivational Interviewing Participant Guide Presentation & Script (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: Motivational Interviewing Pre-test Presentation & Script (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: Motivational Interviewing Post-Test Presentation & Script (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: Motivational Interviewing Training Presentation & Script (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: Welcome to the HomeStyles-2 Research Study Training Presentation & Script (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: Welcome to the HomeStyles-2 Curriculum Training Presentation & Script (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: Welcome to the Eat Healthy BE Active Curriculum Training Presentation & Script (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: HomeStyles Research Project Presentation & Script (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: 12 Eat Health Be Active Workbooks (6 English; 6 Spanish); (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: 12 HomeStyles Instructional Presentations (slides & script) (6 English; 6 Spanish); (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: 12 Eat Health Be Active Instructional Presentations (slides & script) (6 English; 6 Spanish); (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: 2 Recruitment fliers (1 Spanish; 1 English); (2021) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2021 Citation: Teaching Observation Tool; (2021) University of Florida, Gainesville, FL
  • Type: Conference Papers and Presentations Status: Published Year Published: 2021 Citation: Walker, A., Olfert, M. (2021) Homestyles Intervention. School of Public Health, West Virginia University, Morgantown, WV.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2021 Citation: Walker, A., Marisco, G., Olfert, M. (2021) Participant Recruitment and Directory Development. Lifestyle Intervention Research Lab, West Virginia University, Morgantown, WV.


Progress 05/01/20 to 04/30/21

Outputs
Target Audience:Parents of preschool children Parents of school-age children School-age children Undergraduate students, graduate students, post-doctoral associates, dietetic interns Changes/Problems:The COVID pandemic has stalled our progress, especially with recruiting participants and collecting data. We are poised to resume these activities as soon as guidance from authoritative sources (e.g., our universities, CDC) deem it safe to do so. What opportunities for training and professional development has the project provided?This project has formally and informally trained undergraduate and graduate students to develop obesity prevention intervention materials and conduct focus groups and surveys; created obesity prevention intervention materials; created and implemented training materials for instructors and facilitators, monitored data collection activities; recruited and retained participants, and managed and analyzed data. Additionally, we have provided online virtual training in childhood obesity prevention for childcare workers nationwide. How have the results been disseminated to communities of interest?Results have been disseminated via presentations at professional meetings and peer-reviewed journal articles. What do you plan to do during the next reporting period to accomplish the goals?The achieve our goals for the next year when COVID-related circumstances are deemed safe to proceed, we plan to continue to recruit preschools to participate in the Goal 1 dissemination study. In addition, we plan to finalize Goal 2 Part D (formative/developmental evaluation) and Part E (finalize website and delivery materials for SNAP-Ed participants), and Goal 3 to implement the randomized controlled trial. We also plan to continue work on all parts of Goal 4.

Impacts
What was accomplished under these goals? Goal 1 The dissemination feasibility study is underway this year, but has stalled due to COVID-related closing of preschool and childcare. Part A-The re-designed and re-programmed website to be fully responsive to variable screen sizes (e.g., different sizes of screen on phones, tablet, and computer monitor) was completed and has been maintained to current standards. Part B-Findings from preschool director interviews were used to create parent recruitment materials, resources, and document dissemination activities. Formative testing is complete. Findings were presented at the American Society for Nutrition annual meeting in June 2018 and are being used to implement the dissemination study. Part C-The brief trainings for preschool/daycare staff on childhood obesity prevention and benefits of disseminating the HomeStyles program to parents have been designed with implementation ongoing earlier in this study year, but now stalled due to COVID-related closings of preschools can childcare agencies. Goal 2 The creation of the second segment of HomeStyles tailored to families with children 6 to 11 years is nearly complete; progress was stalled due to COVID-related circumstances. Part A-The HomeStyles Segment 2 materials are aligned with obesity prevention recommendations from the IOM, CDC, White House Task Force, Healthy People 2020, Dietary Guidelines, and SNAP-Ed and EFNEP guidance. Constant surveillance was conducted to identified new and/or revised recommendations for inclusion in materials (e.g., Dietary Guidelines 2020-2025 and Healthy People 2030). Part B-Throughout development of these materials, parents in Florida, New Jersey, and West Virginia have been involved by participating in focus groups and cognitive interviews. Focus groups were conducted with 194 children and 185 parents. Cognitive interviews have been conducted with 78 parents. Faculty and graduate students were trained to content analyze focus group data; findings were presented at the American Society for Nutrition in June 2018 or Academy of Nutrition and Dietetics in October 2018 or October 2019. Focus group findings have been published in peer-reviewed journals. Cognitive interviews with parents related to the intervention guide content have been completed with English speaking parents. Guides have been translated and cognitive interviews of content were completed with Spanish speaking parents. Materials for children have been written and the content cognitive tested. Design cognitive interviews of children's materials were completed. Part C-Methods for assessing the degree to which home environments and weight-related lifestyle practices to prevent excessive weight gain in middle childhood have continued and have been field tested. The assessment instruments have been identified/modified/created, undergone content validity review, refined, undergone cognitive testing, pre-tested, pilot tested, field tested, psychometrically analyzed, and refined. Data dictionaries and protocol manuals have been refined and finalized. The finalized assessment instruments have been translation to Spanish and an online survey created. Part D- Formative/developmental evaluation is underway, but has been stalled due to COVID-related circumstances. Part E-Plans for comparing the 2 delivery modes are nearing finalization, but has been stalled due to COVID-related circumstances. Web delivery of materials is nearly completion, but has been stalled due to COVID-related circumstances. The online randomized controlled trial is registered with ClinicalTrials.gov (ClinicalTrials.gov Identifier: NCT04802291) and protocol paper is nearing completion for submission to a peer-reviewed journal. Goal 3 Work on this goal but has been stalled due to COVID-related circumstances. The hope is to begin the randomized controlled trial in mid-2021. Goal 4 Part A-The 1-credit childhood obesity course developed and taught in Year 1 and refined and offered again in Year 2 was further refined into self-instructional modules (topics include Quantitative data collection and analysis, Systematic Literature Review, Abstract Writing, nutrition legislation and policy, role of land grant institutions, obesity prevention programs, and skills for reporting research findings including creation of an infographic reporting results, Quantitative Data Collection and analysis, research protocol development, Research Paper writing and Presentation). Part B-A total of 6 undergraduate students, 10 graduate students, 4 dietetic interns, and 2 post-doctoral associates have participated in mentored practicums. Part C-Self-instruction modules were created and field-tested with 2 graduate students and 3 dietetic interns. Modules are being utilized in undergraduate and graduate instruction Year 2 forward. Plans to create free-standing, self-instructional, continuing education modules for nutrition and health professionals are underway.

Publications

  • Type: Journal Articles Status: Published Year Published: 2020 Citation: Delaney, C.L., Spaccarotella, K., and Byrd-Bredbenner, C. (2020) A Comparison of Maternal Health Status and Weight-Related Cognitions, Behaviors, and Home Environments by Race/Ethnicity. Nutrients, 12:3592.
  • Type: Journal Articles Status: Published Year Published: 2021 Citation: Delaney, C.L., Spaccarotella, K., Quick, V., and Byrd-Bredbenner, C. (2021) A Comparison of Weight-Related Behaviors of Hispanic Mothers and Children by Acculturation Level. International Journal of Environmental Research and Public Health, 18:503.
  • Type: Theses/Dissertations Status: Published Year Published: 2020 Citation: Park, TK Exploring the relationships of recalled weight-based teasing during childhood with current eating behavior and psychological characteristics among mothers of preschool-aged children. Masters Thesis, Rutgers University, 2020.
  • Type: Theses/Dissertations Status: Published Year Published: 2021 Citation: Santiago, E. Relationships among Maternal Employment and Weight-Related Cognitions, Behaviors, and Home Environments of Mothers and their School-Age Children. Doctoral Dissertation, Rutgers University, 2021.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2020 Citation: Eck, K., Martin-Biggers, J., and Byrd-Bredbenner, C. (2020) Links Between Breastfeeding History and Subsequent weight-related behaviors of mother:child dyads. ISBNPA 2020 Abstract Book: 236; p479. Presented virtually at International Society for Behavioral Nutrition and Physical Activity, June.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2020 Citation: Byrd-Bredbenner, C. Martin-Biggers, J., and Eck, K. (2020) Food Insecurity is Linked to Maternal Weight-Related Cognitions. ISBNPA 2020 Abstract Book: 230; p476. Presented virtually at International Society for Behavioral Nutrition and Physical Activity, June.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2020 Citation: Byrd-Bredbenner, C. Martin-Biggers, J., and Eck, K. (2020) Maternal Food Waste Concern Is Linked to Child Feeding Practices. ISBNPA 2020 Abstract Book: 105, p88. Presented virtually at International Society for Behavioral Nutrition and Physical Activity, June.
  • Type: Journal Articles Status: Published Year Published: 2020 Citation: Eck, K.M., Delaney, C.L., Shelnutt, K.P., Olfert, M.D., and Byrd-Bredbenner, C. (2020) Parenting Advice School-Age Kids Offer to Parents to Promote Healthier Child Weight-related Behaviors. Journal of Nutrition Education and Behavior, 52:290-298.
  • Type: Journal Articles Status: Published Year Published: 2020 Citation: Eck, K., Santiago, E., Martin-Biggers, J., and Byrd-Bredbenner, C. (2020) Maternal Sleep Quality Links with Personal and Parenting Weight-Related Behaviors. International Journal of Environmental Research and Public Health, 17(15):5312.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2020 Citation: Eck, K. and Byrd-Bredbenner, C. (2020) Links Between Anxiety and Weight-Related Concerns, Behaviors, Disordered Eating Risk of Young Adults. ISBNPA 2020 Abstract Book: O.2.26, 237; p31. Presented virtually at International Society for Behavioral Nutrition and Physical Activity, June.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2020 Citation: Mialki K, ONeal LO, Shelnutt KP. Planning for a Motivational Interviewing Training for Nutrition Education Staff. Oral Presentation at: UF/IFAS Extension Family Nutrition Program Monthly Call; December, 2020.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2021 Citation: Mialki K, ONeal LO, Shelnutt KP. Presentation of a Motivational Interviewing Training for Nutrition Education Staff. Oral Presentation at: UF/IFAS Extension Family Nutrition Program Monthly Call; February, 2021.
  • Type: Other Status: Published Year Published: 2020 Citation: Lets Eat PowerPoint Presentation (2020) University of Florida, Gainesville, FL.
  • Type: Other Status: Published Year Published: 2020 Citation: Lets Play PowerPoint Presentation (2020) University of Florida, Gainesville, FL.
  • Type: Other Status: Published Year Published: 2020 Citation: HomeStyles! PowerPoint Presentation (2020) University of Florida, Gainesville, FL.
  • Type: Other Status: Published Year Published: 2020 Citation: Fruits & Veggies! PowerPoint Presentation (2020) University of Florida, Gainesville, FL.
  • Type: Other Status: Published Year Published: 2020 Citation: Rise & Dine! PowerPoint Presentation (2020) University of Florida, Gainesville, FL.
  • Type: Other Status: Published Year Published: 2020 Citation: Size it Right! PowerPoint Presentation (2020) University of Florida, Gainesville, FL.
  • Type: Other Status: Published Year Published: 2020 Citation: Lets Play! Spanish PowerPoint Presentation (2020) University of Florida, Gainesville, FL.
  • Type: Other Status: Published Year Published: 2020 Citation: HomeStyles! Spanish PowerPoint Presentation (2020) University of Florida, Gainesville, FL.
  • Type: Other Status: Other Year Published: 2020 Citation: Fruits & Veggies! Spanish PowerPoint Presentation (2020) University of Florida, Gainesville, FL.
  • Type: Other Status: Other Year Published: 2020 Citation: Rise & Dine! Spanish PowerPoint Presentation (2020) University of Florida, Gainesville, FL.
  • Type: Other Status: Other Year Published: 2020 Citation: Size it Right! Spanish PowerPoint Presentation (2020) University of Florida, Gainesville, FL.
  • Type: Other Status: Published Year Published: 2020 Citation: Motivational Interviewing Training Program Materials, (2020) University of Florida, Gainesville, FL
  • Type: Other Status: Published Year Published: 2020 Citation: Lets Eat! Spanish PowerPoint Presentation (2020) University of Florida, Gainesville, FL.


Progress 05/01/19 to 04/30/20

Outputs
Target Audience:Parents of preschool children Parents of school-age children School-age children Undergraduate students, graduate students, post-doctoral associates, dietetic interns Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?This project has formally and informally trained undergraduate and graduate students to develop obesity prevention intervention materials and conduct focus groups and surveys; created obesity prevention intervention materials; created and implemented training materials for instructors and facilitators, monitored data collection activities; recruited and retained participants, and managed and analyzed data. Additionally, we have provided online training in childhood obesity prevention for child care workers nationwide. How have the results been disseminated to communities of interest?Results has been disseminated via presentations at professional meetings and peer-reviewed journal articles What do you plan to do during the next reporting period to accomplish the goals?The achieve our goals for the next year, we plan to continue to recruit preschools to participate in the Goal 1 dissemination study. In addition, we plan to finalize Part B (children's materials and website) and Part C (instrumentation) of Goal 2 and implement the process and outcome/impact evaluation component of Part D and effectiveness comparison of Part E. We also plan to continue work on all parts of Goal 4.

Impacts
What was accomplished under these goals? Goal 1 The dissemination feasibility study is underway. Part A- The re-designed and re-programmed website to be fully responsive to variable screen sizes (e.g., different sizes of screen on phones, tablet, and computer monitor) was completed and has been maintained to current standards. Part B-Findings from preschool director interviews were used to create parent recruitment materials, resources, and document dissemination activities. Formative testing is complete. Findings were presented at the American Society for Nutrition annual meeting in June 2018 and were used to implement the dissemination study. Part C-The brief trainings for preschool/daycare staff on childhood obesity prevention and benefits of disseminating the HomeStyles program to parents have been designed with implementation ongoing. Goal 2 The creation of the second segment of HomeStyles tailored to families with children 6 to 11 years is in progress. Part A-The HomeStyles Segment 2 materials are aligned with obesity prevention recommendations from the IOM, CDC, White House Task Force, Healthy People 2020, Dietary Guidelines, and SNAP-Ed and EFNEP guidance. Constant surveillance is conducted to identified new and/or revised recommendations for inclusion in materials. Part B-Throughout development of these materials, parents in Florida, New Jersey, and West Virginia have been involved by participating in focus groups and cognitive interviews. Focus groups were conducted with 195 children and 158 parents. Cognitive interviews have been conducted with 78 parents. Faculty and graduate students were trained to content analyze focus group data; findings were presented at the American Society for Nutrition in June 2018 or Academy of Nutrition and Dietetics in October 2018. Focus group findings have been published in peer-reviewed journals. Cognitive interviews with parents related to the intervention guide content have been completed with English speaking parents. Guides have been translated and cognitive interviews of content were completed with Spanish speaking parents. Materials for children have been written and the content cognitive tested. Design cognitive interviews of children's materials are in progress. Part C-Methods for assessing the degree to which home environments and weight-related lifestyle practices to prevent excessive weight gain in middle childhood have continued and are being prepared for the field test. The assessment instruments have been identified/modified/created, undergone content validity review, refined, undergone cognitive testing, and pilot tested. Data dictionaries and protocol manuals have been drafted. Pre-testing in English is underway, after which psychometric statistical tests will be run and refinements made before translation to Spanish. Part D- Formative/developmental evaluation is underway. Part E-Plans for comparing the 2 delivery modes are nearing finalization. Web delivery of materials is nearly completion Goal 3 No work on this goal is scheduled until the randomized controlled trial being developed in Goal 2 is completed. Goal 4 Part A- The 1-credit childhood obesity course developed and taught in Year 1 and refined and offered again in Year 2 was further refined into self-instructional modules (topics include Quantitative data collection and analysis, Systematic Literature Review, Abstract Writing, nutrition legislation and policy, role of land grant institutions, obesity prevention programs, and skills for reporting research findings including creation of an infographic reporting results, Quantitative Data Collection and analysis, research protocol development, Research Paper writing and Presentation Part B-A total of 6 undergraduate students, 10 graduate students, 4 dietetic interns, and 2 post-doctoral associates have participated in mentored practicums. Part C-Self-instruction modules were created and field-tested with 2 graduate students and 3 dietetic interns.

Publications

  • Type: Journal Articles Status: Published Year Published: 2020 Citation: Eck, K.M., Delaney, C.L., Shelnutt, K.P., Olfert, M.D., and Byrd-Bredbenner, C. (2020) Parenting Advice School-Age Kids Offer to Parents to Promote Healthier Child Weight-related Behaviors. Journal of Nutrition Education and Behavior, 52:290-298.
  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Quick, V., Eck, K., Delaney, C., Lewis, R., and Byrd-Bredbenner, C. (2019) Stability of Differences in Weight-Related Characteristics of Mothers Across Economic, Cultural, Social, and Environmental-Health Capital Indicators of Socioeconomic. International Journal of Environmental Research and Public Health, 16:3866.
  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Eck, K.M., Delaney, C.L., Clark, R.L, Leary, M.P., Shelnutt, K.P., Olfert, M.D., and Byrd-Bredbenner, C. (2019) The Motor of the Day: Parent and School-Age Childrens Cognitions, Barriers, and Supports for Breakfast. International Journal of Environmental Research and Public Health, 16:3238.
  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Xiong, R., Spaccarotella, K., Quick, V., and Byrd-Bredbenner, C. (2019) Generational Differences: Comparison of weight-related Cognitions and Behaviors of Generation X and Millennial Mothers of Preschool Children. International Journal of Environmental Research and Public Health, 2019:16.
  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Eck, K.M., Delaney, C.L., Olfert, M.D., Hagedorn, R., Leary, M.P., Santella, M.E., Clark, R.L., Famodu, O.A., Shelnutt, K.P., and Byrd-Bredbenner, C. (2019) Parents and Kids Eating Away from Home Cognitions. British Food Journal, 121:1168-1182.
  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Olfert, M.D., Hagedorn, R., Leary, M.P., Eck, K., Shelnutt, K.P., Byrd-Bredbenner, C. (2019) Parent and School-Age Childrens Food Preparation Cognitions and Behaviors Guide Recommendations for Future Interventions. Journal of Nutrition Education and Behavior, 51:684-692.
  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Eck, K.M., Delaney, C.L., Olfert, M.D., Leary, M.P., Hagedorn, R., Santella, M.E., Famodu, O.A., Clark, R.L., Shelnutt, K.P., and Byrd-Bredbenner, C. (2019) Its Good, Its Delicious, Its Great: Cognitions, Barriers, and Supports for Fruit and Vegetable Intake of Parents and School-Age Children. Topics in Clinical Nutrition, 34:100-113.
  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Golem, D., Eck, K.M. Delaney, C.L., Clark, R.L, Shelnutt, K.P., Olfert, M.D., Byrd-Bredbenner, C. (2019) My Stuffed Animals Help Me: The Importance, Barriers, and Strategies Related to Adequate Sleep Behaviors of School-Age children and Parents. Sleep Health, 5:152-160.
  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Eck, K.M., Delaney, C.L., Olfert, M.D., Shelnutt, K.P., and Byrd-Bredbenner, C. (2019) If my family is happy, then I am happy: Quality of Life Determinants of Parents of School-Age Children. SAGE Open Medicine, 7:1-9
  • Type: Conference Papers and Presentations Status: Other Year Published: 2019 Citation: Eck, K., Quick, V., and Byrd-Bredbenner, C. (2019). Household Chaos Links with Maternal Self-efficacy for Weight-related Behaviors. Journal of the Academy of Nutrition and Dietetics, 119A38: Presented at Food Nutrition Conference and Expo, Philadelphia, PA, October.
  • Type: Conference Papers and Presentations Status: Other Year Published: 2019 Citation: Delaney, C. and Byrd-Bredbenner, C. (2019). Obesity-related Aspects of the Home Environment: Differences among White Mothers, High Acculturation Level (AL) Hispanic Mothers, and Low AL Hispanic Mothers. Journal of the Academy of Nutrition and Dietetics, 119:A25. Presented at Food Nutrition Conference and Expo, Philadelphia, PA, October.
  • Type: Conference Papers and Presentations Status: Other Year Published: 2019 Citation: Eck, K., Delaney, C., Byrd-Bredbenner, C., Shelnutt, K.P., and Olfert, M.D. (2019). How Parents Can Help Kids Make Healthy Choices: Advice from Children. Current Developments in Nutrition, 3:S1, P04-006-19: Presented at American Society of Nutrition, Baltimore, MD, June.
  • Type: Conference Papers and Presentations Status: Other Year Published: 2019 Citation: Eck, K., Delaney, C., and Byrd-Bredbenner, C. (2019). Parent cognitions of factors influencing snack intake of their school-aged children at away-from-home events. Current Developments in Nutrition, 3:S1, P11-109-19: Presented at American Society of Nutrition, Baltimore, MD, June.
  • Type: Conference Papers and Presentations Status: Other Year Published: 2019 Citation: Xiong, R., Quick, V., and Byrd-Bredbenner, C. (2019) Generation X vs Millennial Mothers: Comparisons of Weight-related Cognitions and Behaviors by Generation. International Journal for Behavioral Nutrition and Physical Activity. ISBNPA Abstract Book, P2, P2.52. Presented at International Society for Behavioral Nutrition and Physical Activity, Prague, June.
  • Type: Conference Papers and Presentations Status: Other Year Published: 2019 Citation: Delaney, C., Quick, V., and Byrd-Bredbenner, C. (2019). Maternal Education and the Physical Activity, Media, and Food Environments. Journal of the Academy of Nutrition and Dietetics, 119:A47. Presented at Food Nutrition Conference and Expo, Philadelphia, PA, October.
  • Type: Conference Papers and Presentations Status: Other Year Published: 2019 Citation: Santiago, E., Martin-Biggers, J., and Byrd-Bredbenner, C. (2019). Eating Practices and Behaviors, Physical Activity, and Weight Status Differ by Maternal Sleep Duration. Journal of the Academy of Nutrition and Dietetics, 119:A81. Presented at Food Nutrition Conference and Expo, Philadelphia, PA, October.
  • Type: Conference Papers and Presentations Status: Other Year Published: 2019 Citation: Eck, K. and Byrd-Bredbenner, C. (2019). Child Beverage Intake and Eating Behaviors Differ by Maternal Feeding Profile. Journal of the Academy of Nutrition and Dietetics, 119:A78. Presented at Food Nutrition Conference and Expo, Philadelphia, PA, October.
  • Type: Conference Papers and Presentations Status: Other Year Published: 2019 Citation: Byrd-Bredbenner, C., Olfert, M., and Shelnutt, K.P. (2019) Advancing and Expanding HomeStyles: Shaping Home Environments and Lifestyles to Prevent Childhood Obesity: Year 2. Journal of Nutrition Education and Behavior, 51:S21-S22. Presented at the Society for Nutrition Education, Orlando, FL, July.
  • Type: Conference Papers and Presentations Status: Other Year Published: 2019 Citation: Eck, K., Delaney, C., Olfert, M.D., Shelnutt, K.P., and Byrd-Bredbenner, C. (2019). Development and Evaluation of a Dynamic Response Cognitive Interview Methodology for Nutrition Education Material Design. Current Developments in Nutrition, 3:S1, P13-110-19: Presented at American Society of Nutrition, Baltimore, MD, June.
  • Type: Conference Papers and Presentations Status: Other Year Published: 2019 Citation: Quick, V., Delaney, C., and Byrd-Bredbenner, C. (2019) Within-Family Social Capital: Links to Weight-Related Behaviors and Cognitions in Families with Young Children. International Journal for Behavioral Nutrition and Physical Activity. ISBNPA Abstract Book, P1, P1.116. Presented at International Society for Behavioral Nutrition and Physical Activity, Prague, June.
  • Type: Other Status: Published Year Published: 2020 Citation: Eck, K. and Byrd-Bredbenner, C. (2020) Best Practices for Design Cognitive Interview for Children. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Eck, K. and Byrd-Bredbenner, C. (2019) Best Practices for Content Cognitive Interview for Children. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Delaney, C., Eck, K., and Byrd-Bredbenner, C. (2019) Conducting Systematic Literature Reviews for Community Nutrition Research. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Delaney, C., Eck, K., and Byrd-Bredbenner, C. (2019) Systematic Literature Review Data Extraction Template. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Eck, K. and Byrd-Bredbenner, C. (2019) Best Practices for Writing Research Abstracts. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Eck, K. and Byrd-Bredbenner, C. (2019) Creating Research Poster Presentations. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Eck, K. and Byrd-Bredbenner, C. (2019) Best Practices for Analysis of Community Nutrition Research Qualitative Data Analysis. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Eck, K. and Byrd-Bredbenner, C. (2019) Best Practices for Conducting Community Nutrition Research Focus Groups. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Eck, K. and Byrd-Bredbenner, C. (2019) Best Practices for Conducting Community Nutrition Research Qualitative Data Collection. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Eck, K. and Byrd-Bredbenner, C. (2019) Best Practices for Conducting Community Nutrition Research Quantitative Data Collection. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Eck, K. and Byrd-Bredbenner, C. (2019) Best Practices for Developing Conducting Community Nutrition Research Protocols. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Eck, K. and Byrd-Bredbenner, C. (2019) Best Practices for Developing Conducting Community Nutrition Research Papers and Presentations. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Eck, K. and Byrd-Bredbenner, C. (2019) Best Practices for Creating Community Nutrition Research Infographics. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Other Status: Published Year Published: 2019 Citation: Mailki, K. and Shellnut, K. (2019) HomeStyles: Advancing and Expanding. Florida SNAP-Ed Program Managers, Extension Project Managers Retreat, Florida.


Progress 05/01/18 to 04/30/19

Outputs
Target Audience:Parents of preschool children Parents of children School-age children Undergraduate students, graduate students, post-doctoral associates, dietetic interns Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?This project has formally and informally trained undergraduate and graduate students to develop obesity prevention intervention materials and conduct focus groups and surveys; created obesity prevention intervention materials; created and implemented training materials for instructors and facilitators, monitored data collection activities; recruited and retained participants, and managed and analyzed data. Additionally, we have provided online training in childhood obesity prevention for child care workers nationwide. How have the results been disseminated to communities of interest?Results has been disseminated via presentations at professional meetings and peer-reviewed journal articles. What do you plan to do during the next reporting period to accomplish the goals?The achieve our goals for the next year, we plan to continue to recruit preschools to participate in the Goal 1 dissemination study. In addition, we plan to finalize Parts A to C of Goal 2 and implement the process and outcome/impact evaluation component of Part D and effectiveness comparison of Part E. We also plan to continue work on all parts of Goal 4.

Impacts
What was accomplished under these goals? Goal 1 The dissemination feasibility study is underway. Part A- The re-design and re-programming of the website to be fully responsive to variable screen sizes (e.g., different sizes of screen on phones, tablet, and computer monitor) was completed. Part B-Findings from preschool director interviews were used to create parent recruitment materials, resources, and document dissemination activities. Formative testing is complete. Findings were presented at the American Society for Nutrition annual meeting in June 2018. Part C-The brief trainings for preschool/daycare staff on childhood obesity prevention and benefits of disseminating the HomeStyles program to parents have been designed with implementation ongoing. Goal 2 The creation of the second segment of HomeStyles tailored to families with children 6 to 11 years is in progress. Part A-The HomeStyles Segment 2 materials are aligned with obesity prevention recommendations from the IOM, CDC, White House Task Force, Healthy People 2020, Dietary Guidelines, and SNAP-Ed and EFNEP guidance. Constant surveillance is conducted to identified new and/or revised recommendations for inclusion in materials. Part B-Throughout development of these materials, parents in Florida, New Jersey, and West Virginia have been involved by participating in focus groups and cognitive interviews. Focus groups were conducted with 195 children and 158 parents. Cognitive interviews have been conducted with 78 parents. Faculty and graduate students were trained to content analyze focus group data; findings were presented at the American Society for Nutrition in June 2018 or Academy of Nutrition and Dietetics in October 2018. Focus group findings have been published or are in review in peer-reviewed journals. Cognitive interviews with parents related to the intervention guide content have been completed with English speaking parents. Guides are being translated and cognitive interviews of content are planned with Spanish speaking parents. Part C-Methods for assessing the degree to which home environments and weight-related lifestyle practices to prevent excessive weight gain in middle childhood have continued and are being prepared for the pilot test. Part D- Formative/developmental evaluation is underway. Part E-Plans for comparing the 2 delivery modes are nearing finalization. Goal 3 No work on this goal is scheduled until the randomized controlled trial being developed in Goal 2 is near completion. Goal 4 Part A- The 1-credit childhood obesity course developed in Year 1 was refined and offered again in Year 2. It was taught synchronously online (via Zoom) at 3 land-grant institutions (i.e., Rutgers, University of Florida, West Virginia University) in fall 2018. Topics included Dietary Guidelines for Americans, nutrition legislation and policy, role of land grant institutions, obesity prevention programs, and skills for reporting research findings including creation of an infographic reporting results and skills for effectively educating legislators about nutrition programs. Part B-A total of 6 undergraduate students, 10 graduate students, 4 dietetic interns, and 2 post-doctoral associates have participated in mentored practicums. Part C-In addition to those created in Year 1, an array of teaching modules were created and used in the formal graduate course and to train students participating in mentored practicums.

Publications

  • Type: Journal Articles Status: Published Year Published: 2019 Citation: Eck, K.M., Delaney, C.L., Olfert, M.D., Shelnutt, K.P., and Byrd-Bredbenner, C. (2019) ⿿If my family is happy, then I am happy⿝: Quality of Life Determinants of Parents of School-Age Children. SAGE Open Medicine, 7:1-9.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Eck, K.M., Spaccarotella, K., Delaney, C.L., Olfert, M.D., Shelnutt, K.P., and Byrd-Bredbenner, C. (2018) It⿿s Making Memories: Cognitions, Barriers, and Supports for Success of Parents and School-Age Children. Journal of Childhood Obesity, 3:S2:006.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Eck, K.M., Dinesen, A., Garcia, E., Delaney, C.L., Famodu, O.A., Olfert, M.D., Byrd-Bredbenner, C. and Shelnutt, K.P. (2018) Your Body Feels Better When You Drink Water:⿝ Parent and School-Age Children⿿s Sugar-Sweetened Beverage Cognitions. Nutrients, 10:1232.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Eck, K.M., Delaney, C.L., Spaccarotella, K., Olfert, M.D., Hagedorn, R.L., Dinesen, A., Leary, M.P., Shelnutt, K.P., and Byrd-Bredbenner, C. (2018) ⿿Go Outside and Play!⿝: Qualitative Investigation of Cognitions, Barriers, and Supports for Recommended Active Play and Screentime Behaviors of Parents and School-Age Children. Journal of Childhood Obesity, 3:S1-004.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Eck, K.M., Delaney, C.L., Spaccarotella, K., Olfert, M.D., Hagedorn, R.L., Dinesen, A., Leary, M.P., Shelnutt, K.P., and Byrd-Bredbenner, C. (2018) ⿿My Tummy Tells Me⿝: Cognitions, Barriers, and Supports for of Parents and School-Age Children for Appropriate Portion Sizes. Nutrients, 10:1040.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Martin-Biggers, J., Quick, V., Spaccarotella, K., and Byrd-Bredbenner, C. (2018) An Exploratory Study Examining Obesity Risk in Non-obese Mothers of Young Children using a Socioecological Approach. Nutrients, 10:781.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Quick, V., Martin-Biggers, J., Povis, G.A., Worobey, J., Hongu, N., and Byrd-Bredbenner, C. (2018) Long-term Effects of the HomeStyles Randomized Control Trial with Preschool Children on Social Cognitive Theory Constructs Associated with Physical Activity Cognitions and Behaviors. Contemporary Clinical Trials, 68:79-89 10.1016/j.cct.2018.03.006.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Quick, V., Golem, D., Povis Alleman, G., Martin-Biggers, J., Worobey, J., and Byrd-Bredbenner, C. (2018) Moms and Dads Differ in their Family Food Gatekeeper Behaviors. Topics in Clinical Nutrition, 33:3-15.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Byrd-Bredbenner, C., Martin-Biggers, J., Povis, G.A., Worobey, J., Hongu, N., and Quick, V. (2018) Promoting Healthy Home Environments and Lifestyles in Families with Preschool Children: HomeStyles, A Randomized Trial. Contemporary Clinical Trials, 64:139-151.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Martin-Biggers, J., Quick, V., Zhang, M., Jin, Y., and Byrd-Bredbenner, C. (2018) Influence of Family Conflict, Cohesion, and Chaos in the Home Environment on Maternal and Child Food-Related Behaviors. Maternal Child Nutrition,14: e12540.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Olfert, M.D. (2018) Dietary Guidance in the U.S. and Beyond. New Brunswick, NJ: Rutgers, The State University of New Jersey. Powerpoint presentation.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Shelnutt, K.P. (2018) The Role of Land Grants and USDA in Obesity Prevention. New Brunswick, NJ: Rutgers, The State University of New Jersey. Powerpoint presentation
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Shelnutt, K.P. (2018) Food Policy: The Farm Bill. New Brunswick, NJ: Rutgers, The State University of New Jersey. Powerpoint presentation.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Eck, K. and Byrd-Bredbenner, C. (2019) The HomeStyles Challenge Website Tour. New Brunswick, NJ: Rutgers, The State university of New Jersey. Powerpoint Presentation.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Shelnutt, K.P., Byrd-Bredbenner, C. (2018) Nutrition Education for Healthy Children in the Classroom and at Home. To be presented at the Early Educators Leadership Conference, Washington, D.C., October.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Byrd-Bredbenner, C., (2018) Shaping Home Environments and Lifestyle Practices to Prevent Childhood Obesity: HomeStyles. Early Care & Education Work Group, September, webinar.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Delaney, C., Eck, K., Byrd-Bredbenner, C. (2018) Conducting Systematic Reviews for Childhood Obesity Prevention Research. New Brunswick, NJ: Rutgers, The State University of New Jersey. Powerpoint presentation.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Byrd-Bredbenner, C., (2018) Social Cognitive Theory Implementation in HomeStyles. New Brunswick, NJ: Rutgers, The State University of New Jersey. Powerpoint presentation.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Eck, K., Byrd-Bredbenner, C. (2018) Best Practices for Conducting Cognitive Interviews with Adults. New Brunswick, NJ: Rutgers, The State university of New Jersey. Powerpoint Presentation.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Eck, K. and Byrd-Bredbenner, C. (2018). HomeStyles Challenge Quick Start Toolbox for Preschools. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Eck, K. and Byrd-Bredbenner, C. (2018) How the HomeStyles Challenge Works. New Brunswick, NJ: Rutgers, The State university of New Jersey. Powerpoint Presentation.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Eck, K. and Byrd-Bredbenner, C. (2018) Inside the HomeStyles Challenge. New Brunswick, NJ: Rutgers, The State university of New Jersey. Powerpoint Presentation.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Eck, K and Byrd-Bredbenner, C. (2018) The HomeStyles Dissemination Study Action Plan for Researchers. New Brunswick, NJ: Rutgers, The State University of New Jersey.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Eck, K. and Byrd-Bredbenner, C. (2019) The HomeStyles Challenge Dissemination Study Training for Researchers. New Brunswick, NJ: Rutgers, The State University of New Jersey. Power Point Presentation
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Shelnutt, K.P., Carol Byrd-Bredbenner, C., Olfert, M.D. (2018) HomeStyles: Shaping HOME Environments and LifeSTYLES to Prevent Childhood Obesity. Presented at the Agricultural Research Congressional Exhibition and Reception.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Byrd-Bredbenner, C. (2018) HomeStyles: From Idea to RCT to Dissemination. New York University Nutritional Sciences Seminar, New York, April.
  • Type: Other Status: Published Year Published: 2018 Citation: HomeStyles Challenge Preschool Director Recruitment Card
  • Type: Other Status: Published Year Published: 2018 Citation: 8 HomeStyles Challenge Parent Recruitment Posters in English
  • Type: Other Status: Published Year Published: 2018 Citation: 8 HomeStyles Challenge Parent Recruitment Posters in Spanish
  • Type: Other Status: Published Year Published: 2018 Citation: 45 HomeStyles Challenge Parent Recruitment Social Media and Newsletter Insert Notices in English
  • Type: Other Status: Published Year Published: 2018 Citation: 45 HomeStyles Challenge Parent Recruitment Social Media and Newsletter Insert Notices in Spanish
  • Type: Other Status: Published Year Published: 2018 Citation: HomeStyles Challenge Preschool Marketing Kit
  • Type: Other Status: Published Year Published: 2018 Citation: HomeStyles Challenge Quick Start Kit
  • Type: Other Status: Published Year Published: 2018 Citation: 2 HomeStyles Challenge Parent Recruitment Cards in English
  • Type: Other Status: Published Year Published: 2018 Citation: 2 HomeStyles Challenge Parent Recruitment Cards in Spanish
  • Type: Other Status: Published Year Published: 2018 Citation: Family Fun Box for Families with Preschool Children
  • Type: Other Status: Published Year Published: 2018 Citation: Family Pedometer Instruction Card in English
  • Type: Other Status: Published Year Published: 2018 Citation: Family Pedometer Instruction Card in Spanish


Progress 05/01/17 to 04/30/18

Outputs
Target Audience:Parents of school age children School age children Preschool directors Undergraduate students, graduate students, dietetic interns Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?Training or Professional Development: formally and informally trained undergraduate students and graduate students to develop obesity prevention intervention materials and conduct focus groups and surveys; created obesity prevention intervention materials; created and implemented training materials for instructors and facilitators; monitored data collection activities; recruited and retained participants; managed and analyzed data. Provided online training in childhood obesity prevention for child care workers nationwide. How have the results been disseminated to communities of interest?Written reports of Preschool Director interview results were dissemenated to participants. Results have been disseminated via presentations at professional meetings. What do you plan to do during the next reporting period to accomplish the goals?To achieve our goals for the next year, we plan to complete all parts of Goal 1. In addition, we plan to complete Parts A to C of Goal 2 and begin Parts D and E. We also plan to continue work on all parts of Goal 4.

Impacts
What was accomplished under these goals? Goal 1 Part A-The re-design and re-programming of the current website to be fully responsive to variable screen sizes (e.g., different sizes of screen on phones, tablet, and computer monitor) is underway. Re-design is nearing completion with re-programming in early stages; anticipated completion in late spring/early summer. Part B-Trained researchers conducted 2 rounds of interviews with preschool directors (n=9) from 3 states (FL, NJ, WV). Round 1 of interviews gathered insight into how best to build interest in the HomeStyles dissemination feasibility study among preschools and parents. Round 2 of interviews gathered feedback on the summary of round 1 interviews and provided further insight into disseminating the HC through preschools. Findings are being used to create parent recruitment materials, resources, and document dissemination activities, with formative testing scheduled for late spring. Findings have been submitted for presentation at the American Society for Nutrition annual meeting. Part C-Training materials are in development, with the project overview and background modules completed. Additional training materials focusing on the specifics of implementing the dissemination study are in the planning phase. Goal 2 Part A-All guidance documents have been collected, reviewed, key concepts abstracted. Constant surveillance underway for new and/or revised recommendations. Part B-Focus group protocols were developed to address 12 obesity-related topics with parents and 11 topics with children aged 6 to 11 years. Focus group moderators and note-takers in 3 states (FL, WV, NJ) were trained to expertly conduct focus groups with parents and with children. Child-only focus groups where conducted with a total of 194 children aged 6 to 11 years and parent-only focus groups were conducted with 185 English-speaking and XX Spanish-speaking parents of children. Focus group participants were nearly equally distributed across FL, WV, and NJ. Faculty and graduate students were trained to content analyze focus group data to identify trends and themes. Findings have been submitted for presentation at the American Society for Nutrition annual meeting or Academy of Nutrition and Dietetics annual meeting. Part C- A compendium of valid, reliable, efficient assessments has been assembled and enhanced regularly. Preliminary evaluation of these instruments' suitability to the current study has occurred and needs identified. Activities to adapt extant measurements and/or create de novo measurements are underway and will continue through the first have of Year 2. Early analyses have been submitted for presentation at the Academy of Nutrition and Dietetics annual meeting. Part D- Work toward this objective is scheduled to begin in late 2018. Goal 3: no work scheduled for Year 1 of project Goal 4 Part A-A 1-credit childhood obesity prevention (COP) graduate course was taught synchronously online (Canvas) at 3 land-grant institutions (i.e., Rutgers University, University of Florida, and West Virginia University) in fall 2017. Topics designed to build COP expertise of the 14 enrolled graduate students and dietetic interns and 11 auditing graduate students included: HomeStyles project as a case study, systematic literature reviews related to COP topics, behavior change theory and motivational interviewing application to weight-related behaviors, mission of land grant institutions, Cooperative Extension programs vis-à-vis weight-related behaviors, and skills for reporting research findings at professional meetings. Findings have been submitted for presentation at the American Society for Nutrition annual meeting. Part B-A total of 12 undergraduate students, 10 graduate students, 2 post-doctoral associates, and 7 dietetic interns have participated in mentored practicums. Part C-An array of teaching modules were created and used in the formal graduate course and to train student participating in mentored practicums

Publications

  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Eck, K., Delaney, C., Shelnutt, K.P., Olfert, M.D., Byrd-Bredbenner, C. (In Review) Strategies for Disseminating the HomeStyles Challenge via Preschools: Qualitative Phone Interviews with Preschool Directors. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Hagedorn, R., Eck, K., Delaney, C., Shelnutt, K.P., Byrd-Bredbenner, C., Olfert, M.D. (In Review) Active Play in Families with Elementary School Children: Parent Beliefs and Behaviors. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Clark, R., Eck, K., Delaney, C., Shelnutt, K.P., Byrd-Bredbenner, C., Olfert, M.D. (In Review) Breakfast Cognitions and Practices of Parents of Elementary-School Aged Children. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Eck, K., Famodu, O., Clark, R., Delaney, C., Shelnutt, K.P., Olfert, M.D., Byrd-Bredbenner, C. (In Review) Transitioning to Elementary School: Parents Cognitions about Childrens Eating Behaviors Away from Home. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Eck, K., Delaney, C., Shelnutt, K.P., Olfert, M.D., Byrd-Bredbenner, C. (In Review) Behaviors and Cognitions of Parents of Elementary School Children Related to Family Meals. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Famodu, O., Eck, K., Delaney, C., Olfert, M.D., Byrd-Bredbenner, C., Shelnutt, K.P.,. (In Review) Focus Groups Identify Parents Attitudes and Beliefs About Childrens Fruit and Vegetable Intake. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Famodu, O., Eck, K., Delaney, C., Olfert, M.D., Byrd-Bredbenner, C., Shelnutt, K.P.,. (In Review) Best Portions Control Practices for Young Children: What do Parents Think and Do? Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Delaney, C., Hagedorn, R., Eck, K., Shelnutt, K.P., Olfert, M.D., Byrd-Bredbenner, C. (In Review) Quality of Life Considerations for Nutrition Education Interventions Targeting Parents of Elementary School-Age Children. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Hagedorn, R., Eck, K., Delaney, C., Shelnutt, K.P., Byrd-Bredbenner, C., Olfert, M.D. (In Review) Parental Cognitions of Their Elementary School-Age Childrens Screentime. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Clark, R., Eck, K., Delaney, C., Shelnutt, K.P., Byrd-Bredbenner, C., Olfert, M.D. (In Review) Exploring Parental Knowledge and Behaviors Associated with Sleep. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Delaney, C., Famodu, O., Clark, R., Eck, K., Shelnutt, K.P., Olfert, M.D., Byrd-Bredbenner, C. (In Review) Limiting Sugar Sweetened Beverages: Focus Group Discussions with Parents of Elementary School-Aged Children. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Eck, K., Dinesen, A., Delaney, C., Shelnutt, K.P., Olfert, M.D., Byrd-Bredbenner, C. (In review) Childrens Perceptions of the Importance of Limiting Sugar Sweetened Beverages and Strategies for Controlling Intake. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Delaney, C., Leary, M.P., Eck, K., Shelnutt, K.P., Olfert, M.D., Byrd-Bredbenner, C. (In review) Elementary-School Childrens Breakfast Consumption Cognitions and Behaviors. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Eck, K., E, Santiago., Delaney, C., Shelnutt, K.P., Olfert, M.D., Byrd-Bredbenner, C. (In Review) School-Aged Childrens Family Meal Cognitions. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Santiago, E., Eck, K., Delaney, C., Shelnutt, K.P., Olfert, M.D., Byrd-Bredbenner, C. (In Review) Exploring Elementary School-Aged Childrens Fruit and Vegetable Cognitions and Behaviors. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Delaney, C., Eck, K., Shelnutt, K.P., Olfert, M.D., Byrd-Bredbenner, C. (In Review) Getting Enough ZZZZs: Focus Groups with Elementary School Kids About Sleep. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Dinesen, A., Eck, K., Delaney, C., Shelnutt, K.P., Olfert, M.D., Byrd-Bredbenner, C. (In review) Lets Play! Kids Thoughts about Active Playtime. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Leary, M.P., Delaney, C., Eck, K., Shelnutt, K.P., Byrd-Bredbenner, C., Olfert, M.D. (In Review) Eating Healthy When Away from Home: Elementary School-age Childrens Behaviors and Perceptions. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: Delaney, C., Eck, K., Shelnutt, K.P., Byrd-Bredbenner, C., Olfert, M.D. (In Review) Exploring Childrens Understandings of Healthy Portion Sizes. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Hagedorn, R.L., Leary, M.P., Eck, K., Delaney, C., Shelnutt, K.P., Byrd-Bredbenner, C., Olfert, M.D. (In Review). Perceptions and Behaviors Related to Screentime in 6 to 11-Year-Old School Children. Current Developments in Nutrition. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Leary, M.P., Clark, R.L., Hagedorn, R.L., Eck, K., Byrd-Bredbenner, C., Shelnutt K.P., Olfert M.D. (In Review). Evaluation of a Virtual Childhood Obesity Prevention, Research-Based Course. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Eck, K., Delaney, C., Byrd-Bredbenner C. (In Review). Weight-Related Parenting Practices: Do they differ with childrens ages? To be presented at the Food and Nutrition Conference and Exposition, Washington, D.C, October.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Santiago, E., Quick, V., Martin-Biggers, J., Byrd-Bredbenner C. (In Review). Relationships Among Food Insecurity Risk Level and Weight-Related Behaviors of Mothers and their Children. To be presented at the Food and Nutrition Conference and Exposition, Washington, D.C, October.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: Quick, V., Barrios, P., Martin-Biggers, J., Byrd-Bredbenner, C. (In Review). Criterion Validity of Body Fat Composition Calculated from Formulas using Self-Report and Expert Anthropometric Measurements Compared to Bioelectrical Impedance Analysis. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Byrd-Bredbenner, C., Eck, K., Delaney, C., Beluska, K., Cutie, C. (In review). Household Fruit/Vegetable (F/V) Food Frequency Questionnaire (FFQ) Is Feasible for Assessing Home F/V Environment. To be presented at American Society of Nutrition, Boston, MA, June.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2018 Citation: " Leary, M.P., Hagedorn, R.L., Clark, R.L., Shelnutt, K.P., Byrd-Bredbenner, C., and Olfert, M.D. (In Review) Evaluation of a Virtual Childhood Obesity Prevention, Research-Based Course. To be presented at American Society of Nutrition, Boston, MA, June.