Performing Department
Family And Consumer Sciences
Non Technical Summary
The assessment of EFNEP impacts is critical to program success. This project will provide updated valid, reliable methods for measuring dietary quality and health-related behaviors including physical activity in the EFNEP population to document program performance and provide valuable needs assessment data to inform future planning and implementation.
Animal Health Component
0%
Research Effort Categories
Basic
(N/A)
Applied
100%
Developmental
(N/A)
Goals / Objectives
To improve standardization of EFNEP 24HDR (24-hour dietary recall) methods a. Develop standardized training and administration protocols for educators for the paper-and-pencil, group administered 24HDR b. Conduct controlled pilot study of implementing the Automated Self-administered 24HDR (ASA24) in EFNEP, including comparison groups, in several regions
To complete and expand testing of newly developed EFNEP Food and Physical Activity Questionnaire (FPAQ) a. Complete further reliability testing b. Conduct Spanish reliability and validity testing c. Develop Retrospective pre/post questionnaire and examine feasibility of design on EFNEP impact reporting. d. Complete validity and reliability testing of infant feeding questions
To determine if participants’ changes in Quality of Life (QoL) are attributable to EFNEP, using a validated EFNEP-tailored questionnaire
Project Methods
Objective 2: To complete and expand testing of newly developed EFNEP Food and Physical Activity Behavior Questionnaire (FPAQ)a. Complete further reliability testingInvestigators from New Jersey, Kentucky, and Idaho will take the lead to finalize reliability testing of the FPAQ, using the complete 32-item questionnaire. The data will be analyzed to test the reliability (i.e. reliability over time and internal consistency) of the 20-items currently used nationwide in EFNEP, as well as the 32-items available. Test/re-test reliability will be conducted with all 32-items at one-month intervals with EFNEP eligible participants with national/regional representation. To test for internal consistency, a secondary analysis on FY 2018 national data set will be conducted.Objective 3: To determine if participants' changes in Quality of Life (QoL) are attributable to EFNEP, using a validated EFNEP-tailored questionnaire (E-QoL).NC3169 will follow similar protocols to validate the E-QoL as was done in NC2169 for the FY2018 national implementation of the FPAQ. Extensive rounds of cognitive interviews will be conducted with EFNEP participants from multiple states and the three primary EFNEP racial/ethnic categories of participants (non-Hispanic White, Hispanic, non-Hispanic Black).These interviews will establish face validity, i.e., the consistent and intended interpretation of items and response options.The next step will be to establish temporal reliability by following a test/retest protocol with EFNEP participants or EFNEP eligible participants - again from multiple states and the three racial/ethnic groups. The final validation step, construct validity, will compare results from the E-QoL with those from several established QoL tools.The established tools are typically longer, more expensive to use, and/or include assessment of some constructs not pertinent for EFNEP.