HOUSTON-AREA OPPORTUNITIES FOR UNDERGRADUATE STUDENT TRAINING IN OBESITY & NUTRITION (HOUSTON) ACADEMY 2.0

• Sponsoring Institution: National Institute of Food and Agriculture
• Project Status: ACTIVE
• Funding Source: AFRI COMPETITIVE GRANT
• Reporting Frequency: Annual
• Accession No.: 1028115
• Grant No.: 2022-68018-36607
• Cumulative Award Amt.: $749,999.00
• Proposal No.: 2021-10405
• Project Start Date: Jan 1, 2022
• Project End Date: Dec 31, 2026
• Grant Year: 2022
• Program Code: [A7401]- Research and Extension Experiences for Undergraduates

Recipient Organization
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON, THE
7000 FANNIN ST
HOUSTON,TX 770305400

Performing Department
SON, Department of Research (d

Non Technical Summary
Despite nutrition-related chronic diseases and conditions increasing, such as obesity and diabetes, most medical and dental profession training is lagging. The proposed project, Houston-area Opportunities for Undergraduate Student Training in Obesity & Nutrition (HOUSTON) Academy 2.0, will provide 12-months of interprofessional training to undergraduate students who are interested in a health care profession. The program will provide nutrition education, applied research and community engagement opportunities led by medical/dental/nursing and health professionals and scientists at the University of Texas Health Science Center-Houston (UTHealth), in addition to partnering with community organizations. A total of 40 undergraduates, primarily from minority serving institutions and universities not designated as top research universities, will participate in the program, and be provided a scholarship. The trainees will engage in a 10-week multifaceted summer nutrition program where the learning will occur in the garden, kitchen, and simulation lab. The trainees will also engage in state-of-the-art research focused on nutrition-related chronic diseases and conditions occurring in the Schools of Nursing, Dentistry, Public Health, or Medicine. Last, trainees will educate the community about nutrition and be exposed to careers related to food through engagement in community activities. Measurable outcomes include completing a total of 440 internship hours, completing an oral presentation, and contributing to a poster/manuscript for publication. Students' perception of value of experiential learning will also be measured. Graduation and matriculation to graduate school/job placement are long-term measurable outcomes. Overall, HOUSTON Academy 2.0 undergraduate trainees will have exceptional skills needed to address nutrition-related chronic diseases and conditions.

Animal Health Component

33%

Research Effort Categories

Basic

34%

Applied

33%

Developmental

33%

Classification

Knowledge Area (KA)	Subject of Investigation (SOI)	Field of Science (FOS)	Percent
703	6099	3020	17%
704	6099	3020	17%
724	6099	3020	16%
703	6099	1010	17%
704	6099	1010	17%
724	6099	1010	16%

Knowledge Area
703 - Nutrition Education and Behavior; 724 - Healthy Lifestyle; 704 - Nutrition and Hunger in the Population;

Subject Of Investigation
6099 - People and communities, general/other;

Field Of Science
3020 - Education; 1010 - Nutrition and metabolism;

Keywords

culinary medicine

food insecurity

health professions

nutrition education

obesity

Goals / Objectives
The objectives of the HOUSTON Academy 2.0 are to (1) recruit, obtain and retain, and financially support via scholarships 40 undergraduate primarily underrepresented race/ethnic students and economically disadvantaged students, as a mechanism to assist with bachelor degree completion; (2) promote applied research and nutrition learning experiences that focus on food insecurity, obesity, nutrition, and nutrition-related chronic diseases through the existing partnerships as a way to facilitate exposure to careers related to food and agricultural sciences; (3) provide students direct mentorship and professional developmental opportunities that are student-centered in order to cultivate and refine skills; (4) support students' development of leadership skills through participation in recruiting future students, delivery of nutrition education workshops, and contributing to peer mentoring. These objectives will advance the goals of the USDA AFRI-ELI.

Project Methods
The training program is a 12-month program. Over the summer, training will consist of 20 hours per week for a total of 10-weeks. Specifically, the trainees will be involved in 10 hours per week of nutrition education, 5 hours of research, and 5 hours of community activities. In the fall and spring semesters, students will engage in 10-12 hours per week for a total of 12-weeks. Specifically, the trainees will be involved in 5 hours of research and 5 hours of community activities each week. Also, during the academic year professional development workshops (PDW) and research seminars (RS) that focus on a nutrition-related chronic diseases and conditions will occur twice a month, each lasting 1-hour.Nutrition education. The training program will begin the first week in June and over a period of 10-weeks trainees will engage in the Nourish Program led by co-PDs Dr. McWhorter, Ms. Woods, and Ms. Piga-Plunkett. The Nourish Program is an innovative, multifaceted program that was developed at the UTHealth's School of Public Health. The Nourish Program features three state-of-the-art integrated facilities - a Holistic Garden, Research and Development Kitchen, and Simulation Lab. At the garden trainees are taught to plant, grow, and harvest food seasonally and sustainably. The trainees in return learn to identify the properties of fruits and vegetables that enrich health. In the kitchen the trainees are taught to make nutritious food taste good using healthy cooking skills and techniques. The trainees in return learn to translate nutrition science into practical and personalized advice. In the simulation lab trainees are taught to assess, treat, prevent nutrition-related disease using food as therapy. In return students learn to communicate effective dietary modifications through simulation. Each week the trainees will be involved with the garden, kitchen and simulation lab. In the final week of summer training program, the trainees will help facilitate the Community Young Farmer's & Young Chef's Camp. Trainees teachchildren ages 7-12 about how the ecosystem in the garden is related to the health of our food. They will also teach the children how to cook fruits and vegetables from the garden.Continued education:Professional Development Workshops (PDW) & Research Seminars (RS). During the 9-month academic year, twice a month PDW and RS will be led by the PDs or experts in the field.Research projects. Through the strong research infrastructure at UTHealth, trainees will engage in state-of-the-art research that is occurring in the Cizik School of Nursing, School of Public Health, McGovern Medical School, and School of Dentistry. The projects vary from school to school; however, all research projects focus on reducing nutrition-related chronic diseases and conditions in collaboration with interprofessional teams. During the final week of the academic semesters trainees will be required to provide a 15-minute oral presentation (fall) and prepare a poster or manuscript (spring) based on their research project (i.e. student-centered deliverables). This will ensure that all students received practice at public speaking and scientific writing.Community activities. Trainees will also learn through community partnerships (led by a community liaison) about food insecurity, obesity, nutrition, and/or nutrition-related chronic disease to facilitate exposure to careers related to food and agricultural sciences that trainees may not otherwise have the opportunity. For example, trainees will learn about school nutrition through a partnership with Houston Independent School District'snutrition services.External evaluation. The purpose of the proposed external evaluation will be to provide the PD and co-PDs an assessment of short-term and long-term outcomes for continuous improvement. Short-term outcomes include the number of hours completed (i.e. goal: 20 hours per week during the summer; 10 hours per week during fall and spring). The goal is to complete 440 hours by the end of the 12-month program. Short-term outcomes also include measures of nutrition knowledge, research experience, and student-center deliverables. Long-term outcomes include tracking alums of the program in terms of # of presentations and publications; matriculation to graduate school, awards/honors; company and job title straight out of school; current company and job title.The evaluator will work closely with the PD to develop the surveys that align with the Nourish program to capture trainees' knowledge and confidence related to nutrition education and counseling and culinary skills. The trainees research experiences will be assessed using the Undergraduate Research Student Self-Assessment (URSSA). This information, along with student center deliverables (e.g., oral presentations and poster/manuscripts for publication), will be included in the annual program evaluation. In years 2-5, the evaluator will start evaluating the long-term outcomes. Last, the evaluator will review the survey results and open feedback that trainees provide about their mentors. The evaluator will compare this feedback from year to year, in relation to the short- and long-term outcomes, as a way to provide an evaluation on the mentors over the course of the training program. The evaluator will provide the results of the evaluation to the Advisory Board to review the progress evaluation and make recommendations for program modifications. Based on the administrative timeline available in the management plan, this will occur annually in May.

Progress 01/01/24 to 12/31/24

Outputs
Target Audience:The Houston-area Opportunities for Undergraduate Student Training in Obesity & Nutrition (HOUSTON) Academy 2.0 targets students who are interested in a health care profession. The program will provide nutrition education, applied research and community engagement opportunities led by medical/dental/nursing and health professionals and scientists. HOUSTON Academy 2.0 advertises at several universities designated as a minority serving institution by the Department of Education of Postsecondary Education. In addition, the program advertises at several universities that are not recognized as nationally competitive research universities; thus, where the study body has less opportunities to engage in state-of-the-art research activities. The variety of academic institutions will provide a diversity in the training program's student body that will lend itself to the learning environment. The training that the students receive will make them "graduate school or job ready" and highly competitive upon graduation. Cohort 3 Breakdown of the 8 students are as follows: # of students from UTHealth (host institution): 0 # of students from partnering institutions: 8 % female: 63% % Hispanic: 38% % Black/African American:0% % Asian: 50% % First generation college student: 63% % First time conducting research ("research assistant"): 38% % Proficient in another language other than English: 88% Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?In addition to the nutrition education course over the summer, the students have been meeting with their research mentor and learning about conducting research in the community or on patients that have nutrition deficiencies or dietary restrictions due to a chronic illness. We increased the number of workshops to learn how to put an abstract and poster together. We believed this resulted in a successful increase in the number of students submitting conference abstracts and presenting conference posters. We also decreased thenumber of gardening activities, which was necessary due to the exceeding high summer temperatuers.This provided the opportunityto implement a professional seminar series, where early career and mid-career faculty, researchers, administrators from our community came talk to the students about their career trajectories. This will was well received. We also provided the students an opporutnity in the fall semester to be a "standardized patient" actor during the dietetic interns exams for malnutrition. The students really enjoyed this opportunity. How have the results been disseminated to communities of interest?Yes, results have been disseminated or planning to be disseminated. See "Products" and "Other Products". What do you plan to do during the next reporting period to accomplish the goals?We plan to continue with the activities described above as we feel that we had a successful year. In addtion, we are seeking ways to increase the students' time in the simulation lab with the simulation patient. One of theco-PDs is in the process of seeing if more simulation dummies can be bought.

Impacts
What was accomplished under these goals? During the summer, the trainees participated in a nutrition education program. Trainees' learned in 3 environments: the teaching kitchen, holistic garden, and simulation lab. Trainees confidence statistically increased in the three domains: culinary skills (p < .001), gardening skills (p < .01), and nutrition assessment knowledge (p < .001). Further, the trainees' confidence statistically increased in all 15 content areas within the three domains. Specifically, confidence in culinary skills increased in all 5 areas (p < .05), confidence in gardening skills increased in all 5 areas (p < .05), and confidence in nutrition assessment knowledge increased in all 5 areas (p < .05). We were excited to see this growth in our students. Conflict resolution--Working with clients that attend community food pantries can sometimes be difficult, especially when clients quickly become upset. This required the students to coordinate with the entire to team to assist clients in receiving basic needs quickly without having the client become increasing upset. Leadership skills-- Students evaluate situations and determine what the best course of action is. (e.g., food distributions, data collection, implementation of nutrition programs in the community, presentations to peers and faculty). Reliability-- Students are delegated tasks, complete them with minimal supervision, and are required to have the tasks completed by a set day and time to be reviewed by directors or research mentors. (e.g., data entry, creation of presentations) Flexibility-- Working with community partners requires flexibility. Students must quickly adjust to changes in schedules and tasks that may present themselves very suddenly. Time management - Through the process of meeting HOUSTON Academy 2.0 requirements, students learn how to manage their time dedicated for school and life (work, family). Honor Awards President's Honor Roll Provost Undergraduate Research Scholarship Medical school acceptance Fullbridget Scholarship

Publications

• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Anderson, L., Vennekotter, J., Lingwall, M., McKinney, J., Qian, Q., Tsusaki, R., & Barr, E. A. (2024) Supporting Breastfeeding/Chestfeeding people with HIV: Assessment of HIV Knowledge and a Call for Education in Lactation Consultants in North America. Podium presentation. Scholars Day Cizik School of Nursing at UTHealth Houston. Houston, TX. November 7th.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Vennekotter, J., Anderson, L., Lingwall, M., McKinney, J., Qian, Q., Tsusaki, R., & Barr, E. A. (2024) Silver linings and tele-lactation experiences in lactation consultants supporting breastfeeding/chestfeeding people with HIV in North America. Scholars Day Cizik School of Nursing at UTHealth Houston. Houston, TX. November 7th. (Award won)
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Ging, L. (2024). Are AI tools acceptable for generating intervention messages for youth experiencing homelessness Elevator speech at Scholars Day, Cizik School of Nursing at UTHealth Houston. Houston, TX. (Award won)
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Escalante, E., Zapata, A., Tran, D., Morales, J., Di Fabio, M. G., Tobias, K., Cruz, J., Richards, R., Hernandez, D. C. (2024, November). Four Domain Food Insecurity Scale (4D-FIS): Spanish translation and modifications based on Cognitive Interviews and Focus Groups. Podium presentation, 2024 annual Cizik School of Nursing Scholars Day. Houston, Texas
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Galvin, A. M., Unegbu, C., Barr, E., & Santa Maria, D. M. (2024, January). Perceived HIV-related health information needs, behaviors, and outcomes for youth experiencing homelessness at risk for HIV: A qualitative study. Association of Nurses in AIDS Care  Houston Gulf Coast Chapter 2024 January Meeting. Houston, TX.
• Type: Peer Reviewed Journal Articles Status: Published Year Published: 2024 Citation: Ai, D., Heredia, N. I., Cruz, V., Guevara, D. C., Sharma, S. V., Woods, D., Danho, M., & McWhorter, J. W. (2024). Development of a culinary medicine toolkit to improve implementation of virtual cooking classes for low-income adults with Type 2 Diabetes. Healthcare, 12, 343. https://doi.org/10.3390/healthcare12030343
• Type: Peer Reviewed Journal Articles Status: Published Year Published: 2024 Citation: Barr, E.A., Abuogi, L., and Smith, C. (2024) A review of updated guidelines on breastfeeding with HIV using relational decision-making and intellectual humility to support infant feeding choices. Nursing Clinics of North America. 59(2), NUC_1212.
• Type: Peer Reviewed Journal Articles Status: Published Year Published: 2024 Citation: Barr, E. A., Lingwall, M. C., Kim, A., Abuogi, L., & Tsusaki, R. (2024). Lactation Support for Breastfeeding and Chestfeeding People with HIV: A Call for Research to Examine Telelactation Experience, HIV Knowledge, and Lactation Consultants Attitudes Related to Infant Feeding with HIV. Breastfeeding Medicine, 0(0), Published online ahead of print. https://doi.org/10.1089/bfm.2024.0312
• Type: Peer Reviewed Journal Articles Status: Published Year Published: 2024 Citation: Jenkins, K., Marshall, A. N., Kim, B. R., Brooks, F. P., Gundersen, C., & Hernandez, D. C. (2024). Relationship between grocery shopping and meal preparation self-efficacy and household food security status among food pantry clients. Health Behavior Research, 7 (4), DOI: 10.4148/2572-1836.1249
• Type: Peer Reviewed Journal Articles Status: Published Year Published: 2024 Citation: Lu, M., Murphy, M., Kim, A., Lingwall, M., & Barr, E. A. (2024). The relationship between natural environments and obesity: a systematic review. International Journal of Environmental Health Research, 121. https://doi.org/10.1080/09603123.2024.2406306
• Type: Peer Reviewed Journal Articles Status: Published Year Published: 2024 Citation: Macias-Navarro L, McWhorter JW, Guevara DC, Bentley SS, Sharma SV, Torres JH, Ai D, Heredia NI. (2024). A Virtual Culinary Medicine Intervention for Ethnically Diverse Patients with Type 2 Diabetes: Development of Nourishing the Community Through Culinary Medicine program and pilot study protocol. Frontiers in Nutrition, 11, https://doi.org/10.3389/fnut.2024.1383621
• Type: Peer Reviewed Journal Articles Status: Published Year Published: 2024 Citation: Marshall, A.N., Jenkins, K., Fuentes, C. G., Tran, D., Mejia, K. M., Djukic, M., Mungia, R., Testa, A., Alvarado, F., & Hernandez, D. C (2024). Nourishing Smiles: Challenges and lessons learned from implementing an interprofessional school-based oral health and nutrition literacy program for adolescents. Health Behavior Research, 7 (4), DOI: 10.4148/2572-1836.1255
• Type: Peer Reviewed Journal Articles Status: Published Year Published: 2022 Citation: Kirk, K., Schuler, B. R., & Hernandez, D. C. (2022). Lessons learned from conducting health behavior research in an under-resourced, urban community. Health Behavior Review, 5 (3), https://doi.org/10.4148/2572-1836.1153
• Type: Peer Reviewed Journal Articles Status: Published Year Published: 2023 Citation: Marshall, A. N., Walton, Q.L., Eigege, C. Y., Daundasekara, S.S., & Hernandez, D.C. (2023). Comparing in-person and online modalities for photo elicitation interviews among a vulnerable population: Recruitment, retention, and data collection applications. International Journal of Qualitative Methods, 22, https://doi.org/10.1177/16094069231205794.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Kim, A., Barr, E.A. An Evaluation of HIV Knowledge, HIV Stigma, and Telehealth Use in Lactation Consultants in the U.S and Canada (2024, January). Podium presentation at the Houston Gulf Coast Chapter Association of Nurses in AIDS Care. Houston, Texas.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Hernandez, D. C., Fuentes, C., Tran, D., Zapata, A., Martinez, A. R., Jenkins, K., Mejia, K., Marshall, A. N. (2024, March). Food vs. medical economic tradeoffs and chronic conditions among food pantry recipients. Oral presentation to be presented at the 2024 annual meeting of the Society of Behavioral Medicine, Philadelphia, PA.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Galvin., A. M., Unegbu, C., Barr, E., & Santa Maria, D. M. (2024, April). Perceived HIV-related health information needs, behaviors, and outcomes for youth experiencing homelessness at risk for HIV: A qualitative study. American Academy of Health Behavior 2024 Annual Meeting. Savannah, GA
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Grazia Di Fabio, M., Zapata, A., Obambo, G., Guevara, D., Woods, D., Danho, M. P., & Hernandez, D. C. (2024, April). Nutrition assessment training for future dietitians: Programmatic results from HOUSTON Academy 2.0s cohort 1 and 2. Poster to be presented at the 2024 annual Texas Academy of Nutrition and Dietetics, Grapevine, TX
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Obambo, G., Grazia Di Fabio, M., Zapata, A., Guevara, D., Woods, D., Danho, M. P., & Hernandez, D. C. (2024, April). Garden education for future medical doctors: Programmatic results from HOUSTON Academy 2.0s cohort 1 and 2. Poster to be presented at the 2024 annual Texas Academy of Nutrition and Dietetics, Grapevine, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Zapata, A., Obambo, G., Grazia Di Fabio, M., Guevara, D., Woods, D., Danho, M. P., & Hernandez, D. C. (2024, April). Culinary training for future nurses: Programmatic results from HOUSTON Academy 2.0s cohort 1 and 2. Poster to be presented at the 2024 annual Texas Academy of Nutrition and Dietetics, Grapevine, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Momin S, Macias-Navarro L, Guevara DC, Hoelscher DM, McWhorter JW, Gandhi PB, Ai D, Heredia NI.(2024, April). Recruitment Strategies for the Teaching Kitchen Multisite Trial. The UT Public Health Coalition 2024 Spring Research Symposium, Austin, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Momin S, Macias-Navarro L, Guevara DC, Hoelscher DM, McWhorter JW, Gandhi PB, Ai D, Heredia NI. (2024, April) Recruitment strategies for the teaching kitchen multisite trial. Poster to be presented at the 2024 annual Rice University Undergraduate Research Symposium, Houston, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Unegbu, C.& Galvin, A. M. (2024, April). Perinatal Nutrition in Women Recently Pregnant and Homeless; Barriers and Facilitators. Poster to be presented at the 2024 annual Rice University Undergraduate Research Symposium, Houston, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Shenoy E.R. & Katigbak C. (2024, April). Exploring caregivers' perspectives on technology to support caregiving and aging in place for homebound older adults. Poster to be presented at the 2024 annual Rice University Undergraduate Research Symposium, Houston, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Kim, A.., Armitage, H., McKinney, J., Abuogi, L., Tsusaki, R., Lowenthal, E., Barr, E. (2024, April). An evaluation of HIV knowledge, HIV stigma, and telehealth use in lactation consultants in the U.S. and Canada. Poster to be presented at the 2024 annual Rice University Undergraduate Research Symposium, Houston, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Kim, B. R., Brooks, F. P., Gundersen, C., Tran, D., Zapata, A., & Hernandez, D. C. (2024, June). Prevalence and social determinants of health risk outcomes of medical debt among food pantry clients. Oral presentation to be presented at the 2024 Council for the Advancement of Nursing Science, Washington DC.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Grazia Di Fabio, M., Zapata, A., Obambo, G., Guevara, D., Woods, D., Danho, M. P., & Hernandez, D. C. (2024, April). Nutrition assessment training for future dietitians: Programmatic results from HOUSTON Academy 2.0s cohort 1 and 2. Poster to be presented at the 2024 University of Houstons Undergraduate Research Day, Houston, TX
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Zapata, A., Tran, D., Aguilar, M., Martinez, A. R., Di Fabio, M. G., Richards, R., Hernandez, D. C. (2024, April). Revisions to the Spanish-Language Food Security Survey Module: First round of Cognitive Interviews. Poster presentation to be presented at the 2024 annual University of Houstons Undergraduate Research Day, Houston, TX
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Tran, D., Zapata, A., Kim, B. R., Brooks, F. P., Gundersen, C., & ^Hernandez, D. C. (2024, April). Prevalence and economic hardship as outcomes of medical debt among food pantry clients in Atlanta and Houston. Poster presentation to be presented at the 2024 annual University of Houstons Undergraduate Research Day, Houston, TX
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Obambo, G., Grazia Di Fabio, M., Zapata, A., Guevara, D., Woods, D., Danho, M. P., & Hernandez, D. C. (2024, April). Garden education for future medical doctors: Programmatic results from HOUSTON Academy 2.0s cohort 1 and 2. Poster to be presented at the 2024 annual Rice University Research Symposium, Houston, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Hernandez, DC (2024, September). Health Outcomes Post-Eviction Moratoria (HOPE-M): Invisible Evictions. Cizik School of Nursing Research Celebration Day. Houston, TX
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Hernandez, DC., Richards, R., Zapata, A., Tran, D., Aguilar, M., Martinez, A. R., & Di Fabio, M. G. (2024, November). Four Domain Food Insecurity Scale (4D-FIS): Spanish translation and modifications based on cognitive interviews. Paper presented at the 2024 annual meeting of the National Council on Family Relations, Bellevue, Washington.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Hernandez, DC., Richards, R., Zapata, A., Tran, D., Aguilar, M., Martinez, A. R., & Di Fabio, M. G. (2024, November). Spanish-Language Food Security Survey Module: Modifications based on cognitive interviews. Paper presented at the 2024 annual meeting of the National Council on Family Relations, Bellevue, Washington
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2024 Citation: Barr, E.A. and Kim, A. Bridging Knowledge and Inclusion: Lactation Consultants HIV Knowledge, Tele-lactation Experience, and Willingness to Support Breastfeeding/Chestfeeding Families Impacted by HIV in North America. Texas Developmental Center for AIDS Research and Houston Health Department Annual HIV Sharing Science Symposium 2024. Houston, Texas. December 4, 2024.

Progress 01/01/23 to 12/31/23

Outputs
Target Audience:The Houston-area Opportunities for Undergraduate Student Training in Obesity & Nutrition (HOUSTON) Academy 2.0 targets students who are interested in a health care profession. The program will provide nutrition education, applied research and community engagement opportunities led by medical/dental/nursing and health professionals and scientists. HOUSTON Academy 2.0 advertises at several universities designated as a minority serving institution by the Department of Education of Postsecondary Education. In addition, the program advertises at several universities that are not recognized as nationally competitive research universities; thus, where the study body has less opportunities to engage in state-of-the-art research activities. The variety of academic institutions will provide a diversity in the training program's student body that will lend itself to the learning environment. The training that the students receive will make them "graduate school or job ready" and highly competitive upon graduation. Cohort 2 Breakdown of the 6 students are as follows: # of students from UTHealth (host institution): 0 # of students from partnering institutions: 6 % female: 83% % Hispanic: 17% % Black/African American:33% % Asian: 50% % First generation college student: 67% % First time conducting research ("research assistant"): 17% % Proficient in another language other than English: 100% Changes/Problems:I have hired a co-director to replace one of the two that left the university last year. She is overseeing the simulation lab. It is going well. What opportunities for training and professional development has the project provided?In addition to the nutrition education course over the summer, the students have been meeting with their research mentor and learning about conducting research in the community or on patients that have nutrition deficiencies or dietary restrictions due to a chronic illness. We increased the number of workshops to learn how to put an abstract and poster together. We believed this results in a successful increase in the number of students submitting conference abstracts and presenting conference posters. How have the results been disseminated to communities of interest?Yes, results have been disseminated or planning to be disseminated. See "Products" and "Other Products". What do you plan to do during the next reporting period to accomplish the goals?Feedback from the nutrition education component of the training indicated that trainees expressed a desire to engage in less gardening. Right now, the gardening component is twice as long as the culinary medicine and stimulation lab.The PD will meet with the garden director to see how we can best meet the needs of the garden and training of HOUSTON Academy 2.0. Ifthe number of gardening activities are decreased, I would like to implement a professional seminar series, where early career and mid-career faculty, researchers, administrators from our community come talk to the students about their career trajectories. This will occur over the summer. Students will be provided a presentation on trauma-informed approach to working with community members and collecting data in the community. This will help the students understand potential reactions clients may have towards them and why they may have them. The students enjoyed the malnutrition simulation workshop as they saw the workshop as applicable to their future careers in medicine and health care. While we increased the number of workshops this year, the students felt the workshops were heavy on the lecture and desired more "applied time" with the simulation models. The PD will meet with the co-PD to discuss the feasibility of increasingtime with Mr. Sims, the simulation model.

Impacts
What was accomplished under these goals? During the summer, the trainees participated in a nutrition education program. Trainees' learned in 3 environments: the teaching kitchen, holistic garden, and simulation lab. Trainees confidence statistically increased in the three domains: culinary skills (p < .01), gardening skills (p < .01), and nutrition assessment knowledge (p < .01). Further, the trainees' confidence statistically increased in 12 of the 15 content areas within the three domains. Specifically, confidence in culinary skills increased in 3 of the 5 areas (p < .05), confidence in gardening skills increased in all 5 areas (p < .05), and confidence in nutrition assessment knowledge increased in all 5 areas (p < .05). The two areas where students did not increase their confidence was in "preparing fresh/frozen green vegetables" and "preparing whole grains". A difference in scores may be observed if "fresh" and "frozen" green vegetables were made into two separate questions. In addition, preparing frozen vegetables and preparing whole grains, such as rice, may be more common for college students to know how to prepare prior to going through the nutrition education program. This appears to be the case as these two content areas scored the highest at baseline compared to the other three content areas. Thus, there is less room for confidence to grow in these two areas. Conflict resolution--Working with clients that attend community food pantries can sometimes be difficult, especially when clients quickly become upset. This required the students to coordinate with the entire to team to assist clients in receiving basic needs quickly without having the client become increasing upset. Leadership skills-- Students evaluate situations and determine what the best course of action is. (e.g., food distributions, data collection, implementation of nutrition programs in the community, presentations to peers and faculty). Reliability-- Students are delegated tasks, complete them with minimal supervision, and are required to have the tasks completed by a set day and time to be reviewed by directors or research mentors. (e.g., data entry, creation of presentations) Flexibility-- Working with community partners requires flexibility. Students must quickly adjust to changes in schedules and tasks that may present themselves very suddenly. Time management - Through the process of meeting HOUSTON Academy 2.0 requirements, students learn how to manage their time dedicated for school and life (work, family). Honor Awards President's Honor Roll Provost Undergraduate Research Scholarship

Publications

• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Jenkins, K., Martinez, A. R., Zapata, A., Elechi, C., Tran, D., Aguilar, M., Cruz, N., Marshall, A. N., Hernandez, D. C. (2023, March). Relationship Between Self-Efficacy and Household Food Insecurity Among Food Pantry Recipients. Poster presented at the 2023 annual conference for Texas Council on Family Relations, Austin, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Heredia, N., Macias-Navarro, L., Bentley, S., Torres, J., Guevara, D., Ai, D., McWhorter, J. W. (2023, March). Evaluation of a bilingual, culturally-targeted virtual culinary medicine intervention for low-income adults with uncontrolled diabetes in Texas. Oral presentation presented at the annual meeting of the Society for Public Health Education, Atlanta, GA.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Macias-Navarro, L., Guevara, D., Bentley, S., Torres, J., Ai, D., McWhorter, J. W., Heredia, NI. (2023, April). Nourish the Community Through Culinary Medicine: The development of a virtual culinary medicine intervention for patients with uncontrolled diabetes. Poster presented at the 2023 annual Texas Academy of Nutrition and Dietetics, Austin, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Zapata, A., Rodriguez, Y., Martinez, A. R., Elechi, C., Fuentes, C., Torres, C., Cruz, N., Jenkins, K., Tran, D., Aguilar, M., Mejia, K., Marshall, A. N., & Hernandez, D. C. (2023, April). The relationship between days experiencing por physical and mental health and various measures of food insecurity. Poster to be presented at the 2023 annual Texas Academy of Nutrition and Dietetics, Austin, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Martinez, A. R., Zapata, A., Elechi, C., Rodriguez, Y., Fuentes, C., Torres, C., Cruz, N., Jenkins, K., Tran, D., Aguilar, M., Mejia, K., Marshall, A. N., & Hernandez, D. C. (2023, April). Characteristics associated with food pantry clients in selecting client-choice pantry. Poster to be presented at the 2023 annual Texas Academy of Nutrition and Dietetics, Austin, TX
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Elechi, C., Cruz, N., Tran, D., Mejia, K., Edwards, A. P., Melchor, M., Djukic, M., McWhorter, J. W., Marshall, A. N., Hernandez, D. C. (2023, April). Nourishing Smiles of high school students: Evaluation of programmatic learning objectives of oral health, nutrition, and risky health behaviors. Poster to be presented at the 2023 annual Texas Academy of Nutrition and Dietetics, Austin, TX
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Almohamad, M., Mofleh, D., Altema-Johnson, D., Ahmad, M., Fries, J., Okpala, M., Cohen, S., Hernandez, D. C., & Sharrief, A. (2023, April). Feasibility of screening for food insecurity in an outpatient stroke care setting. Poster to be presented at the 2023 American Academy of Neurology, Boston, MA.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Fuentes, C. F., Tran, D., Cruz, N., Mejia, K., Zapata, A., Martinez, A. R., Elechi, C., Jenkins, K. Marshall, A. N., Hernandez, D. C. (2023, April). Association between Economic Tradeoffs and Number of Poor Physical Health Days. Poster to be presented at the 2023 annual University of Houstons Psychological Health and Learning Science Departmental Symposium. Houston, TX
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Tran, D., Fuentes, C., Cruz, N., Mejia, K., Zapata, A., Martinez, A. R., Elechi, C., Jenkins, K., Marshall, A. N., Hernandez, D. C. (2023, April). Association between Economic Tradeoffs and Number of Poor Mental Health Days. Poster to be presented at the 2023 annual University of Houstons Psychological Health and Learning Science Departmental Symposium. Houston, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Martinez, A. R., Zapata, A., Elechi, C., Rodriguez, Y., Fuentes, C., Torres, C., Cruz, N., Jenkins, K., Tran, D., Aguilar, M., Mejia, K., Marshall, A. N., & Hernandez, D. C. (2023, April). Pantry characteristics and client characteristics associated with attending a choice vs. non-choice pantry. Poster to be presented at the 2023 annual University of Houstons Psychological Health and Learning Science Departmental Symposium. Houston, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Zapata, A., Rodriguez, Y., Martinez, A. R., Elechi, C., Fuentes, C., Torres, C., Cruz, N., Jenkins, K., Tran, D., Aguilar, M., Mejia, K., Marshall, A. N., & Hernandez, D. C. (2023, April). The relationship between days experiencing por physical and mental health and very low food insecurity. Poster to be presented at the 2023 annual University of Houstons Psychological Health and Learning Science Departmental Symposium. Houston, TX
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Elechi, C., Cruz, N., Tran, D., Mejia, K., Edwards, A. P., Melchor, M., Djukic, M., McWhorter, J. W., Marshall, A. N., Hernandez, D. C. (2023, April). High school students that have a moderate/high risk for health illiteracy improve their literacy scores through the Nourishing Smiles program. Poster to be presented at the 2023 annual University of Houstons Psychological Health and Learning Science Departmental Symposium. Houston, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Heredia, N., Macias-Navarro, L., Bentley, S., Torres, J., Guevara, D., Ai, D., McWhorter, J. W. (2023, June). Pilot testing of the Nourishing the Community Through Culinary Medicine program for patients with uncontrolled diabetes. Oral presentation to be presented at the annual meeting of the International Society of Behavioral Nutrition and Physical Activity, Uppsala, Sweden.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Rodriguez, Y, Aguilar, Cruz, N. Elechi, C., Jenkins, K., Martinez, A., Mendez, D., Tran, D., Zapata, A., Esmeralda, Z., Marshall, A. N., Hernandez, D. C. (2023, August). Association between days experiencing poor physical and mental health and food insecurity. Poster to be presented virtually at the 2023 International Nursing Research Congress as part of the Rising Stars of Research and Scholarship Invited Student Posters, Abu Dhabi, United Arab Emirates.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Hernandez, D. C., Mejia, K., Fuentes, C., Tran, D., Zapata, A., Martinez, A. R., Elechi, C., Lozano, H., Jenkins, K., & Marshall, A. N. (2023, November). Association between distal and proximal economic tradeoffs and food insecurity. Oral presentation to be presented at the 2023 annual meeting of the National Council on Family Relations, Orlando, FL.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2023 Citation: Hernandez, D. C., Fuentes, C., Tran, D., Zapata, A., Martinez, A. R., Jenkins, K., Mejia, K., Marshall, A. N. (2023, November). Economic tradeoffs and chronic conditions among Houston-area food pantry recipients. Poster presentation to be presented at the 2023 annual meeting of the National Council on Family Relations, Orlando, FL.
• Type: Journal Articles Status: Published Year Published: 2022 Citation: Kirk, K., Schuler, B. R., & Hernandez, D. C. (2022). Lessons learned from conducting health behavior research in an under-resourced, urban community. Health Behavior Review, 5 (3), DOI: 10.4148/2572-1836.1153
• Type: Journal Articles Status: Published Year Published: 2023 Citation: Yammine L., Verrico C.D., Versace F., Webber H.E., Suchting R., Weaver M.F., Kosten T.R., Alibhai H., Cinciripini, P.M, Lane S. D., & Schmitz J.M. (2023). Exenatide as an adjunct to nicotine patch for smoking cessation and prevention of post-cessation weight gain among treatment-seeking smokers with pre-diabetes and /or overweigh: Study protocol for a randomized, placebo-controlled clinical trial. BMJ Open, 13, e072707, doi: 10.1136/bmjopen-2023-072707
• Type: Journal Articles Status: Published Year Published: 2023 Citation: Marshall, A. N., Walton, Q.L., Eigege, C. Y., Daundasekara, S.S., & Hernandez, D.C. (2023). Comparing in-person and online modalities for photo elicitation interviews among a vulnerable population: Recruitment, retention, and data collection applications. International Journal of Qualitative Methods, 22, 1-9. doi: 10.1177/160940692312057
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2024 Citation: Hernandez, D. C., Fuentes, C., Tran, D., Zapata, A., Martinez, A. R., Jenkins, K., Mejia, K., Marshall, A. N. (2024, March, Under Review). Food vs. medical economic tradeoffs and chronic conditions among food pantry recipients. Oral presentation to be presented at the 2024 annual meeting of the Society of Behavioral Medicine, Philadelphia, PA
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2024 Citation: Unegbu, C., Eapen, D., Santa Maria, D. M., & Galvin, A. M. (2024, May, Under Review). Perinatal Nutrition in Women Recently Pregnant and Homeless: A Literature Review. Texas Public Health Association 2024 Annual Meeting. Galveston, TX.
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2024 Citation: Galvin., A. M., Unegbu, C., Barr, E., & Santa Maria, D. M. (2024, April, Under Review). Perceived HIV-related health information needs, behaviors, and outcomes for youth experiencing homelessness at risk for HIV: A qualitative study. American Academy of Health Behavior 2024 Annual Meeting. Savannah, GA.
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2024 Citation: Grazia Di Fabio, M., Zapata, A., Obambo, G., Guevara, D., Woods, D., Danho, M. P., & Hernandez, D. C. (under review, April 2024). Nutrition assessment training for future dietitians: Programmatic results from HOUSTON Academy 2.0s cohort 1 and 2. Poster to be presented at the 2024 annual Texas Academy of Nutrition and Dietetics, Grapevine, TX.
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2024 Citation: Obambo, G., Grazia Di Fabio, M., Zapata, A., Guevara, D., Woods, D., Danho, M. P., & Hernandez, D. C. (under review, April 2024). Garden education for future medical doctors: Programmatic results from HOUSTON Academy 2.0s cohort 1 and 2. Poster to be presented at the 2024 annual Texas Academy of Nutrition and Dietetics, Grapevine, TX.
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2024 Citation: Zapata, A., Obambo, G., Grazia Di Fabio, M., Guevara, D., Woods, D., Danho, M. P., & Hernandez, D. C. (under review, April 2024). Culinary training for future nurses: Programmatic results from HOUSTON Academy 2.0s cohort 1 and 2. Poster to be presented at the 2024 annual Texas Academy of Nutrition and Dietetics, Grapevine, TX

Progress 01/01/22 to 12/31/22

Outputs
Target Audience:The Houston-area Opportunities for Undergraduate Student Training in Obesity & Nutrition (HOUSTON) Academy 2.0 targets students who are interested in a health care profession. The programprovides nutrition education, applied research and community engagement opportunities led by medical/dental/nursing and health professionals and scientists. HOUSTON Academy 2.0 advertises at several universities designated as a minority serving institution by the Department of Education of Postsecondary Education. In addition, the program advertises at several universities that are not recognized as nationally competitive research universities; thus, the studentbody has less opportunities to engage in state-of-the-art research activities. The variety of academic institutions will provide a diversity in the training program's student body that will lend itself to the learning environment. The training that the students receive will make them "graduate school or job ready" and highly competitive upon graduation. Cohort 1 Breakdown of the 7 students are as follows: # of students from UTHealth (host institution): 0 # of students from partnering institutions: 7 % female: 57% % Hispanic: 43% % African American/Black:14% % Asian: 43% % First generation college student: 43% % First time conducting research ("research assistant"): 57% % Proficient in another language other than English: 86% Changes/Problems:Two of the co-directors left the university and are no longer a part of the program. I am waiting for the university to hire/name their replacements. Once they do, my intention is to add at least one individual to this project as co-director. What opportunities for training and professional development has the project provided?In addition to the nutrition education course over the summer, the students have been meeting with their research mentor and learning about conducting research in the community or on patients that have nutrition deficiencies or dietary restrictions due to a chronic illness. Students were also provided a presentation on trauma-informed approach to working with community members and collecting data in the community. This helped the students understand potential reactions clients may have towards them and why they may have them. Students learned how to react to clients' own reactions in several scenarios. Students also began learning howto put a conference abstract and conference poster together. How have the results been disseminated to communities of interest?Yes, results have been disseminated or planning to be disseminated. See "Products" and "Other Products". What do you plan to do during the next reporting period to accomplish the goals?Creating a more detailed workshop focused on developing poster presentations in preparation for attending conferences is needed. Feedback from the nutrition education component of the training indicated that trainees expressed a desire for more culinary medicine classes in which the trainees receive hands-on experience preparing and cooking foods rather than solely observing the classes. The trainees suggested reducing the number of times they observe preparation and cooking techniques and increasing the time spent working side by side with the culinary facilitator, similar to the culinary medicine bootcamp. Based on this feedback, the program directors decided to model future kitchen experiences for trainees after the experiences that comprise the culinary medicine course in the master's in public health program. In that course, students attend various cooking classes where they learn particular culinary skills (e.g., knife skills, roasting vegetables), attend nutrition communication workshops, and review case studies. The students enjoyed the malnutrition simulation workshop as they saw the workshop as applicable to their future careers in medicine and health care. Unfortunately, the time the trainees spent in the simulation lab was reduced because the facilitator took an unplanned leave of absence. As a result of the popular affirmation for the workshop and the request to spend more time in the simulation lab, the program directors will increase the number of simulation lab experiences the following year. Gardening was an eye-opening experience for the students and an experience that several of the trainees incorporated into their personal lives through container gardening. Trainees were disappointed that the sessions had to be cancelled for weather-related safety reasons (i.e., over 100°F). The trainees suggested changing the time dedicated to garden maintenance and harvesting to earlier in the day (i.e., 8 a.m. instead of 10 a.m.). This is manageable to do.

Impacts
What was accomplished under these goals? During the summer, the trainees participated in a nutrition education program. Trainees' learned in 3 environments: the teaching kitchen, holistic garden, and simulation lab. Trainees confidence statistically increased in 12 of the 15 content areas that were assessed for self-efficacy (p < .05, Table 1). Specifically, confidence in culinary skills increased in 3 of the 5 areas (p < .05), confidence in gardening skills increased in all 5 areas (p < .05), and confidence in nutrition assessment knowledge increased in all 5 areas (p < .05). Conflict resolution--Working with clients that attend community food pantries can sometimes be difficult, especially when clients quickly become upset. This required the students to coordinate with the entire to team to assist clients in receiving basic needs or information quickly without having the client become increasing upset. Leadership skills-- Students evaluate situations and determine what the best course of action is. (e.g., food distributions, data collection, implementation of nutrition programs in the community, presentations to peers and faculty). Reliability-- Students are delegated tasks, complete them with minimal supervision, and are required to have the tasks completed by a particular day to be reviewed by directors or research mentors. (e.g., data entry, creation of presentations) Flexibility-- Working with community partners requires flexibility. Students must quickly adjust to changes in schedules and tasks that may present themselves very suddenly. Time management - Through the process of meeting HOUSTON Academy 2.0 requirements, students learn how to manage their time dedicated for school and life (work, family). Honor Awards Dean's List (minimum of a 3.5 GPA in 12 or more semester hours during a semester) - 4 students Michael & Lisa Sachs Scholarship (for active involvement in a student organization on campus) - 1 student George Foundation Scholarship - 1 student President's Honor Roll (Top 30% of all undergraduates based on semester GPA) - 2 students

Publications

• Type: Conference Papers and Presentations Status: Accepted Year Published: 2022 Citation: Ai, D., Alibhai, H., Nelson, N., Torres, J., Guevara, D., Bently, S., Woods, D., Moore, L., Hernandez, D, C., & McWhorter, J. W. (2022, October). Development of a culinary medicine toolkit to improve implementation of virtual cooking classes for low-Income adults with diabetes. Poster presented at the 2022 Teaching Kitchen Research Conference, Los Angeles, CA.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2022 Citation: Alibhai, H., Ai, D., Batz, Y., Chen, J., Elechi, C., Martinez, A., Zapata, A., Woods, D., McWhorter, J. W., & Hernandez, D. C. (2022, October). HOUSTON Academy 2.0: An innovative model to provide interprofessional nutrition education to future health professionals. Poster presented at the 2022 Teaching Kitchen Research Conference, Los Angeles, CA.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2022 Citation: Alibhai, H., Ai, D., Batz, Y., Chen, J., Elechi, C., Martinez, A., Zapata, A., Woods, D., McWhorter, J. W., & Hernandez, D. C. (2022, October). HOUSTON Academy 2.0: An innovative model to provide interprofessional nutrition education to future health professionals: Impact Video. Participant Impact Video presented at the 2022 Teaching Kitchen Research Conference, Los Angeles, CA.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2022 Citation: Garcia-Rodr�guez, Y., Aguilar, M, Cruz, N., Elechi, C., Jenkins, K., Martinez, A., Mendez, D., Tran, D., Zapata, A., Zavala, E., Marshall, A. N., & Hernandez, D. C. (2022, November). Association between days experiencing poor physical and mental health and food insecurity. Poster presented at the UTHealth Cizik School of Nursing Scholars Day. Houston, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2022 Citation: Marshall, A. N., Aguilar, M., Cruz, N., Elechi, C., Jenkins, K., Martinez, A., Mendez, D., Garcia-Rodriguez, Y., Tran, D., Zapata, A., Zavala, E., & Hernandez, D. C. (2022, November). Sex Differences in the Association between Material Hardship and Food Insecurity. Poster presented at the UTHealth Cizik School of Nursing Scholars Day. Houston, TX.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2022 Citation: Marshall, A. N., Elechi, C., Cruz, N., Azebe-Osime, Z. A., Azebe-Osime, I., Melchor, M., Djukic, M., McWhorter, J. W., Edwards, A. P., & Hernandez, D. C. (2022, October). Evaluation of Oral Health and Nutrition Education Curriculum Topics: Pre- and Post-Program Implementation. Poster presented at the 2022 Food & Nutrition Conference & Expo, Orlando, FL.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2022 Citation: Marshall, A. N., Elechi, C., Cruz, N., Azebe-Osime, Z. A., Azebe-Osime, I., Melchor, M., Djukic, M., McWhorter, J. W., Edwards, A. P., & Hernandez, D. C. (2022, October). The Role of Session Zero in High School Students Sense of Belonging, Attendance and Learning Outcomes with the Nourishing Smiles Program. Poster presented at the 2022 Food & Nutrition Conference & Expo, Orlando, FL.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2022 Citation: Marshall, A. N., Elechi, C., Cruz, N., Azebe-Osime, Z. A., Melchor, M., Djukic, M., McWhorter, J. W., Edwards, A. P., & Hernandez, D. C. (2022, November). Feasibility of Implementing an Oral Health & Nutrition Literacy Program: Challenges & Next Steps. Oral presentation presented at the UTHealth Cizik School of Nursing Scholars Day. Houston, TX.
• Type: Conference Papers and Presentations Status: Published Year Published: 2022 Citation: Marshall, A., Jeter, B., Cruz, N., Azebe-Osime, Z., Azebe-Osime, I., Melchor, M., Djukic, M., McWhorter, J. W., Edwards, A. P., & Hernandez, D. C. (2022). Evaluation of Oral Health and Nutrition Education Curriculum Topics: Pre-and Post-Program Implementation. J Acad Nutr Diet. 2022; 122(10), A99.
• Type: Conference Papers and Presentations Status: Published Year Published: 2022 Citation: Marshall, A., Jeter, B., Cruz, N., Azebe-Osime, Z., Azebe-Osime, I., Melchor, M., Djukic, M., McWhorter, J. W., Edwards, A. P., & Hernandez, D. C. (2022). The Role of Session Zero in High School Students Sense of Belonging, Attendance and Learning Outcomes with the Nourishing Smiles Program. J Acad Nutr Diet. 2022; 122(10), A118.
• Type: Conference Papers and Presentations Status: Awaiting Publication Year Published: 2023 Citation: Ai D, Guevara D, Woods D, Moore L, Bentley S, Alibhai H, Hernandez D. C., Torres J, Macias-Narravo L, Heredia NI, McWhorter JW. Development of a culinary medicine toolkit to improve implementation of virtual cooking classes for low-income adults with diabetes. J Integr Complement Med. 2023: A1-A31.
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2023 Citation: Jenkins, K., Martinez, A. R., Zapata, A., Elechi, C., Tran, D., Aguilar, M., Cruz, N., Marshall, A. N., Hernandez, D. C. (2023, March). Relationship Between Self-Efficacy and Household Food Insecurity Among Food Pantry Recipients. Poster to be presented at the 2023 annual conference for Texas Council on Family Relations, Austin, TX.
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2023 Citation: Heredia, N., Macias-Navarro, L., Bentley, S., Torres, J., Guevara, D., Ai, D., McWhorter, J. W. (2023, March). Evaluation of a bilingual, culturally-targeted virtual culinary medicine intervention for low-income adults with uncontrolled diabetes in Texas. Oral presentation to be presented at the annual meeting of the Society for Public Health Education, Atlanta, GA.
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2023 Citation: Heredia, N., Macias-Navarro, L., Bentley, S., Torres, J., Guevara, D., Ai, D., McWhorter, J. W. (2023, April). Nourishing the Community Through Culinary Medicine: The development of a virtual culinary medicine intervention for patients with uncontrolled diabetes. Poster to be presented at the 2023 annual Texas Academy of Nutrition and Dietetics, Austin, TX.
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2023 Citation: Zapata, A., Rodriguez, Y., Martinez, A. R., Elechi, C., Fuentes, C., Torres, C., Cruz, N., Jenkins, K., Tran, D., Aguilar, M., Mejia, K., Marshall, A. N., & Hernandez, D. C. (2023, April). The relationship between days experiencing por physical and mental health and various measures of food insecurity. Poster to be presented at the 2023 annual Texas Academy of Nutrition and Dietetics, Austin, TX.
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2023 Citation: Martinez, A. R., Zapata, A., Elechi, C., Rodriguez, Y., Fuentes, C., Torres, C., Cruz, N., Jenkins, K., Tran, D., Aguilar, M., Mejia, K., Marshall, A. N., & Hernandez, D. C. (2023, April). Characteristics associated with food pantry clients in selecting client-choice pantry. Poster to be presented at the 2023 annual Texas Academy of Nutrition and Dietetics, Austin, TX.
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2023 Citation: Elechi, C., Cruz, N., Tran, D., Mejia, K., Edwards, A. P., Melchor, M., Djukic, M., McWhorter, J. W., Marshall, A. N., Hernandez, D. C. (2023, April). Nourishing Smiles of high school students: Evaluation of programmatic learning objectives of oral health, nutrition, and risky health behaviors. Poster to be presented at the 2023 annual Texas Academy of Nutrition and Dietetics, Austin, TX.
• Type: Conference Papers and Presentations Status: Under Review Year Published: 2023 Citation: Heredia, N., Macias-Navarro, L., Bentley, S., Torres, J., Guevara, D., Ai, D., McWhorter, J. W. (2023, June). Pilot testing of the Nourishing the Community Through Culinary Medicine program for patients with uncontrolled diabetes. Oral presentation to be presented at the annual meeting of the International Society of Behavioral Nutrition and Physical Activity, Uppsala, Sweden.
• Type: Websites Status: Published Year Published: 2022 Citation: https://nursing.uth.edu/research/projects/houston-20/ (The link is preparing to change due to School changing their entire website.)