title: Creating healthful home food environments: results of a study with participants in the expanded food and nutrition education program.
abstract: OBJECTIVE
  To evaluate a modified curriculum for the 6-session Texas Expanded Food and Nutrition Education Program (EFNEP) promoting healthful home food environments and parenting skills related to obesity prevention.
  
  
  METHODS
  Two-group randomized control trial; intervention versus usual EFNEP curriculum.
  
  
  METHODS
  Texas EFNEP classes.
  
  
  METHODS
  1,104 EFNEP clients in 100 classes.
  
  
  METHODS
  Six short videos, with goal setting, problem solving, guided discussion, and handouts, incorporated into existing EFNEP classes.
  
  
  METHODS
  Body mass index (BMI), diet, psychosocial variables with baseline measurements, immediately post, and 4 months later.
  
  
  METHODS
  Mixed-model repeated measures analysis of variance.
  
  
  RESULTS
  100 classes were randomized (54 intervention/46 comparison), with 1,006 participants at baseline (582 intervention, 424 comparison, 97% women, 89% Hispanic). Significant improvements over time were found for both groups' consumption of most food items and nutrients, and nearly all psychosocial variables, regardless of study group. Only the intervention group had a significant BMI decrease at post. Fidelity to the intervention class session structure was high, and comments from intervention staff and clients were positive.
  
  
  CONCLUSIONS
  Existing EFNEP programs in local communities could have a significant impact on family dietary behaviors for populations at risk of obesity. Replication with similar populations is warranted.
authors.affiliation: USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030-2600, USA. kcullen@bcm.tmc.edu
authors.forename: Karen Weber
authors.initials: KW
authors.lastname: Cullen
authors.forename: Agueda
authors.initials: A
authors.lastname: Lara Smalling
authors.forename: Debbe
authors.initials: D
authors.lastname: Thompson
authors.forename: Kathleen B
authors.initials: KB
authors.lastname: Watson
authors.forename: Debra
authors.initials: D
authors.lastname: Reed
authors.forename: Karen
authors.initials: K
authors.lastname: Konzelmann
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D015992:Body Mass Index; D003479:Curriculum; D004032:Diet / Q000523:psychology / Q000592:standards*; D005006:Ethnicity; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008297:Male; D008612:Menu Planning; D052756:Nutritional Sciences / Q000193:education*; D009765:Obesity / Q000517:prevention & control*; D016487:Parenting / Q000523:psychology; D011632:Public Assistance; D020377:Self Efficacy