title: Outcome effectiveness of the widely adopted EFNEP curriculum Eating Smart-Being Active.
abstract: OBJECTIVE
  To determine the effectiveness of the Expanded Food and Nutrition Education Program (EFNEP) curriculum Eating Smart-Being Active (ESBA).
  
  
  METHODS
  A quantitative, multi-state, nonequivalent comparison group pretest-posttest design was used to compare nutrition-related behavior changes in participants. ESBA was compared to previously used curricula for 3 different time periods in 5 states using the EFNEP evaluation tool.
  
  
  METHODS
  Adults enrolled in EFNEP who completed their entry and exit paperwork during any of the 3 time points.
  
  
  METHODS
  An 8-lesson adult curriculum based on the Dietary Guidelines for Americans and MyPlate.
  
  
  METHODS
  Analysis of variance and covariance (with pretests scores and demographic variables as covariates) were used to analyze data with significance at P ≤ .05.
  
  
  RESULTS
  ESBA elicited a mean positive behavior change for food resource management (P < .01), food safety (P ≤ .001), nutrition (P < .001), and physical activity level in participating states (P ≤ .01). Compared with previous curricula, ESBA produced better mean outcomes in food resource management, nutrition, physical activity, and intakes of fruit and vegetables.
  
  
  CONCLUSIONS
  ESBA is effective at eliciting positive nutrition-related behavior change. The results of this multi-state, practice-based approach suggest that ESBA is effective in multiple settings and has external validity for use in EFNEP and other community nutrition programs.
authors.affiliation: Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO.
authors.forename: Garry
authors.initials: G
authors.lastname: Auld
authors.affiliation: Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO. Electronic address: susan.baker@colostate.edu.
authors.forename: Susan
authors.initials: S
authors.lastname: Baker
authors.affiliation: Lake Taylor Transitional Care Hospital, Norfolk, VA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Conway
authors.affiliation: Division of Nutritional Sciences, Cornell University, Ithaca, NY.
authors.forename: Jamie
authors.initials: J
authors.lastname: Dollahite
authors.affiliation: Department of Family and Consumer Sciences, The Ohio State University, Columbus, OH.
authors.forename: Maria Carmen
authors.initials: MC
authors.lastname: Lambea
authors.affiliation: Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO.
authors.forename: Kathryn
authors.initials: K
authors.lastname: McGirr
mesh_terms: D000328:Adult; D004032:Diet / Q000009:adverse effects; D005260:Female; D063105:Food Assistance; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009043:Motor Activity; D018673:Nutrition Policy; D052756:Nutritional Sciences / Q000193:education*; D010349:Patient Compliance; D010353:Patient Education as Topic; D015397:Program Evaluation; D014481:United States
keywords: EFNEP; adult behavior change; nutrition education; outcome assessment