Heart Smarts

Heart Smarts is a direct education, PSE change, and social marketing intervention that combines healthy food access, nutrition education, and health and social services for individuals to improve their health and reduce their risk of diet-related disease. The program offers nine lessons for use in retail environments covering topics like fruits and vegetables, whole grains, sodium, sugar-sweetened beverages and making healthy choices along with nutrition-focused tip sheets. Each lesson includes taste tests, recipes, healthy food incentive coupons* and health screenings* (for blood pressure, weight checks, and healthy lifestyle counseling and referrals). Technical assistance and training is provided to site staff and storeowners to support PSE changes including healthier stores, businesses and communities.

Target Behavior: Healthy Eating

Intervention Type: Direct Education, Social Marketing, PSE Change

*These Heart Smarts components (health screenings, including blood pressure and BMI; counseling and referrals; and healthy food incentive coupons help participants choose heart-healthy items at the site) are not allowable by SNAP-Ed. Heart Smarts lessons and food tastings can be used without these additional components. Screenings and coupons can be funded by grants or partnered organizations.

FoodShare

FoodShare is a PSE change intervention designed to improve food security and health outcomes through fresh food access and affordability. Every 2 weeks residents can order a Fresh Food Box using cash or SNAP/EBT. The program is a SNAP Healthy Bucks site (a state SNAP healthy incentives program), which allows SNAP recipients to receive a $10 healthy incentive to go towards the cost of their box. Each Fresh Food Box contains 12-14 varieties of culturally appropriate fruits and vegetables, always with a mix of more common items (e.g., apples) and less common items (e.g., radishes). A recipe card that is culturally relevant to participants and based on the produce in the box in a given week is also included. The program is situated within an academic medical center and community-based hospital system. A screening and referral process was created that links patients to FoodShare.

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: PSE Change

Healthy Steps to Freedom

Healthy Steps to Freedom (HSF) is a direct education health, nutrition, and body image program designed to augment existing broad-based drug treatment and community education programs for women under correctional supervision for substance use/misuse.  HSF intervenes through self-enrollment, court ordered programs and the corrections system. While the long-term goal of HSF is to reduce recidivism and attrition for females under correctional supervision, the more immediate short-term goal is to teach healthy lifestyles as an alternative approach to substance use/misuse including nutrition, diet quality, balanced meals, physical activity, family mealtimes, reading food labels, increased fruit and vegetable consumption, and positive self-esteem.

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Other: eating behaviors, body image disturbances and substance use/misuse

Intervention Type: Direct Education

Food Talk: Better U

The Food Talk: Better U (FTBU) curriculum is a direct nutrition education and obesity prevention curriculum taught by paraprofessionals in a classroom setting and focuses on healthy weight management tailored for SNAP-Ed eligible adult Georgians. FTBU includes both nutrition and physical activity (PA) components as weight management and obesity prevention strategies and helps participants increase portion control, decrease intake of sugar-sweetened beverages, make small healthy “shifts” in everyday food choices, and increase PA consistent with the 2015 Dietary Guidelines for Americans, MyPlate guidance, and 2018 PA Guidelines for Americans. The curriculum is comprised of a series of four, 90-minute direct education classes that include the following elements: interactive learning activities, interactive sharing among participants, guided PA, cooking demonstrations and recipe tastings, goal setting, and food and/or PA tracking homework.

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time

Intervention Type: Direct Education

Cooking is a SNAP

Cooking is a SNAP is a direct education intervention designed to (1) increase fruit and vegetable consumption; (2) increase confidence to plan and prepare meals at home and (3) move 30 minutes a day, most days of the week. Cooking is a SNAP is a culinary nutrition education curriculum. The curriculum consists of six 2-hour sessions with nutrition content derived from the 2015 Dietary Guidelines for Americans incorporating the USDA’s MyPlate materials. Physical activity content is from the 2018 Physical Activity Guidelines for Americans, 2nd edition and the 2016 National Physical Activity Plan. Culinary skills and basic cooking techniques have been modified from school food service materials developed by the University of Minnesota Extension. Cooking is a SNAP incorporates the social-cognitive theory of change where learning occurs in a social context with dynamic and reciprocal interactions of the person, environment, and behavior. Central to this theory, Cooking is a SNAP is designed as a hands-on, interactive curriculum where the leaders model the skills and behaviors they are teaching.

 

Target Behavior: Healthy Eating, Physical Activity, Food Insecurity/Food Assistance

 

Intervention Type: Direct Education

Food eTalk

Food eTalk is direct education intervention designed to increase participant’s daily intake of fruit and vegetables, whole grains, and fat-free or low-fat dairy products; decrease daily intake of sodium; improve food resource management, food safety practices, and physical activity. The 6 interactive eLearning modules are self-paced and the mobile-nature of many Internet accessing devices (i.e., smartphones) encourages learning at the point-of-decision making, such as engaging in quick Food eTalk video-based lessons in a supermarket or restaurant. Additionally, the asynchronous “anytime, anyplace” lessons aim to mitigate traditional barriers to attending in-person classes, such as issues with transportation, variable work schedules, and child-care limitations. Food eTalk includes 6 interactive lessons, 6 accompanying cooking demonstration videos, and 4 “just in time” education videos with focus on meal preparation, food shopping, and food safety in the home.

Target Behavior: Healthy Eating

Intervention Type: Direct Education

Healthy Choices for Every Body Adult Nutrition Education Curriculum

The Healthy Choices for Every Body (HCEB) is a direct education intervention designed to improve diet quality, physical activity, and food safety practices, as well as enhance food security and food resource management skills. HCEB incorporates lessons and activities that recognize participants’ experiences, skills, and knowledge; explains why, what, and how the nutrition education concepts presented relate to real-life situations; and includes active learning activities, hands-on practice, and demonstrations to help participants understand and apply content.

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Food Insecurity/Food Assistance, Other: Food resource management skills, food safety practices

Intervention Type: Direct Education

Bingocize®

Bingocize® is a 10-week program designed to increase physical activity and reduce sedentary behavior. Specifically, Bingocize® can increase older adults’ functional fitness, knowledge of falls prevention, and social engagement in a variety of settings, including community senior centers and congregate meal sites. The program combines a bingo-like game with physical activity and/or health education (falls prevention and nutrition). Trained leaders may select between separate units that focus on exercise-only, exercise and falls prevention, or exercise and nutrition. Each unit includes a leader’s script for each session, participants’ materials, and “take home” cards for participants to complete exercises and tasks at home to reinforce the weekly health education information.  Participants play Bingocize® twice per week, with each 45-60 minute session consisting of exercises (range of motion, balance, muscle strengthening, and endurance exercises) and/or health education questions. The program is pre-approved by the National Council on Aging as an evidence-based falls prevention program and qualifies for Title IIID funding.

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time

Intervention Type: Direct Education

Voices for Food (VFF)

Voices for Food (VFF) is a PSE change intervention designed to enhance food security in diverse rural communities with high poverty rates, utilize community coaches to develop new or provide support to existing food councils, and encourage policy changes in local food pantries that increase the availability of healthy foods. VFF focuses on the engagement of community coaches with communities to achieve intervention objectives while utilizing VFF materials. Community coaches address food system issues by focusing on local food policy and making environmental changes, such as community gardens, aiding the food pantry in obtaining more space, and working on other issues of food security. Community coaches work collaboratively with food pantries to make PSE changes that transition to a client choice model of distribution (MyChoice) and offer the VFF Ambassador’s training, which includes nutrition education, cultural competency training, and food safety training. 

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: PSE Change

Young at Heart Strength Training – A Fall Prevention Program (YAH)

The Young at Heart Strength Training – A Fall Prevention Program (YAH) is a direct education intervention designed to increase physical activity and reduce sedentary behaviors in older adults age >60 and/or in persons with disabilities. YAH classes meet for 1 hour, 2-3 times per week with at least one day of rest between classes for adequate recovery. There is a minimum of 32 sessions but can be ongoing without an end date. To maintain fidelity, all instructors are certified through an 8-hour training and must complete 4 hours of continuing education provided by Healthy Aging Association through the instructor meetings, which can be viewed via the internet. YAH classes are offered free of charge to all attendees.  Classes are progressive and always consist of a warm-up a movement phase with stretching and balance activities, followed by a cool-down.

Target Behavior: Physical Activity and Reducing Screen Time

Intervention Type: Direct Education