Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Other: Budget-savvy shopping strategies
Intervention Type: Direct Education
Intervention Reach and Adoption
Setting: Community (Live), Health care, Other: Public housing sites; Fedcap job training sites.
Target Audience: Parents/Mothers/Fathers, Adults
- Introduction to the 10 Tips for Adults Curriculum Training Video (11:38 minutes)
- 10 Tips for Adults Entire Curriculum: Instructor guide, lesson plans, supply lists, suggested recipes
- 10 Tips Recipes
- 10 Tips Handouts and Additional Recipes
- 10 Tips Lesson Modification Documents:
- Resource Guide for Shortened Lessons: Outlines required and optional components to ensure fidelity
- Maine SNAP-Ed Curriculum Modification Guidance
- 10 Tips In-class Activities
- 10 Tips Post-Survey
Nutrition educators reported that delivering 10 Tips at SNAP-Ed eligible sites has helped them develop strong community partnerships which have opened the door to additional opportunities to implement direct nutrition education and supporting PSE strategies. However, in 2017, more than half (56%) of surveyed educators reported that recruiting participants and maintaining attendance throughout the series were the main barriers. To increase participant engagement, a promising practice used by Nutrition Educators is to introduce more hands-on learning opportunities, such as allowing the class to prepare the recipe demonstration together to improve cooking skills.
10 Tips has been extensively evaluated by an external evaluator. An impact evaluation assessed participants’ healthy eating, physical activity, and budget savvy shopping behaviors pre- and post-intervention, and six to eight weeks later (follow-up) and compared outcomes to a comparison group. Adjusted mean frequencies improved significantly among 10 Tips participants from baseline to follow-up for consumption of fruits, vegetables, lean meat/proteins, whole grains, and frequency that all five food groups were consumed daily. Adjusted mean confidence also improved among participants’ ability to choose low-sodium options, check nutrition facts labels, compare unit prices, prepare shopping lists, plan meals ahead of time, and likeliness of using MyPlate. Mean frequencies reported by 10 Tips participants were significantly higher than the comparison group at follow-up for all measures. Series A and B participant outcomes were analyzed independently.
Evidence-based Approach: Practice-tested
|Readiness and Capacity – Short Term (ST)||Changes – Medium Term (MT)||Effectiveness and Maintenance – Long Term (LT)||Population Results (R)|
|Individual||MT1, MT2, MT3|
|Sectors of Influence|
- MT1: Healthy Eating Behaviors:
- Adjusted mean frequency of consumption significantly increased from baseline to post–intervention among 10 Tips participants for lean meats and proteins (MT1a; Series A (p=.003) and Series B (p<.001)), fruits (MT1c; p<.001 for both Series), vegetables (MT1d; p<.001 for both Series), water (MT1g; p<.001 for both Series), low or fat-free dairy (MT1i; p<.001 for both Series), and whole grains (MT1j; p<.001 for both Series). Significant improvements for all behaviors were maintained 6-8 weeks later (p<.05 for both Series).
- Adjusted mean likelihood that participants use MyPlate (MT1f) when planning and preparing meals significantly increased from baseline to post intervention (p<.001 for both Series). Significant improvements were maintained 6- 8 weeks later (p<.001 for both Series).
- Adjusted mean frequency of consumption significantly decreased from baseline to post–intervention among 10 Tips participants for sugar-sweetened beverages (MT1h; Series A (p=.015) and Series B (p<.001) and sweets (MT1k, p<.001 for both Series)). Changes in sugar-sweetened beverages were not maintained 6-8 weeks later. For sweets, significant decreases were maintained by Series B participants (p=.001) but not by Series A participants.
- MT2: Food Resource Management Behaviors
- Adjusted mean frequency significantly increased from baseline to post–intervention among 10 Tips participants for use the ‘Nutrition Facts’ label (MT2b; p<.001 for both Series), choose low-sodium options (MT2e3; p<.001 for both Series), make a shopping list (MT2j; p<.001 for both Series), compare unit prices (MT2l; p<.001 for both Series), and cook healthy foods on a budget (MT2m; p<.001 for both Series). Significant improvements were maintained 6-8 weeks later (p<.01 for both Series).
- MT3: Physical Activity & Reduced Sedentary Behavior
- Adjusted mean frequency that 10 Tips participants engaged in at least 30 minutes of moderate physical activity significantly increased from baseline to post–intervention (MT3b; p<.001 for both Series). Significant improvement was maintained 6-8 weeks later (p<.001 for both Series).
- Pre/post surveys
- Interview guides for Nutrition Educators, program administrators, and partners
Healthy Beverage Choices for Healthy Lifestyles:
Lori A. Kaley, MS, RDN, LD, MSB
Program Manager, Maine SNAP-Ed