Child Health Initiative for Lifelong Eating and Exercise (CHILE) Plus

The Child Health Initiative for Lifelong Eating and Exercise (CHILE) Plus is a multi-component nutrition and physical activity education program for preschool age children and their families. CHILE Plus is the dissemination project of CHILE, a randomized control trial conducted by the University of New Mexico Prevention Research Center (UNM PRC). CHILE Plus is based on the socioecological model and includes 6 components that fit into this model: the classroom curriculum, staff professional development, food service, family engagement, grocery store collaboration, and partnership with local health care providers and Women, Infants and Children (WIC) program providers.

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Food Insecurity/Food Assistance

Intervention Type: Direct Education, PSE Change

The OrganWise Guys Program (OWG)

 The OrganWise Guys Program (OWG) is a direct education and PSE change intervention designed to increase fruit and vegetable consumption and increase physical activity among participants, as well as facilitate PSE changes in the settings in which it is conducted. SNAP-Ed staff or trained classroom teachers provide direct education through various curriculum to youth in child-care and school settings and provide support materials for families. The WISERCISE! program provides 10-minutes of desk-side daily physical activity in the classroom. Foods of the Month helps create a healthy cafeteria environment via daily nutrition messaging and outreach to parents. The OWG gardening curriculum helps establish gardens while children learn to grow and consume homegrown food. These curriculum focus on PSE changes by working with school wellness councils to develop policies that address foods served at school events, establish school gardens, and improve and promote school meals/snacks. Partnerships and parent/adult engagement in positive health behaviors can lead to PSE change that is sustainable and beneficial community wide.

Target Behavior: Physical Activity and Reducing Screen Time, Food Insecurity/Food Assistance

Intervention Type: Direct Education, PSE Change

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

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

Brighter Bites

Brighter Bites is a school-based health promotion program designed to change the behavior of children and their families to prevent childhood obesity and achieve long-term health outcomes.. Brighter Bites includes: a) weekly produce distribution, b) nutrition education in schools and for parents, and c) a weekly fun food recipe tasting experience during produce pick up time. Brighter Bites is implemented for 16 weeks during the school year and 8 weeks during the summer. Participating schools are also trained to implement the evidence-based Coordinated Approach to Child Health (CATCH) curriculum other evidence-based programs that promote healthy food choices and physical activity. This comprehensive approach supports the shift in the culture of each school and families within that school toward being healthier and more focused on nutrition and healthy living.

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: Direct Education, PSE Change

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

Teen Battle Chef (TBC)

Teen Battle Chef (TBC) is a direct education, social marketing, and PSE change intervention designed to develop skills in nutrition, cooking, and leadership for participants and their families through cooking lessons, a PSE campaign, ongoing nutrition education, development of youth leaders, and supporting a culture of wellness in partner organizations. TBC includes eight sessions in which participants learn plant-focused recipes and cooking skills to compete in cooking battles. After eight weeks of skill development, the Teen Chefs choose one of four tracts to impact PSE change. The four tracts are bundled with the curriculum license and include School Food Ambassadors (for collaborating with schools’ food service), Special Event Headliners (for ensuring healthy options at School Events), CHEFS 4 Change (program for youth collaboration with local bodegas to support healthy ‘grab n’ go’ options), and Culinary Coaches (teaching other students healthy meal/snack strategies).

TBC School Food Ambassadors have been effectively utilized as partners with school food service to co-develop new school menu items and promote them with demos and sampling. This active collaborative creates peer-driven motivation for more students to participate in school lunch and breakfast, which is easily measured through school food service participation rates.

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Food Insecurity/Food Assistance

Intervention Type: Direct Education, Social Marketing, PSE Change

Nutrition Environment Food Pantry Assessment Tool

The Nutrition Environment Food Pantry Assessment Tool (NEFPAT) is a PSE change intervention that includes a food pantry environmental assessment designed to quantify the nutrition environment of food pantries and promote the adoption of healthy food pantry best practices. NEFPAT users complete the intervention in 5 phases: partner engagement, assessment, action planning, intervention, and re-assessment. Users identify potential pantry partners and develop a strong partner relationship. Users find a baseline score by determining the pantry’s strengths and areas of improvement for its nutrition environment. Pantry personnel and NEFPAT users then collaboratively customize small or large-scale action plans that address food distribution styles, pantry layout, promotion techniques of healthful foods, variety of fruits and vegetables available, accessibility of information about community resources, and meeting the needs of a diverse pantry audience. NEFPAT includes suggested best practices for these categories to create a pantry environment that promotes dignity and inclusivity, and a space that makes the healthy choice, the easy choice.

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: PSE Change

Mindful Eating in Preschool Setting

Mindful Eating in Preschool Setting (MEPS) is an intervention designed to prevent and reverse childhood obesity, help children develop healthy relationships with food, prevent the development of eating disorders, and instill early taste preferences for diverse healthy foods. MEPS includes training child care centers’ teaching staff on the basics of mindfulness and mindful eating and its implementation in classrooms. Its main premises are removing all distractions (technology, TV, toys) while eating; bringing children’s attention to foods on the table, and talking about foods’ colors, tastes, textures, and origins; engaging children in table setting and cleaning, serving themselves, and helping their peers (elements of family-style dining); encouraging (never forcing) children to try different foods; ensuring mealtimes are always at a table, using plates – never on-the-go; teaching children to eat when hungry, and not to turn to food in distress or when bored. Staff training consists of 3 1-hour training sessions with a follow-up upon need with workshops and technique demonstrations for further implementation in classroom settings.

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Food Insecurity/Food Assistance

Intervention Type: Direct Education

One Healthy Breakfast Program

The One Healthy Breakfast Program (OHBP) is a direct education, social marketing, and PSE change intervention designed to improve home, community, and school food environments to ensure that every student starts their day with a healthy breakfast. Direct education is delivered by classroom teachers utilizing the Breakfast Learning Activities for Students and Teachers (BLAST) curriculum, an interactive lesson series that encourages students in grades 4-8 to learn behavior-changing skills through analyzing and evaluating foods and their food choices. Social marketing campaigns take place through branded promotional materials for use in schools and the community, monthly newsletters to families, and corner store social marketing to encourage students to choose healthy breakfast items. PSE change occurs through promotion of breakfast after the bell options in schools. These components are combined with community engagement to provide students and their families the tools needed to choose healthier options in the morning regardless of whether they eat at home, school, or at the corner store.

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: Direct Education, Social Marketing, PSE Change