Impact of a Cancer Intervention on Diet-related Cardiovascular Disease Risks of White and African-American EFNEP Clients

Successful ways to modify food choice: lessons from the literature

“…2003), and one study reduced fat intake by about 5% of energy and increased fibre intake by 4–6 g/day (Cox et al . 1995; 1996). However, there is little information available about the sustainability of the effects of this approach.…”

Effectiveness of Expanded Food and Nutrition Education Program in Changing Nutrition-Related Outcomes Among Adults With Low Income: A Systematic Review

“…The majority (87%, n = 26) of the included studies had study objectives that focused on achieving the general objectives of EFNEP, for example, improving dietary practice, food security, and FRM skills. Four studies (13%) had more specific objectives, such as iron consumption, 33 fat consumption, 38 or cancer and cardiovascular disease risk behaviors, 35,43 that were related to the programs' objectives but were not the focus of a typical EF-NEP curriculum. T a g g e d P Among the 26 studies that targeted general objectives, the effects on behaviors because of changes in recruitment strategies (n = 1), 32 curriculum modification (n = 4), 11,37,39,42 or mode of delivery (n = 5), 32,36,37,44,48 were also examined.…”

“…The quality assessment score was "weak" for 80% of the studies (n = 24), 9,11,[21][22][23][24][25][26][27][28][29][30][32][33][34][35][36][37][38]42,43,45,47,48 "moderate" for 5 studies, 2,39,41,44,46 and "strong" for 1 study 31 (Supplementary Table S1). Weak rankings were primarily because of allocation bias resulting from the study design, unvalidated tools used for data collection, and unreported dropout rate.…”

“…The outcome assessment tool for dietary outcomes used among the studies included 24-hour food recalls, 9,11,21,24−26,28,30−35,37,38,41−48 food frequency questionnaires, 39 and a food consumption index score. 27 Among studies that used 24-hour recalls, 19 reported using 1 24-hour recall, 9,11,21,24,26,28,30−34,37, 38,41,44−48 3 used 3 random 24-hour food recalls at baseline and postintervention, 25,35,43 and 1 study used 2 baseline and 1 postintervention 24-hour food recalls. 42 Eleven studies reported using interview-administered 24-hour food recall 9,21,27,31,35,38,41,42,43,45,47 out of which 7 reported using trained interviewers.…”

“…27 Among studies that used 24-hour recalls, 19 reported using 1 24-hour recall, 9,11,21,24,26,28,30−34,37, 38,41,44−48 3 used 3 random 24-hour food recalls at baseline and postintervention, 25,35,43 and 1 study used 2 baseline and 1 postintervention 24-hour food recalls. 42 Eleven studies reported using interview-administered 24-hour food recall 9,21,27,31,35,38,41,42,43,45,47 out of which 7 reported using trained interviewers. 21,27,31,35,41−43 Among studies that reported using the self-reported approach, 11,22,24,25,28,30,33,34,39,40,47,48 paraprofessional.…”