Carissa PoonCarissa PoonUniversity of Hawai‘i at MānoaUniversity of Hawai‘i at Mānoa
College of Tropical Agriculture and Human College of Tropical Agriculture and Human ServicesServices
Cooperative Extension ServiceCooperative Extension ServiceNutrition Education for Wellness ProgramNutrition Education for Wellness Program
AgendaAgenda
• CollaboratorsCollaborators• Project GoalsProject Goals• DevelopmentDevelopment• Pilot Testing & TrainingPilot Testing & Training• AssessmentAssessment• ToolkitToolkit• Web ResourceWeb Resource
CollaboratorsCollaborators
Hawaii SNAP-
Ed
Nutrition Education
for Wellness
(NEW)College of Tropical
Agriculture and Human
Resources – Cooperative Extension
Service
University of Hawaii at Manoa
Hawaii Department
of Health
Healthy Hawaii
Initiative (HHI)
KTA
Julia Zee
Hilo WIC
Grocery Store Tour Project
Project GoalProject Goal
Increase the awareness and Increase the awareness and positive attitudes toward the positive attitudes toward the
importance of eating fruits and importance of eating fruits and veggies among the FSP eligible veggies among the FSP eligible
population served by local population served by local program contractors.program contractors.
Project ObjectivesProject Objectives
• Adapt existing materials and models for the GSTAdapt existing materials and models for the GST• Develop Toolkit resource for GST leadersDevelop Toolkit resource for GST leaders• Develop informational leaflet for GST participantsDevelop informational leaflet for GST participants• Test and evaluate the GST curriculum, Toolkit, Test and evaluate the GST curriculum, Toolkit,
and leaflet at a FSNE eligible grocery storeand leaflet at a FSNE eligible grocery store• Provide Train the Trainer sessionsProvide Train the Trainer sessions• Recruit participants for GST on Big IslandRecruit participants for GST on Big Island• Implement 12 GST at four different grocery stores Implement 12 GST at four different grocery stores
on the Big Islandon the Big Island• Work with HHI to evaluate and measure impact Work with HHI to evaluate and measure impact
and effectiveness of GSTand effectiveness of GST
DevelopmentDevelopmentTable 1 – Summary of Nutrition Messages from Various Supermarket
Tours between 2000 and 2006
Nutrition Messages for Supermarket Tours
Learn to read food labels and ingredients lists
Find good sources for grains and protein
Create a healthy personalized grocery shopping experience based on food preferences, lifestyle, food budget, cooking skills, time restraints, and medical conditions (high blood pressure, high cholesterol, diabetes)
Learn how to prepare quick and easy meals and snacks for the busy individual or family
Learn seasonality of fruits and veggies; the months that these products are available in order to purchase the highest quality produce
(Lee, et al. 2008); (Wellness First Program, Univ. Georgia, 2008); (Nutrition Labelling Education Centre, Dietitians of Canada, 2005); Dole 5 A Day, 2008); (Healthy Food For All, 2008); (American Diabetes Association, 2008)
DevelopmentDevelopment
Four Concepts Throughout Tour:
1.1. All forms of f&v’s matter – fresh, All forms of f&v’s matter – fresh, frozen, canned, dried, and 100% frozen, canned, dried, and 100% juice.juice.
2.2. Drain all canned produce.Drain all canned produce.
3.3. Buy what is on sale.Buy what is on sale.
4.4. Seasonality of local produce.Seasonality of local produce.
RecruitmentRecruitment
MaterialsMaterials– Outlined handout for participantsOutlined handout for participants– Recipes from NEW’s Heritage of Taste for Recipes from NEW’s Heritage of Taste for
Health (HOT) cookbookHealth (HOT) cookbook– Script for tour guideScript for tour guide
• Pre and Post Question Tally SheetPre and Post Question Tally Sheet
– Buy Fresh Buy Local Seasonality Guide for Buy Fresh Buy Local Seasonality Guide for participantsparticipants• Disclosure statementDisclosure statement
– IncentivesIncentives• HOT cookbookHOT cookbook• $5.00 KTA Gift Certificate$5.00 KTA Gift Certificate
MaterialsMaterials
– Outlined handout for participantsOutlined handout for participants
MaterialsMaterials– Recipes from NEW’s Heritage of Taste for Recipes from NEW’s Heritage of Taste for
Health (HOT) cookbookHealth (HOT) cookbook
MaterialsMaterials
MaterialsMaterials– Buy Fresh Buy Local Seasonality Guide Buy Fresh Buy Local Seasonality Guide
for participantsfor participants
MaterialsMaterials
– IncentivesIncentives• HOT cookbookHOT cookbook• $5.00 KTA Gift $5.00 KTA Gift
CertificateCertificate
Pilot TestingPilot Testing
• In-house with NEW team on OahuIn-house with NEW team on Oahu
• Primary contact on Big Island – Julia ZeePrimary contact on Big Island – Julia Zee
• WIC recruitmentWIC recruitment– Other community agenciesOther community agencies
• KTA stores – local supermarket chainKTA stores – local supermarket chain
TrainingTraining
• KTA storesKTA stores:: 44– 3 tour times offered each day3 tour times offered each day– 35 tour opportunities offered35 tour opportunities offered
• AgencyAgency tourstours completed: completed: 55• ClientClient tourstours completed: completed: 1212• AgencyAgency participantsparticipants:: 2929• ClientClient participantsparticipants:: 3636• TotalTotal participantsparticipants:: 6565
AssessmentAssessment• Table 3 – Pre and Post-Tour Statements
Pre-tour Survey Statements
1. Fresh, frozen, canned, dried, and 100% juice, are the different forms of fruits and veggies.
2. When fruits and veggies are in season, it means fruits and veggies are fresh, they cost less, and tastes better.
3. I drain the liquid out of all my canned veggies and fruits.
4. I am confident in myself when it comes to shopping for fruits and veggies to make healthy meals that fit into my lifestyle and budget.
Post-Tour Survey Statements
1. Fresh, frozen, canned, dried, and 100% juice, are the different forms of fruits and veggies.
2. When fruits and veggies are in season, it means fruits and veggies are fresh, they cost less, and tastes better.
3. I drain the liquid out of all my canned veggies and fruits.
4. I am confident in myself when it comes to shopping for fruits and veggies to make healthy meals that fit into my lifestyle and budget.
5. How many would be interested in participating in another tour like this about other areas of healthy eating?
ResultsResults• 18% 18% ↑↑ in knowledge that of fruits and in knowledge that of fruits and
veggies matter.veggies matter.• 45% 45% ↑↑ in knowledge of what of in knowledge of what of
Hawaii’s fruits and veggies means.Hawaii’s fruits and veggies means.• 64% 64% ↑↑ in intent to out of all canned in intent to out of all canned
fruits and veggies.fruits and veggies.• 35% 35% ↑↑ in for healthy in for healthy
meals.meals.• 97% total participants wanted 97% total participants wanted
exploring other topics.exploring other topics.
allall formsforms
seasonalityseasonality
drain liquiddrain liquid
confidence in shoppingconfidence in shopping
additional toursadditional tours
Continuing EducationContinuing Education• Table 5 (a) – GST Post-Tour Comments on Additional Tour Topics
▪ what’s the difference between fresh and frozen (nutritional value?)▪ want to learn about the food pyramid▪ sugar substitutes▪ don't know what is "healthy"▪ nutrition label reading▪ more nutrition education▪ more hands on▪ healthy foods to eat, what is not healthy
▪ new recipes▪ fast time saving recipes▪ different recipes to use ▪ like to learn about dishes with beans as an ingredient▪ meat cuts
Continuing Nutrition Education
Food Skills
Continuing EducationContinuing EducationTable 5 (b) – GST Post-Tour Comments on Additional Tour Topics
▪ client just moved from Georgia, so learned about local foods and local produce.▪ new produce▪ want to learn to cook local food
▪ stuff for working mothers for school-aged children▪ what juices are good? ▪ healthier snacks ▪ what affects baby when pregnant?▪ what is good for healthy baby to eat
Local Foods
Mothers and Children
Continuing EducationContinuing Education
Table 5 (c) – GST Post-Tour Comments on Additional Tour Topics
▪ unit pricing▪ want different prices of different items▪ like baked goods - which are inexpensive and healthy, convenient and fast
▪ different grains; which ones are more nutritious▪ whole grains▪ what cereals are good?▪ nutrition bars, are they a substitute for breakfast?
Resource Management
Whole Grains
ToolkitToolkit
• Available on WebAvailable on Web• IntroductionIntroduction• Tour ScriptTour Script• HandoutsHandouts• RecipesRecipes• RecruitmentRecruitment• Food SafetyFood Safety• Food ShoppingFood Shopping
Web Web
ResourcesResources
www.ctahr.hawaii.edu/NEW/GSTwww.ctahr.hawaii.edu/NEW/GST
Web ResourcesWeb Resources
Web ResourcesWeb Resources
Web ResourcesWeb Resources
MahaloMahalo(thank you)
www.ctahr.hawaii.edu/NEW/GSTwww.ctahr.hawaii.edu/NEW/GST