A Pilot Randomized Controlled Trial of a Nutrition and Dietary Intervention for Early Care and Education Providers.

BACKGROUND: The aim of this study is to evaluate the feasibility and preliminary impact of the Create Healthy Futures program, a self-paced, 6-lesson, web-based intervention on promoting healthy eating for Early Care and Education (ECE) providers, using a group-randomized controlled trial design with 3 repeated measurements. METHODS: Nine ECE facilities in Ohio were recruited and randomly assigned to intervention (N = 4) and comparison (N = 5). The 111 participants are mostly female (97.3%), college graduated (59.5%), and overweight or obese (75.2%). Nutrition-related psychosocial and environmental factors and individual behaviors were assessed at baseline, post-test, and 3-month follow-up. We used mixed model analyses to compare changes between time points, controlling for ethnicity, age, and center effect, and calculated effect size to assess the magnitude of change. RESULTS: We observed significant between-group changes in improving nutrition knowledge (p = .003), increasing perceived support for staff wellness (p = .038), and reducing perceived barriers to eating fruits and vegetables (p = .004) and promoting nutrition in classrooms (p = .038), with small to medium effect sizes. The study demonstrated high feasibility with 94.1% enrollment rate, 87.5% intervention completion rate, and 83.8% retention rate. CONCLUSIONS: This pilot study demonstrated high feasibility and acceptability of nutrition intervention programs using an online platform among ECE providers.

Knowledge, Attitudes, and Commitment Concerning Evidence-Based Prevention Programs: Differences between Family and Consumer Sciences and 4-H Youth Development Educators.

In this article, we describe the results of a study designed to assess knowledge, perceptions, and attitudes towards evidence-based and other prevention programs among county Extension educators. We examined differences across educators from the Family and Consumer Sciences (FCS) and 4-H Youth Development program areas. Analyses based on a multi-state sample of educators revealed significant differences across program areas such that, compared to their 4-H counterparts, FCS educators were more knowledgeable of evidence-based programs and had more favorable perceptions and attitudes towards evidence-based and other pre-packaged prevention programs. These findings suggest that Cooperative Extension administrators should work to encourage the use of evidence-based and other prevention programs, particularly within the 4-H program area.

Team factors that predict to sustainability indicators for community-based prevention teams.

Because they often set out with a guarantee of only short-term funding, many community partnerships will face a threat to their sustainability almost as soon as the first money runs out. Research into the factors that enable some coalitions and partnerships to meet the challenge when others fail is limited. This study begins to fill this gap in our understanding by examining influences on the process of sustainability planning in the context of a collaborative partnership focused on youth development. We report on a longitudinal examination of the quality of planning and attitudes underpinning the sustainability of PROSPER community prevention teams whose members implement evidence-based programs designed to support positive youth development and reduce early substance use and other problem behaviors. The current research concentrates on a particular dimension of partnership effectiveness to establish whether perceptions about team functioning in play at 6 and 18 months predict the quality of sustainability planning at 36 and 48 months. How well teams functioned in the early stages was found to be strongly related to the quality of their later preparations for sustainability. Recruitment and integration of new team members, and the encouragement they subsequently received were also found to be key factors. The results strengthen the argument for providing technical assistance to meet the needs of those who promote prevention partnerships, and they provide longitudinal empirical data to support the hypotheses of other researchers who have similarly found a correlation between effective sustainability and early planning and support.

Fostering Youth Engagement on Community Teams.

Within the youth development field a growing movement exists to establish youth member positions on community teams (e.g. organizational boards and planning committees). The involvement of youth on decision-making teams is commonly referred to as youth engagement. As a relatively new approach to youth and community development, the existing research shows the potential positive impacts youth engagement efforts may produce and encourages youth practitioners to incorporate such efforts into their programs and organizations. In doing so, successful youth engagement efforts may be sustained within teams that best adapt their organizational structure, policies, and practices to complement the developmental needs of youth. Such adaptations begin with the four team characteristics presented in this paper: adult support, a youth-friendly environment, opportunities to complete meaningful tasks, and opportunities to learn and use new skills. When these practices are woven through the work of the team, youth engagement may flourish.

Extension Educators' Perceptions of Community Readiness, Knowledge of Prevention Science, and Experience with Collaboration.

This investigation compared Extension educators' perceptions of community readiness, knowledge of prevention science, and experience with community collaborations with the perceptions of community human service professionals. First, Cooperative Extension System (CES) educators and human service professionals were found to hold similar perceptions of community readiness for prevention programs. Second, CES educators demonstrated less awareness of prevention programs in the community, but a greater knowledge of research-based community risk and protective factors than the human service professionals. Third, CES educators and human service professionals were similar in terms of community collaborative involvement, success, and personal effectiveness.

Results of an independent evaluation of Project ALERT delivered in schools by Cooperative Extension.

Reported are results of an independent effectiveness study of the Project ALERT drug prevention program implemented in eight Pennsylvania middle schools by outside program leaders employed by Cooperative Extension. In this randomized, 2-cohort longitudinal evaluation, 1,649 seventh-grade students completed a pretest and four waves of posttests over the 2-year program and 1-year follow-up. Project ALERT's effectiveness was tested through a 3-level hierarchical linear model. Analyses failed to yield any positive effects for substance use or mediators for use in the adult or teen-assisted delivery of the curriculum. An extensive set of additional analyses detected no differential program effects by student risk level, gender, school, or level of implementation quality. Potential explanations for outcomes relative to Project ALERT's original effectiveness trial are discussed, as well as implications for future research, including the need to conduct independent effectiveness studies of previously validated programs in a variety of contexts.