Nutrients · 2018 · 43 citations · 18 references
Public HealthNutritionPublic Health NutritionCommunity NutritionRural DevelopmentRural HealthCommunity-based ImplementationNutrition CounselingNutrition Program PlanningNutrition PromotionRural Community DevelopmentRural Health PolicyImplementation In Rural SettingsInterpersonal Relationship BuildingOnline SurveysOrganizational Buy-inRelationship-building InterventionRural Public Health Practice
To better understand the barriers to implementing policy; systems; and environmental (PSE) change initiatives within Supplemental Nutrition Assistance Program-Education (SNAP-Ed) programming in U.S. rural communities; as well as strategies to overcome these barriers, this study identifies: (1) the types of nutrition-related PSE SNAP-Ed programming currently being implemented in rural communities; (2) barriers to implementing PSE in rural communities; and (3) common best practices and innovative solutions to overcoming SNAP-Ed PSE implementation barriers. This mixed-methods study included online surveys and interviews across fifteen states. Participants were eligible if they: (1) were SNAP-Ed staff that were intimately aware of facilitators and barriers to implementing programs, (2) implemented at least 50% of their programming in rural communities, and (3) worked in their role for at least 12 months. Sixty-five staff completed the online survey and 27 participated in interviews. Barriers to PSE included obtaining community buy-in, the need for relationship building, and PSE education. Facilitators included finding community champions; identifying early "wins" so that community members could easily see PSE benefits. Partnerships between SNAP-Ed programs and non-SNAP-Ed organizations are essential to implementing PSE. SNAP-Ed staff should get buy-in from local leaders before implementing PSE. Technical assistance for rural SNAP-Ed programs would be helpful in promoting PSE.
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Prevalence of Childhood and Adult Obesity in the United States, 2011-2012
Cynthia L. Ogden, Margaret D. Carroll, Brian K. Kit et al. · JAMA · 2014 · 8.1K citations · Full text
Prevalence and Trends of Severe Obesity Among US Children and Adolescents
Joseph A. Skelton, Stephen Cook, Peggy Auinger et al. · Academic Pediatrics · 2009 · 365 citations
Ann M. Davis, Kerry Bennett, CA Befort et al. · Journal of Pediatric Psychology · 2011 · 202 citations · Full text