A Cost-Benefit Analysis of EFNEP Utilizing Biomarkers of Chronic Disease Risk
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 500
- 试验地点
- 8
- 主要终点
- Change in Height from Baseline to 6 Months Post Intervention
研究概览
简要总结
The goal of this integrated project is to assess whether EFNEP is a cost-effective nutrition education intervention that generates sustained improvement in chronic disease biomarkers. This project will be unique in its use of objective biomarkers, instead of self-reported behaviors, to quantify the economic benefits generated by EFNEP through chronic disease prevention. A paired location untreated control group quasi-experimental design will be employed, with biomarkers (BMI, blood pressure, HbA1c) measured for 500 adults across four representative state EFNEP programs (CO, FL, MD, WA). Biomarkers will be measured pre-EFNEP, 6-months-post-EFNEP and 1-year-post-EFNEP. Analytical techniques will include cost-benefit, bivariate, and multivariate analyses.
详细描述
According to the CDC, 60% of US adults have a diagnosed chronic disease. This indicates the need for focused efforts to change modifiable risk factors including diet and exercise. The Expanded Food and Nutrition Education Program (EFNEP) aims to prevent chronic diseases by educating and encouraging vulnerable populations to adopt a healthy diet and physical activity. Addressing the program priority area Diet, Nutrition and the Prevention of Chronic Diseases, the long-term goal of this integrated project is to assess whether EFNEP is a cost-effective nutrition education intervention that generates sustained improvement in chronic disease biomarkers. This project will be unique in its use of objective biomarkers, instead of self-reported behaviors, to quantify the economic benefits generated by EFNEP through chronic disease prevention.
Project research objectives include analyzing EFNEP's sustained impact on chronic disease biomarkers and developing and applying a biomarker-based cost-benefit analysis methodology. Extension objectives are to develop an online cost-benefit analysis tool and webinar for nutrition education program evaluation. Education objectives are to provide graduate students with experiential learning opportunities in data collection and analysis.
A paired location untreated control group quasi-experimental design will be employed, with biomarkers (BMI, blood pressure, HbA1c) measured for 500 adults across four representative state EFNEP programs (CO, FL, MD, WA). Biomarkers will be measured pre-EFNEP, 6-months-post-EFNEP and 1-year-post-EFNEP. Analytical techniques will include cost-benefit, bivariate, and multivariate analyses. Project results will expand the EFNEP knowledge-base, allowing for program content and delivery modifications that maximize the impact of taxpayer dollars allocated to chronic disease prevention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Free-Living
- •Speaks and understands English and/or Spanish
- •Income at or below 185% of the Federal Poverty Line
排除标准
- •Being pregnant, nursing, and/or less than 9-months postpartum
结局指标
主要结局
Change in Height from Baseline to 6 Months Post Intervention
时间窗: Change in height measurement from baseline to 6 months post intervention
Height (m) is measured using a portable stadiometer.
Change in Height from Baseline to 12 Months Post Intervention
时间窗: Change in height measurement from baseline to 12 months post intervention
Height (m) is measured using a portable stadiometer.
Change in Systolic and Diastolic Blood Pressure from Baseline to 12 Months Post Intervention
时间窗: Change in Systolic and Diastolic blood pressure measurements from baseline to 12 months post intervention
Systolic and Diastolic blood pressure are measured using an OMRON Silver blood pressure monitor
Change in Weight from Baseline to 12 Months Post Intervention
时间窗: Change in weight measurement from baseline to 12 months post intervention
Weight (kg) is measured using a portable scale.
Change in Weight from Baseline to 6 Months Post Intervention
时间窗: Change in weight measurement from baseline to 6 months post intervention
Weight (kg) is measured using a portable scale.
Change in Systolic and Diastolic Blood Pressure from Baseline to 6 Months Post Intervention
时间窗: Change in Systolic and Diastolic blood pressure measurements from baseline to 6 months post intervention
Systolic and Diastolic blood pressure are measured using an OMRON Silver blood pressure monitor
Change in HbA1c from Baseline to 6 Months Post Intervention
时间窗: Change in HbA1c measurement from baseline to 6 months post intervention
HbA1c is measured using A1CNow monitor.
Change in HbA1c from Baseline to 12 Months Post Intervention
时间窗: Change in HbA1c measurement from baseline to 12 months post intervention
HbA1c is measured using A1CNow monitor.
次要结局
- Participant Demographics Baseline(Baseline.)
- Participant Demographics 12 Months Post Intervention(12 Months Post Intervention)
- Participant Health Status Baseline(Baseline)
- Participant Health Status 12 Months Post Intervention(12 Months Post Intervention)
- Participant Demographics 6 Months Post Intervention(6 Months Post Intervention)
- Change in EFNEP Adult Questionnaire Responses Baseline to 6 Months Post Intervention(Change in EFNEP Adult Questionnaire Responses Baseline to 6 Months Post Intervention)
- Change in EFNEP Adult Questionnaire Responses Baseline to 12 Months Post Intervention(Change in EFNEP Adult Questionnaire Responses Baseline to 12 Months Post Intervention)
- Change in 24-Hour Dietary Recalls Baseline to 6 Months Post Intervention(Change in 24-Hour Dietary Recalls Baseline to 6 Months Post Intervention)
- Participant Demographics Post Intervention(Immediately Post Intervention.)
- Change in 24-Hour Dietary Recalls Baseline to 12 Months Post Intervention(Change in 24-Hour Dietary Recalls Baseline to 12 Months Post Intervention)
- Participant Health Status 6 Months Post Intervention(6 Months Post Intervention)