Rochester Institute of Technology
RIT Scholar Works
Presentations and other scholarship
6-30-2015
Fuel for Fun: Cooking with Kids Plus Parents and
Play
Leslie Cunningham-Sabo
Colorado State University
Barbara Lohse
Rochester Institute of Technology, [email protected]
Stephanie Smith
Colorado State University
Jessica Clifford
Colorado State University
Follow this and additional works at: http://scholarworks.rit.edu/other
Recommended Citation
Cunningham-Sabo, Leslie; Lohse, Barbara; Smith, Stephanie; and Clifford, Jessica, "Fuel for Fun: Cooking with Kids Plus Parents and
Play" (2015). Accessed from
http://scholarworks.rit.edu/other/827
This Conference Proceeding is brought to you for free and open access by RIT Scholar Works. It has been accepted for inclusion in Presentations and
other scholarship by an authorized administrator of RIT Scholar Works. For more information, please contact [email protected].
Fuel for Fun: Cooking with Kids Plus Parents and Play
L. Cunningham-Sabo, B. Lohse, S. Smith, J. Clifford, M. Balgopal, R. Browning, K. Kelly, C. Nigg, E. Strutz, S. Baker, T. Rempe, C. Schneider, L. Walters, L. Zenner
Cohort 2 (2013-2014)
Eligible
n=144
AE
FFF AE.FFF Ctrl
n=19 n=25 n=71 n=29
Consented to Parcipate
n=138
AE
FFF AE.FFF Ctrl
n=19 n=22 n=71 n=26
AE
n=0
AE
n=9
No Consent
n=6
FFF AE.FFF Ctrl
n=3
n=0 n=3
Not Completed n=8
FFF AE.FFF Ctrl
n=1
n=3
n=1
Not Completed n=10
AE
n=3
FFF AE.FFF Ctrl
n=1
n=5
n=1
FFF AE.FFF Ctrl
n=1
n=5
n=1
FFF AE.FFF Ctrl
n=14 n=36 n=18
FFF AE.FFF Ctrl
n=0
n=2
n=0
Survey Not Started n=2
FFF AE.FFF Ctrl
n=1
n=0
n=0
1st Diet Assessment
2nd Diet Assessment
3rd Diet Assessment
AE
n=9
AE
n=1
AE
n=4
FFF
n=2
AE.FFF Ctrl
n=14 n=1
Not Completed n=22
FFF AE.FFF Ctrl
n=5 n=15 n=2
AE
n=5
Completed n=26
AE
n=4
Duplicates
n=6
AE.FFF
n=4
Ctrl
n=2
AE
n=0
Ariters
n=8
FFF AE.FFF
n=2
n=6
Ctrl
n=0
FFF AE.FFF Ctrl
n=2 n=14 n=1
Not Completed n=24
FFF AE.FFF Ctrl
n=5 n=15 n=2
AE
n=9
Completed all Surveys
n=54
AE
n=8
AE
n=5
FFF AE.FFF Ctrl
n=4 n=14 n=1
Not Completed n=27
Completed n=15
1st Diet Assessment
FFF AE.FFF Ctrl
n=2
n=4
n=6
AE
n=3
FFF AE.FFF Ctrl
n=2
n=4
n=6
AE
n=2
AE
n=2
FFF
n=4
AE.FFF
n=15
Ctrl
n=3
AE
n=5
FFF
n=4
AE.FFF
n=15
Ctrl
n=3
Not Completed n=28
Completed n=12
3rd Diet Assessment
AE
n=5
Not Completed n=27
Completed n=14
2nd Diet Assessment
FFF AE.FFF Ctrl
n=2
n=2
n=6
F- 1 S - 7 M L
B S
FFF AE.FFF Ctrl
n=14 n=34 n=16
Parent Surveys &
Diet Assessments
Eight schools (20-70%) of students
eligible for free or reduced-priced
school meals), four from each district.
Approximately 440 4th and 440
5th grade students will participate
each year.
FFF AE.FFF Ctrl
n=9 n=22 n=15
Thompson School District
Completed n=26
AE
n=4
FFF
n=0
Completed Survey and
Diet Assessment
n=9
AE
FFF AE.FFF Ctrl
n=0
n=5
n=2
n=2
Completed Survey
n=73
Completed Baseline &
Follow-up 2 Surveys
n=19
AE
FFF AE.FFF Ctrl
n=1
n=4 n=12 n=2
FFF AE.FFF Ctrl
n=3
n=2
n=9
Not Completed n=21
FFF AE.FFF Ctrl
n=5 n=17 n=2
FFF AE.FFF Ctrl
n=11 n=31 n=17
Completed Baseline &
Follow-up 1 Surveys
n=15
Completed n=28
AE
n=4
Completed Survey and
Diet Assessment
n=14 *
FFF AE.FFF Ctrl
AE
n=2
n=4
n=6
n=2
Completed Survey
n=68
Completed Survey and
Diet Assessment
n=26
AE
FFF AE.FFF Ctrl
n=4
n=5
n=15 n=2
Not Interested in
Diet Assessment
n=29
AE
FFF AE.FFF Ctrl
n=3 n=8
n=9 n=9
FFF AE.FFF Ctrl
n=1
n=1
n=5
AE
n=0
Ariters n=1
AE
n=0
AE
n=0
Ariters
n=7
FFF AE.FFF Ctrl
n=0
n=2
n=0
AE
n= 0
Non-Responders
n=48
FFF AE.FFF Ctrl
n=24 n=27 n=7
Link Accessed
n=87
FFF AE.FFF Ctrl
n=16 n=44 n=18
Duplicates
n=2
Consented to Diet Assessment
n=36
AE
Ctrl
AE.FFF
FFF
n=7
n=3
n=20
n=6
AE
n=3
AE
n=9
AE
n=0
AE
n=5
FFF
n=4
AE.FFF
n=16
Ctrl
n=3
1st Diet Assessment
2nd Diet Assessment
3rd Diet Assessment
FFF AE.FFF Ctrl
n=0
n=2
n=5
Completed n=9
FFF AE.FFF Ctrl
n=0
n=2
n=5
AE
n=2
FFF AE.FFF Ctrl
n=0
n=2
n=4
Hispanic
The Obesity Society 2014
Fuel for Fun improved self-efficacy, attitude and preference for fruits and vegetables in impact
assessment using cohort delayed intervention design
Accepted Abstracts
World Social Marketing Conference 2015
The Primary Barriers and Motivators to more Healthful Eating at Home: Formative Research to Inform
the Fuel for Fun Intervention
American College of Sports Medicine 2015
Exploring the Relationship Between Parent and Child Physical Activityϯ
International Society of Behavioral Nutrition and Physical Activity 2015
Fuel for Fun: Variability in Teachers’ Nutrition Beliefs and Practices in the Elementary School
Environment Warrant Attention in Impact Assessment
Vegetable preference in 4th grade children is coupled with cooking and food related attitudes and
behaviors but not vegetable availability in the home
Society of Nutrition Education and Behavior 2015
Fuel for Fun impact assessment affirmed positive effect on self-efficacy for and attitude toward
cooking in school age youth
Interviews Inform Translation of In-School Intervention for Out-of-School Settings: Staff, Student and
Curricular Challengesϯ
Measuring Recess Activity Using SOPLAY Revealed Sex and Seasonal Differences, Challenges in Fuel
for Fun Impact Assessmentϯ
Process Evaluation Measures Effectively Assess Fidelity of Fuel for Fun Classroom Lessons
Fruit and Vegetable Weights or Pan Weights are Valid Methods to Estimate Elementary Student
Self-Service Salad Bar Portionsϯ
ϯ
Student-led abstract/presentation; * Student participated in abstract/presentation development
AE
n=0
No Parcipant Consent
n=116
No Follow-up Survey
Declined survey-ht/wt only n=10
Consent to Use
No Baseline Survey
Survey Data
Declined survey-ht/wt only n=3
I An=359
No Follow-up Survey
Declined survey-ht/wt only n=9
Absent
n=20
S
R
Completed Survey
1st Round n=335
Completed 1st Round
n=283
Completed Survey
n=287
Completed
1st Round
n=307
Completed all Surveys
n=278
Completed 2nd Round
n=14
Interested in
Diet Assessment
n=89
AE
FFF AE.FFF Ctrl No TX
n=14 n=11 n=32 n=18 n=14
Absent
n=22
No Follow-up Survey
Declined survey-ht/wt only n=10
S R†‡ˆ‰€‰„‚‡
Completed 1st Round
n=283
Completed 2nd Round
n=18
Completed Survey
n=349
Completed
n=18
Not Interested in
Diet Assessment
n=245
Completed Survey
1 n=325
Diet Assessment
st
S‡ˆ‰Š‹
RŠŒŽ‘’“’”•ŠˆŠŽ
AE
n=0
Completed Survey
n=287
Completed Survey &
Diet Assessment
n=10
Completed all Surveys
n=278
Not Completed n=19
Student Surveys &
Diet Assessments
White
Hispanic
Asian
African American
AE
n=3
AE.FFF Ctrl No TX
n=4 n=6 n=4
Not Completed n=21
AE
n=4
Consented to
Diet Assessment n=35
FFF
n=2
AE.FFF Ctrl No TX
n=5 n=6 n=4
2nd Diet Assessment
Completed
n=32
Not Completed
n=5
2nd Diet Assessment
Completed
n=30
Not Completed
n=7
3rd Diet Assessment
Completed
n=28
I A
Not Completed n=25
Not Completed
n=3
B‡ S
FFF
n=2
Not Completed
n=1
2nd Diet Assessment
Completed
n=18
Not Completed
n=17
2nd Diet Assessment
Completed
n=18
Not Completed
n=2
2nd Diet Assessment
Completed
n=17
Not Completed
n=24
2nd Diet Assessment
Completed
n=11
Not Completed
n=2
3rd Diet Assessment
Completed
n=17
Not Completed
n=26
3rd Diet Assessment
Completed
n=9
F- 1 S - 7 M€‚ƒ„ L†‚
AE
n=4
FFF
n=4
AE.FFF Ctrl No TX
n=6 n=7 n=4
Completed Survey
n=374
Ariters n=3
FFF AE.FFF Ctrl No TX
n=0 n=0 n=1 n=2
Not Interested in
Diet Assessment
n=284
Interested in
Diet Assessment
n=89
Not Interested in
Diet Assessment
n=27
FFF AE.FFF Ctrl No TX
n=2 n=6 n=4 n=13
No Consent
n=47
Consented to
Diet Assessment n=42
Consented to Diet Assessment
n=42
AE
Ctrl No TX
AE.FFF
FFF
n=7
n=9
n=14
n=6
n=6
Completed 2nd Round
n=4
Completed Survey &
Diet Assessment
n=17
Completed Baseline &
Follow-up 1
Surveys n=325
Poudre School District
Absent
n=27
Completed 2nd Round
n=11
Completed Survey and
Diet Assessment
n=21
AE
FFF AE.FFF Ctrl No TX
n=3 n=4 n=9 n=3 n=2
AE
n=2
Absent
n=11
S
R
Completed Survey
1st Round n=363
Survey Not Started n=7
AE
FFF AE.FFF Ctrl No TX
n=0 n=1 n=0 n=2 n=4
FFF AE.FFF Ctrl No TX
n=1 n=0 n=3 n=6
AE
FFF AE.FFF Ctrl No TX
n=16 n=13 n=38 n=22 n=27
Total Student Populaon
n=476
No Parcipant Consent
n=76
No TX
n=3
Survey Not Completed
n=10
White
No Consent
n=69
Presentations
The Academy of Nutrition and Dietetics, Food and Nutrition Conference and Expo 2014
Support to extend SNAP-Ed eligibility to schools below the current threshold of 50% participation in
free and reduced school lunch program*
AE
n=0
No Consent
n=4
FFF AE.FFF Ctrl
n=1 n=0 n=0
Total Student Populaon
n=463
Consent to Use
No Baseline Survey
Survey Data
Declined survey-ht/wt only n=4
I An=387
Not Eligible *
n=14
FFF AE.FFF Ctrl No TX
n=0 n=0 n=0 n=0
n=0 n=0 n=0 n=1
n=0 n=4 n=0 n=4
n=0 n=1 n=0 n=0
Completed Survey
n=116
Interested in
Diet Assessment
n=104
Published Manuscripts
Lohse, B, Belue, Smith, S, SL, Wamboldt, PA, Cunningham-Sabo, L. About Eating: An online program with
evidence of increased food resource management skills for low-income women. 2015. Journal of
Nutrition Education and Behavior. epublication ahead of print.
AE
n=1
n=1
n=2
n=0
Key
AE - About Eang
* Not Eligible
FFF - Family Based
Not English Speaking
AE.FFF - About Eang
Not 4th Grade Parent
& Family Based
Duplicate Aempts
Ctrl - Control
Invalid Aempts
African American
5.About Eating (AE) – on-line healthy eating and activity resource for parents.
Dissemination of Study Findings
Eligible
n=130
AE
FFF AE.FFF Ctrl No TX
n=16 n=15 n=38 n=25 n=36
Non-responders
n=319
AE
FFF AE.FFF Ctrl No TX
n=96 n=75 n=49 n=65 n=34
Completed n=8
AE
n=2
F- 2 S - 11 M L
* Only parents who completed Follow-up 1 survey were contacted to do the Diet Assessment
Link Accessed
n=144
AE
FFF AE.FFF Ctrl No TX
n=20 n=15 n=43 n=25 n=41
Consented to Parcipate
n=126
AE
FFF AE.FFF Ctrl No TX
n=16 n=14 n=38 n=25 n=33
Completed n=9
AE
n=2
Surveys Sent Home
n=463
AE
FFF AE.FFF Ctrl No TX
n=116 n=90 n=92 n=90 n=75
Asian
2.Sports, Play, and Active Recreation for Kids (SPARK) Active Recess – physical activity
program designed to encourage maximum participation for every player, regardless of ability.
4.Fuel for Fun (FFF) Family – program that engages parents and reinforces what students experience through the classroom, recess, and cafeteria components.
Link Accessed
n=77
FFF AE.FFF Ctrl
n=20 n=71 n=25
Interested in
Diet Assessment
n=105
AE
FFF AE.FFF Ctrl
n=16 n=12 n=62 n=15
AE
n=10
FFF AE.FFF Ctrl
n=6 n=35 n=7
AE
n=10
Completed Survey
n=135
Not Completed n=10
3.Fuel for Fun (FFF) Cafeteria – classroom lessons linked to healthful foods in the school cafeteria to
encourage students to make more healthful choices.
Ctrl
n=1
n=1
n=3
Survey Not Completed
n=3
FFF AE.FFF Ctrl
n=2
n=0 n=1
AE
n=19
Key
AE - About Eang
* Not Eligible
FFF - Family Based
Not English Speaking
AE.FFF - About Eang
Not 4th Grade Parent
& Family Based
Duplicate Aempts
Ctrl - Control
Non-Responders
n=58
AE
n=0
AE
n=3
1.CWK – Colorado – hands-on cooking and tasting classroom lessons to enhance cooking skills and
provide positive experiences with a wide variety of wholesome, healthy foods.
AE
n=0
n=0
n=0
Not Eligible *
n=15
FFF AE.FFF
n=0 n=2
n=1 n=0
n=2 n=5
Received Follow-up 2
Survey Link
n=135
AE
FFF AE.FFF Ctrl
n=19 n=20 n=71 n=25
Received Follow-up 1
Survey Link
n=135
FFF AE.FFF Ctrl
AE
n=19 n=20 n=71 n=25
Cohort 3 (2014-2015)
1st Diet Assessment
2nd Diet Assessment
2nd Diet Assessment
Completed n=23
AE
n=4
FFF
n=4
AE.FFF Ctrl No TX
n=10 n=3 n=2
Completed n=21
AE
n=3
FFF
n=4
AE.FFF Ctrl No TX
n=9 n=3 n=2
Completed n=17
AE
n=3
FFF
n=2
AE.FFF Ctrl No TX
n=8 n=2 n=2
Not Completed
n=5
2nd Diet Assessment
Completed
n=36
Not Completed
n=8
2nd Diet Assessment
Completed
n=33
Not Completed
n=20
3rd Diet Assessment
Completed
n=21
I A
Link Accessed
n=159
AE
FFF AE.FFF Ctrl
n=19 n=28 n=78 n=34
Non-responders
n=317
AE
FFF AE.FFF Ctrl
n=107 n=71 n=87 n=52
Intervenon Administered
Fuel for Fun: Cooking with Kids Plus Parents and Play is an integrated
research, extension, education project targeting 4th-grade students. Its
long-term goal of reducing the risk of childhood obesity will be addressed by
promoting healthful food and activity environments, policies and behaviors
through: 1) evaluating the efficacy of a 4th grade comprehensive school-based
intervention, 2) designing, implementing, and evaluating a family-based
intervention, 3) applying it to an after-school setting to broaden its reach, and,
4) disseminating both versions through outreach. This experiential school-based
program, designed to enhance fruit and vegetable preference, self-efficacy and
attitudes toward cooking, and physical activity levels, has 5 components:
Surveys Sent Home
n=476
AE
FFF AE.FFF Ctrl
n=126 n=99 n=165 n=86
NUTRITION EDUCATION
ENGINEERING & DESIGNS
Intervenon Administered
Background
YEAR
3
B— S
B S
Parents Surveys &
Diet Assessments
F‡‡ˆ-Š 2 S - 11 MŽ L
Students Surveys &
Diet Assessments
Accomplishments and Results
Data Collection and Analysis
99 Average student participation rate of 81% for Cohort 3 (C3), 73% for Cohort 2 (C2), 80% for
Cohort 1 (C1)
99 349 C2 students completed baseline (BL) surveys and Ht/Wt, 325 at follow-up 1 (FU1), and
287 at follow-up 2 (FU2); 374 C3 students completed BL surveys
99 135 C2 parents completed BL survey, 68 at FU1, 73 at FU2; 116 C3 parents completed BL survey
99 26 C2 student/parent pairs completed BL 24-hour recalls, 15 completed FU1, and 9 completed
FU2 ; 23 C3 pairs completed BL 24-hour recalls
99 Accelerometry data (ACC) gathered at 3 schools: 130 C2 students and 110 parents at BL,
110 students and 89 parents at FU1. 126 C3 students and 103 parents at BL, 109 students
and 80 parents at FU1
99 SOPLAY observation of students’ recess activity 16 completed times for each school
99 Plate waste assessed from 739 C3 student lunch trays
99 Process measures completed for all intervention components
99 All outcome data dual-entered, managed and analyzed in SPSS
Education
99 Conducted trainings for 4 graduate student Food Educators and 18 undergraduate students on FFF
program implementation
99 Enrolled 18 undergraduate Food Science and Human Nutrition students in FFF practicum, gained
experience in program implementation, process and outcome evaluation, and data entry
99 Trained 13 Health and Exercise undergraduate students to implement SPARK recess games and conduct
SOPLAY observation
Intervention Implementation
99 Implemented 19 introductory, 76 tasting and 95 CWK-Colorado cooking lessons,
representing 86% of project goal. One school declined the intervention but participated in
measurement activities.
99 Conducted SPARK during recess average of 4 days/week/school (100% of project goal for
participating schools).
99 Implemented FFF cafeteria intervention: FV promotional signs, verbal prompts from staff,
and staff clothing (chef coats and T-shirts).
99 Developed and implemented FFF family-based component in 3 schools (187 families).
Elements included family nights, take-home action packs, and a weekly parent blog.
99 Collected process and outcome data from parents participating in About Eating.
Extension
99 Conducted 11 interviews with potential adopters of FFF to identify barriers and facilitators for
statewide dissemination
99 Began piloting and determining changes necessary for after-school and Youth EFNEP adoption
Acknowledgements
This project is supported by Agriculture and Food Research Initiative Grant no. 2012-68001-19603 from the USDA National Institute of Food and
Agriculture, Childhood Obesity Prevention: Integrated Research, Education, and Extension to Prevent Childhood Obesity – A2101. We also would
like to acknowledge Thompson School District, Poudre School District, Project Steering Committee, Project Advisory Committee, Undergraduate
and Graduate Students.
99 Completed 5 graduate student projects
• Development and Administration of a Survey to Measure Elementary School Teachers’ Nutrition
Beliefs and Practices in the School Environment
• Validating Portion Size Assessment Methods in Elementary Schools with Self-Service Salad Bars
• Fuel for Fun Spring Family Night Technical Report
• The Development, Implementation and Evaluation of Fuel for Fun Action Packs
• The Development, Implementation and Evaluation of a Blog Tailored to Parents of Children
Participating in the Fuel for Fun Program
Next Steps
ƒƒ Add cohort 4 to replicate cohort 1—as a control group for students and parents
with half of parents assigned to About Eating
ƒƒ Continue data analysis, interpretation, and dissemination through publications
and presentations
ƒƒ Explore opportunities for program sustainability locally
ƒƒ Develop and pilot versions for Youth EFNEP and out-of-school audiences
ƒƒ Assess Community Readiness to adopt Fuel for Fun in other Colorado communities