2
observed by researchers (n¼6) in restaurants, with high inter-rater reliability. Data were collected before (n¼161) and after (n¼62) the new crust was introduced, and is ongoing. Test-retest reliability and internal consis- tency was established by online survey (n¼28) prior to administering the survey in person (n¼76) and online (n¼177). Outcome, Measures and Analysis: Survey frequency data and comparison of pre- and post-intervention con- sumption data via paired t-test. Results: Preliminary data from 5 restaurant locations over 6 months indicate that children consume as much of the whole-grain crust (49.8%) as the original crust (44.3%), based on an average adult serving size of 400g (P¼.11). Taste was the most important factor inuencing meal se- lection for parents and children. A majority of parents agreed that whole-grain pizza crust is healthier than re- ned-grain crust (86.6%). 35.3% of parents indicated their child likes the taste of whole-grain pizza crust, while 43.3% had no opinion. Conclusions and Implications: Results show that children will eat whole-grain foods in amounts similar to rened-grain foods at restaurants, where more op- tions exist and their parents inuence food selection. This is an important outcome that could serve as the foundation for future work with large, national restau- rant chains. Funding: ConAgra Foods. P132 Low Utilization of SNAP and TANF by EFNEP and WIC Participants Traci Armstrong Florian, MS, RD, [email protected]. edu, University of Arizona, Cooperative Extension Maricopa County, 4341 E. Broadway Road, Phoenix, AZ 85040; D. Winham, DrPH, MCHES, Howell Research Associates, LLC Objective: To nd if the full benet of nutrition assis- tance programs are being utilized by eligible women al- ready participating in EFNEP or WIC. Theory, Prior Research, Rationale: Prior research with this population suggested that EFNEP and WIC par- ticipants are not pursuing other nutrition assistance pro- grams that they could qualify for. Program outreach is imperative to reduce health disparities among limited-in- come populations. Study Design, Setting, Participants, and Intervention: In 2011, 444 women aged 18 to 65 at EFNEP (41%), WIC (43%), and an unemployment center (16%) completed a self-administered survey on nutrition assistance program participation, demographics, USDA food security module, and the Bidimensional Accultura- tion Scale (BAS). Outcome, Measures and Analysis: Data was analyzed using descriptive statists and comparisons were made us- ing Chi Square as appropriate. Results: Seventy-two percent self-identied as Hispanic, 53% were non-US born, but only 38% were Hispanic dominant, with 23% bicultural by the BAS. Nearly half of all participants were food secure (51%). Signicant dif- ferences in degree of food insecurity were seen by accul- turation status with 8% of Hispanic dominant women having ‘‘very low food security’’ in contrast to 19% of En- glish dominant women (p¼0.003). Forty-seven percent received SNAP benets, but more US born (54%) than non-US born (41%; p¼0.004) used the program. Only 12% of all women used TANF with signicantly more En- glish dominant and US born women receiving funds (p¼0.004). Conclusions and Implications: These ndings suggest underutilization of SNAP and TANF by EFNEP and WIC participants. Greater efforts are needed to increase aware- ness of these resources across programs in addition to fur- ther analysis identifying barriers and motivators to participation. Funding: US Dry Bean Council , Bush Brothers & Com- pany, Inc., Northarvest Bean Growers Association, Fari- bault Foods, La Costena Foods. P133 Calorie Labels on Menus: The Effect on People with Eating Disturbances Heather Lillico, BS, [email protected], University of Waterloo, 200 University Avenue West, Waterloo, ON, Canada; D. Hammond, PhD Objective: The current study sought to assess any possible unintended effects of displaying calorie labels on restau- rant menus on females with eating disturbances. Theory, Prior Research, Rationale: The prevalence of consuming food outside the home has risen dramatically in recent decades and has been linked with obesity. Calorie labelling on menus is required in several U.S. states and cit- ies, and federal regulations are under development. Anec- dotal evidence suggests that calorie labelling on menus may have adverse effects among those with clinical eating disorders or eating disturbances. Study Design, Setting, Participants, and Intervention: A pre-post experimental study was con- ducted with female undergraduate students. Three hun- dred and twenty ve participants completed a survey after meal consumption in a cafeteria at the University of Waterloo. Data collection occurred 1 month before and then 1 week after calorie information was posted for all items on menus and signs. Outcome, Measures and Analysis: Differences were tested between baseline and follow-up on measures of body image satisfaction, eating disturbance, anxiety, mood, prevalence of engaging in certain behaviours (e.g. binging), and eating disturbance level. Results: There were no signicant differences from base- line to follow-up on measures of body image satisfaction, anxiety, mood, engaging in certain behaviours, and eating disturbance level. Findings will also be presented on calorie consumption, and differences between sociodemographic groups. S52 Poster Abstracts Journal of Nutrition Education and Behavior Volume 45, Number 4S, 2013 Continued on page S53 P131 (continued)

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Page 1: Calorie Labels on Menus: The Effect on People with Eating Disturbances

S52 Poster Abstracts Journal of Nutrition Education and Behavior � Volume 45, Number 4S, 2013

P131 (continued)

observed by researchers (n¼6) in restaurants, with highinter-rater reliability. Data were collected before(n¼161) and after (n¼62) the new crust was introduced,and is ongoing. Test-retest reliability and internal consis-tency was established by online survey (n¼28) prior toadministering the survey in person (n¼76) and online(n¼177).Outcome, Measures and Analysis: Survey frequencydata and comparison of pre- and post-intervention con-sumption data via paired t-test.Results: Preliminary data from 5 restaurant locations over6 months indicate that children consume as much of thewhole-grain crust (49.8%) as the original crust (44.3%),based on an average adult serving size of 400g (P¼.11).Taste was the most important factor influencing meal se-lection for parents and children. A majority of parentsagreed that whole-grain pizza crust is healthier than re-fined-grain crust (86.6%). 35.3% of parents indicated theirchild likes the taste of whole-grain pizza crust, while 43.3%had no opinion.Conclusions and Implications: Results show thatchildren will eat whole-grain foods in amounts similarto refined-grain foods at restaurants, where more op-tions exist and their parents influence food selection.This is an important outcome that could serve as thefoundation for future work with large, national restau-rant chains.Funding: ConAgra Foods.

Continued on page S53

P132 Low Utilization of SNAP and TANFby EFNEP and WIC ParticipantsTraci Armstrong Florian, MS, RD, [email protected], University of Arizona, Cooperative ExtensionMaricopa County, 4341 E. Broadway Road, Phoenix, AZ85040; D. Winham, DrPH, MCHES, Howell ResearchAssociates, LLC

Objective: To find if the full benefit of nutrition assis-tance programs are being utilized by eligible women al-ready participating in EFNEP or WIC.Theory, Prior Research, Rationale: Prior researchwith this population suggested that EFNEP and WIC par-ticipants are not pursuing other nutrition assistance pro-grams that they could qualify for. Program outreach isimperative to reduce health disparities among limited-in-come populations.Study Design, Setting, Participants, andIntervention: In 2011, 444 women aged 18 to 65 atEFNEP (41%), WIC (43%), and an unemployment center(16%) completed a self-administered survey on nutritionassistance program participation, demographics, USDAfood security module, and the Bidimensional Accultura-tion Scale (BAS).Outcome, Measures and Analysis: Data was analyzedusing descriptive statists and comparisons were made us-ing Chi Square as appropriate.Results: Seventy-two percent self-identified as Hispanic,53% were non-US born, but only 38% were Hispanic

dominant, with 23% bicultural by the BAS. Nearly halfof all participants were food secure (51%). Significant dif-ferences in degree of food insecurity were seen by accul-turation status with 8% of Hispanic dominant womenhaving ‘‘very low food security’’ in contrast to 19% of En-glish dominant women (p¼0.003). Forty-seven percentreceived SNAP benefits, but more US born (54%) thannon-US born (41%; p¼0.004) used the program. Only12% of all women used TANF with significantly more En-glish dominant and US born women receiving funds(p¼0.004).Conclusions and Implications: These findings suggestunderutilization of SNAP and TANF by EFNEP and WICparticipants. Greater efforts are needed to increase aware-ness of these resources across programs in addition to fur-ther analysis identifying barriers and motivators toparticipation.Funding: US Dry Bean Council , Bush Brothers & Com-pany, Inc., Northarvest Bean Growers Association, Fari-bault Foods, La Costena Foods.

P133 Calorie Labels on Menus: The Effect onPeople with Eating DisturbancesHeather Lillico, BS, [email protected], University ofWaterloo, 200 University Avenue West, Waterloo, ON,Canada; D. Hammond, PhD

Objective: The current study sought to assess any possibleunintended effects of displaying calorie labels on restau-rant menus on females with eating disturbances.Theory, Prior Research, Rationale: The prevalence ofconsuming food outside the home has risen dramaticallyin recent decades and has been linked with obesity. Calorielabelling onmenus is required in several U.S. states and cit-ies, and federal regulations are under development. Anec-dotal evidence suggests that calorie labelling on menusmay have adverse effects among those with clinical eatingdisorders or eating disturbances.Study Design, Setting, Participants, andIntervention: A pre-post experimental study was con-ducted with female undergraduate students. Three hun-dred and twenty five participants completed a surveyafter meal consumption in a cafeteria at the University ofWaterloo. Data collection occurred 1 month before andthen 1 week after calorie information was posted for allitems on menus and signs.Outcome, Measures and Analysis: Differences weretested between baseline and follow-up on measures ofbody image satisfaction, eating disturbance, anxiety,mood, prevalence of engaging in certain behaviours (e.g.binging), and eating disturbance level.Results: There were no significant differences from base-line to follow-up on measures of body image satisfaction,anxiety, mood, engaging in certain behaviours, and eatingdisturbance level. Findings will also be presented on calorieconsumption, and differences between sociodemographicgroups.

Page 2: Calorie Labels on Menus: The Effect on People with Eating Disturbances

Journal of Nutrition Education and Behavior � Volume 45, Number 4S, 2013 Poster Abstracts S53

P133 (continued)

Conclusions and Implications: There was no evidenceof any adverse outcomes in response to calorie labellingamongUniversity females, including those with eating dis-turbances. The findings have implications for public policyin both the U.S. and Canada.Funding: Canadian Cancer Society Research Institute,Canadian Institutes of Health Research New InvestigatorAward (Hammond), Canadian Cancer Society ResearchInstitute Junior Investigator Research Award (Hammond).

Continued on page S54

P134 USDA FFVP May Be More Effective withComponents to Improve Attitudes, Self-efficacy, and Opinions of Significant ReferentsAlyce Fly, PhD, [email protected], Indiana University,1025 E. 7th Street HPER 005, Bloomington, IN, 47405-3907; Y. C. Lin, MS; E. B. Foland, MS, RD, CD, IndianaDepartment of Education; Y. Bai, PhD, Montclair StateUniversity

Objective: To determine if: 1) the theory, reasoned ac-tion approach (RAA), was appropriate to study behaviorsof eating fruits and vegetables; 2) which determinants ofintention: attitudes, social norms, and/or self-efficacy,made significant contributions to intention to performthe behavior; and 3) the relative importance of thesepredictors.Theory, Prior Research, Rationale: Previous analysesof the 2010-11 USDA Fresh Fruit and Vegetable Program(FFVP) found increases in fruit but not vegetable con-sumption. Though students reported high intention toeat fruits (67.3%) and vegetables (44.8%) before interven-tion; post intervention, many students still showed nointention to eat fruits (30.8%, n¼898) or vegetables(55.2%, n¼1610). RAA was chosen to explore determi-nants of intention.Study Design, Setting, Participants, andIntervention: Previously-collected post interventiondata (cross-sectional), 4th and 5th graders at 34 interven-tion schools in Indiana, FFVP intervention.Outcome, Measures and Analysis: Spearman correla-tions were used to determine the relationship between in-tention and intake. Multiple regressions were performedto determine which constructs made significant contribu-tions to intention (significant b) and the relative impor-tance of each construct (order ofmagnitude b) to intention.Results: Intention was correlated to intake of both fruitsand vegetables (P<0.001). Attitude (P<0.001 for both fruit& vegetables), social-norms (P¼0.006, fruit; 0.001, vegeta-bles), and self-efficacy (P<0.001, fruit; 0.002, vegetables)were all found to be significant predictors of students’ in-tentions to eat fruit (R2¼0.226, P<0.001) or vegetables(R2¼0.341, P<0.001). Attitude (fruits, b¼0.368; vegetables,b¼0.487) was a larger determinant of intention than socialnorm (b¼0.094, b¼0.113) or self-efficacy (b¼0.122,b¼0.095) for both behaviors.Conclusions and Implications: Future FFVP interven-tions may further augment improvements in intake by

adding activities that persuade each of these determi-nants.Funding: None.

P135 Latino Women’s Negative Attitudestoward New Food are Associated with TheirSusceptibility to the Food EnvironmentKeiko Goto, PhD, [email protected], California StateUniversity, Chico, Center for Nutrition and ActivityPromotion, 25Main Street, Chico, CA 95928;Q. Chen,MS;E. Ramsey, BS; C. Wolff, PhD, RD, MPA;S. Bianco-Simeral, MS, RD

Objective: To examine relationships between psycholog-ical responses to the food environment and food-relatedattitudes among Latino women in northern California.Theory, Prior Research, Rationale: Understandingfactors affecting responses to food cues may be importantin developing obesity treatment strategies among ethnicgroups with high obesity prevalence rates.Study Design, Setting, Participants, andIntervention:A pilot cross-sectional survey was conduct-ed with a convenient sample of 56 Latino women in thestudy area.Outcome, Measures and Analysis: Psychologicalresponses to food cues were assessed by the validated15-item Power of Food Scale (PFS), a measure of susceptibil-ity to the food environment. PFS consists of 3 domainsbased on 3 levels of food proximity: Food Available (butnot physically present), Food Present (but not tasted),and Food Tasted. Relationships between the three PFSdomains and food-related attitudes, as well as socio-demo-graphic factors, were examined. Student t-test and Spear-man’s correlation were used for statistical analysis.Results: Participants who did not trust new food had sig-nificantly higher scores of all 3 domains of PFS comparedto participants who had positive attitudes toward newfood. Other food attitude statements were not significantlyrelated to the three PFS domains. Participants’ employ-ment status, education level, and marital status were notsignificant factors associated with the three PFS domains.Conclusions and Implications: Negative attitudes to-ward new food may have a significant influence on Latinowomen’s susceptibility to the food environment. Interven-tions focusing on attitudes toward new food may changeLatino women’s responses to food cues and may poten-tially affect their eating behaviors.Funding: None.

P136 A Health and Fitness Interventionfor Overweight Teenagers in a North IdahoCommunity: Pilot StudySamantha Ramsay, PhD, RD, LDN, [email protected],University of Idaho, PO Box 443183, Moscow, ID 83844;M. Wilson, MPH, RN-BC, Kootenai Medical Center;K. Young, RD, LD, University of Idaho;M. Becker, MSN, RN,North Idaho College