Healthy Bodies, Healthy Minds: Nutrition Workshops for Teachers

HBHM is designed to support a school-wide approach to nutrition education in low-income settings and should be offered on teacher professional development days in order to encourage full staff engagement. With all teachers receiving training and resources on a regular basis, it is very likely that the reach would be 100% of students receiving nutrition education. HBHM was designed for educational settings, including schools and early childcare sites. Settings: Pre-K & Childcare, Schools Age/Population Group: Preschool, Elementary School, Middle School, High School Race: All Ethnicity: Hispanic or Latino Origin, Not of Hispanic or Latino Origin

HBHM includes the delivery of interactive workshops that provide teachers with nutrition knowledge and resources to teach their students about healthy eating and physical activity. In order to be successful, the workshops should be offered as part of a larger intervention, including direct ed taught by teachers and PSE changes at the site. The workshops are adaptable to a variety of grades and curricula, however, the workshop topics must match what is being taught to students. It may not be necessary to conduct all 8 workshops, but for maximum effectiveness each workshop requires a minimum of 30 minutes. Implementation of the intervention requires a discussion with site administrators to determine if there is time for the workshops to be delivered with all teachers. Then a curriculum must be identified for classroom-based direct ed so that appropriate workshop topics and dates can be chosen. Feedback should be obtained after each workshop and direct ed should be monitored for fidelity.

HBHM is a series of 8 workshops designed to increase the knowledge and self-efficacy of teachers, in order to support them in providing SNAP-Ed direct education in the classroom. Intervention topics include: MyPlate, Fruits & Vegetables, Healthy Snacking, Breakfast, Whole Grains, Calcium, Energy Balance, and Solid Fats and Added Sugars. Corresponding SNAP-Ed lesson plans should be provided to teachers as part of the series.

Evaluation results demonstrate that the HBHM teacher training series increased teachers' ability to teach nutrition concepts in the classroom (p=.005). Intervention teachers reported significantly higher confidence on the Nutrition-Teaching Self-Efficacy Scale tool from pretest to posttest compared to control teachers.  Monthly surveys revealed an increase in motivation to teach nutrition across all topics from pre-workshop to post-workshop. Monthly satisfaction surveys also showed high satisfaction with the workshops. On average, 99.2% of participants agreed or strongly agreed that they enjoyed the workshops and 95.5% agreed or strongly agreed that they understood the topic better. A combination of rating scales and written comments were used to edit the workshops to better reach the target audience. Average teacher hours across intervention and control schools were similar due to the programming model, which demonstrates that a train the trainer model can be effective. The SNAP-Ed cost of the HBHM model was significantly less than the model used in the baseline or control schools. Overall, the evaluation results showed that the teacher workshops were effective in improving motivation and self-efficacy to teach nutrition topics in the classroom and that the model is cost effective. Evidence Base: Practice-tested

Based on the SNAP-Ed Evaluation Framework, the following outcome indicators can be used to evaluate intervention progress and success.   Readiness and Capacity - Short Term (ST) Changes - Medium Term (MT) Effectiveness and Maintenance - Long Term (LT) Population Results (R) Individual         Environmental Settings ST5 , ST6 , ST7   LT9 Sectors of Influence       ST5a, ST7a: When looking at the specific questions that asked about topic specific self-efficacy and confidence (15 questions), intervention teachers reported significantly higher self-efficacy scores from pretest to posttest compared to control teachers t(61) = 3.040, p = .003. ST6a: A paired t-test was used to determine if a school's mean NTSES pretest score was significantly different from their mean posttest score. Mean scores increased between 10 and 16 points from pretest to posttest, with all schools showing statistically significant differences. An increase in mean teacher motivation was seen for all topics, pre- to post workshop, ranging from .67 to .81. LT9a, LT9c: Average teacher hours across intervention and control schools were similar due to the programming model, in which all students received one lesson per month. The control group's nutrition education hours per student were a combination of teacher-led education and lessons delivered by SNAP-Ed staff, while the hours per student in the intervention schools were delivered entirely by the teacher. The results demonstrate that a train the trainer model can be effective in providing the same amount of direct education to students as a SNAP-Ed led model, while leaving time for SNAP-Ed staff to participate in PSE projects. LT9b: The SNAP-Ed cost of the HBHM model was significantly less than the model used in the baseline or control schools. Three different nutrition education models were compared to determine the average cost per direct education hour and conclude which program was most cost effective. The HBHM teaching model had the lowest average cost per direct education hour by almost $14.00.

HBHM includes two validated tools for evaluating effectiveness and outcomes. The Nutrition-Teaching Self-Efficacy Scale (NTSES) is a 20 question pre and post-test survey that evaluates self-efficacy related to teaching a variety of nutrition concepts. The modified NTSES post-test also asks for feedback on the entirety of the series. A process evaluation is also available for use after each workshop to assess participant satisfaction, self-reported motivation, and any suggestions for future trainings.

Website: The HBHM in not currently available on the Food Trust website . Contact Heidi Gorniok for more information. Contact Person(s): Heidi Gorniok, RDN Associate Director, Nutrition Programming 215-575-0444 x4118 hgorniok@thefoodtrust.org The Food Trust 215-575-0444 contact@thefoodtrust.org     *Updated as of August 8, 2023