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Using the Nutrition Environment Measures Survey to Inform &
Evaluate a Restaurant and Food Store Community Intervention
Josie Golembiewski, MPH CandidateAna P. Martínez-Donate, PhD
Department of Population Health SciencesUniversity of Wisconsin, Madison
Bev Hall, BS CDWaupaca County NuAct Coalition
Healthy Food for All SummitNeenah, WI - 3/27/14
Background
Community nutrition environment: • The number, type, location, and
accessibility of food outlets in a community
Consumer nutrition environment: • What consumers encounter
when they buy food, such as availability, cost, and quality of healthful food choices
Assessing and Improving the Nutrition Environment in Wisconsin Communities
Funded by UW School of Medicine and Public Health Wisconsin Partnership Program 2010 - 2013
ANEWC Project
Assessing the Nutrition Environment in Wisconsin Communities (ANEWC)
ANEWC
Surveillance
Intervention
Dissemination & Policy Implications
Assessing the Nutrition Environment in Wisconsin Communities (ANEWC)
ANEWC
Surveillance
Intervention
Dissemination & Policy Implications
Aim: To develop and test a pilot intervention to improve the nutrition environment in
restaurants and grocery stores
Our intervention:Waupaca Eating Smart (WES)
• Two nutrition and physical activity coalitions• 10 months: Oct 2011- July 2012• 7 restaurants & 2 stores in each community• Broad strategies:– Offer, label, and promote healthier foods
Stevens Point
Waupaca
Activities in Restaurants• Offer more healthy items– WES-approved meal: <700 calories
& 1 cup fruit or vegetables
• Label & promote healthy items– Materials, signs, wait staff
Activities in Stores• Offer more healthy items– Recipes for bundled family meals: <700
calories & 1 cup fruit or vegetables
• Label & promote healthy items– Promote fruits, vegetables, & family meals – Displays & samples– Signs & flyers
WES Promotion in the Community
• Where’s Jim Eating? articles in Waupaca newspaper
• Local media pieces
• Blog
Our Process
Formative assessment
Build partnerships
with restaurants & grocery
stores
Implement strategies: offer, label, & promote
healthy items
Improve the nutrition
environment
Improve attitudes and behaviors in customers &
owner/ managers
Methods
• Assessment tool:– Nutrition Environment Measures Survey (NEMS)
• Goal:– Measure changes in the food environment
attributable to the intervention• Evaluation design:– Before and after the intervention– Intervention community– Comparison community
Assessment Tool: Nutrition Environment Measurement Survey
• Restaurants• Stores• Convenience Stores• Vending machines
• Other tools– Perceived nutrition
environment– Grocery store
promotions (GroPromo)
• Online training– Free, 20 hours
www.med.upenn.edu/nems/Karen Glanz et al. at the University of Pennsylvania and Emory University
• Availability• Cues, signs, & information• Price• Total score: -27 to 63 points
NEMS for Restaurants
• Availability • Quality• Price• Total score: -9 to 54 points
NEMS for Stores10 food categories that contribute the most fat and calories to the American diet AND those that are most recommended for healthful eating• Fruits, vegetables, milk, ground
beef, hot dogs, frozen dinners, beverages (soda, 100% juice), baked goods, bread, chips
Discussion
• NEMS-restaurant– Availability– Cues, signs, info– Price
• NEMS-store– Availability– Quality– Price
• Adapt NEMS?• Use other tools?
Offer, label, and promote healthy items
Future directions• Analyze statewide data• Disseminate toolkits• Sustain WES • Partner with Thedacare• Expand WES through a larger study
AcknowledgmentsCommunity Partners: • Bev Hall• Anne Menzies• Marilyn Herman• Gary Garske• Waupaca NuAct• Portage County CAN• Thedacare• Wisconsin Partnership for Physical
Activity and Nutrition (WIPAN)• Wisconsin Department of Health
Services Nutrition and Physical Activity Coalition
UW-Madison Team:• Ana Martinez-Donate• Josie Golembiewski• Amy Meinen• Kristen Malecki• Anne Escaron• Norma-Jean Simon• Anne Roubal• Dan Fisher• Sahra Kahin• Natalie Rhoads• Jen Valdivia• Natalie Guerrero• Susan Nitzke• Javier Nieto• And many others
Questions? Please contact Dr. Ana Martinez-Donate: [email protected]
Questions