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首次分析全美范围内使用 SNAP-Ed 评估框架的趋势。

First Analysis of Nationwide Trends in the Use of the SNAP-Ed Evaluation Framework.

机构信息

Rocky Mountain Prevention Research Center, Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado Denver, Denver, CO.

Rocky Mountain Prevention Research Center, Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado Denver, Denver, CO.

出版信息

J Nutr Educ Behav. 2023 Mar;55(3):235-244. doi: 10.1016/j.jneb.2022.11.008. Epub 2023 Jan 26.

DOI:10.1016/j.jneb.2022.11.008
PMID:36707326
Abstract

OBJECTIVE

To understand Supplemental Nutrition Assistance Program-Education (SNAP-Ed) Implementing Agencies'(SIAs) use of the SNAP-Ed Evaluation Framework (Framework), which is a tool that includes 51 indicators that SNAP-Ed programs can use to measure the success of their programs in the first 5 years after its release.

METHODS

A repeated cross-sectional study design was utilized to administer electronic surveys to between 124 and 154 SIAs who received SNAP-Ed funding in fiscal years 2017, 2019, and 2021. Analyses included descriptive statistics and tests of proportions.

RESULTS

Most SIAs indicated that they used the Framework to inform both data collection instruments and program planning decisions and the rates remained relatively constant over the 3 time points (> 80%). The most common specific use of the Framework across all 3 time points was to define, count, or measure the work accomplished, but this statistically decreased from 2017 (76%) to 2021 (57%) (z-score = 3.31; P < 0.001).

CONCLUSIONS AND IMPLICATIONS

The results of this analysis confirmed that 5 years after its introduction, uptake and use of the Framework was high and that, as a whole, SIAs focused on priority indicators set by the US Department of Agriculture, with no notable increases in addressing and measuring longer-term, multisector, and population-wide outcomes. The systematic study of the Framework's usability over time has a broader application to other national health promotion initiatives with shared frameworks.

摘要

目的

了解补充营养援助计划教育(SNAP-Ed)实施机构(SIAs)对 SNAP-Ed 评估框架(框架)的使用情况,该框架是一个工具,其中包括 51 个指标,SNAP-Ed 计划可以使用这些指标来衡量其计划在发布后的头 5 年内的成功。

方法

采用重复横断面研究设计,向 2017、2019 和 2021 财年获得 SNAP-Ed 资金的 124 至 154 个 SIA 发送电子调查。分析包括描述性统计和比例检验。

结果

大多数 SIA 表示,他们使用该框架来告知数据收集工具和计划规划决策,并且在 3 个时间点的使用率相对稳定(>80%)。在所有 3 个时间点,使用框架的最常见具体用途是定义、计数或衡量完成的工作,但这一比例从 2017 年(76%)下降到 2021 年(57%)(z 分数=3.31;P<0.001)。

结论和影响

这项分析的结果证实,在推出 5 年后,框架的采用和使用情况仍然很高,并且作为一个整体,SIA 侧重于美国农业部设定的优先指标,在解决和衡量长期、多部门和全人群结果方面没有明显增加。随着时间的推移,对框架可用性的系统研究具有更广泛的应用,适用于具有共享框架的其他国家健康促进计划。

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