Improving Nutrition Outcomes for Older Adults – A Revised Module for Bingocize®

Presenters:

• Anne R. Lindsay, PhD, FACSM; Professor

University Nevada Reno-Extension

• Macy Helm; Federal Nutrition Programs Coordinator

University Nevada Reno-Extension

• Jason Crandall, PhD, ACSM C-EP; Assoc. Prof.

Western Kentucky University

• Jennifer M Wood, MS, RDN, LD,

Gerontologist- dietitianonwheels.com

An EEO/AA institution. This institution is an equal opportunity provider. This material was funded, in part, by USDA’s Supplemental Nutrition Assistance Program (SNAP).

• Bingocize® was developed by Dr. Jason Crandall @ Western Kentucky University
• It combines exercise and health information with the familiar game of bingo, an effective and fun way to get older adults moving, eating healthy and socializing
• Played 2x/week on nonconsecutive days & each session ~45-60 minutes
• 3 workshops to choose from (10 weeks/2x week)
• Bingo & Exercise
• Bingo, Exercise, & Falls Prevention Education
• Bingo, Exercise, & Nutrition Education
• Spanish available

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Bingocize® in SNAP-Education

• Site delivery – Community centers where older adults congregate, independent living complexes where older adults live

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• PSE/Sustainability – Advantageous (ease of Train-the Trainer model; older adults love bingo)

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• Focus on medium-term level indicators to produce outcomes related to behavior change

Partnership between �UNR-Extension & WKU

• SNAP-Ed Toolkit – Falls Prevention and PA modules; no Nutrition module

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• Nutrition module was primarily knowledge-based and promoted ST outcomes

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• UNR-Extension (Service Agreement) transformed module to promote outcomes related to behavior change

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• Developed a large question bank (n=153)

Process

• Reviewed existing module (indicators to framework; medium vs short-term)
• Identified critical curricula themes review (other nutrition curricula, USDA nutrition guidelines, etc.)
• Peer-reviewed and finalized the database (n=103) with expansion of learning activities (Q, response options, learning discussion script/prompt)
• Engaged expert reviewers (clinical RD - content , aging expert - literacy, federal SNAP-Ed coordinator)
• Reviewed overall content for question distribution weighted by topic
• Organized to ensure fit to Bingocize® and the flow of learning to promote behavior change
• Added media images/videos where necessary
• Uploaded into Bingocize system for pilot
• Process evaluation Pre-pilot (in-person & virtual versions) for logistics, tools and some content)
• Developed a draft of key takeaway messaging for future handouts
• Reviewed by RD, board certified in gerontology
• Pilot (4 in-person) underway

Pilot Process Results - QUALITATIVE

Participant Feedback

• Minimal “could not apply” – (e.g., not primary shopper)
• Moderate “I didn’t know this” – (e.g., generational related dietary culture; practical applications; food safety)

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Observer Feedback

• Promote and provide prompts for discussion – (e.g., “Were any of you surprised by this answer?”)
• Technical and logistical feedback

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Pilot Process Results - QUANTITATIVE

• Convenience Sampling (n=6 lessons x n=32 questions)
• “Was the question and answer clear and understandable?”

98.7% “Yes”, 1.3% “Not sure”, 0% “No”

• “On a scale 1-5, how likely are you to apply these ideas/messages at home?”

Scale of 1 (“unlikely”) to 5 (“very likely”) x = 4.72

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• Piloted using State Agency required tool (Health Behavior Checklist, 5 questions)
• Reviewed all HBC questions for content validity
• Increase in fruits eaten each day, sig x=-.889 (s.d. =1.364) t=-1.955; p=.043
• Increase in vegetables eaten each day, sig x=-.778 (s.d.=.833) t=-2.800; p=.012
• Increase eating > 1 kind of fruit each day, sig z=-2.041; p=.041
• Increase eating > 1 kind of vegetable each day, sig z=-2.000; p=.046
• No change buying foods w/ lower added sugar or no added sugar, N/S z=-.447; p=.655

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Next Steps

• Funding
• Quasi-experimental studies
• Multi-state pilots
• Complete SNAP-Ed Toolkit

Contact for more information or interest in piloting Bingocize®:��Anne R. Lindsay, PhD alindsay@unr.edu �Macy Helm mhelm@unr.edu �

Thank you!

An EEO/AA institution. This institution is an equal opportunity provider. This material was funded, in part, by USDA’s Supplemental Nutrition Assistance Program (SNAP).