Posts Tagged: Healthy Living

Nutrition Policy Institute: 10 years of making healthy choices more accessible for all

Adaptado al español

NPI researchers provide influential evidence that shapes federal, state nutrition programs

Of the many challenges facing humanity, nothing is more fundamental than securing healthy food and water for all. Life itself would not be possible without nutrients, energy and water – but for many people across the United States, that essential fuel is compromised.

“Right now, the average American diet quality has a failing grade,” said Lorrene Ritchie, University of California Cooperative Extension nutrition specialist. “If you scored it from 0 to 100, it would be about 55 to 60. And we're trying to move that number closer to 80.”

To help society reach that goal, the Nutrition Policy Institute was established 10 years ago, under the UC Agriculture and Natural Resources umbrella.

“NPI was created in recognition of the fact that more people in the United States are now ill with a nutrition-related chronic disease than are well,” said Ritchie, who has been director of the institute since its founding. “Six in 10 adults in the U.S. have one or more chronic diseases – 4 in 10 have two chronic diseases – that are preventable. When you have that big of a public health nutrition problem, the scope requires big policies, big program changes and big environmental changes.”

Since 2014, NPI – building upon the work of the Center for Weight and Health at UC Berkeley – provides scientific data to inform and guide a host of nutrition improvements across wide swaths of the population, with a focus on low-income and racially and ethnically diverse communities.

The work of NPI's 40 academics, staff and students have furnished policymakers, program managers and school administrators with the pivotal research that, among other things, has enhanced access to federal nutrition programs, reduced food insecurity for children of all ages, and removed unhealthy snack foods and beverages from schools while boosting access to drinking water.

And with about 1 in 3 people in the U.S. touched by federal nutrition programs, NPI experts have become instrumental in evaluating programs such as SNAP (Supplemental Nutrition Assistance Program, popularly known as food stamps or CalFresh in California) and SNAP-Education, WIC (Special Supplemental Nutrition Program for Women, Infants and Children), school meal programs, and the Child and Adult Care Food Program.

“This institute is the only one of its kind on the West Coast, with a very substantial number of graduate-level nutritionists and policy experts who are ready and able to take on policy questions that are being considered at the federal, state and local levels,” said Pat Crawford, a pioneer in the field of nutrition policy and the founding director of the UC Berkeley Center for Weight and Health, which merged with NPI in 2015.

In assessing NPI's overall contributions to the nutrition and public health space, Ritchie is astonished by the work of its academics and staff.

“Our findings have really informed policy and moved the field in a way that I could have hardly conceived of 20 or 30 years ago, when I first started working in this area,” she said. “I could not imagine that we would have achieved all the policy impacts that we have.”

Trusted partners in researching school meal programs

An illustrative example of NPI's prominence in nutrition policy research is its leading role in studying California's effort to provide school meals for all students.

The Nutrition Services Division of California's Department of Education oversees virtually all meal programs in public schools across the state, serving 870 million meals and snacks each year to about 5.8 million students.

According to its director, Kim Frinzell, the division relies on NPI to help evaluate and understand the emerging trends at schools by gathering and analyzing feedback from students, teachers, food service directors, parents, community organizations and other partners. With a better pulse on these trends, Frinzell's team uses the data to inform its policies, practices, training and overall strategy.

“NPI brings the expertise of knowing what kind of research questions to ask; as a state agency, we don't have research resources, nor the specific expertise,” Frinzell said. “So being able to partner with NPI is an incredibly valuable service.”

In addition to working with Christina Hecht on drinking water access and Wendi Gosliner on food waste issues, the California Department of Education has partnered with NPI researchers in recent months to conduct surveys and organize focus groups on California's universal school meals program, School Meals for All.

Coming out of the COVID-19 pandemic, California was one of the first states in the U.S. to adopt a universal school meals program, offering breakfast and lunch at no cost to all K-12 students, regardless of household income. NPI was funded to evaluate the implementation and impact of the program.

“The great value of what NPI brings to School Meals for All is that their work is not just quantitative but qualitative, value-added information that tells a story about real individuals and real situations that is backed by the data about a particular program, and you're able to anchor back to a very well-respected institute and the research they've done and say: ‘This is what the survey says, this is what the evaluations and the data provide,'” Frinzell explained.

“What's been really wonderful about NPI over the past 10 years is they're such leaders in studying and helping to create strategies for greater access to healthy meals for all – while also promoting healthy habits for all – across the entire child-nutrition spectrum,” Frinzell added.

Pioneers in researching universal school meals

May Lynn Tan was one of the first students working at NPI. She was interested in learning about universal school meals and accessed data on meal programs from across the U.S. using Lorrene Ritchie's work on a nationwide collaborative school nutrition project.

“At the time, there was not a lot of evidence on the impact of universal meals on participation, because there just weren't that many places where that was happening,” Tan said. “So that data set really helped illustrate some of these patterns that I wouldn't have been able to get at, otherwise.”

Tan chose this topic for her doctoral dissertation. She concluded that students who previously had been ineligible for free or reduced-price meals experienced the greatest impact through universal school meal programs. “It really just went to show that when you offered universal meals in schools, the kids who weren't qualified to get them for free before, but who still needed them, could start participating at a higher rate,” said Tan, noting that her research continues to be used in modeling to predict the effects of such programs in other states.

Presently, as director of research and strategic initiatives for California Association of Food Banks, Tan is thankful for her relationships with NPI team members – and regularly accesses NPI resources and briefs (compiled by NPI communications director Danielle Lee, in collaboration with other NPI researchers) to stay abreast of the latest research.

“NPI does a really good job packaging their findings for practitioners who are managing and providing services for communities,” Tan said. “That's really important in this field, because policymakers and program staff don't necessarily want to wade through a giant study. NPI often puts out one-pagers and things that are more graphically designed that make it easy to understand the findings – and what they mean for the real world.”

Experts in examining WIC program policies, impact

In the early 2010s, Lauren Au was working in Washington, D.C. as a U.S. Senate nutrition advisor, providing lawmakers with the latest research on nutrition programs. But she sought a more active role in the field.

“Instead of being the legislative assistant who's meeting with constituent groups that are giving me their one-pagers about why their legislation should be supported, I wanted to be driving the research that's behind that one-pager,” Au explained.

Having studied with Pat Crawford as an undergraduate student at UC Berkeley, Au returned to the West Coast in 2014 as a postdoctoral researcher with NPI. One of her projects was a long-term study of children, from birth to age 9, participating in the WIC program.

Au's experience in studying WIC – including its pandemic-era changes that increased fruits and vegetables and offered online options for participant enrollment, recertification and education – allowed her to carve out her own niche in the academic space. She cited that research focus, along with the collaborative relationships she cultivated at NPI, as major reasons for her success as a recently tenured professor in the Department of Nutrition at UC Davis.

“I love this work because you're constantly learning and keeping up with where the field is going,” Au said. “I've seen, over time, how it's changed from focusing on obesity to now focusing more on the social determinants of health. And that's where my research has shifted as well, becoming broader and seeing how all these environmental influences play a role in impacting nutrition and public health.”

Trailblazers in studying policy, systems and environmental approaches

NPI's work has been a driver of the field expanding its focus to research and interventions beyond the individual (such as direct education efforts) to the social, cultural and environmental context.

“We know now that nutrition is absolutely one of the determinants of all of the chronic diseases that we're suffering from in this country, whether it be cancer, heart disease, stroke, diabetes or obesity,” said Crawford, emeritus CE nutrition specialist and adjunct professor of public health. “And we've learned that it takes more than just educating people – it really takes policymakers to help make those good, nutritious choices easier for the public.”

Sugar-sweetened beverages, for example, have a significant negative impact on children's diet quality and health, according to Ritchie. And because such beverages are heavily marketed and ubiquitous, parents and caregivers are challenged to make the right choice – even if they know about their harms.

“Regardless of the quality of the education, the onus is on the parents to remember to make the healthy choices, which can be hard when kids naturally love sweets, and given the influence of kids' ‘pester power,'” Ritchie explained.

To help those dietary decision-makers, a bill was passed in California to make the healthy choice (i.e., milk or water) the “default” beverage offered with kids' meals served in restaurants. Since that law went into effect in 2019, its efficacy – and shortcomings in practice – and have been extensively studied by NPI's CalFresh evaluation team.

Innovators in SNAP, SNAP-Ed evaluation

Federally funded by the United States Department of Agriculture, the California Department of Public Health oversees SNAP-Ed (known as CalFresh Healthy Living at the state level) as the largest of four CFHL state implementing agencies to fund work in California's 61 local health departments. CDPH contracted with NPI (and before that the Center for Weight and Health) to conduct ongoing comprehensive evaluation of CalFresh Healthy Living interventions, including individual education and behavior change as well as broader systems approaches.

“NPI has been a wonderful partner and contributed a tremendous amount in how CalFresh Healthy Living evaluates its work, especially as policy, systems and environmental change approaches have evolved and been encouraged over the years,” said Erica Eilenberg, chief of CDPH's Nutrition and Physical Activity Branch.

While developing more efficient systems and processes for tracking, evaluating and reporting results of CalFresh Healthy Living initiatives across California, NPI also provides technical assistance to local health departments in collecting crucial data and measuring outcomes. In particular, NPI researchers helped develop an innovative “dose score” method to quantify the cumulative and combined impact of multiple interventions at school sites – as opposed to measuring each type of intervention independently.

As a result, more robust evaluation data and reporting have provided local health departments with key information to improve their program planning and delivery.

“NPI's evaluation work has resulted in more effective initiatives that have contributed to improving food and nutrition access for many CalFresh Healthy Living-eligible participants across California,” said Eilenberg, who added that NPI academics are valued contributors to state-level workgroups and national committees advising SNAP-Ed.

Respected voices on food insecurity, nutrition in higher education

One of the many NPI-affiliated researchers who have become prominent voices at the national level, Suzanna Martinez was among the 500 invited attendees at the 2022 White House Conference on Hunger, Nutrition and Health – the first convening of its kind since 1969. Many of the conference's recommendations, outlined in the Biden-Harris administration's national strategy, are supported by research underpinnings from NPI and its partners.

Martinez was invited to the conference because she's part of a UC effort to halve, by 2030, the number of students in the UC system who are facing food insecurity – meaning they are regularly unable to access enough food for a healthy lifestyle.

Now an associate professor in the Department of Epidemiology and Biostatistics at University of California San Francisco, Martinez said her research on student food security in higher education was a direct result of her time at NPI. One of the first researchers to join NPI in 2014, she began working with Ritchie on a groundbreaking, systemwide survey about food security across the UC system.

“Up until that point, there had only been some smaller studies, convenience sample surveys of community college students, and so this was one of the bigger studies to look at this issue in a large public university system,” said Martinez, who noted that she had to be resourceful to avoid being food insecure as a graduate student.

Their initial study found that 4 in 10 UC students were facing food insecurity – a startling statistic that provided hard evidence to policymakers on the need for additional funding and resources, such as campus food pantries. In subsequent years, Martinez and NPI colleagues partnered with staff at UC campus basic-needs centers to pinpoint the barriers preventing greater student access to food assistance – and offered potential ways to streamline processes.

Follow-up surveys indicated improvement in food security at UC locations, until the pandemic halted that progress. Nonetheless, Martinez – who continues to intensively study the subject – said that NPI's broad platform was crucial in spotlighting food needs at colleges and universities.

“It was important, at that time, that this work came out of NPI,” she said. “I don't think it would have had as much impact as it has had because of where the work was coming from.”

Growing as a key source of research in food systems

The depth and breadth of NPI's influence is even more striking given the “youth” of nutrition policy as a field in public health nutrition, which dates back only about 50 years.

“For the applied nutrition policy research that we do at Nutrition Policy Institute, it's only in the last couple of decades that we've really been doing research to see how policy, systems and environmental change can support behavior changes of everyday people like you and me,” Ritchie said.

She pointed out that NPI's partnerships are key to expanding its reach. Partners assist in bringing NPI's rigorous research to legislators, policy staff and the people who manage and deliver nutrition programs. By working with state entities like the Departments of Education, Public Health, Social Services, and Food and Agriculture – as well as organizations such as the California and National WIC Associations, CACFP (Child and Adult Care Food Program) Roundtable and the Center for Science in the Public Interest – NPI researchers provide key data to decision makers and advocates, and receive critical guidance on their research projects in return.

“We are researchers, but we are not on the ground implementing these programs and policies and we absolutely cannot do the work that we do without our partners,” Ritchie explained. “Asking the right questions of the right people is really hard to figure out if we don't have the community partners at the table.”

By virtue of its place alongside UC ANR experts on agriculture, natural resources and the environment, the NPI team is also connected to an even larger community of farmers, producers and other people along the food supply chain. Ritchie envisions, in the next decade, NPI taking a larger role in examining and improving the greater food system. As Wendi Gosliner and Ron Strochlic did through NPI's involvement in a recent project linking local growers with state correctional facilities, UC ANR can help connect the many scattered dots from farm to fork – from the food production side to the consumer nutrition side.

“Looking toward the future, that's the kind of thing I'm most excited about – helping those two arms, and everybody in between, talk to each other so that agricultural decisions are made thinking about human and planetary health, and nutrition decisions by consumers are made thinking about both planetary and human health,” Ritchie said. “We're going to need to do that to address climate change.”

‘We can see where the future is headed'

Meeting the challenges of the climate crisis – as well as incipient global health crises – will require a continued influx of talent, innovation and new ideas.

“The U.S. is now leading all nations in the prevalence of chronic disease, and what happens here, in terms of our food system, often gets exported all around the world,” Ritchie said. “We can see where the future is headed, and what we need to do is to figure out how to go back to a healthier lifestyle and a healthier diet. So the field of nutrition policy research, though there aren't that many of us, needs the brightest and best minds, the most enthusiastic and passionate people.”

The NPI Student Fellowship, established in 2019 in honor of Pat Crawford, has funded about a dozen students to work with NPI researchers on a variety of projects. While they gain hands-on research skills, glimpses of potential career paths, and access to nutrition professionals and resources, they also contribute their own diverse perspectives.

“We intentionally recruit students with this fellowship funding who bring a diversity of lived experiences.” Ritchie said.

“Students participate in interdisciplinary and cross-cultural discussions on research design and data interpretation,” Crawford added.

Brianna Aguayo, a second-year undergraduate studying nutritional sciences at UC Berkeley, is a first-generation Latina college student currently working at NPI through the fellowship program. Growing up in East Palo Alto, Aguayo saw how systemic barriers prevented community members from accessing vital nutrition assistance and resources.

Through her time at NPI, Aguayo has gained new insights on how researchers, policy analysts and communication specialists work together to generate the scientific evidence that can improve federal, state and local policies so they can potentially benefit more people. That knowledge will only enhance her ability to create positive change in her community, as she plans to incorporate that public health policy perspective along her journey to becoming a pediatrician.

“It's not just one sole person making this change,” Aguayo said. “But it really takes a group effort to help initiate change, and then make sure that that change is constantly being implemented.”

People interested in supporting and celebrating NPI's first decade of research, which has led to more healthful food offerings to vulnerable children and their families, can donate to NPI's Student Fellowship. It provides students from underrepresented groups the opportunity to work with NPI, learn from NPI and continue after graduation to improve nutrition for all. An anonymous matching gift of up to $10,000 will double every donation made through June 30, 2024.

Homeless people cultivate food, better health while gardening in Alameda County

Fresh fruits and vegetables are essential to a healthful diet, but it's hard to keep perishable foods on hand if one doesn't have a refrigerator or a home. To enhance the health of homeless people, the CalFresh Healthy Living, UC Cooperative Extension team in Alameda County has partnered with the South County Homeless Project to grow fresh produce for people staying at the emergency housing in Hayward.

For the past seven years, CalFresh Healthy Living, UCCE Alameda has been delivering nutrition lessons to residents of the South County Homeless Project, part of Building Opportunities for Self Sufficiency. The classes include Rethink Your Drink, Food Safety, Making Every Dollar Count, Eat Healthy Be Active Community Workshops, and Fresh from the Garden.

The South County Homeless Project facility houses 24 people for up to a year. With the help of the CalFresh Healthy Living, UC Cooperative Extension team, its existing garden was refurbished and redesigned. The large outdoor garden behind the facility offers therapeutic gardening opportunities to residents and provides food for their meals. 

"I love the garden and when the cook cooks the vegetables, they taste amazing,” said one resident. “I am thankful for this garden and for having the CalFresh Healthy Living team.”

At one time, South County Homeless Project's backyard featured a flower garden. After years of neglect, weeds overtook the garden.

In 2022, CalFresh Healthy Living, UCCE Alameda proposed getting residents involved in growing food by resurrecting the garden with edible plants.

“Not only could we continue to engage residents in nutrition education classes, but we could also work together to reinvigorate their neglected garden,” said MaxFairbee, nutrition educator withCalFresh Healthy Living team,UCCE Alameda.

More than 15 varieties of herbs and vegetables planted

Residents and staff set out to replace the weedy beds with a vegetable and herb garden.

“We worked with South County staff and residents on the design, clean up, planting, harvesting and ultimately incorporating food from the garden into the kitchen for residents to enjoy the fruits of their labor,” Fairbee said.

For gardening expertise and support, Fairbee enlisted the UC Master Gardeners of Alameda County's Community Garden Team to help. While the CalFresh Healthy Living, UCCE staff continued providing nutrition classes, the UC Master Gardener volunteers trained the residents on the basics of gardening.

In April, after heavy rains, the group planted 50 seedlings, half donated by the UC Master Gardeners. They planted two varieties of lettuce,arugula, four varieties of tomatoes, zucchini, kale, onions, cucumbers, green beans, Swiss chard, kale, basil, cilantro, tarragon, thyme, parsley, rosemary, oregano and mint.

From garden to table

“In May, we harvested lettuce and in June, we harvested green beans, cucumbers, kale and onions,” Fairbee said.

The fresh vegetables and herbs were used to prepare salads, sandwiches and pasta dishes for the residents. Fairbee and the other educators have also used the fresh produce for cooking demonstrations and tastings as part of their Fresh from the Garden class.

"We have been able to use many of the veggies as sides or to go in the salad," said one of the South County Homeless Project cooks.

"One of the chefs used the zucchini in the pasta sauce, it was so good! I didn't really know you could use it that way!" said a resident.

After tasting summer squash andgazpacho made with tomatoes from the garden, a South County resident namedSelina said, "I was surprised how good the raw summer squash tasted and how the flavor was different after it was cooked. I'll definitely be adding more zucchini to my plate."

Challenges to keeping the garden going

To keep the garden healthy, they faced competition with plant-chewing snails, slugs and aphids and cats digging in the soil. Because the water source is over 200 feet from the garden, they run a long hose across the main path, along the parking lot to water the plants, then unhook the hose and stash it indoors after each use so that it won't get stolen.

Another challenge of maintaining the garden is getting enough residents and staff to volunteer to work on it.

“Although staff are supportive of the garden, none actually have time to work in the garden,” Fairbee said.

The residents harvest, wash and store the produce in the kitchen. Only four to six of the 24 residents are typically interested in working in the garden, pulling weeds and protecting the plants from pests – most are focused on getting a new job and a home. South County residents usually leave the temporary housing within a few months.

For more consistent garden maintenance, Fairbee is looking to other community groups for volunteers. He is also hoping to persuade the county government to install a water spigot close to the garden so they can install drip irrigation to water the garden.

“We'd like to work with the UC Master Food Preservers to teach residents how to preserve herbs and vegetables,” Fairbee said.

He hopes South County Homeless Project residents will continue gardening in their new homes to grow fresh vegetables so they can enjoy a more nutritious diet and better health.

Beyond the fresh food, the South County Homeless Project residents and staff enjoy the ambience of the garden.

"It's really nice to go back there and just sit, it's really peaceful," said one staff member.

A resident added, "(The garden) relaxes me from stress. I love the garden."

Study: Government shutdown stressed food assistance program participants

A U.S. federal government shutdown can represent a minor inconvenience, a delay in paychecks, or – for people living in some of the most difficult circumstances – an extended period of hunger and anxiety.

A study published recently in the journal Nutrients provides a unique glimpse into the shutdown experiences of participants in CalFresh – California's name for the federally funded Supplemental Nutrition Assistance Program (formerly known as food stamps). Currently, about 42 million people participate in SNAP across the U.S.

In focus groups conducted in 2019 with 26 low-income CalFresh participants from four diverse California counties, participants shared how the 2018-19 federal government shutdown affected their SNAP benefits, their perception of the program and their faith in government.

One of the immediate effects of the 2018-19 shutdown was that February CalFresh benefits were distributed in January. And while that meant program participants saw extra benefits that month, they then had to wait 40 to 44 days until the March issuance – much longer than the usual 28 to 31 day cycle.

“What we saw with this study is that this extended lag in benefit receipt from January to March was devastating,” said Wendi Gosliner, senior researcher and policy advisor at the Nutrition Policy Institute of UC Agriculture and Natural Resources, and an author of the study funded by UC ANR.

She recalled one participant who, despite having a gastrointestinal issue that requires a special diet, had to eat canned food from the food bank that made her sick – rather than go hungry while waiting for her March benefits. Others described cascading financial challenges after using rent money for food in February, or going into debt to pay for food and getting behind on other expenses.

The study also chronicles the experiences of a woman who was anguished to hear the suffering of her daughter, also a CalFresh participant: “She called me several times crying, ‘Ma, I don't – we don't have enough food. What am I going to do…? You know, I can't afford to this and this and this.' And I can't help her.”

For individuals grappling with food insecurity, the stress of feeding their families was compounded by the uncertainties of the government shutdown. And while many participants exercised their agency and resourcefulness in coping with the situation, they also felt a degree of powerlessness amid the “confusion and craziness,” as one person put it.

“No one knew how long that shutdown was going to last; no one knew if the March benefits were going to be paid,” Gosliner said. “And as we learned, there were all kinds of stories circulating out there about what was going on with the uncertainty – a lot of people didn't have the information about what was actually happening.”

Some participants, seeing the “double benefit” in January 2019, thought that it was the last-ever distribution and that SNAP was ending. Others described being unable to get in touch with the CalFresh agency to get their questions answered about the benefits. Most participants had not heard about the disrupted benefit schedule before receiving the benefits. As a result, many people in the focus groups shared that their overall faith in government had been shaken.

Improving customer service, boosting benefit levels and adjusting eligibility and benefit formulas to reflect high cost-of-living and expenses related to working were three recommendations that came from the focus group participants.

A fourth recommendation tackles the shutdown issue head-on: Don't let it happen again.

“Congress should do absolutely everything in their power to be sure that the program operates on the usual time schedule – even if the government is shut down,” Gosliner said.

In the context of the global pandemic, when financial and social inequities and physical and mental health disparities have been laid bare, ensuring access to healthful food is even more important. And with studies showing that hospitalizations increase with longer lags between SNAP distributions, Gosliner said the “absolute last thing” the overburdened health system needs is more people in emergency departments seeking acute care.

“It's the worst time to be having people who need money to feed their families face additional insecurity,” she said. “It's critically important that Congress acts to be sure that there is not any disruption in benefits.”

The authors of the study, “Participants' Experiences of the 2018–2019 Government Shutdown and Subsequent Supplemental Nutrition Assistance Program (SNAP) Benefit Disruption Can Inform Future Policy,” are Wendi Gosliner, Wei-Ting Chen, Cathryn Johnson, Elsa Michelle Esparza, Natalie Price, Ken Hecht and Lorrene Ritchie.

The study can be found online at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7353319.

CalFresh Healthy Living, UCCE educators and promotoras teach children gardening to encourage healthy eating

When local promotoras - volunteer health workers - team with CalFresh Healthy Living, UC Cooperative Extension educators, magic happens in school gardens. Trained by Ceres Partnership for Healthy Families in Stanislaus County, promotoras encourage children to eat well by growing their own produce in school gardens.

In 2018, twenty promotoras  were trained to implement the Powerful People curriculum designed to engage community leaders. This is a partnership with Cultiva La Salud and Ceres Partnership for Healthy Families with funding support from Stanislaus County Health Services Agency. After the training, the promotoras worked with Ceres Unified School District to create school gardens at five Ceres elementary schools where their children attended afterschool programs that host UC Cooperative Extension CalFresh Healthy Living, UC programs.

A key initiative CalFresh, Healthy Living, UC (CFHL) offers in counties throughout the state involves growing fresh produce and making it a regular part of family diets. TWIGS: Youth Gardening and Healthy Eating Curriculum is a UC Agriculture and Natural Resources comprehensive curriculum with 16 garden lessons and 15 nutrition lessons available for free download from its website.

CFHL has teamed with promotoras in Stanislaus County since 2018 to ignite local participation in teaching children that participate in garden clubs about plant and nutrition science, from building soil to creating sumptuous salads. Two years ago, a new UCCE community education specialist was assigned to the project, Rosalinda Ruiz. A native Spanish speaker and a mother herself, Ruiz quickly developed close relationships with the promotoras.

“She's not just their teacher. They look to her as a mentor and a friend,” said Jaci Westbrook, CalFresh Healthy Living, UC Community Education Supervisor for Stanislaus and Merced counties.

Ruiz is also a certified UC Master Gardener, having completed rigorous coursework in sustainable food gardening, pest management, irrigation practices and soil health. She realized the TWIGS curriculum would reach more students if she taught the promotoras how to implement the lessons at school sites.

“This empowered the promotoras to gain knowledge and gave them a different purpose,” Westbrook said. “They don't need to rely on others to offer activities. Working in pairs or small groups, they are reaching 100 to 135 elementary school students themselves.”

Ruiz marvels at the many benefits of food gardening.

“Learning about gardening is the best thing families can do to teach their kids about healthy foods,” Ruiz said. “To grow your own food is a way to get fresh, nutritious food in your home. When kids see the fruit and vegetables growing and they're part of it, they are more willing to try it out.”

During the COVID-19 pandemic, promotoras instruction continued online using Zoom, which was completely new to them, and with WhatsApp, a familiar platform for promotoras to communicate among themselves.

The students are also getting virtual instruction. Promotoras have become proficient at Zoom and are offering simple garden lessons. Socially distanced in-person gardening lessons are also resuming to give children hands-on experience growing their own food.

Jobseekers get fresh start with JobTrain, CalFresh Healthy Living, UC

Jailene Mendoza is excited to start her new job as a medical assistant in sports medicine in Palo Alto, a job she landed after completing training with JobTrain. 

After her job ended at the Housing Office at California State University, Stanislaus,Mendoza opted for training to help her move into a career that offers self-sufficiency. JobTrain provides career training in fields such as medical assistant, culinary arts, certified nursing assistant, carpentry, building maintenance, IT support and services.

For the past eight years, CalFresh Healthy Living, UC Cooperative Extension has partnered with the Menlo Park-based nonprofit to provide nutrition classes to unemployed residents of San Mateo County.

“These valuable life skills complement the vocational training they receive at JobTrain,” said Elaine Silver, nutrition educator for CalFresh Healthy Living, UCCE in San Mateo and San Francisco counties.

Based on 2018 SNAP-Education figures, 59% of all San Mateo County adults are obese or overweight and an estimated 68,000 county residents are food insecure. To address these health concerns among JobTrain students, CalFresh Healthy Living, UCCE delivers a course called “Plan, Shop, Save and Cook.” 

In these lessons, JobTrain students learn about MyPlate, shopping on a budget, preparing healthy meals and snacks for families, reading food labels, and the importance of physical activity.

“CalFresh Healthy Living, University of California Cooperative Extension courses taught me and provided me with many resources,” said Mendoza, who took the course in the summer of 2020. “I am constantly using the eatfresh.org website for recipes. A handout that has really helped me is the "Eating Better on a Budget." I refer back to this because I have caught myself buying more than what is needed and it ends up going to waste.”

“I also like to watch what I eat because I have the BIGGEST sweet tooth and MyPlate has helped me out with that. I make sure I have my grains, fruits, vegetables and protein before I even consider having any type of sweets.” 

Mendoza said she shared the "Eating Better on a Budget” tips with her family so they can reduce food waste.

In past years, Silver delivered the lessons in person, but switched to Zoom during COVID-19 stay-at-home orders to allow JobTrain students to continue building these important life skills.  

Since October 2020, 128 JobTrain students have taken Silver's virtual Plan, Shop, Save and Cook lessons. The San Mateo County residents improved their skills in planning meals, comparing unit prices, shopping with a list, considering healthy food choices when feeding their families, and using nutrition facts labels, according to a survey conducted after the course.

“I started cooking healthier meals for my family, including veggies,” wrote one survey respondent.

Overall, 88% of the students reported improvements ranging from 43% comparing unit prices more often to 60% using nutrition facts more often. In addition, 28% of participants reported running out of food less often before the end of the month – suggesting they were more food secure after taking the course.

“Some of the changes I've made is that I now look at the unit price, just to make sure I am getting my money's worth,” wrote another student. “Also, I have started taking a grocery list with me so that I can make sure I can stay in budget and not buy things that I do not need.”

Asked about the impact these virtual classes have had on students' lives, the feedback from JobTrain instructors has been overwhelmingly positive.

“Students look forward to these classes each week, and I love to see how excited they get when they learn about new ways to incorporate healthy practices into their everyday lives,” said Emily Phillips, JobTrain culinary arts instructor, who noted Silver's food safety lessons reinforce training that she teaches people learning food preparation.

Silver also encourages JobTrain students to be physically active and to take advantage of free park passes offered by San Mateo County Public Health through their Park Rx Program. These free park passes incentivize families to spend time in nature to improve their health and well-being.  

“Elaine's workshop has been very beneficial for the students at JobTrain. They utilize her suggestions on nutrition, saving techniques for food and applying healthy living for the student and their families,” said Xavier Gabut, who teaches nursing. “Elaine's workshops are relevant for my students, who will be entering the healthcare field, taking care of and educating patients on health.”

Mendoza, who earned a bachelor's degree in psychology from CSU Stanislaus, has returned to school. While working as a medical assistant in sports medicine, she will be completing her prerequisites for a degree in nursing.  

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