- Author: Mike Hsu
The buzz or chirp of an incoming text message started some San Diego County residents on the path to a healthier diet during this past year. In September 2020, most CalFresh participants in the county – more than 172,000 households – began receiving monthly text messages about the benefits of California-grown fruits and vegetables as part of a pilot program.
This novel approach to delivering nutrition messages to California food assistance program participants was developed by a partnership of the Nutrition Policy Institute of UC Agriculture and Natural Resources, the UC San Diego Center for Community Health and the County of San Diego Health and Human Services Agency, which administers CalFresh in the county.
The HHSA, which had been using its text messaging platform to send administrative reminders and alerts, was receptive to using the tool for sending nutrition-focused information. NPI and CCH partnered with ideas42, a firm that applies behavioral science to solutions for social change, to develop a series of five text messages promoting California-grown fruits and vegetables.
The text messages – originally delivered in English and Spanish, with the addition of Arabic beginning in July 2021 – were friendly and conversational in tone.
“In a text, you have very few characters you're communicating with people, so we wanted to make sure we were using cutting-edge behavioral science to construct those messages to have the most impact,” said Wendi Gosliner, NPI senior researcher and policy advisor.
Each text included a link directing recipients to a website developed as part of the project, with information on selecting, storing and preparing California-grown fruits and vegetables; health benefits; tips to reduce food waste; and recipes – including TikTok videos.
Initially running from September 2020 to March 2021, the pilot program was well-received. Nearly 90% of CalFresh participants responding to a survey said they appreciated receiving the texts. “It is very important for us to eat healthy, to teach our children to eat healthy,” wrote one participant. “I love the recipes…they're so delicious and easy to make…I'm very, very grateful for the help because without you guys, I would be struggling more and I just want a better life for my children.”
Gosliner said it was encouraging to see that two-thirds of the approximately 5,000 survey respondents reported eating more California-grown fruits and vegetables after receiving the messages, and 85% expressed a desire to see more texts.
“What we see is that there's definitely a decent-sized population of people participating in CalFresh –now this is just in San Diego County but imagine the entire state – who would benefit from having this kind of information available to them,” Gosliner said. “And there is at least a subset of people who really liked it.”
UC San Diego's Center for Community Health was instrumental in facilitating the partnership between UC ANR and the HHSA. Further, CCH, in partnership with the San Diego County Childhood Obesity Initiative, formed a community council composed of residents representing diverse communities throughout San Diego County. Together, the council facilitated CalFresh participants to take part in focus groups, which provided feedback and guidance on the messaging and design for online resources. Gosliner said the success of the text program has been a direct result of community input and involvement.
“The Center for Community Health-led focus groups were integral to ensuring CalFresh resources were accessible and informative to a wide range of CalFresh participants, and local individuals and families more broadly,” said Blanca Meléndrez, executive director at the UC San Diego Center for Community and Population Health, Altman Clinical Translational Research Institute. “In the process, the text-based campaign also placed a greater focus on the local production of nutritious fruits and vegetables, ensuring access to healthy and nutritious food in all communities, and building new streams of income for the region's farmers and producers.”
This effort also suggests a simple way to reach CalFresh participants and bridge gaps between the Supplemental Nutrition Assistance Program and programming that offers nutrition education and healthy eating resources.
“By combining UCSD and UC ANR knowledge about healthy eating with our outreach capability, we are able to reach thousands of families via text message each month,” said Michael Schmidt, human services operations manager for the HHSA. “With the click of a button, these families are provided with resources to assist them in making healthier lifestyle choices, supporting a region that is building better health, living safely and thriving.”
The effort has been so effective that HHSA has asked for additional messages, beyond the original five months' worth of texts and resources.
“The partnership between UC ANR's Nutrition Policy Institute, UC San Diego's Center for Community Health, the County of San Diego Health and Human Services Agency and San Diego County community residents brought together a great team to develop an innovative, technology-based intervention,” said Shana Wright, San Diego County Childhood Obesity Initiative co-director at CCH. “Each partner provided knowledge, resources and assets that enhanced the project beyond the initial pilot phase, exceeding preliminary expectations.”
Gosliner said the pilot program has been a “great example and wonderful experience” of partnership in action.
“You can sit with your research or program ideas for a long time but if you don't have people who can help you implement them, then they really aren't helpful in any way,” she said. “In this case, it was just a nice combination of an idea…with partners who wanted to work to make something happen.”
To celebrate National Food Day, University of California Office of the President employees in Oakland donated a total of $3,808 and 283 cans and packages of food to the Alameda County Community Food Bank. The food drive was sponsored by UC Agriculture and Natural Resources and UCOP Staff Assembly.
The cash donations translated into nearly $23,000 worth of fresh fruits, vegetables and other healthy food items for the 49,000 local families the food bank serves each week, said Suzanna Martinez, Nutrition Policy Institute analyst, who organized the food drive.
At the end of the week, Martinez tallied the donations and awarded points – one point per food item and one point per dollar donated online. The floor with the most points at the end of the week won the fresh produce.
The winners of the $100 farmers market basket were the employees of the 10th floor of the Franklin Street building, who donated $888. Coincidentally UC ANR's headquarters is on the 10th floor. Runners-up in the competition were the 20th Street building, which raised $673, and Franklin 5th floor, which donated $570.
- Author: Pamela Kan-Rice
“This initiative reduces hunger among children in high-poverty areas, and ensures students have access to the healthy food they need to succeed in school,” USDA Under Secretary Kevin Concannon said during Tuesday's visit to Edison Computech Middle School in Fresno.
“About 20 percent of U.S. households with children were food insecure at some time in 2013 – meaning they had trouble affording enough food to eat,” said Lorrene Ritchie, director of UC Nutrition Policy Institute.
The new provision allows school districts to serve all of their students at no charge to the students, reducing the districts' paperwork for the school meal program. It also removes the stigma that deterred some students from accepting the needed nourishment.
“One of the largest and most accessible means to reduce food insecurity in children and improve their diet is the federal school lunch and breakfast programs,” said Ritchie. “Research has shown that school meals are healthier than most meals that students get elsewhere. For these reasons, we are highly supportive of the Community Eligibility Provision, which makes it easier for the kids who need it the most to have access to healthy meals at school.”
“It is wonderful to see that Fresno Unified School District has jumped on the brand new opportunity that the Community Eligibility Provision offers to bring nutritious meals and snacks to all of its students without charge,” Kenneth Hecht, director of policy for the UC Nutrition Policy Institute.
“More than four out of five families of Fresno Unified School District's 75,000 students have such low-incomes that they qualify for free or reduced-price meals,” Hecht said. “Many students' families are not English-language households, and the school district has been struggling — effectively — to improve its dropout and graduation rates. Free school meals are a major element in the district's successful effort to improve student success: nutritious free meals bring children to school, contribute to their health and academic performance and let families spend the money they save when their children can eat at school to improve the nutrition quality of the meals that are prepared at home.”
In addition to being able to serve more students, Fresno Unified School District's seven-year-old, state-of-the-art kitchen enables school chefs to prepare all meals and snacks within the district, according to Hecht. “This means food can be freshly prepared, without relying on preprocessed foods that often include fats, sugars and other unhealthy additives that contribute to childhood obesity,” he said, adding, “Children in Fresno County experience a more than 40 percent rate of overweight and obesity.”
“Not surprisingly food insecurity can result in lower diet quality,” said Ritchie. “For example, in a new study to be published in the Journal of Nutrition, we found that higher levels of food insecurity among children was related to increased consumption of energy, fat and sugar, and a lower intake of vegetables. Food insecurity can also have negative behavioral and cognitive effects.”
During Concannon's visit to Computech, members of the UC CalFresh nutrition education team met and got a photo of the USDA under secretary touring the kitchen.
“We were present due to UC CalFresh's close partnership with the district,” said Shelby MacNab, UC Cooperative Extension nutrition program manager in Fresno County. “We teach nutrition and are leading the Smarter Lunchrooms movement (SLM). Computech was our pilot site and the district was thrilled with the outcome. The undersecretary said SLM was music to his ears.”