Research

Research studies have shown that EFNEP works! Below are several studies highlighting EFNEP’s sustained impact and cost-effectiveness. Visit the national EFNEP website for more research on EFNEP’s impacts, cost-benefit, and cost-effectiveness.

2025

Bastian GE, Fitzgerald N, Baker SS, Palmer-Keenan DM. Validity and Reliability Assessment of a Food and Physical Activity Questionnaire for Adolescents From Low-Income Communities. J Nutr Educ Behav. 2025;2025;57:120−13.

Li C, Auld G, Croutediv SE, Palmer-Keenan DM. Validation of a Brief Physical Activity Assessment Tool for Adults With Limited Resources. J Nutr Educ Behav. 2025;57:86−98.

2024

Earnesty D, Franck K, Baker S, Roe AJ, Puglisi M, Sankavaram K. Standardizing Dietary Recall: A Necessity for the Expanded Food and Nutrition Education Program. J Nutr Educ Behav. 2024;6:S1499-4046(24)00395-6. doi: 10.1016/j.jneb.2024.07.006.

Leschewski A, Aragon MC, Weatherspoon D, Barale K, Auld G, Acquah-Sarpong R, Baker SS. Expanded Food and Nutrition Education Program Generates Economic Value Through Body Mass Index Improvement: A Cost-Benefit Analysis. The Journal of Extension. 2024;61(4): Article 17.

Leschewski A, Pierce SJ, Aragon MC, Baker SS, Udahogora M, Pybus K, Duffy NO, Roe AJ, Sankavaram K. A Proposed Cost-Benefit Analysis of Adult EFNEP Utilizing Biomarkers of Chronic Disease Risk. J Nutr Educ Behav. 2024; S1499-4046(24)00396-8. doi:10.1016/j.jneb.2024.07.008.

2023

Franck K, Puglisi M, Roe AJ, Baker S, Henson T, Earnesty D, Sankavaram K. Conducting 24-Hour Dietary Recalls in Group Settings with Adults Having Low-Income: Perspectives of EFNEP Peer Educators. Nutrients. 2023;15(18):4020. doi:10.3390/nu15184020.

Fuller SM, Phelps JA, Baker S, Walsh J. Qualitative Analysis of the Expanded Food and Nutrition Education Program’s 24-hour Dietary Recall. The Journal of Extension. 2023;61(1), Article 5. doi.org/10.34068/joe.61.01.05.

Leschewski A, Baker S, Pierce S, Pybus K, Udahogora M, Shelnutt K, Roe AJ. A Cost-Benefit Analysis of EFNEP Utilizing Biomarkers of Chronic Disease Risk: Year One. J Nutr Educ Behav. 2023;55(7), 105. doi:10.1016/j.jneb.2023.05.224.

Pybus K, Gibbs RL, Franck K, Aragón MC. Development and Evaluation of Impact Statements for the Expanded Food and Nutrition Education Program (EFNEP). The Journal of Extension. 2023;61(2), Article 19. doi.org/10.34068/joe.61.02.19.

Roe AJ, Sankavaram K, Baker S, Franck K, Puglisi M, Earnesty D, Henson T. 24-Hour Dietary Recall in the Expanded Food and Nutrition Education Program: Perspective of the Program Coordinator. Nutrients. 2023;15(19):4147. doi:10.3390/nu15194147.

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© 2025 North Carolina Cooperative Extension
Expanded Food and Nutrition Education Program (EFNEP)

North Carolina State University
Agricultural and Human Sciences Department

Cooperative Extension at North Carolina Agricultural and Technical State University
College of Agriculture and Environmental Sciences (CAES)

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