The Impact of the 1890 Expanded Food and Nutrition Education Program in the Tri-County Area of the Lower Eastern Shore of Maryland 2013–2017

The study aimed to assess the impact of the adult Expanded Food and Nutrition Program (EFNEP) from 2013 to 2017 in four core areas using a social-ecological framework. Data were analyzed through WEBNEERS with SAS 9.4, revealing significant improvements in participants' food resource management, dietary habits, nutrition, and physical activity. Short-term participation boosted fruit, vegetable, whole grain, and fiber consumption. Families also improved their diets and food resource management. Testimonials confirmed EFNEP's positive impact on behaviors, skills, attitudes, and well-being, with paraprofessionals feeling empowered to promote healthier lifestyles. Key success factors included well-trained staff, community-based delivery, interactive methods, tailored evaluations, group sessions, collaborations, and policy involvement. Challenges included low access to healthy food, limited grocery stores, employment-influenced dietary choices, and lack of post-program follow-up. Overall, EFNEP improved low-income families' quality of life by promoting healthier behaviors and proved cost-effective and sustainable through community collaborations and policy initiatives.