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CREATE better health SNAP-Ed with the yellow Toolkit* Strategy banner
Utah State Extension SNAP-Ed Program.

Part of the SNAP-Ed Strategies & Interventions Toolkit.*

The Create Better Health (CBH) Curriculum is a direct education intervention designed to improve the nutrition and physical activity-related knowledge, skills, and self-efficacy of SNAP-Ed eligible adults to lead an active and healthy lifestyle with limited resources. CBH has a unique emphasis on improving food resource management through the use of “Create” concepts. “Create” concepts teach participants how to use foods they already have in their kitchen to create a variety of nourishing meals. CBH includes 8 lessons that are to be offered in a series of 6-8 classes. Nutrition educators are trained regularly to teach CBH classes all of which include a nutrition topic, physical activity discussion, and a hands-on (ideally) cooking demonstration that utilizes a “Create” concept. CBH addresses and evaluates individual level changes including short term readiness and capacity and medium–term changes over the course of a series, as well as long-term changes 6 months after participation in the areas of healthy eating, physical activity, and food resource management. CBH also includes a 1-year follow-up survey to evaluate long-term behavior changes. 

Funding Source
Free Material
SNAP-Ed Toolkit Classification
  • Evaluated
Evaluation Information

Formative research was conducted using a 30-item survey to assess nutrition and physical activity-related knowledge and behavioral intentions. The 108 survey participants were from 6 counties (3 rural and 3 urban). Key findings include 80% planned to change their diet, 79% planned to be more active, and 89% agreed they could prepare a healthy meal at home after participating in a CBH class. Additional results from the pilot study can be found in the following manuscript: Create Better Health: A Practical Approach to Improving Cooking Skills and Food Security.

Evaluation Framework Indicators
SNAP-Ed Connection Comments

All lessons are relatively similar, in terms of goals, lesson objectives, introductions, and the various steps included in the lesson. However, there is additional information that deals with the specific dish for that lesson, such as casseroles, soups, stir fry, etc. Alternative cooking methods are provided to help make meals healthier, with fewer calories, and added fat. Each lesson is followed by “CREATE” recipes for that specific dish. At the end of the manual, there are additional lesson resources for educators that go over various topics related to the lessons, from meal planning to reading a nutrition label and whole plant food eating.

*SNAP-Ed Strategies & Interventions: An Obesity Prevention Toolkit for States is a compilation of interventions. The toolkit was developed by USDA's Food and Nutrition Service, The Association of SNAP-Ed Nutrition Education Administrators (ASNNA), the University of North Carolina at Chapel Hill's Center for Training and Research Translation (Center TRT), and the National Collaborative on Childhood Obesity Research (NCCOR), a partnership between the Centers for Disease Control and Prevention (CDC), the National Institutes for Health (NIH), the Robert Wood Johnson Foundation, and the USDA. It is designed and updated to help state SNAP-Ed administrative and implementing agencies identify evidence-based obesity prevention programs and policy, systems, and environmental (PSE) strategies and interventions to include in their SNAP-Ed plans.

Review date
Reviewer Initials