Stephanie Grutzmacher

Stephanie Grutzmacher
Oregon State University | OSU · School of Biological and Population Health Sciences

PhD

About

57
Publications
7,180
Reads
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236
Citations
Additional affiliations
September 2015 - present
Oregon State University
Position
  • Professor (Assistant)
October 2008 - present
University of Maryland, College Park
Position
  • Research Assistant

Publications

Publications (57)
Article
This study explored the role of social support as low-income individuals endure experiences of food insecurity. The sample includes 37 participants who indicated being challenged by food insecurity and identified using social networks in some capacity in the acquisition of food. Data was analyzed following a grounded theory approach. Participants e...
Article
Text messages are increasingly used in the delivery of health education programs. One appealing aspect of this approach is the possibility of remotely collecting participant data to use in program tailoring or evaluation. The purpose of the present study is to test the feasibility of using text messages to collect participant data. Using data from...
Article
Full-text available
Background: Daily iron-folic acid supplementation reduces anemia and various adverse obstetric outcomes such as preterm delivery, low birthweight, hemorrhage, and perinatal and maternal morbidity and mortality. However, its supplementation has not been successful that attributed to several determinants including poor adherence. Therefore, we aimed...
Article
Full-text available
Background Text-based programs have been shown to effectively address a wide variety of health issues. Although little research examines short message service (SMS) text messaging program characteristics that predict participant retention and attrition, features of SMS text message programs, such as program duration and intensity, message content,...
Article
Objective To explore perceptions of program impact among Double Up Food Bucks participants in Oregon. Methods Data were collected from 1,223 Double Up Food Bucks participants at 42 Oregon farmers’ markets. Chi-square tests of independence and logistic regressions were used to examine associations among key variables. Results Most participants rep...
Article
Participation rates by older adults in the Supplemental Nutrition Assistance Program (SNAP) have increased since 2010 but remain lower than other groups despite high food insecurity. This study examines patterns of SNAP participation among older adults aged 51–69 years. Using longitudinal SNAP administrative data from Oregon (2014–2018), we find th...
Article
Full-text available
Objectives The objective of this study is to estimate the pooled uptake of cervical cancer screening and identify its predictors in Sub-Saharan Africa. Study design Systematic review and meta-analysis. Methods We searched PubMed, EMBASE, CINAHL, African Journals OnLine, Web of Science and Scopus electronic databases from January 2000 to 2019. All...
Article
The objective of this research was to investigate associations among self-reported health status, chronic conditions, and use of dietary supplements containing botanicals and describe reasons for use among U.S. adult supplement users. This was a cross-sectional analysis using data from the 2009–2014 National Health and Nutrition Examination Survey...
Article
Low-income households may acquire foods from purchases, federal food assistance, and alternative food sources (AFS) to meet their food needs. The objectives of this study were to quantify and compare the contribution of AFS to total kilocalories and dietary quality of food acquisitions between AFS users and non-users among low-income households. Us...
Preprint
Full-text available
Background: Cervical cancer screening and prevention programs have been given considerable attention in high-income countries, while only receiving minimal effort in many African countries. This meta-analytic review aimed to estimate the pooled uptake of cervical cancer screening uptake and identify its predictors in Sub-Saharan Africa. Methods: Pu...
Article
Objective: To determine the characteristics of US low-income households that use alternative food acquisition strategies and to examine the association between food security and alternative food acquisition. Design: Cross-sectional analysis. The ten-item Adult Food Security Survey Module was used to determine food security status. Self-reported...
Article
Background: For decades, Americans have increasingly relied on food away from home (FAFH) despite its association with negative health outcomes. Little is known about FAFH frequency and expenditures of adults with lower food security (FS) and their association with health outcomes, such as BMI. Objectives: We evaluated patterns of adults’ FAFH pur...
Article
This study examines the role of computational and Nutrition Facts Label (NFL) skills in health literacy classifications using the Newest Vital Sign (NVS). A convenience sample of 144 SNAP-eligible adults was given an original and modified version of the NVS. Responses on NVS and modified NVS (NVS-M) were compared using a paired McNemar test, while...
Article
Full-text available
Background: Text-based programs have been shown to effectively address a wide variety of health issues. Although little research examines short message service (SMS) text messaging program characteristics that predict participant retention and attrition, features of SMS text message programs, such as program duration and intensity, message content,...
Article
Because children spend significant time in school settings, school-based programs have great potential to prevent childhood obesity. Nutrition education and physical activity programs may be more effective, however, when they engage parents to reinforce key messages and behaviors outside of school settings. The Maryland Food Supplement Nutrition Ed...
Article
Background: The purpose of this study was to assess the effect of a school-based nutrition program using a cafeteria environment intervention and classroom nutrition education on self-reported fruit and vegetable (FV) consumption, self-efficacy to select FV, and preference for healthy foods. Methods: Using quasi-experimental pre-post design with...
Article
Food insecurity is a substantial stressor for many households. Though an association between food insecurity and depression has been well established, most studies have been cross-sectional. Although many receive benefits from the Supplemental Nutrition Assistance Program (SNAP), its role in reducing distress associated with food insecurity is uncl...
Article
Full-text available
While text messages or short messaging service programs are increasingly utilized for delivering health education, few studies have explored the unique challenges of recruiting and retaining participants in such programs. This study utilizes survey and focus group data from Text2BHealthy, a short messaging service-based nutrition and physical activ...
Conference Paper
INTRODUCTION: The Social-Ecological Model (SEM) specifies that individual, interpersonal, and organizational factors interact to influence health behavior. Multiple-level intervention programs have been found to promote sustained improvements in nutrition behavior among low-income audiences. Maryland’s SNAP-Ed program implements multi-level parent...
Conference Paper
Background: In January 2014 a collaborative group of 11 students and faculty members from the Engineering and Public Health Schools of the University of Maryland College Park returned to Compone, Peru to implement a water chlorination project and targeted public health interventions. The purpose of the Public Health Team (PHT) was to engage the com...
Article
Full-text available
Undocumented Latino immigrants often struggle to provide food for their families. In an attempt to inform efforts to create effective programs and policies promoting food security, this study explored the experience of food insecurity for low-income, undocumented Latino immigrants. In-depth qualitative interviews were conducted with 24 undocumented...
Article
Full-text available
Kitchen gardens may improve family food security and nutrition. While these gardens are the domain of women in Afghanistan, women face unique challenges accessing training and resources to maximize small-scale agricultural output. The University of Maryland's Women in Agriculture Project builds capacity among female extension educators to work with...
Article
Full-text available
The purpose of this study was to examine the conceptual gap between self-perceived weight and body mass index (BMI), and to assess the knowledge gap between perceived importance of following dietary guidelines and health literacy levels. Adults (n = 131) eligible for the Supplemental Nutrition Assistance Program (SNAP) were interviewed at eleven SN...
Conference Paper
This session will contain application activities for participants to examine ways in which text message technology can be used in their own areas of health education and promotion.
Conference Paper
This presentation will describe the Text2BHealthy program (including participant recruitment, message design, and program evaluation) and explain the many lessons learned and challenges in using a text-message program with a low-income audience.
Conference Paper
This section of the learning institute will familiarize participants with the current state of text message use in health promotion. The use of text messages, also known as Short Message Service (SMS), programs to supplement or deliver health interventions has increased in recent years. Text messages have been used to deliver health information, se...
Conference Paper
INTRODUCTION: Project ReFresh is a school-based intervention program aimed at improving nutrition and health decisions among students in Title I elementary schools in Maryland. This program strives to integrate classroom education with cafeteria improvements that help students choose more fruits and vegetables through the use of environmental nudge...
Conference Paper
School-based interventions that include parents and children have a greater impact than those targeting children alone. In order to reach the parents of children participating in school-based nutrition education, Maryland Food Supplement Nutrition Education (FSNE) partnered with the University of Maryland's School of Public Health and eight element...
Article
Full-text available
The purpose of this study was to explore the relationship between health literacy and nutrition behaviors using a low-income sample. Face-to-face surveys at 11 social services offices generated a convenience sample of 154 Supplemental Nutrition Assistance Program (SNAP)-eligible adults. We assessed health literacy, fruit and vegetable intake, food...
Chapter
Full-text available
Over 14.7% of U.S. households experienced food insecurity in 2009, while 21.3% of households with children under 18 and 22.9% of households with children under six were food insecure (Nord and Coleman-Jensen, 2010). In about 40% of food insecure households, one or more family members has experienced disruptions in normal eating patterns and reduced...
Conference Paper
Risk factors, such as limited English proficiency, low levels of education, and limited eligibility for government safety net programs, place many low-income Latino immigrants in the U.S. at risk for food insecurity. Maintaining food security requires access to food that is not only safe and nutritious, but that also meets dietary and food preferen...
Conference Paper
Food insecurity is a significant public health crisis that occurs when the quality or quantity of food is not sufficient to meet and maintain basic nutritional needs. There is evidence to suggest that men and women experience food insecurity differently and thus may engage in unique coping mechanisms based on gender when attempting to secure food....
Conference Paper
Health literacy and numeracy are receiving increased attention from health researchers and practitioners due to their important role in the health decision making and behavior of individuals. One particular measure of health literacy, the Newest Vital Sign (Weiss et al. , 2005) uses a Nutrition Facts Label to quickly assess an individual's ability...
Conference Paper
Maintaining food security, or the acquisition of sufficient, safe, and nutritional foods in socially acceptable ways, has long been a difficult task for the most vulnerable factions of the population. In response, the U.S. government has provided a safety net of resources, like food stamps, for those with insufficient means to buy food. Nonetheless...
Article
To examine the relationship between household food security and children's and parents' fruit, vegetable, and breakfast consumption and fruit and vegetable availability. Cross-sectional study using matched parent-child surveys. Title I elementary schools in Maryland. Ninety-two low-income parent-child dyads recruited from fourth-grade nutrition edu...
Conference Paper
Public health messages often conflict with messages delivered via food packaging and product advertisements. Due to limited regulation and substantial investment in marketing, food company messages about nutrition for consumers may be more prominent than public health messages. This is problematic because such food product messages often overstate...
Conference Paper
The purpose of this presentation is to address barriers to behavior change for individuals and explore the role of inertia, erroneous judgment, immediate gratification, heuristics, and other barriers to rational health decision making.
Conference Paper
The purpose of this presentation is to provide an overview for the topic of nudging for behavior change and choice architecture and the workshop presentations and events.
Conference Paper
This portion of the workshop will demonstrate how changes in the food stamp program have the potential to change individual's food shopping behaviors. Participants will take a simulated grocery shopping trip using a food stamp program with one of seven sets of rules that reflect default, paternalist, immediate incentive, delayed incentive, educatio...
Article
The purpose of this study was to examine the conceptual gap between self-perceived weight and body mass index (BMI), and to assess the knowledge gap between perceived importance of following dietary guidelines and health literacy levels. Adults (n = 131) eligible for the Supplemental Nutrition Assistance Program (SNAP) were interviewed at eleven SN...
Conference Paper
Low health and nutrition literacy may function as serious barriers to positive behavior change among underserved, at-risk populations. Many educators, researchers, and policymakers presume health literacy in their design and implementation of health education and intervention programs, yet widespread challenges with nutrition literacy undermine lar...
Conference Paper
This paper presents findings from a study of food stamp eligible adults to explore strengths and needs related to health and nutrition literacy. It shares related strategies for working with low-literacy audiences in the context of community health and nutrition education programs. In addition to exploring the correlates of low nutrition literacy,...
Article
Objective: To describe the demographic characteristics, fruit and vegetable intake behaviors, and household food security among low-income school aged children from the Mid-Atlantic region. Design, Setting and Participants: An school-based cross-sectional survey of 54 low-income fourth grade student and their parents from the Mid-Atlantic region. O...
Conference Paper
Background:Introductory research methods and statistics courses are widely disliked by students, as they often have negative expectations and experiences (see Manning, Zachar, Ray, & LoBello, 2006; Capshew, 2005; Onwuegbuzie, 2004; Forte, 1995). These experiences likely function as barriers to learning course material, using new research skills, be...
Article
Full-text available
This study examined changes in food security status over time in a sample of rural, low-income mothers. Independent samples t-tests determined differences between food-secure and food-insecure mothers on variables such as employment status, food resource management skills, food assistance, and economic well-being at 3 points in time. Findings indic...

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Projects

Projects (3)
Archived project
To examine nutrition-related behaviors among SNAP-eligible adults in Maryland.
Archived project
To examine the effectiveness of cafeteria-based environmental changes, food service staff training, and nutrition education on student fruit and vegetable selection.