Nevada's efnep program is conducted in clark and NYE counties of southern nevada

Over 70% of the state's population resides in clark county (including the LAS vegas metropolitan area) and approximately 13% of the clark county population lives in poverty. In NYE county, approximately 17% of the population lives in poverty, which is the greatest level of poverty in the state. Nevada's efnep program targets families with young children and older youth. Supplemental nutrition assistance program (SNAP) enrollment is used to characterize households in poverty and nearly 40% of SNAP participating households in nevada have children (FY20). For youth, free- and reduced-price lunch data is used as a proxy to support poverty status. All schools in clark and NYE counties have more than 65% of students qualifying for free-and reduced-price lunch. Nevada's efnep program aims to prioritize engaging youth experiencing homelessness. Nearly 14,000 students in the clark county school district experience homelessness and over 1,200 are unaccompanied homeless. For adult participants, nevada uses the healthy eating and active living curriculum, eating smart, being active. Eating smart, being active is designed to teach the main messages of the dietary guidelines for americans and the physical activity guidelines for americans. The overall goal is to assist limited resource families in acquiring knowledge, skills, attitudes and changed-behavior necessary for nutritionally sound diets. The curriculum has been updated to comply with the current 2020-2025 dietary guidelines and the 2018 physical activity guidelines. Lesson content includes physical activity, nutrition, healthy lifestyle choices, food preparation (cooking skill development), food safety, and food resource management. Depending on the audience, the lesson content also includes eating smart and being active during pregnancy, feeding new babies and feeding babies solid foods. Using a pre- and post-program 24-hour food recall and a questionnaire in the webneers database, participants receive a printout of their own dietary habits before and after the program. They can see the progress they have made and areas where they can improve. Additionally, nevada's data summary attests to the positive behavior change in participants after the 8-lesson course. For youth participants, nevada uses the choose health: food, fun, and fitness (CHFFF) curriculum developed by cornell university. CHFFF is a comprehensive nutrition and fitness curriculum composed of six hands-on lessons for 8-12-year-olds. CHFFF uses experiential learning to teach healthy eating and active play. This curriculum targets behaviors that research shows to be most important for preventing childhood obesity and chronic disease. Topics include replacing sweetened drinks with low-FAT milk and water; eating more vegetables, fruits, and whole grains; eating fewer high-FAT and highsugar foods; and playing actively for 60 minutes a day. Each lesson includes interactive nutrition activities, food preparation, active games, a goal setting challenge, and a family newsletter. CHFFF supports the dietary guidelines for americans and USDA's myplate, and uses a dialogue approach for more effective retention and application of information and skills. Practice-based evidence suggests that CHFFF promotes positive behavior change, with significant improvements from pre- to post-tests in vegetable and fruit consumption, reduced sweetened beverages, reading nutrition labels, and other food and activity-related behaviors. The priority outputs for nevada efnep are to: 1) increase the number of older youths engaged; 2) use technology platforms to expand program recruitment and out-of-class engagement. The priority outcomes for nevada efnep are: 1) decrease caloric intake from solid fats and added sugars in adult participants; 2) increase physical activity participation in adult participants; 3) increase vegetable consumption in adult participants.