2006 Annual Report 1.What major problem or issue is being resolved and how are you resolving it (summarize project aims and objectives)? How serious is the problem? Why does it matter? The Lower Mississippi Delta (LMD) area of Arkansas, Louisiana, and Mississippi is characterized by high rates of poverty, low education attainment, and food insecurity. There is a high prevalence of hypertension, diabetes, obesity, anemia, and heart disease, all of which are influenced by nutrition. We are attempting to resolve these problems through the efforts of the Lower Mississippi Delta Nutrition Intervention Research Initiative (Delta NIRI). The Delta NIRI Consortium consists of the original partners: scientists from Alcorn State University, Alcorn State, MS (ASU); Arkansas Children's Hospital Research Institute, Little Rock, AR (ACHRI); Pennington Biomedical Research Center, Baton Rouge, LA (PBRC); Southern University and A&M College, Baton Rouge, LA (SU); The University of Arkansas at Pine Bluff, Pine Bluff, AR (UAPB); The University of Southern Mississippi, Hattiesburg, MS (USM); and the Agricultural Research Service (ARS) of USDA, Little Rock, AR. The Delta NIRI Consortium also now includes representatives from the Arkansas, Louisiana, and Mississippi Cooperative Extension Service; the College of Public Health of the University of Arkansas for Medical Sciences, Little Rock, AR; a private researcher, Jackson, MS; and members from the Delta communities of Marvell, AR; Hollandale, MS; and Franklin Parish, LA. The ARS has initiated agreements with other scientists with needed expertise for specific research requirements. For example, the Children's Nutrition Research Center (CNRC) in Houston is collaborating with a Baylor College of Medicine scientist that has nutrition epidemiology skills, and the Human Nutrition Research Center on Aging (HNRCA) at Tufts University in Boston is providing expertise on the development of an original adult food frequency questionnaire. These scientists, Extension, and community members participate fully in the Delta NIRI Consortium. The Consortium is diverse in its composition: including minorities, many research disciplines (nutrition, food science, family economics, sociology, medicine, community development, community grass root, agriculture, etc.), and a variety of professionals (nutritionists, pediatricians, nurses, food scientists, sociologists, agriculture economists, etc.). This diversity is necessary because of the complexity of the food concerns, poverty, isolation, and low educational attainment in parts of the Delta region. The Delta NIRI Consortium is evaluating the nutritional health in the LMD, to identify nutritionally responsive problems, and to design and evaluate interventions using a community participatory research model. Use of this model will promote capacity-building and sustainability at the community level. Lessons learned about successful intervention approaches will be disseminated in order to facilitate implementation on a larger scale in similar areas of the United States. Rates of rural poverty and nutrition-related chronic diseases in the LMD are among the Nation's highest. Arkansas, Mississippi, and Louisiana traditionally rank at or near the bottom in health rankings of the United States and continue to worsen compared with other states. Food insecurity, adult and child obesity, and high blood pressure and diabetes among adults are higher in each of these states than for the national average. The area is underserved by food and nutrition and other health professionals, thus the burden of food-related health problems is carried by minority, low-income, and educationally disadvantaged individuals and families in the Delta communities. The presence of these problems severely limits the quality of life, productivity, and the future of this rural, at-risk population, while propelling them into the high-user category for nutrition assistance programs and high-cost health care and treatment of nutrition-related disease. The Lower Mississippi Delta Nutrition Intervention Research Initiative falls under the National Program 107 - Human Nutrition, and addresses ARS Strategic Plan performance goal 4.1.1 through developing and transferring effective nutrition intervention strategies. 2.List by year the currently approved milestones (indicators of research progress) Year 2005: Objective 1. Develop nutrition interventions in the Lower Mississippi Delta (LMD) through community-based participatory research. Milestone a) The Community Groups and a community-based research team will be in place in three communities in AR, LA, MS. Milestone b) The research worksite will provide a neutral site in each community and enhance visibility of the Delta NIRI. Milestone c) An assessment of community resources and environmental conditions relevant to nutrition interventions will be complete. Objective 2. Design the nutrition intervention research using a Comprehensive Participatory Planning and Evaluation (CPPE) process. Milestone a) Potential interventions and strategies will be identified and evaluated. Milestone b) A research protocol for each of the selected interventions will be written. Milestone c) New and modified data collection instruments will be developed. Milestone d) Manuscripts will be completed describing the CBPR process, research worksite development, community readiness, resource assessment, and other elements of the pilot testing and preparation for interventions. Milestone e) One regional conference of scientific and lay communities will be completed. Objective 3A. Implement nutrition intervention strategies in selected LMD communities. Milestone a) Well-written research protocols for nutrition interventions in each of three communities will be finalized. Milestone b) Data collection instruments and procedures will have been pretested. Milestone c) Community and university individuals will be trained to collect data and monitor data collection. Milestone d) A detailed operational plan for the implementation process will be completed. Milestone e) Appropriate institutional review board approval for human subject's participation will be in place for each partner institution. Milestone f) Manuscripts describing pilot testing intervention strategies, data collection procedures, and training of data collectors will be completed for peer reviewed journals. Year 2006 Objective 3A. Implement nutrition intervention strategies in selected LMD communities. Milestone a) Implement nutrition intervention strategies specific to Marvell, AR, Franklin Parish, LA, and Hollandale, MS. Milestone b) Monitor data collection and intervention strategies Milestone c) Evaluate process variables associated with nutrition interventions. Milestone d) Prepare and publish manuscripts. Year 2007 Objective 3B. Evaluate nutrition intervention strategies specific to selected LMD communities. Milestone a) Evaluate nutrition intervention strategies specific to Marvell, AR, Franklin Parish, LA, and Hollandale, MS. Milestone b) Develop measures to evaluate the impact of the CBPR process on the Community Groups. Milestone c) Monitor the effects of other activities within the communities on intervention strategies. Milestone d) Utilize appropriate qualitative and quantitative statistical techniques to evaluate objectives and test hypotheses in each community. Milestone e) Community Groups will participate in the analytical process. Milestone f) A data monitoring and evaluation system will be in place for continuous monitoring of data collection and quality of processes used. Milestone g) Manuscripts describing the status of interventions with regards to process and outcome variables will be completed for peer reviewed journals. Milestone h) Develop national symposia for scientific and lay communities on CBPR, CPPE, and nutrition intervention strategies for rural areas. Year 2008 Objective 4. Initiate the process of adapting the successful nutrition intervention strategies to other LMD communities. Milestone a) At least three additional communities will be targeted and recruited for community-based nutrition intervention research to duplicate the successful strategies and interventions. Milestone b) Manuscripts describing the research process and intervention outcomes will be prepared for peer reviewed journals. Milestone c) Convene national symposia for scientific and lay communities on CBPR, CPPE, and nutrition intervention strategies for rural areas. 4a.List the single most significant research accomplishment during FY 2006. Nutrition interventions were implemented in each of three rural communities: Marvell, AR; Hollandale, MS; and Franklin Parish, LA. Lower Mississippi Delta NIRI nutrition intervention research protocols were developed and implemented by the community research groups, which include representatives from the rural communities, scientists from ARS and the university cooperators. Community and academic cooperators were fully involved in protocol review, training of recruiters and data collectors, data collection, and the evaluation plan for all interventions that documented the community-based participatory methodology. The impact of this accomplishment is that individuals in the rural communities now know that they can be a part of research in their communities, which has given them knowledge to take to the community and state level for policy or environmental changes that will be beneficial to their community long-term. A second impact was that university and ARS scientists are much more aware of the value of including community citizens in the planning, implementation, and evaluation of nutrition interventions in their communities, which will lead to greater efforts in sustainability of these interventions. [This accomplishment is aligned with National Program 107 – Human Nutrition: Component 7. Health Promoting Intervention Strategies for Targeted Populations. Action Plan Problem Statements: Identify, implement and test nutrition and physical activity interventions in low-income communities.] 4b.List other significant research accomplishment(s), if any. Validation of a Delta NIRI Adult Food Frequency Questionnaire: There is no validated instrument to evaluate the consumption of food over time in rural communities, especially of minority populations. Such an instrument is necessary to evaluate nutrition interventions and assess their effects over time in the Lower Mississippi Delta. A semi-quantitative food frequency questionnaire was developed by the Lower Mississippi Delta NIRI from the Foods of Our Delta Study (FOODS 2000). This Delta NIRI Adult Food Frequency Questionnaire (Delta NIRI FFQ) provides an opportunity to study what is eaten over time rather than over 24-hour periods. The FFQ was validated through cooperation with scientists at the USDA Human Nutrition Research Center at Tufts and the Jackson Heart Study (Jackson, MS) using both 24-hour dietary recalls and biological material. The impact of this accomplishment is that researchers in the Lower Mississippi Delta and elsewhere in the U.S. now have a validated semi-quantitative food frequency tool to use in determining usual food intake in low income and minority groups. [This accomplishment is aligned with National Program 107 – Human Nutrition: Component 3. Nutrition Monitoring. Action Plan Problem Statements: 1)Develop methodologies that accurately assess food consumption and validate with objective measures. . 2)Provide statistical and meaningful information on the food consumption of subgroups, i.e., different ages, ethnicity, regions and income levels.] 4c.List significant activities that support special target populations. None 5.Describe the major accomplishments to date and their predicted or actual impact. Major accomplishments over the life of the Delta NIRI are: 1) nutrition and related scientists were added to ARS and the University collaborators; 2) all partners participated in the processes of CBPR and CPPE; 3) a functional consortium of 7 universities, ARS, and cooperative extension has been developed; 4) five major surveys to determine need and resources have been completed: a) a pilot test that determined that telephones could be used for surveys in the LMD; b) a Key Informant Survey that indicated how key leaders in the LMD ranked health and nutrition problems; c) Foods of Our Delta Study (cross-sectional survey of 36 counties) that identified what people were eating in the LMD. The extent of food insecurity and hunger, and self-reported nutrition related chronic diseases, d) a Community Resource Assessment that identified nutrition, health and physical activity resources specific to the three communities, e) a Community Readiness Survey that determined the level of readiness of each community to participate in nutrition intervention research; 5) developed a Delta NIRI Adult Food Frequency Questionnaire (Delta NIRI FFQ) from FOODS 2000; 6) established collaboration with Jackson Heart Study to validate the Delta NIRI FFQ; 7) published 27 manuscripts in peer reviewed journals, approximately 84 abstracts and presentations at National meetings and 36 International meetings; four MS Thesis and two PhD dissertations; 8) developed a collaboration with cooperative extension in AR, LA, and MS to provide the Community Coordinator for each local research worksite. The customers of the Delta NIRI are the university and cooperative extension partners, the citizens of the three rural communities (Marvell, AR, Hollandale, MS, and Franklin Parish, La), and scientists throughout ARS and the US who want to learn about CBPR and CPPE. 9) implemented the following interventions: Marvell, AR: The Marvell NIRI Walking Club Nutrition Research Intervention; Hollandale, MS: Fit For Life Steps; and Franklin Parish, LA: People United to Sustain Health (PUSH). 10) developed and validated a Delta NIRI Adult Food Frequency Questionnaire to be used in low income minority populations for food consumption data over time. All accomplishments made under this project are fully consistent with relevant milestones listed in the Delta NIRI Project Plan, and with the relevant research components as defined in the National Program 107 – Human Nutrition, Action Plan and performance goals through developing and transferring effective nutrition intervention strategies. Accomplishments under this project contribute to the achievement of ARS Strategic Plan Goal 4, Objective 1, Performance Measure 1, in that project accomplishments contribute substantially to attainment of the Agency FY 2007 target of executing and reporting nutritional interventions. 6.What science and/or technologies have been transferred and to whom? When is the science and/or technology likely to become available to the end-user (industry, farmer, other scientists)? What are the constraints, if known, to the adoption and durability of the technology products? 1) The Delta NIRI Adult Food Frequency Questionnaire (Delta NIRI FFQ) is unique in that it was developed from regional food intake data and validated against 24-hour dietary recalls and biological material. It has been used most recently by the Jackson Heart Study (funded by NHLBI) in its current research study of a large group of African Americans living in the Jackson, MS, area. It is also being used in the three rural communities that Delta NIRI is currently implementing nutrition interventions. This FFQ is now available in two forms (short without dietary supplement intake information and a long form that includes the dietary supplement intake information) for scientists working in similar populations. 2) Citizens of all three rural communities in AR, LA, and MS that are currently implementing the nutrition interventions have been trained and certified in research procedures, data collection techniques, Institutional Review Board methods (protection of human subjects, etc.), and the Health Insurance Portability and Accountability Act (HIPAA), all of which are required for research involving human subjects. The Delta NIRI group has developed a workshop for this training that has been tested in the communities and will be available to other scientists working in community-based research. Prior to this, no formal training existed for persons of low income, low educational attainment, and low literacy levels. 7.List your most important publications in the popular press and presentations to organizations and articles written about your work. (NOTE: List your peer reviewed publications below). Bogle, M.L. and McGee, B.B. 2006. Franklin Parish Nutrition Intervention Research in 2006. Franklin Parish Police Jury, February 9, 2006, Winnsboro, Louisiana. Bogle, M.L. 2006. Nutrition Intervention Research in Franklin Parish Louisiana. The Winnsboro Louisiana Lion’s Club luncheon, February 28, 2006, Winnsboro, Louisiana. Bogle, M.L. 2006. Community-Based Nutrition Intervention Research at Work in the Lower Mississippi Delta-Implications for Dietetic Students. Area III Dietetic Educators of Practitioners, The American Dietetic Association, March 9, 2006, Little Rock, Arkansas. McCabe-Sellers, B.J. 2006. Capacity building of Communities and Academia in the Research Process: Education and Service. Area III Annual Meeting, Dietetic Educators of Practitioners, The American Dietetic Association, March 8, 2006, Little Rock, Arkansas. Core, J. and Bogle, M.L. 2006. Changing Lifestyles to Fight Obesity in the Delta—-A Tale of Three Communities. Agricultural Research. 54(3):6-18. Bogle, M.L. 2006. Stepping up to Nutrition and Health in Rural Delta Communities Using Community-Based Participatory Research. Keynote Speaker for National Nutrition Month, University of Texas School of Public Health, Human Nutrition Center and Centers for Health Promotion and Prevention Research, March 23, 2006, Houston, Texas. Bogle, M.L. 2006. Engaging Communities in Research: An Approach to Eliminating Health Disparities. Tufts University Seminar Series, Tufts/USDA Human Nutrition Research Center, April 12, 2006, Boston, Massachusetts. McCabe-Sellers, B.J., Ndirangu, M., Strickland, E., Huff, A., Yadrick, K., and Bogle, M.L. 2006. Comprehensive Participatory Planning and Evaluation (CPPE) Model in Rural Communities. A workshop. Community-Campus Partnerships in Health Annual Meeting, June 3, 2006, Minneapolis, Minnesota. McCabe-Sellers, B.J. 2006. Rural Grandparents Raising Grandchildren: What are the questions we need to ask? Awakening to Aging: An Introduction to our Future, Society for Nutrition Education Annual Meeting, July 17, 2006, San Francisco, California. Bogle, M.L. 2006. Promoting Healthy Eating in Rural Communities: Choice and Change. Healthy Schools Forum, Alliance for a Healthier Generation, The William Jefferson Clinton Foundation and The American Heart Association, August 1, 2006, Little Rock, Arkansas. Bogle, M.L. 2006. Participatory Nutrition Research in Rural Communities. Delta Initiative Conference, Heifer International, August 24, 2006, Helena-West Helena, Arkansas. Review Publications McCabe Sellers, B.J., Staggs, C.G., Bogle, M.L. 2006. Tyramine in foods and monoamine oxidase inhibitor drugs: a crossroad where medicine, nutrition, pharmacy, and food industry converge. Journal of Food Composition and Analysis. 19(S1):S58-S64. McCabe Sellers, B.J., Sharkey, J.R., Browne, B.A. 2006. Diuretic medication therapy use and low thiamin intake in homebound older adults. Journal of Nutrition for the Elderly. 24(4):57-71. McCabe Sellers, B.J., Johnston, R. 2006. Health promotion and disease prevention in the elderly. In: Chernoff, R., editor. Geriatric Nutrition: The Health Professional's Handbook. 3rd Edition. Sudbury, MA:Jones and Bartlett, Inc. p. 519-557. Carithers, T., Dubbert, P.M., Crook, E., Davy, B., Wyatt, S.B., Bogle, M.L., Taylor, H.A., Tucker, K.L. 2005. Dietary assessment in African Americans: methods used in the Jackson Heart Study. Ethnicity and Disease. 15(4 Suppl 6):S6 49-55. McCabe Sellers, B.J., Staggs, C.G., Sharkey, J.R., Champagne, C.M., Allen, R., Bogle, M.L. 2006. Does diagnosis of osteoporosis increase musculoskeletal nutrient index scores in older adults [abstract]? Journal of Federation of American Societies for Experimental Biology. 20(5):A992. Staggs, C.G., McCabe Sellers, B.J., Norris, T., Bogle, M.L. 2006. WillTry: a willingness to try new foods instruments for rural parents and children [abstract]. Journal of Federation of American Societies for Experimental Biology. 20(4):A175. Talegawkar, S.A., Johnson, E.J., Carithers, T.C., Bogle, M.L., Tucker, K.L. 2006. Tocopherol intake and status in the Jackson Heart Study [abstract]. Journal of Federation of American Societies for Experimental Biology. 20(5):A1032. Thompson, V.J., McCabe Sellers, B.J., Staggs, C.G., Strickland, E., Bogle, M.L. 2006. Low fruit and vegetables availability in two small, rural Lower Mississippi Delta communities [abstract]. Journal of Federation of American Societies for Experimental Biology. 20(4):A552. Mccabe Sellers, B.J., Bogle, M.L. 2006. The role of the United States Department of Agriculture (USDA) in public health nutrition. In: Edelstein, S.Nutrition in Public Health, A Handbook for Developing Programs and Services. 2nd edition. Sudbury,MA: Jones and Bartlett. p. 267-292. McCabe Sellers, B.J., Prewitt, E., Strickland, E., McGee, B., Hyman, E., Bogle, M.L. 2005. Capacity building of communities and academia in the research process in the Lower Mississippi Delta Nutrition Intervention Research Initiative (NIRI) [abstract]. Proceedings of International Society for Behavioral Nutrition and Physical Activity. p. 89-90. Robbins, J.M., Hopkins, S.E., Mosley, B.S., Casey, P.H., Mario, C.A., Hobbs, C.A. 2006. Awareness and use of folic acid among women in the lower Mississippi delta. Journal of Rural Health. 22(3):196-203. Goolsby, S.L., Casey, P.H., Stuff, J.E., Zaghloul, S., Weber, J., Gossett, J., Simpson, P., Bogle, M.L. 2006. Consumption of calcium among African American adolescent girls. Ethnicity and Disease. 16:476-482. Wilson, G., Molaison, E.F., Pope, J., Hunt, A.E., Connell, C.L. 2006. Nutritional status and food insecurity in hemodialysis patients. Journal of Renal Nutrition. 16(1):54-58. Ryan, D.H., Champagne, C.M. 2005. Politics of the obesity epidemic: Results of the 2003 Louisiana Physicians Survey. Journal of the Louisiana State Medical Society. 156(Special Issue: Obesity):S28-S33. Powers, A.L., Struempler, B.J., Guarino, A., Parmer, S.M. 2005. Effects of a nutrition education program on the dietary behavior and nutrition knowledge of second-grade and third-grade students. Journal of School Health. 74(4):129-133. Molaison, E.F., Kolbo, J.R., Meyer, M.K., Speed, N.M., Penman, A.D., Zhang, L. 2006. Prevalence of overweight among elementary and middle school students in Mississippi compared with prevalence data from the Youth Risk Behavior Surveillance System. Journal of Preventing Chronic Disease. Center for Disease control and Prevention. [online] 3(3). Available: http://www.cdc.gov/pcd/issues/2006/jul/05_0150.htm. Staggs, C.G., McCabe Sellers, B.J., Yadrick, M.K., Gossett, J., Bogle, M.L. 2005. Whole grain food product availability in the Lower Mississippi Delta and the 2005 Dietary Guidelines for Americans [abstract]. Journal of the American Dietetic Association. 105(8):60(Suppl.1). Prewitt, T.E., McCabe Sellers, B.J., Strickland, E., Bogle, M.L., Hyman, E.G., Mcgee, B. 2005. Linking service and nutrition research: an approach to community engagement in community based participatory research [abstract]. Proceedings of the International Society for Behavioral Nutrition and Physical Activity. p. 156. Strickland, E., McCabe Sellers, B.J., Hyman, E., McGee, B., Prewitt, E., Bogle, M.L. 2005. Community resource assessment: building community capacity for nutrition intervention research [abstract]. Proceedings of International Society for Behavioral Nutrition and Physical Activity. p. 160. Simpson, P., Jo, C., Gossett, J., Santell, R., McCabe Sellers, B.J., Bogle, M.L. 2005. Scientific sampling in small rural community participatory research [abstract]. Proceedings of International Society for Behavioral Nutrition and Physical Activity. p. 162. Gossett, J., Simpson, P., Jo, C., Yadrick, K., Champagne, C., Bogle, M.L. 2005. A picture is worth a thousand words for describing eating patterns [abstract]. Proceedings of International Society for Behavioral Nutrition and Physical Activity. p. 161. Champagne, C.M., Casey, P.H., Connell, C., Gossett, J.M., Harsha, D.W., McCabe Sellers, B.J., Robbins, J.W., Simpson, P.M., Szeto, K.L., Weber, J.L. 2006. Household food insecurity and other effects on the Healthy Eating Index (HEI) and Dietary Reference Intakes (DRI) in an adult rural population in the Mississippi Delta [abstract]. Journal of Federation of American Societies for Experimental Biology. 20(5):A1004. Staggs, C.G., McCabe Sellers, B.J., Thompson, V.J., Bogle, M.L. 2006. Low whole grain food availability in three Lower Mississippi Delta communities [abstract]. Journal of Federation of American Societies for Experimental Biology. 20(4):A599. McGee, B.B., Gossett, J.M., Simpson, P.M., Bogle, M.L., Johnson, G.S., Bardell, K., Kim, K., Richardson, V., Thornton, A., Johnson, C. 2006. Attitudes and beliefs effect frequency of eating out in the Lower Mississippi Delta [abstract]. Journal of Federation of American Societies for Experimental Biology. 20(4):A552. Bounds, W., Powers, A.R. 2006. Behavioral and cognitive predictors of body mass index in African American females [abstract]. Journal of Federation of American Societies for Experimental Biology. 20(5):A1311. Zoellner, J.M., Connell, C., Santell, R., Fungwe, T., Strickland, E., Yadrick, K., Avis, A., Lofton, K., Rowser, M., Powers, A., Bogle, M.L. 2006. Community-based participatory research: benefits and challenges in the Hollandale Fit for Life Steps Program [abstract]. Journal of Federation of American Societies for Experimental Biology. 20(4):130. Ndirangu, M., Yadrick, K., Avis, A., Santell, R., Perkins, H., West, J.R., Connell, C., Strickland, E., Bogle, M.L. 2006. Conducting needs assessment using the comprehensive participatory planning and evaluation model to develop nutrition and physical activity iterventions in a rural Lower Mississippi Delta community [abstract]. Journal of Federation of American Societies for Experimental Biology. 20(5):A1008. Connell, C., Bounds, W., Nettles, M.F., Lofton, K. 2006. Mothers' body image preferences for children vary according to their own children's weight status [abstract]. Proceedings of International Society for Behavioral Nutrition and Physical Activity. p. 174. Bounds, W., Connell, C., Nettles, M.F., Lofton, K. 2006. The relationship between maternal chld feeding practices and children's weight status in a Head Start population [abstract]. Proceedings of International Society for Behavioral Nutrition and Physical Activity. p. 179. Simpson, P.M., Gossett, J.M., Huang, B.M., Robbins, J., Connell, C., Casey, P.H., Bogle, M.L., Jo, C. 2006. Regression modeling and beyond--chartering the course for good health [abstract]. Proceedings of International Society for Behavioral Nutrition and Physical Activity. p. 205. Fungwe, T., Santell, R., Zoellner, J., Connell, C., Lucas, G., Strickland, E., Yadrick, K., Avis, A., Lofton, K., Rowser, M. 2006. Blood pressure is improved in rural Mississippi residents by a community-based nutrition and physical activity intervention [abstract]. Journal of Federation of American Societies for Experimental Biology. 3(LB):98. Strickland, E., McCabe Sellers, B.J., Staggs, C.G., Bogle, M.L. 2006. Are current food choices contributing to health problems in the Lower Mississippi Delta of Arkansas, Louisiana, and Mississippi [abstract]? Proceedings of International Society for Behavioral Nutrition and Physical Activity. p. 258. Yadrick, K., Simpson, P., Gossett, J., Connell, C., McGee, B., McCabe Sellers, B.J., Bogle, M.L. 2006. Lower Mississippi Delta supermarket food prices compare favorably with national prices. In: Proceedings of the International Society for Behavioral Nutrition and Physical Activity, July 13-16, 2006, Boston, Massachusetts. p. 259. McCabe Sellers, B.J., Staggs, C.G., Norris, T., Strickland, E., Bogle, M.L. 2006. Beyond nutrient assessment: Psychosocial influences on dietary intake [abstract]. Annual Conference on Dietary Assessment Methods. 12(06):120. Yadrick, K., Simpson, P., Gossett, J., Connell, C., McGee, B., McCabe Sellers, B.J., Bogle, M.L. 2006. Lower Mississippi Delta supermarket food prices compare favorably with national prices [abstract]. Proceedings of the International Society for Behavioral Nutrition and Physical Activity. p. 259. Champagne, C., Ryan, D.H., Allen, R., Bogle, M.L. 2005. Attitudes, treatment practices, and public policy concerns regarding obesity: a survey of rural and urban Louisiana physicians [abstract]. Proceedings of International Society for Behavioral Nutrition and Physical Activity. p. 162.