Cost Recovery for Extension Wellness Programming: A Memorandum of Understanding With West Virginia’s State Insurance Provider

participants to change their eating and physical activity patterns. Description: EFNEP educators deliver the first nine lessons focusing on basic nutrition, physical activity, food safety, and food resource management. Cooperative Extension Agents, under SNAP-Ed direction, deliver the remaining lessons focusing on health management for chronic disease prevention. All lessons are co-taught with faith community lay leaders who help participants make connections between faith and health. Agents encourage and support faith leaders in making policy, systems, and environmental (PSE) changes. Throughout implementation best practices for effective collaboration are identified. Evaluation: Behavior change is evaluated by pre/post, mid-point, and follow-up surveys with a 24-hour dietary recall. Faith community assessments capture PSE change. Formative evaluation includes observation, interviews, and educator feedback. Conclusions and Implications: This initiative provides strategies for EFNEP/SNAP-Ed partnerships for extended, comprehensive programming that includes education on the individual level and support for change on the community level. Program components, lessons learned, a plan for coordinating partnerships, and preliminary outcomes will be shared. Funding: Supplemental Nutrition Assistance Program Education, Expanded Food and Nutrition Education Program.