Melanie D Hingle

Interests

Research

diabetes prevention and treatment (youth and families and adults); community-based interventions; lifestyle modification interventions; wireless and networked technologies and application to health (e/mHealth, digital health); dietary assessment, food and nutrition security

Teaching

research methods; communication of science; career development

Courses

Scholarly Contributions

Chapters

• Going, S. B., & Hingle, M. D. (2017). Body Composition. In Physical Education for Lifelong Fitness: The Physical Best Teacher's Guide, 4th edition(pp Chapter 8). Human Kinetics.
• Hingle, M. D., & Going, S. B. (2019). Body Composition. In Physical Education for Lifelong Fitness: The Physical Best Teacher's Guide, 4th edition(pp Chapter 6 p. 137-159). Human Kinetics.
• Hingle, M. D., Laddu, D., & Going, S. B. (2016). Synergistic effects of physical activity and the Mediterranean diet. In Mediterranean Diet: Impact on Health and Disease. Spring Science.
• Going, S. B., Hingle, M. D., & Farr, J. (2013). Body Composition. In Modern Nutrition in Health and Disease(pp 635-648). Baltimore, Maryland: Lippincott, Williams & Wilkins.
• Hingle, M. D. (2013). Interventions to improve diet quality in children. In Diet Quality: An Evidence-Based Approach, Volume 1. New York, New York: Springer Science + Business Media, Inc.

Journals/Publications

• Hingle, M., Short, E., Aflague, T., Boushey, C., Butel, J., Coleman, P., Deenik, J., Fleming, T., Olfert, M., Shallcross, L., Wilkens, L. R., & Novotny, R. (2023). Food Security is Associated with Higher Diet Quality Among Children of the US-Affiliated Pacific Region. The Journal of nutrition, 153(3), 848-856.
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  The prevalence of food insecurity and its relationship to diet quality are factors impacting the health of persons living across the United States-affiliated Pacific region (USAP).
• Hodgson, C., Decker, D., O'Connor, T. M., Hingle, M., & Gachupin, F. C. (2023). A Qualitative Study on Parenting Practices to Sustain Adolescent Health Behaviors in American Indian Families. International journal of environmental research and public health, 20(21).
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  American Indian (AI) adolescents who practice healthy behaviors of sleep, nutrition, physical activity, and limited screen time can lower their lifetime risk of diet-sensitive disease. Little is known about how AI parenting practices influence the health behaviors of youth. The objective of this qualitative study was to explore how a group of AI parents of youths at risk of disease influenced their youth's health behaviors after a family intervention. A secondary objective was to understand the role of AI parents in supporting and sustaining health behavior change in their youths following the intervention. Semi-structured in-depth interviews were conducted with AI parents ( = 11) and their young adolescents, 10-15 years old ( = 6). Parents reported facilitators to how they enacted healthy lifestyle behaviors, including family togetherness, routines, youth inclusion in cooking, and motivation due to a health condition in the family. Barriers to enacting healthy behaviors included a lack of time, a lack of access to health resources, negative role modeling, and the pervasiveness of screen media. Three major themes about the role of AI parenting emerged inductively from the interview data: "Parenting in nontraditional families", "Living in the American grab-and-go culture", and "Being there and teaching responsibility". The importance of culture in raising youths was emphasized. These findings inform strategies to promote long-term adherence to behavior changes within the intervention. This study contributes to public health conversations regarding approaches for AI youths and families, who are not well represented in previous health behavior research.
• Ruelas, A. L., Martínez Contreras, T. J., Esparza Romero, J., Díaz Zavala, R. G., Candia Plata, M. D., Hingle, M., Armenta Guirado, B., & Haby, M. M. (2023). Factors influencing adults to drop out of intensive lifestyle interventions for weight loss. Translational behavioral medicine, 13(4), 245-254.
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  Reducing ≥5% of body weight can decrease the risk of developing chronic diseases in adults with excess weight. Although Intensive Lifestyle Interventions (ILIs) that include cognitive-behavioral techniques to improve physical activity and eating habits are the best approach for losing weight, the failure to retain participants is a barrier to their successful implementation. We aimed to investigate the factors influencing adults to drop out of ILIs for weight loss at six months. We conducted retrospective multiple logistic regression analysis of 268 participants with excess weight (body mass index ≥ 25 kg/m2) from a multicenter study (n = 237, in-person ILI in five clinics, delivered by nutrition interns), and a randomized controlled trial (n = 31, one online ILI, delivered by a master's degree student). The same research team conducted both studies in Northern Mexico, using the same intervention components, and identical instruments and techniques to collect the data. We found that older participants (≥50 years) were less likely to drop out of the ILI for weight loss compared to participants
• Short, E., Thompson, D., Taren, D., Bryant, H., Gonzalez, R., Sheava, J., & Hingle, M. (2023). Feasibility of a food-based diabetes self-management education intervention for food insecure patients with type 2 diabetes: a convergent mixed methods study. Public health nutrition, 1-12.
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  To assess the feasibility of a food-based diabetes self-management education and support (DSMES) intervention delivered to persons with type 2 diabetes (T2DM) and food insecurity.
• Short, E., Kohler, L. N., Taren, D., Gonzalez, R., Roe, D. J., & Hingle, M. (2022). Diet Quality Following Food Pantry Visit Differs by Ethnicity. Journal of hunger & environmental nutrition, 17(1), 69-84.
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  Food insecurity is associated with poor diet quality and increased diet-related disease risk. Food pantry clients (n=194) completed one 24-hour dietary recall and the Healthy Eating Index-2015 was used to evaluate diet quality. Differences in diet quality relative to participants' last food pantry visit and self-reported ethnicity were evaluated using two-way ANOVA. Food pantry visits within 1-4 days compared to ≥5 days were associated with higher diet quality in non-Hispanics (=0.01) but diet quality remained the same in Hispanics. Interventions to improve diet quality in food pantry users must consider potential ethnic differences when program planning.
• Short, E., Sharma, J., Thompson, D. I., Taren, D., Gonzalez, R., & Hingle, M. (2022). Food Assistance Use Among Food Bank Clients Affected by Type 2 Diabetes. Journal of nutrition education and behavior, 54(4), 288-298.
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  To understand the perspectives of food bank clients affected by type 2 diabetes (T2DM).
• Gachupin, F. C., Caston, E., Chavez, C., Bernal, J., Cager, P., Harris, D., John, T., Remitera, J., Garcia, C. A., Romero, V. M., Gchachu, K. E., Gchachu, C. R., Garcia, K., Gchachu, V., Gchachu, B. M., Rens, E., Slowtalker, J., Blew, R., Tracy, K., , Figueroa, T., et al. (2021). Primary Disease Prevention for Southwest American Indian Families During the COVID-19 Pandemic: Camp in a Box. Frontiers in sociology, 6, 611972.
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  The goal of the American Indian Youth Wellness Camp in a Box was to engage, educate and empower families to improve their health and overall well-being during the COVID-19 pandemic. Camp in a Box was a 9-week program, inclusive of a 1-week intensive camp component followed by an 8-week booster component with content focused on nutrition, mental health and physical activity education. The Camp in a Box is a Tribal/Urban Indian-University partnership, and materials were developed to replace an existing weeklong residential camp and to comply with social distancing guidelines. Fourteen American Indian families from Tribal/Urban Indian communities in the southwestern United States participated (36 children aged 2-18 years; 32 adults). The intensive camp week included daily materials for families to complete together, Monday through Friday. Materials were provided for approximately 4 h of activities per day. The booster sessions began after camp week and included approximately 4 h of supplementary activities designed to be completed at any time most convenient for the family over the course of the week. Activities were designed to encourage interaction among family members with materials and supplies for parents and youth to participate. Self-reported outcomes suggested that families changed their eating habits to include more vegetables, less sweets and junk food. Parents reported an increase in family physical activity and that the activities brought the family closer together. Our Camp in a Box program was feasible and well-received until school began. During camp week, 100% of recruited families participated; at Booster Week 8, ten families (71%) remained enrolled and active. Camp in a Box is a feasible alternative to residential camps for promotion of health behaviors associated with metabolic disease prevention among American Indian families. In contrast to residential camps for youth, Camp in a Box offers an opportunity to engage the entire family in health promotion activities.
• Hagedorn, R. L., Olfert, M. D., MacNell, L., Houghtaling, B., Hood, L. B., Savoie Roskos, M. R., Goetz, J. R., Kern-Lyons, V., Knol, L. L., Mann, G. R., Esquivel, M. K., Hege, A., Walsh, J., Pearson, K., Berner, M., Soldavini, J., Anderson-Steeves, E. T., Spence, M., Paul, C., , Waity, J. F., et al. (2021). College student sleep quality and mental and physical health are associated with food insecurity in a multi-campus study. Public health nutrition, 24(13), 4305-4312.
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  To assess the relationship between food insecurity, sleep quality, and days with mental and physical health issues among college students.
• Hingle, M., Blew, R., James, K., Mockbee, J., Palmer, K. N., Roe, D. J., Saboda, K., Shaibi, G. Q., Whitlatch, S., & Marrero, D. (2021). Feasibility and Acceptability of a Type 2 Diabetes Prevention Intervention for Mothers and Children at a Federally Qualified Healthcare Center. Journal of primary care & community health, 12, 21501327211057643.
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  Maternal obesity and gestational diabetes mellitus (GDM) contribute to increased risk for type 2 diabetes mellitus (T2DM) among both mothers and their offspring. Randomized trials demonstrated T2DM risk reduction in adults following lifestyle behavior change and modest weight loss; the evidence base for at-risk children remains limited.
• Marrero, D. G., Blew, R. M., Palmer, K. N., James, K., Roe, D. J., & Hingle, M. D. (2021). Rationale and design of a type 2 diabetes prevention intervention for at-risk mothers and children at a Federally Qualified Healthcare Center: EPIC El Rio Families Study Protocol. BMC public health, 21(1), 346.
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  Exposure to gestational diabetes mellitus (GDM) is associated with increased risk for type 2 diabetes (T2DM) in mothers, and poor cardiovascular health among offspring. Identifying effective methods to mitigate T2DM risk has the potential to improve health outcomes for mothers with a history of GDM and their children. The goal of the EPIC El Rio Families Study is to implement and evaluate the effects of a 13-week behavioral lifestyle intervention on T2DM risk factors in at-risk mothers and their 8- to 12-year-old children. We describe herein the rationale for our specific approach, the adaption of the DPP-based curriculum for delivery to patients of a Federally Qualified Health Center (FQHC), and the study design and methodology.
• Morrill, K. E., Bland, V. L., Klimentidis, Y. C., Hingle, M. D., Thomson, C. A., & Garcia, D. O. (2021). Assessing Interactions between and Dietary Intake on Liver Steatosis in Mexican-Origin Adults. International journal of environmental research and public health, 18(13).
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  Mexican-origin (MO) adults have among the highest rates of nonalcoholic fatty liver disease (NAFLD) placing them at increased risk of liver cancer. Evidence suggests that a single nucleotide polymorphism (SNP) in the gene, rs738409, increases the risk and progression of NAFLD and may modify the relationship between certain dietary factors and liver steatosis. The purpose of this study was to identify whether interactions exist between specific dietary factors and rs738409 genotype status among MO adults in relation to levels of liver steatosis. We analyzed cross-sectional data from a sample of 288 MO adults. Participants completed at least two 24-h dietary recalls. Multiple linear regression was performed assuming an additive genetic model to test the main effects of several dietary variables on levels of hepatic steatosis, adjusting for covariates. To test for effect modification, the product of the genotype and the dietary variable was included as a covariate in the model. No significant association between dietary intake and level of hepatic steatosis was observed, nor any significant gene-diet interactions. Our findings suggest that dietary intake may have the same magnitude of protective or deleterious effect even among MO adults with high genetic risk for NAFLD and NAFLD progression.
• Morrill, K. E., Crocker, R. M., Hingle, M. D., Thomson, C. A., & Garcia, D. O. (2021). Awareness, Knowledge, and Misperceptions Related to Nonalcoholic Fatty Liver Disease in a Community Sample of Mexican-Origin Women: A Mixed Methods Study. Frontiers in public health, 9, 626428.
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  Mexican-origin women suffer disproportionate rates of nonalcoholic fatty liver disease (NAFLD) and research on how to tailor NAFLD treatment interventions for this population is lacking. The purpose of this study was to assess awareness, knowledge, perceptions, and information sources related to NAFLD in a community-based sample of Mexican-origin women. This study employed a convergent parallel mixed-methods approach and consisted of a brief questionnaire ( = 194) and interviews ( = 26) among Mexican-origin women recruited from community-based settings including health fairs, churches, and community events. Participants were eligible if they identified as Mexican-origin, had a BMI ≥ 25 kg/m, were 18-64 years of age, had the ability to speak, read, and write in English and/or Spanish, and provided informed consent. A purposeful sampling approach was used to recruit a subset of women ( = 26) with confirmed liver steatosis indicative of NAFLD (controlled attenuation parameter ≥280 dB/m) who completed the questionnaire. The twenty-six participants then completed one on one, in-depth semi-structured interviews to ascertain their knowledge and understanding of NAFLD. Qualitative findings revealed low awareness of risk factors for liver disease, NAFLD specifically. Knowledge of liver disease tended to center around cirrhosis, a condition many participants reported was prevalent in their families. Quantitative and qualitative findings both found information sources for NAFLD and liver disease to be predominantly friends, family, and media. Interviews revealed a misperception related to NAFLD risk that liver disease was only caused by high alcohol intake. Low levels of NAFLD awareness and knowledge warrant the need for greater efforts to educate the general population, perhaps by integrating NAFLD education into existing type 2 diabetes educational campaigns and prevention interventions. Additionally, further elicitation research conducted in Mexican-origin adults is needed to elucidate key factors within behavioral-theory constructs that can be targeted in future interventions tailored to this unique population.
• Morrill, K. E., Lopez-Pentecost, M., Molina, L., Pfander, J. L., Hingle, M. D., Klimentidis, Y. C., Thomson, C. A., & Garcia, D. O. (2021). Weight Loss Interventions for Hispanic Women in the United States: A Systematic Review. Journal of environmental and public health, 2021, 8714873.
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  Obesity rates in Hispanic women residing in the United States (U.S.) are disproportionately high, increasing the risk of obesity-related disease and mortality. The effectiveness of interventions targeting weight loss in this population remains largely unknown.
• Olfert, M. D., Hagedorn-Hatfield, R. L., Houghtaling, B., Esquivel, M. K., Hood, L. B., MacNell, L., Soldavini, J., Berner, M., Savoie Roskos, M. R., Hingle, M. D., Mann, G. R., Waity, J. F., Knol, L. L., Walsh, J., Kern-Lyons, V., Paul, C., Pearson, K., Goetz, J. R., Spence, M., , Anderson-Steeves, E., et al. (2021). Struggling with the basics: food and housing insecurity among college students across twenty-two colleges and universities. Journal of American college health : J of ACH, 1-12.
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  To quantify the number and type of students failing to secure basic needs.
• Tomayko, E. J., Tovar, A., Fitzgerald, N., Howe, C. L., Hingle, M. D., Murphy, M. P., Muzaffar, H., Going, S. B., & Hubbs-Tait, L. (2021). Parent Involvement in Diet or Physical Activity Interventions to Treat or Prevent Childhood Obesity: An Umbrella Review. Nutrients, 13(9).
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  Parents substantially influence children's diet and physical activity behaviors, which consequently impact childhood obesity risk. Given this influence of parents, the objective of this umbrella review was to synthesize evidence on effects of parent involvement in diet and physical activity treatment and prevention interventions on obesity risk among children aged 3-12 years old. Ovid/MEDLINE, Elsevier/Embase, Wiley/Cochrane Library, Clarivate/Web of Science, EBSCO/CINAHL, EBSCO/PsycInfo, and Epistemonikos.org were searched from their inception through January 2020. Abstract screening, full-text review, quality assessment, and data extraction were conducted independently by at least two authors. Systematic reviews and meta-analyses of diet and physical activity interventions that described parent involvement, included a comparator/control, and measured child weight/weight status as a primary outcome among children aged 3-12 years old were included. Data were extracted at the level of the systematic review/meta-analysis, and findings were narratively synthesized. Of 4158 references identified, 14 systematic reviews and/or meta-analyses (eight treatment focused and six prevention focused) were included and ranged in quality from very low to very high. Our findings support the inclusion of a parent component in both treatment and prevention interventions to improve child weight/weight status outcomes. Of note, all prevention-focused reviews included a school-based component. Evidence to define optimal parent involvement type and duration and to define the best methods of involving parents across multiple environments (e.g., home, preschool, school) was inadequate and warrants further research. PROSPERO registration: CRD42018095360.
• Hendryx, M., Dinh, P., Chow, A., Kroenke, C. H., Hingle, M., Shadyab, A. H., Garcia, L., Howard, B. V., & Luo, J. (2020). Lifestyle and Psychosocial Patterns and Diabetes Incidence Among Women with and Without Obesity: a Prospective Latent Class Analysis. Prevention science : the official journal of the Society for Prevention Research, 21(6), 850-860.
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  We conducted latent class analyses to identify women with homogeneous combinations of lifestyle and behavioral variables and tested whether latent classes were prospectively associated with diabetes incidence for women with or without baseline obesity. A total of 64,710 postmenopausal women aged 50-79 years without prevalent diabetes at baseline (years 1993-1998) were followed until 2018 with a mean follow-up of 14.6 years (sd = 6.4). Lifestyle variables included smoking, diet quality, physical activity, and sleep quality. Psychosocial variables included social support, depression, and optimism. Multivariable Cox proportional hazards regression models tested associations between latent classes and diabetes incidence controlling for age, race/ethnicity, and education. During follow-up, 8076 (12.4%) women developed diabetes. For women without baseline obesity, five latent classes were identified. Compared with a lower risk referent, diabetes incidence was higher in classes characterized by high probability of multiple lifestyle and psychosocial risks (HR = 1.45; 95% CI 1.28, 1.64), poor diet and exercise (HR = 1.23; 95% CI 1.13, 1.33), and psychosocial risks alone (HR = 1.20; 95% CI 1.12, 1.29). For women with baseline obesity, four latent classes were identified. Compared with a lower risk referent, diabetes incidence was higher for women with obesity in classes characterized by high probability of multiple lifestyle and psychosocial risks (HR = 1.48; 95% CI 1.32, 1.66), poor diet and exercise (HR = 1.32; 95% CI 1.19, 1.47), and intermediate probabilities of multiple risks (HR = 1.17; 95% CI 1.05, 1.30). Diabetes prevention efforts that focus on diet and exercise may benefit from attention to how lifestyle behaviors interact with psychosocial variables to increase diabetes risks, and conversely, how psychological or social resources may be leveraged with lifestyle changes to reduce the risk for women with and without obesity.
• Hingle, M. D., Shanks, C. B., Parks, C., Prickitt, J., Rhee, K. E., Wright, J., Hiller-Venegas, S., & Yaroch, A. L. (2020). Examining Equitable Online Federal Food Assistance during the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2): A Case Study in 2 Regions. Current developments in nutrition, 4(10), nzaa154.
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  The USDA Supplemental Nutrition Assistance Program (SNAP) provides food and financial assistance to food-insecure individuals and families. In the midst of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, SNAP benefits evolved. Policy changes and federal legislation expanded SNAP eligibility, raised benefit levels, and introduced program waivers that enabled online ordering to reduce participants' exposure to community-acquired SARS-CoV-2. Although rapid expansion of SNAP benefits in the online space represents significant progress for federal food assistance, changes also introduced unforeseen partiality in how benefits and services were accessed and utilized, as illustrated by 2 populations and regions in the early months of the SARS-CoV-2 pandemic: low-income older adults in rural Alabama and low-income Hispanic adults in urban California. Opportunities exist to build on the recent progress in SNAP, while also ensuring continued inclusiveness of eligible persons. Efforts should be informed by evidence that supports equitable access to federal food assistance.
• Neuhouser, M. L., Wertheim, B. C., Perrigue, M. M., Hingle, M., Tinker, L. F., Shikany, J. M., Johnson, K. C., Waring, M. E., Seguin-Fowler, R. A., Vitolins, M. Z., Schnall, E., Snetselaar, L., & Thomson, C. (2020). Associations of Number of Daily Eating Occasions with Type 2 Diabetes Risk in the Women's Health Initiative Dietary Modification Trial. Current developments in nutrition, 4(8), nzaa126.
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  Over 23 million Americans have type 2 diabetes (T2D). Eating habits such as breakfast consumption, time-restricted eating, and limiting daily eating occasions have been explored as behaviors for reducing T2D risk, but prior evidence is inconclusive.
• Rivers, P., Hingle, M., Ruiz-Braun, G., Blew, R., Mockbee, J., & Marrero, D. (2020). Adapting a Family-Focused Diabetes Prevention Program for a Federally Qualified Health Center: A Qualitative Report. The Diabetes educator, 46(2), 161-168.
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  The purpose of the study was to explore the needs of high-risk Latinx/Hispanic women with a history of gestational diabetes who were patients at a Federally Qualified Health Center (FQHC) in anticipation of a future family-based program.
• Shanks, C. B., Hingle, M. D., Parks, C. A., & Yaroch, A. L. (2020). The COVID-19 Pandemic: A Watershed Moment to Strengthen Food Security Across the US Food System. American journal of public health, 110(8), 1133-1134.
• Short, E., Kohler, L. N., Taren, D. L., Gonzalez, R., Roe, D., & Hingle, M. D. (2020). Diet Quality Following Food Pantry Visit Differs by Ethnicity. Journal of Hunger and Environmental Nutrition. doi:https://doi.org/10.1080/19320248.2020.1860849
• Armin, J. S., Johnson, T., Hingle, M. D., Giacobbi, Jr., P., & Gordon, J. S. (2016). Development of a multi-behavioral mHealth app for women smokers. Journal of Health Communication.
• Garcia, D. O., Thomson, C. A., Klimentidis, Y. C., Hingle, M. D., Pfander, J. L., Ballesteros, L., Pentacost, M., & Morrill, K. (2019). Weight Loss Interventions for Hispanic Women: A Protocol for a Systematic Review. Systematic Reviews, 8, 301. doi:https://doi.org/10.1186/s13643-019-1213-3
• Garcia, D. O., Valdez, L. A., Aceves, B., Bell, M. L., Humphrey, K., Hingle, M., McEwen, M., & Hooker, S. P. (2019). A Gender- and Culturally Sensitive Weight Loss Intervention for Hispanic Men: Results From the Pilot Randomized Controlled Trial. Health education & behavior : the official publication of the Society for Public Health Education, 46(5), 763-772.
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  . Hispanic males have the highest rates of overweight and obesity compared with men of all other racial/ethnic groups. While weight loss can significantly reduce obesity-related health risks, there is limited research examining effective gender- and culturally tailored behavioral weight loss programs for Hispanic men. . To assess the feasibility and preliminary efficacy of a 12-week gender- and culturally sensitive weight loss intervention (GCSWLI) as compared with a waist-list control (WLC) in sedentary, Hispanic males with overweight/obesity. . Fifty Hispanic males (age: 43 years [ = 11]; BMI: 34 ± 5 kg/m; 58% Spanish monolingual) were randomized to one of two groups: GCSWLI ( = 25) or WLC ( = 25). GCSWLI participants attended weekly in-person individual sessions with a bilingual, bicultural Hispanic male lifestyle coach, and were prescribed a daily reduced calorie goal and 225 minutes of moderate-intensity physical activity per week. The WLC were asked to maintain their usual diet and physical activity habits for 12 weeks. GCSWLI participants continued with 12 additional weeks of follow-up including biweekly phone calls with lifestyle coaches. . At Week 12, the mean weight loss in the GCSWLI was -6.3 kg (95% confidence interval [CI; -8.1, -4.4]) compared with -0.8 kg (95% CI [-2.5, 0.9]) for the WLC (difference = -5.5 kg, 95% CI [-8.0, -2.9], < .01). At Week 24, weight loss in the GCSWLI was maintained. . The GCSWLI appears to be a feasible strategy to engage Hispanic males in short-term weight loss. Our pilot study indicates preliminary evidence of efficacy, though confirmation of these findings is needed in a larger study.
• Garcia, D. O., Valdez, L. A., Bell, M. L., Humphrey, K., Hingle, M. D., McEwen, M. M., & Hooker, S. P. (2017). A Gender- and Culturally-Sensitive Weight Loss Intervention for Hispanic Males: The ANIMO Randomized Controlled Trial Study Protocol and Recruitment Methods. Contemporary Clinical Trials Communications.
• Going, S. B., Stump, C. S., Kutob, R. M., Roe, D., C, U., Turner, T., & Hingle, M. D. (2019). Feasibility of a family-focused YMCA-based diabetes prevention program in youth: the E.P.I.C. Kids (Encourage, Practice, and Inspire Change) Study. Preventive Medicine Reports. doi:10.1016/j.pmedr.2019.100840
• Gordon, J. S., Armin, J. S., Hingle, M. D., Giacobbi, P., Cunningham, J. K., Johnson, T., Abbate, K., Howe, C. L., & Roe, D. (2016). Development and Evaluation of the See Me Smoke-Free Multi-Behavioral mHealth App for Women Smokers. Translational Behavioral Medicine.
• Hingle, M. D., Marrero, D., Rivers, P., Blew, R., Mockbee, J., & Ruiz-Brown, G. (2019). Adapting a Family-Focused Diabetes Prevention Program for Federally Qualified Health Center: A Qualitative Report.. The Diabetes Educator.
• Hingle, M. D., Turner, T., C, U., Roe, D., Kutob, R. M., Stump, C. S., & Going, S. B. (2018). Feasibility of a family-focused YMCA-based diabetes prevention program in youth: the E.P.I.C. Kids (Encourage, Practice, and Inspire Change) Study. Preventive Medicine Reports.
• Hingle, M. D., Turner, T., Going, S., Ussery, C., Roe, D. J., Saboda, K., Kutob, R., & Stump, C. (2019). Feasibility of a family-focused YMCA-based diabetes prevention program in youth: The E.P.I.C. Kids (Encourage, Practice, and Inspire Change) Study. Preventive medicine reports, 14, 100840.
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  Efficacious lifestyle modification programs for children at risk of type 2 diabetes (T2D) have not been well established outside of clinical settings. In this study, the feasibility of a family-focused, YMCA-based prevention program for children at risk of T2D was evaluated between September 2015 and July 2016 in Tucson, Arizona. A 12-week YMCA-led lifestyle intervention was adapted for 9-12-year-old children and their families to encourage healthy eating, physical activity, and supportive home environments. Two YMCA locations were randomized to offer either a face-to-face lifestyle coach-led intervention or an alternating face-to-face and digitally-delivered intervention. Program feasibility and preliminary effects on child anthropometric and behavioral outcomes were assessed at baseline and post-intervention. Changes were assessed using linear regression combining delivery formats, with adjustment for clustering of participants within site/format. Forty-eight children (10.9 ± 1.2 years old; 45% female; 40% Hispanic; 43% White; 87% obese) and their parents enrolled, and 36 (75%) completed 12-week measures. Weekly program attendance averaged 61%. Participants and coaches highly rated program content and engagement strategies. Statistically significant changes in child BMI-z score (-0.05,   0.03) and family food and physical activity environment (+5.5% family nutrition and physical activity score,  = 0.01) were observed. A YMCA-led family-focused T2D intervention was feasible for the YMCA and participants and effects on child weight, behavior, and the home environment warranted further investigation.
• Hingle, M. D., Wertheim, B. C., Neuhouser, M. L., Tinker, L., Howard, B., Liu, S., Phillips, L. S., Qi, L., Sarto, G., Turner, T., & Thomson, C. (2016). Association between dietary energy density and incident Type 2 diabetes in the Women's Health Initiative. Journal of the Academy of Nutrition and Dietetics.
• Morrill, K. E., Lopez-Pentecost, M., Ballesteros, G., Pfander, J. L., Hingle, M. D., Klimentidis, Y. C., Thomson, C. A., & Garcia, D. O. (2019). Weight loss interventions for Hispanic women in the USA: a protocol for a systematic review. Systematic reviews, 8(1), 301.
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  In the U.S., Hispanic women experience a disproportionate rate of obesity and obesity-related chronic diseases. At the same time, Hispanic women remain considerably underrepresented in behavioral weight loss interventions. The purpose of this review is to systematically evaluate the evidence related to the effectiveness of weight loss interventions among Hispanic women in the U.S. This review will identify elements of successful weight loss interventions as well as areas for future research.
• Morrill, K., Pentacost, M., Ballesteros, L., Pfander, J. L., Hingle, M. D., Klimentidis, Y. C., Thomson, C. A., & Garcia, D. O. (2019). Weight Loss Interventions for Hispanic Women: A Protocol for a Systematic Review. Systematic Reviews.
• O'Connor, T. M., Masse, L., Tu, A., Watts, A., Hughes, S., Beauchamp, M., Baranowski, T., Pham, T., Berge, J., Fiese, B., Golley, R., Hingle, M. D., Kremers, S., Rhee, K., Skouteris, H., & Vaughn, A. (2016). Food Parenting Practices for 5-12-yr-old children: A concept map analysis of parenting and nutrition experts input. International Journal of Behavioral Nutrition and Physical Activity.
• Rosputni, C., Short, E., Rahim-Sepulveda, M., Howe, C. L., da Silva, V., Alvarez, K., & Hingle, M. D. (2019). Diabetes Prevention Programs in Rural North America: a Systematic Scoping Review. Current diabetes reports, 19(7), 43.
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  The aims of this systematic scoping review were to characterize the extent to which diabetes prevention programs have focused on rural populations in North America and where possible, identify efficacious program components.
• Rosputni, C., Short, E., Sepulveda, M., Howe, C., da Silva, V., Alvarez, K., & Hingle, M. D. (2018). Diabetes prevention in rural N America: a systematic scoping review. Diabetes Research & Clinical Practice.
• Thomson, C. A., Garcia, D. O., Wertheim, B. C., Hingle, M. D., Bea, J. W., Zaslavsky, O., Caire-Juvera, G., Rohan, T., Vitolins, M. Z., Thompson, P. A., & Lewis, C. E. (2015). Body Shape, Adiposity Index and Mortality in Post-menopausal Women: Findings from the Women’s Health Initiative. Obesity.
• Garcia, D. O., Valdez, L. A., Bell, M. L., Humphrey, K., Hingle, M., McEwen, M., & Hooker, S. P. (2018). A gender- and culturally-sensitive weight loss intervention for Hispanic males: The ANIMO randomized controlled trial pilot study protocol and recruitment methods. Contemporary clinical trials communications, 9, 151-163.
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  Hispanic men have the highest rates of overweight and obesity when compared to men of other racial/ethnic groups, placing them at increased risk for obesity-related disease. Yet, Hispanic men are grossly underrepresented in weight loss research. Tailored intervention strategies to improve obesity treatment programs for this vulnerable racial/ethnic subgroup are needed. This manuscript describes recruitment strategies, methodology, and participant characteristics of the ANIMO study, a 24-week randomized controlled pilot trial testing the effects of a gender- and culturally-sensitive weight loss intervention (GCSWLI) on body weight in Hispanic men compared to a wait-list control condition. The ANIMO study included two phases. The first phase was a 12-week GCSWLI. Participants attended weekly in-person individual sessions guided by a trained bilingual Hispanic male lifestyle coach, were prescribed a daily reduced calorie goal, and 225 min of moderate-intensity physical activity per week. In the second phase, GCSWLI participants received bi-weekly phone calls across a 12-week follow-up. Wait-list control (WLC) participants from phase 1 received the GCSWLI plus mobile health technology support. Recruitment strategies included face-to-face efforts at a swap meet (outdoor marketplace), family/friend referrals, printed advertisements and social media. Recruitment, screening, and participant enrollment occurred over three months. Overall, 143 men expressed interest in participation. Of these, 115 were screened and 78% (n = 90) were eligible to participate; 45% of enrolled participants (n = 52) completed baseline assessments and 43% (n = 50) were randomized (mean age of 43.3 ± 11.4 years; BMI: 34.1 ± 5.3 kg/m; 58% Spanish monolingual). Parameter estimates from ANIMO will support future adequately powered trials for this health disparate population.
• Going, S. B., Lohman, T. G., Wheeler, M. D., Lee, V. R., Roe, D., Hingle, M. D., Funk, J. L., Blew, R. M., Bea, J. W., & Hetherington-Rauth, M. C. (2018). Relative contributions of lean and fat mass to bone strength in young Hispanic and non-Hispanic girls. Bone, 113, 144-150. doi:10.1016/j.bone.2018.05.023
• Hetherington-Rauth, M., Bea, J. W., Blew, R. M., Funk, J. L., Hingle, M. D., Lee, V. R., Roe, D. J., Wheeler, M. D., Lohman, T. G., & Going, S. B. (2018). Relative contributions of lean and fat mass to bone strength in young Hispanic and non-Hispanic girls. Bone, 113, 144-150.
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  With the high prevalence of childhood obesity, especially among Hispanic children, understanding how body weight and its components of lean and fat mass affect bone development is important, given that the amount of bone mineral accrued during childhood can determine osteoporosis risk later in life. The aim of this study was to assess the independent contributions of lean and fat mass on volumetric bone mineral density (vBMD), geometry, and strength in both weight-bearing and non-weight-bearing bones of Hispanic and non-Hispanic girls.
• Hingle, M., Patrick, H., Sacher, P. M., & Sweet, C. C. (2018). The Intersection of Behavioral Science and Digital Health: The Case for Academic-Industry Partnerships. Health education & behavior : the official publication of the Society for Public Health Education, 1090198118788600.
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  A decade after the first health app became available, the field of digital health has produced a range of health behavior insights and an expanding product portfolio. Despite sustained interest and growth fueled by academic and industry interests, the impact of digital health on health behavior change and related outcomes has been limited. This underperformance relative to expectations may be partially attributed to a gap between industry and academia in which both seek to develop technology-driven solutions but fail to converge around respective, unique strengths. An opportunity exists for new and improved collaborative models of research, innovation, and care delivery that disrupt the field of behavioral medicine and benefit academic and industry interests. For those partnerships to thrive, recognizing key differences between academic and industry roles may help smooth the path. Here we speak specifically to concerns particular to academics and offer suggestions for how to navigate related challenges.
• Hooker, S. P., McEwen, M. M., Hingle, M. D., Humphrey, K., Bell, M. L., Valdez, L. A., & Garcia, D. O. (2017). A Gender- and Culturally-Sensitive Weight Loss Intervention for Hispanic Males: The ANIMO Randomized Controlled Trial Study Protocol and Recruitment Methods. Contemporary Clinical Trials Communications.
• Hooker, S. P., McEwen, M. M., Hingle, M. D., Humphrey, K., Bell, M. L., Valdez, L. A., & Garcia, D. O. (2018). A Gender- and Culturally-Sensitive Weight Loss Intervention for Hispanic Males: The ANIMO Randomized Controlled Trial Study Protocol and Recruitment Methods. Contemporary Clinical Trials Communications.
• Müller, A. M., Maher, C. A., Vandelanotte, C., Hingle, M., Middelweerd, A., Lopez, M. L., DeSmet, A., Short, C. E., Nathan, N., Hutchesson, M. J., Poppe, L., Woods, C. B., Williams, S. L., & Wark, P. A. (2018). Physical Activity, Sedentary Behavior, and Diet-Related eHealth and mHealth Research: Bibliometric Analysis. Journal of medical Internet research, 20(4), e122.
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  Electronic health (eHealth) and mobile health (mHealth) approaches to address low physical activity levels, sedentary behavior, and unhealthy diets have received significant research attention. However, attempts to systematically map the entirety of the research field are lacking. This gap can be filled with a bibliometric study, where publication-specific data such as citations, journals, authors, and keywords are used to provide a systematic overview of a specific field. Such analyses will help researchers better position their work.
• Rains, S. A., Hingle, M. D., Surdeanu, M., Bell, D., & Kobourov, S. (2018). A Test of The Risk Perception Attitude Framework as a Message Tailoring Strategy to Promote Diabetes Screening. Health communication, 1-8.
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  The risk perception attitude (RPA) framework was tested as a message tailoring strategy to encourage diabetes screening. Participants (N = 602) were first categorized into one of four RPA groups based on their diabetes risk and efficacy perceptions and then randomly assigned to receive a message that matched their RPA, mismatched their RPA, or a control message. Participants receiving a matched message reported greater intentions to engage in self-protective behavior than participants who received a mismatched message or the control message. The results also showed differences in attitudes and behavioral intentions across the four RPA groups. Participants in the responsive group had more positive attitudes toward diabetes screening than the other three groups, whereas participants in the indifferent group reported the weakest intentions to engage in self-protective behavior.
• Schembre, S. M., Liao, Y., O'Connor, S. G., Hingle, M. D., Shen, S. E., Hamoy, K. G., Huh, J., Dunton, G. F., Weiss, R., Thomson, C. A., & Boushey, C. J. (2018). Mobile Ecological Momentary Diet Assessment Methods for Behavioral Research: Systematic Review. JMIR mHealth and uHealth, 6(11), e11170.
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  New methods for assessing diet in research are being developed to address the limitations of traditional dietary assessment methods. Mobile device-assisted ecological momentary diet assessment (mEMDA) is a new dietary assessment method that has not yet been optimized and has the potential to minimize recall biases and participant burden while maximizing ecological validity. There have been limited efforts to characterize the use of mEMDA in behavioral research settings.
• Short, C. E., DeSmet, A., Woods, C., Williams, S. L., Maher, C., Middelweerd, A., Müller, A. M., Wark, P. A., Vandelanotte, C., Poppe, L., Hingle, M. D., & Crutzen, R. (2018). Measuring Engagement in eHealth and mHealth Behavior Change Interventions: Viewpoint of Methodologies. Journal of medical Internet research, 20(11), e292.
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  Engagement in electronic health (eHealth) and mobile health (mHealth) behavior change interventions is thought to be important for intervention effectiveness, though what constitutes engagement and how it enhances efficacy has been somewhat unclear in the literature. Recently published detailed definitions and conceptual models of engagement have helped to build consensus around a definition of engagement and improve our understanding of how engagement may influence effectiveness. This work has helped to establish a clearer research agenda. However, to test the hypotheses generated by the conceptual modules, we need to know how to measure engagement in a valid and reliable way. The aim of this viewpoint is to provide an overview of engagement measurement options that can be employed in eHealth and mHealth behavior change intervention evaluations, discuss methodological considerations, and provide direction for future research. To identify measures, we used snowball sampling, starting from systematic reviews of engagement research as well as those utilized in studies known to the authors. A wide range of methods to measure engagement were identified, including qualitative measures, self-report questionnaires, ecological momentary assessments, system usage data, sensor data, social media data, and psychophysiological measures. Each measurement method is appraised and examples are provided to illustrate possible use in eHealth and mHealth behavior change research. Recommendations for future research are provided, based on the limitations of current methods and the heavy reliance on system usage data as the sole assessment of engagement. The validation and adoption of a wider range of engagement measurements and their thoughtful application to the study of engagement are encouraged.
• Zhou, J., Bell, D., Nusrat, S., Hingle, M., Surdeanu, M., & Kobourov, S. (2018). Calorie Estimation From Pictures of Food: Crowdsourcing Study. Interactive journal of medical research, 7(2), e17.
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  Software designed to accurately estimate food calories from still images could help users and health professionals identify dietary patterns and food choices associated with health and health risks more effectively. However, calorie estimation from images is difficult, and no publicly available software can do so accurately while minimizing the burden associated with data collection and analysis.
• Abbate, K. J., Hingle, M. D., Armin, J., Giacobbi, P., & Gordon, J. S. (2017). Recruiting Women to a Mobile Health Smoking Cessation Trial: Low- and No-Cost Strategies. JMIR research protocols, 6(11), e219.
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  Successful recruitment of participants to mobile health (mHealth) studies presents unique challenges over in-person studies. It is important to identify recruitment strategies that maximize the limited recruitment resources available to researchers.
• Armin, J. S., Johnson, T., Hingle, M. D., Giacobbi, Jr., P., & Gordon, J. S. (2017). Development of a multi-behavioral mHealth app for women smokers. Journal of Health Communication, 22(2), 153-162.
• Armin, J., Johnson, T., Hingle, M., Giacobbi, P., & Gordon, J. S. (2017). Development of a Multi-Behavioral mHealth App for Women Smokers. Journal of health communication, 22(2), 153-162.
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  This article describes the development of the See Me Smoke-Free™ (SMSF) mobile health application, which uses guided imagery to support women in smoking cessation, eating a healthy diet, and increasing physical activity. Focus group discussions, with member checks, were conducted to refine the intervention content and app user interface. Data related to the context of app deployment were collected via user testing sessions and internal quality control testing, which identified and addressed functionality issues, content problems, and bugs. Interactive app features include playback of guided imagery audio files, notification pop-ups, award-sharing on social media, a tracking calendar, content resources, and direct call to the local tobacco quitline. Focus groups helped design the user interface and identified several themes for incorporation into app content, including positivity, the rewards of smoking cessation, and the integrated benefits of maintaining a healthy lifestyle. User testing improved app functionality and usability on many Android phone models. Changes to the app content and function were made iteratively by the development team as a result of focus group and user testing. Despite extensive internal and user testing, unanticipated data collection and reporting issues emerged during deployment due not only to the variety of Android software and hardware but also to individual phone settings and use.
• Gordon, J. S., Armin, J., D Hingle, M., Giacobbi, P., Cunningham, J. K., Johnson, T., Abbate, K., Howe, C. L., & Roe, D. J. (2017). Development and evaluation of the See Me Smoke-Free multi-behavioral mHealth app for women smokers. Translational behavioral medicine, 7(2), 172-184.
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  Women face particular challenges when quitting smoking, especially those with weight concerns. A multi-behavioral smoking cessation intervention addressing these concerns and incorporating guided imagery may assist women to engage in healthy lifestyle behaviors. An mHealth app can easily disseminate such an intervention. The goals of this pilot study were to develop and test the feasibility and potential of the See Me Smoke-Free™ mHealth app to address smoking, diet, and physical activity among women smokers. We used pragmatic, direct-to-consumer methods to develop and test program content, functionality, and the user interface and conduct a pre-/post-test, 90-day pilot study. We enrolled 151 participants. Attrition was 52%, leaving 73 participants. At 90 days, 47% of participants reported 7-day abstinence and significant increases in physical activity and fruit consumption. Recruitment methods worked well, but similar to other mHealth studies, we experienced high attrition. This study suggests that a guided imagery mHealth app has the potential to address multiple behaviors. Future research should consider different methods to improve retention and assess efficacy.
• Gordon, J. S., Cunningham, J. K., Johnson, T., Armin, J. S., Hingle, M. D., Roe, D., Howe, C. L., & Giacobbi, P. (2017). Development and Evaluation of the See Me Smoke-Free Multi-Behavioral mHealth App for Women Smokers. Translational Behavioral Medicine, 7(2), 172-184.
• Hingle, M. D., Wertheim, B. C., Neuhouser, M. L., Tinker, L. F., Howard, B. V., Johnson, K., Liu, S., Phillips, L. S., Qi, L., Sarto, G., Turner, T., Waring, M. E., & Thomson, C. A. (2017). Association between Dietary Energy Density and Incident Type 2 Diabetes in the Women's Health Initiative. Journal of the Academy of Nutrition and Dietetics, 117(5), 778-785.e1.
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  Dietary energy density, or energy available in relation to gram intake, can inform disease risk.
• Howard, B. V., Aragaki, A. K., Tinker, L. F., Allison, M., Hingle, M. D., Johnson, K. C., Manson, J. E., Shadyab, A. H., Shikany, J. M., Snetselaar, L. G., Thomson, C. A., Zaslavsky, O., & Prentice, R. L. (2017). A Low-Fat Dietary Pattern and Diabetes: A Secondary Analysis From the Women's Health Initiative Dietary Modification Trial. Diabetes care.
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  We performed a secondary analysis to evaluate the effect of the Women's Health Initiative dietary intervention on incident diabetes and diabetes treatment in postmenopausal women.
• O'Connor, T. M., Mâsse, L. C., Tu, A. W., Watts, A. W., Hughes, S. O., Beauchamp, M. R., Baranowski, T., Pham, T., Berge, J. M., Fiese, B., Golley, R., Hingle, M., Kremers, S. P., Rhee, K. E., Skouteris, H., & Vaughn, A. (2017). Food parenting practices for 5 to 12 year old children: a concept map analysis of parenting and nutrition experts input. The international journal of behavioral nutrition and physical activity, 14(1), 122.
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  Parents are an important influence on children's dietary intake and eating behaviors. However, the lack of a conceptual framework and inconsistent assessment of food parenting practices limits our understanding of which food parenting practices are most influential on children. The aim of this study was to develop a food parenting practice conceptual framework using systematic approaches of literature reviews and expert input.
• Thomson, C. A., Crane, T. E., Garcia, D. O., Wertheim, B. C., Hingle, M., Snetselaar, L., Datta, M., Rohan, T., LeBlanc, E., Chlebowski, R. T., & Qi, L. (2017). Association between Dietary Energy Density and Obesity-Associated Cancer: Results from the Women's Health Initiative. Journal of the Academy of Nutrition and Dietetics.
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  Dietary energy density (DED) is the ratio of energy (kilocalories or kilojoules) intake to food weight (grams) and is a measure of diet quality. Consumption of foods high in DED has been associated with weight gain in adults.
• Thomson, C. A., Crane, T. E., Garcia, D. O., Wertheim, B., Hingle, M. D., Snetsellar, L., Datta, M., Rohan, T., LeBlanc, E., Chlebowski, R., & Qi, L. (2017). Association between dietary energy density and obesity-associated cancer: Results from the Women's Health Initiative. Journal of the Academy of Nutrition and Dietetics. doi:10.1016/j.jand.2017.06.010
• Turner, T., & Hingle, M. (2017). Evaluation of a Mindfulness-Based Mobile App Aimed at Promoting Awareness of Weight-Related Behaviors in Adolescents: A Pilot Study. JMIR research protocols, 6(4), e67.
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  Mindfulness-based interventions are reported to be highly acceptable and have positive effects on youth, yet most are clinic- or school-based aimed at emotional regulation or academic performance. To provide flexible program delivery, we developed and tested a standalone mindfulness-based app aimed at improving weight-related behaviors (eg, diet, physical activity, sleep) in adolescents.
• Cespedes, E. M., Hu, F. B., Tinker, L., Rosner, B., Redline, S., Garcia, L., Hingle, M., Van Horn, L., Howard, B. V., Levitan, E. B., Li, W., Manson, J. E., Phillips, L. S., Rhee, J. J., Waring, M. E., & Neuhouser, M. L. (2016). Multiple Healthful Dietary Patterns and Type 2 Diabetes in the Women's Health Initiative. American journal of epidemiology, 183(7), 622-33.
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  The relationship between various diet quality indices and risk of type 2 diabetes (T2D) remains unsettled. We compared associations of 4 diet quality indices--the Alternate Mediterranean Diet Index, Healthy Eating Index 2010, Alternate Healthy Eating Index 2010, and the Dietary Approaches to Stop Hypertension (DASH) Index--with reported T2D in the Women's Health Initiative, overall, by race/ethnicity, and with/without adjustment for overweight/obesity at enrollment (a potential mediator). This cohort (n = 101,504) included postmenopausal women without T2D who completed a baseline food frequency questionnaire from which the 4 diet quality index scores were derived. Higher scores on the indices indicated a better diet. Cox regression was used to estimate multivariate hazard ratios for T2D. Pearson coefficients for correlation among the indices ranged from 0.55 to 0.74. Follow-up took place from 1993 to 2013. During a median 15 years of follow-up, 10,815 incident cases of T2D occurred. For each diet quality index, a 1-standard-deviation higher score was associated with 10%-14% lower T2D risk (P < 0.001). Adjusting for overweight/obesity at enrollment attenuated but did not eliminate associations to 5%-10% lower risk per 1-standard-deviation higher score (P < 0.001). For all 4 dietary indices examined, higher scores were inversely associated with T2D overall and across racial/ethnic groups. Multiple forms of a healthful diet were inversely associated with T2D in these postmenopausal women.
• Giacobbi, P., Hingle, M., Johnson, T., Cunningham, J. K., Armin, J., & Gordon, J. S. (2016). See Me Smoke-Free: Protocol for a Research Study to Develop and Test the Feasibility of an mHealth App for Women to Address Smoking, Diet, and Physical Activity. JMIR research protocols, 5(1), e12.
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  This paper presents the protocol for an ongoing research study to develop and test the feasibility of a multi-behavioral mHealth app. Approximately 27 million women smoke in the US, and more than 180,000 women die of illnesses linked to smoking annually. Women report greater difficulties quitting smoking. Concerns about weight gain, negative body image, and low self-efficacy may be key factors affecting smoking cessation among women. Recent studies suggest that a multi-behavioral approach, including diet and physical activity, may be more effective at helping women quit. Guided imagery has been successfully used to address body image concerns and self-efficacy in our 3 target behaviors-exercise, diet and smoking cessation. However, it has not been used simultaneously for smoking, diet, and exercise behavior in a single intervention. While imagery is an effective therapeutic tool for behavior change, the mode of delivery has generally been in person, which limits reach. mHealth apps delivered via smart phones offer a unique channel through which to distribute imagery-based interventions.
• Greenblatt, Y., Gomez, S., Alleman, G., Rico, K., McDonald, D. A., & Hingle, M. (2016). Optimizing Nutrition Education in WIC: Findings From Focus Groups With Arizona Clients and Staff. Journal of nutrition education and behavior, 48(4), 289-294.e1.
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  To understand staff and clients' experiences with delivering and receiving nutrition education in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
• Hingle, M. D., & Serio, T. (2016). The Unintended Consequences of Pursuing Academic Freedom and What We Can Do to Ensure, Protect, and Promote the Sharing of Diverse Perspectives. Chronicle of Higher Education.
• Hingle, M. D., Kandiah, J., & Maggi, A. (2016). Practice Paper of the Academy of Nutrition and Dietetics: Selecting Nutrient-Dense Foods for Good Health. Journal of the Academy of Nutrition and Dietetics, 116(9), 1473-9.
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  The 2015 Dietary Guidelines for Americans encourage selection of nutrient-dense foods for health promotion and disease prevention and management. The purpose of this Academy of Nutrition and Dietetics practice paper is to provide an update regarding the science and practice of nutrient-dense food identification and selection. Characterization of tools used to identify nutrient density of foods is provided and recommendations for how registered dietitian nutritionists and nutrition and dietetics technicians, registered, might use available profiling tools to help consumers select nutrient-dense foods is discussed.
• Hingle, M., & Patrick, H. (2016). There Are Thousands of Apps for That: Navigating Mobile Technology for Nutrition Education and Behavior. Journal of nutrition education and behavior, 48(3), 213-8.e1.
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  Mobile health (mHealth) is an emerging field devoted to the use of mobile and wireless devices to affect health outcomes, health care services, and health research. Despite great promise, little research has examined its effectiveness. It is the authors' view that the full potential of mHealth has yet to be realized in research and practice. This Perspective article explores when and for whom mHealth approaches are effective, strengths and limitations of commercially and academically generated apps, research design considerations, and public-private partnerships. These topics have implications for researchers and practitioners who wish to advance the science and practice of mHealth.
• Hingle, M., Nichter, M., Medeiros, M., & Grace, S. (2016). Texting for health: the use of participatory methods to develop healthy lifestyle messages for teens. Journal of nutrition education and behavior, 45(1), 12-9.
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  To develop and test messages and a mobile phone delivery protocol designed to influence the nutrition and physical activity knowledge, attitudes, and behavior of adolescents.
• Thomson, C. A., Garcia, D. O., Caire, G., Wertheim, B., Hingle, M. D., Bea, J. W., Sims, S., Bell, C., Johnson, K., Vitolins, M., Lewis, E., Zaslavsky, O., Rohan, T., & Thompson, P. (2016). Body Shape, Adiposity Index and Mortality in Post-menopausal Women: Findings from the Women’s Health Initiative. Obesity (Silver Spring). doi:10.1002/oby.21461
• Thomson, C. A., Garcia, D. O., Wertheim, B. C., Hingle, M. D., Bea, J. W., Zaslavsky, O., Caire-Juvera, G., Rohan, T., Vitolins, M. Z., Thompson, P. A., & Lewis, C. E. (2016). Body shape, adiposity index, and mortality in postmenopausal women: Findings from the Women's Health Initiative. Obesity (Silver Spring, Md.), 24(5), 1061-9.
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  Studies evaluating the relationship between body mass index (BMI) and mortality demonstrate a U-shaped association. To expand, this study evaluated the relationship between adiposity indices, a body shape index (ABSI) and body adiposity index (BAI), and mortality in 77,505 postmenopausal women.
• Vandelanotte, C., Müller, A. M., Short, C. E., Hingle, M., Nathan, N., Williams, S. L., Lopez, M. L., Parekh, S., & Maher, C. A. (2016). Past, Present, and Future of eHealth and mHealth Research to Improve Physical Activity and Dietary Behaviors. Journal of nutrition education and behavior, 48(3), 219-228.e1.
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  Because physical inactivity and unhealthy diets are highly prevalent, there is a need for cost-effective interventions that can reach large populations. Electronic health (eHealth) and mobile health (mHealth) solutions have shown promising outcomes and have expanded rapidly in the past decade. The purpose of this report is to provide an overview of the state of the evidence for the use of eHealth and mHealth in improving physical activity and nutrition behaviors in general and special populations. The role of theory in eHealth and mHealth interventions is addressed, as are methodological issues. Key recommendations for future research in the field of eHealth and mHealth are provided.
• Diep, C. S., Hingle, M., Chen, T., Dadabhoy, H. R., Beltran, A., Baranowski, J., Subar, A. F., & Baranowski, T. (2015). The Automated Self-Administered 24-Hour Dietary Recall for Children, 2012 Version, for Youth Aged 9 to 11 Years: A Validation Study. Journal of the Academy of Nutrition and Dietetics, 115(10), 1591-8.
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  Valid methods of diet assessment are important for nutrition research and practice, but can be difficult with children.
• Hingle, M. D. (2015). Next time you’re searching for something to eat, shop your refrigerator first. The Hill (Congressional Blog).
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  This Op-Ed was written as part of my participation in the Public Voices Op-Ed Fellowship Project
• Hingle, M. D., Castonguay, J. S., Ambuel, D. A., Smith, R. M., & Kunkel, D. (2015). Alignment of Children's Food Advertising With Proposed Federal Guidelines. American journal of preventive medicine, 48(6), 707-13.
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  It is well established that children are exposed to food marketing promoting calorically dense, low-nutrient products. Reducing exposure to obesogenic marketing presents an opportunity to improve children's health. The purpose of this study was to determine the extent to which televised food advertising practices targeting children (aged ≤12 years) were consistent with guidelines proposed by a coalition of federal authorities known as the Interagency Working Group on Foods Marketed to Children (IWG).
• Hingle, M. D., Turner, T., Kutob, R., Merchant, N., Roe, D. J., Stump, C., & Going, S. B. (2015). The EPIC Kids Study: a randomized family-focused YMCA-based intervention to prevent type 2 diabetes in at-risk youth. BMC public health, 15(1), 1253.
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  It is well established that behavioral lifestyle interventions resulting in modest weight reduction in adults can prevent or delay type 2 diabetes mellitus; however in children, successful weight management interventions are rarely found outside of controlled clinical settings. The lack of effective community-based programs is a barrier to reducing obesity prevalence and diabetes risk in children. The objective of our study is to develop and test a group-randomized family-centered community-based type 2 diabetes prevention intervention targeting at-risk children, 9- to 12-years-old.
• Tabung, F. K., Steck, S. E., Zhang, J., Ma, Y., Liese, A. D., Agalliu, I., Hingle, M., Hou, L., Hurley, T. G., Jiao, L., Martin, L. W., Millen, A. E., Park, H. L., Rosal, M. C., Shikany, J. M., Shivappa, N., Ockene, J. K., & Hebert, J. R. (2015). Construct validation of the dietary inflammatory index among postmenopausal women. Annals of epidemiology, 25(6), 398-405.
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  Many dietary factors have either proinflammatory or anti-inflammatory properties. We previously developed a dietary inflammatory index (DII) to assess the inflammatory potential of diet. In this study, we conducted a construct validation of the DII based on data from a food frequency questionnaire and three inflammatory biomarkers in a subsample of 2567 postmenopausal women in the Women's Health Initiative Observational Study.
• Turner, T., Spruijt-Metz, D., Wen, C. K., & Hingle, M. D. (2015). Prevention and treatment of pediatric obesity using mobile and wireless technologies: a systematic review. Pediatric obesity.
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  Mobile health (mHealth) is a relatively nascent field, with a variety of technologies being explored and developed. Because of the explosive growth in this field, it is of interest to examine the design, development and efficacy of various interventions as research becomes available. This systematic review examines current use of mHealth technologies in the prevention or treatment of pediatric obesity to catalogue the types of technologies utilized and the impact of mHealth to improve obesity-related outcomes in youth. Of the 4021 articles that were identified, 41 articles met inclusion criteria. Seventeen intervention studies incorporated mHealth as the primary or supplementary treatment. The remaining articles were in the beginning stages of research development and most often described moderate-to-high usability, feasibility and acceptability. Although few effects were observed on outcomes such as body mass index, increases in physical activity, self-reported breakfast and fruit and vegetable consumption, adherence to treatment, and self-monitoring were observed. Findings from this review suggest that mHealth approaches are feasible and acceptable tools in the prevention and treatment of pediatric obesity. The large heterogeneity in research designs highlights the need for more agile scientific processes that can keep up with the speed of technology development.
• Zaslavsky, O., Palgi, Y., Rillamas-Sun, E., LaCroix, A. Z., Schnall, E., Woods, N. F., Cochrane, B. B., Garcia, L., Hingle, M., Post, S., Seguin, R., Tindle, H., & Shrira, A. (2015). Dispositional optimism and terminal decline in global quality of life. Developmental psychology, 51(6), 856-63.
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  We examined whether dispositional optimism relates to change in global quality of life (QOL) as a function of either chronological age or years to impending death. We used a sample of 2,096 deceased postmenopausal women from the Women's Health Initiative clinical trials who were enrolled in the 2005-2010 Extension Study and for whom at least 1 global QOL and optimism measure were analyzed. Growth curve models were examined. Competing models were contrasted using model fit criteria. On average, levels of global QOL decreased with both higher age and closer proximity to death (e.g., M(score) = 7.7 eight years prior to death vs. M(score) = 6.1 one year prior to death). A decline in global QOL was better modeled as a function of distance to death (DtD) than as a function of chronological age (Bayesian information criterion [BIC](DtD) = 22,964.8 vs. BIC(age) = 23,322.6). Optimism was a significant correlate of both linear (estimate(DtD) = -0.01, SE(DtD) = 0.005; ρ = 0.004) and quadratic (estimate(DtD) = -0.006, SE(DtD) = 0.002; ρ = 0.004) terminal decline in global QOL so that death-related decline in global QOL was steeper among those with a high level of optimism than those with a low level of optimism. We found that dispositional optimism helps to maintain positive psychological perspective in the face of age-related decline. Optimists maintain higher QOL compared with pessimists when death-related trajectories were considered; however, the gap between those with high optimism and those with low optimism progressively attenuated with closer proximity to death, to the point that is became nonsignificant at the time of death.
• Goodman, D., Park, H. L., Stefanick, M., Hingle, M., Lamonte, M., LeBlanc, E., Johnson, K., Desai, M., & Anton-Culver, H. (2014). Self-recalled Youth Physical Activity and Postmenopausal Cardiovascular Disease. Health behavior and policy review, 1(6), 472-483.
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  To evaluate the association between childhood physical activity and incident cardiovascular disease (CVD) during postmenopausal years.
• Hingle, M. D., Fried, D., Kobourov, S., & Surdeanu, M. (2014). Analyzing the language of food on social media.. IEEE International Congress on BigData’14, arXiv:1409.2195 [cs.CL].
• Hingle, M. D., Hongu, N. K., Going, S. B., Merchant, N., Roe, D., Greenblatt, Y., & Houtkooper, L. (2014). Tech Savvy: Mobile Technologies for Promoting Health & Physical Activity.. American College of Sports Medicine's Health & Fitness Journal, 18(4), 8-15.
• Hingle, M. D., Snyder, A. L., McKenzie, N. E., Thomson, C. A., Logan, R. A., Ellison, E. A., Koch, S. M., & Harris, R. B. (2014). Effects of a short messaging service-based skin cancer prevention campaign in adolescents. American journal of preventive medicine, 47(5), 617-23.
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  Skin cancer prevention emphasizes early adoption and practice of sun protection behaviors. Adolescence represents a high-risk period for ultraviolet radiation exposure, presenting an opportunity for intervention. The ubiquity of mobile phones among teens offers an engaging medium through which to communicate prevention messages.
• Hingle, M. D., Wertheim, B. C., Tindle, H. A., Tinker, L., Seguin, R. A., Rosal, M. C., & Thomson, C. A. (2014). Optimism and diet quality in the Women's Health Initiative. Journal of the Academy of Nutrition and Dietetics, 114(7), 1036-45.
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  Diet quality has not been well studied in relation to positive psychological traits. Our purpose was to investigate the relationship between optimism and diet quality in postmenopausal women enrolled in the Women's Health Initiative observational study (OS) and clinical trials (CTs), and to determine whether optimism was associated with diet change after a 1-year dietary intervention. Diet quality was scored with the Alternate Healthy Eating Index (AHEI) and optimism assessed with the Life Orientation Test-Revised. Baseline characteristics were compared across AHEI quintiles or optimism tertiles using regression models with each variable of interest as a function of quintiles or tertiles (OS, n=87,630; CT, n=65,360). Association between optimism and baseline AHEI and change in AHEI over 1 year were tested using multivariate linear regression (CT, n=13,645). Potential interaction between optimism and trial arm and demographic/lifestyle factors on AHEI change was tested using likelihood ratio test (CT intervention, n=13,645; CT control, n=20,242). Women reporting high AHEI were non-Hispanic white, educated, physically active, past or never smokers, hormone therapy users, had lower body mass index and waist circumference, and were less likely to have chronic conditions. In the CT intervention, higher optimism was associated with higher AHEI at baseline and with greater change over 1 year (P=0.001). Effect modification by intervention status was observed (P=0.014), whereas control participants with highest optimism achieved threefold greater AHEI increase compared with those with the lowest optimism. These data support a relationship between optimism and dietary quality score in postmenopausal women at baseline and over 1 year.
• Manini, T. M., Lamonte, M. J., Seguin, R. A., Manson, J. E., Hingle, M., Garcia, L., Stefanick, M. L., Rodriguez, B., Sims, S., Song, Y., & Limacher, M. (2014). Modifying effect of obesity on the association between sitting and incident diabetes in post-menopausal women. Obesity (Silver Spring, Md.), 22(4), 1133-41.
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  To evaluate the association between self-reported daily sitting time and the incidence of type 2 diabetes in a cohort of postmenopausal women.
• Manini, T. M., Lamonte, M. J., Seguin, R. A., Manson, J. E., Hingle, M., Garcia, L., Stefanick, M. L., Rodriguez, B., Sims, S., Song, Y., & Limacher, M. (2014). Modifying effect of obesity on the association between sitting and incident diabetes in post-menopausal women. Obesity, 22(4), 1133-1141.
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  Abstract: Objective To evaluate the association between self-reported daily sitting time and the incidence of type 2 diabetes in a cohort of postmenopausal women. Methods Women (N=88,829) without diagnosed diabetes reported the number of hours spent sitting over a typical day. Incident cases of diabetes were identified annually by self-reported initiation of using oral medications or insulin for diabetes > 14.4 years follow-up. Results Each hour of sitting time was positively associated with increased risk of diabetes [risk ratio (RR): 1.05; 95% confidence interval (CI): 1.02-1.08]. However, sitting time was only positively associated with incident diabetes in obese women. Obese women reporting sitting 8-11 (RR: 1.08; 95% CI 1.0-1.1), 12-15 (OR: 1.13; 95% CI 1.0-1.2), and ≥16 hours (OR: 1.25; 95% CI 1.0-1.5) hours per day had an increased risk of diabetes compared to women sitting ≤7 hours per day. These associations were adjusted for demographics, health conditions, behaviors (smoking, diet, and alcohol intake), and family history of diabetes. Time performing moderate to vigorous intensity physical activity did not modify these associations. Conclusions Time spent sitting was independently associated with increased risk of diabetes diagnosis among obese women - a population already at high risk of the disease. Copyright © 2013 The Obesity Society.
• Shrira, A., Zaslavsky, O., LaCroix, A. Z., Seguin, R., Post, S., Tindle, H., Hingle, M., Woods, N., Cochrane, B., Garcia, L., Schnall, E., Rillamas-Sun, E., & Palgi, Y. (2014). Global quality of life modifies terminal change in physical functioning among older adult women. Age and ageing.
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  the factors that moderate decline in physical functioning as death approaches are understudied. This study aimed to assess death-related decline in global quality of life (QoL) and physical functioning and to test whether baseline QoL moderates terminal decline in physical functioning.
• Baranowski, M. T., Adamo, P. K., Hingle, M., Maddison, R., Maloney, A., Simons, M., & Staiano, A. (2013). Gaming, Adiposity, and Obesogenic Behaviors Among Children. Games for health journal, 2(3), 119-26.
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  Videogames in general have been maligned for causing obesity because of their inherent sedentariness, whereas exergames have been both maligned for requiring low levels of activity and extolled for requiring physical activity to move game play along. The intensity and duration of physical activity resulting from exergame play have shown varying results, and they have been explored for use in obesity treatment and prevention, primarily among children. Other videogames have been developed and tested to help children change their diet and physical activity practices with various outcomes. As a field of inquiry, we are in the earliest stages of understanding how, or under what circumstances, videogames can influence all these behavioral and health outcomes. To deal with these complexities, we have assembled a group of investigators who have made important, but diverse, contributions to this research agenda and asked them to address five key child obesity-related issues in a Roundtable format. Brief biosketches are presented at the end of this article.
• Hingle, M., Nichter, M., Medeiros, M., & Grace, S. (2013). Texting for Health: The Use of Participatory Methods to Develop Healthy Lifestyle Messages for Teens. Journal of Nutrition Education and Behavior, 45(1), 12-19.
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  PMID: 23103255;Abstract: Objective: To develop and test messages and a mobile phone delivery protocol designed to influence the nutrition and physical activity knowledge, attitudes, and behavior of adolescents. Design: Nine focus groups, 4 classroom discussions, and an 8-week pilot study exploring message content, format, origin, and message delivery were conducted over 12 months using a multistage, youth-participatory approach. Setting: Youth programs at 11 locations in Arizona. Participants: Recruitment was coordinated through youth educators and leaders. Eligible teens were 12-18 years old and enrolled in youth programs between fall 2009 and 2010. Phenomenon of Interest: Adolescent preferences for messages and delivery of messages. Analysis: Qualitative data analysis procedures to generate themes from field notes. Results: One hundred seventy-seven adolescents participated in focus groups (n = 59), discussions (n = 86), and a pilot study (n = 32). Youth preferred messages with an active voice that referenced teens and recommended specific, achievable behaviors; messages should come from nutrition professionals delivered as a text message, at a frequency of ≤ 2 messages/day. Conclusions and Implications: More than 300 messages and a delivery protocol were successfully developed and tested in partnership with adolescents. Future research should address scalability of texting interventions; explore dose associated with changes in knowledge, attitudes, and behaviors; and offer customized message subscription options. © 2013 Society for Nutrition Education and Behavior.
• Hingle, M., Yoon, D., Fowler, J., Kobourov, S., Schneider, M. L., Falk, D., & Burd, R. (2013). Collection and visualization of dietary behavior and reasons for eating using Twitter. Journal of medical Internet research, 15(6).
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  Increasing an individual's awareness and understanding of their dietary habits and reasons for eating may help facilitate positive dietary changes. Mobile technologies allow individuals to record diet-related behavior in real time from any location; however, the most popular software applications lack empirical evidence supporting their efficacy as health promotion tools.
• Lohman, T. G., Hingle, M., & Going, S. B. (2013). Body composition in children. Pediatric Exercise Science, 25(4), 573-590.
• Lohman, T. G., Hingle, M., & Going, S. B. (2013). Body composition in children. Pediatric exercise science, 25(4), 573-90.
• O'Connor, T. M., Hingle, M., Chuang, R., Gorely, T., Hinkley, T., Jago, R., Lanigan, J., Pearson, N., & Thompson, D. A. (2013). Conceptual understanding of screen media parenting: Report of a working group. Childhood Obesity, 9(SUPPL.1), S110-S118.
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  PMID: 23944919;PMCID: PMC3746292;Abstract: Screen media (television, computers, and videogames) use has been linked to multiple child outcomes, including obesity. Parents can be an important influence on children's screen use. There has been an increase in the number of instruments available to assess parenting in feeding and physical activity contexts, however few measures are available to assess parenting practices regarding children's screen media use. A working group of screen media and parenting researchers convened at the preconference workshop to the 2012 International Society for Behavioral Nutrition and Physical Activity (ISBNPA) annual meeting, "Parenting Measurement: Current Status and Consensus Reports," to identify and prioritize issues in assessing screen media parenting practices. The group identified that screen media use can pose different risks for children, depending on their age and developmental stage, across physiologic, psychosocial, and development outcomes. With that in mind, a conceptual framework of how parents may influence their child's screen-viewing behaviors was proposed to include the screen media content, context of viewing, and amount viewed. A research agenda was proposed to prioritize a validation of the framework and enhance the ability of researchers to best assess parenting influences across the three domains of content, context and amount of children's screen media use. © Mary Ann Liebert, Inc.
• O'Connor, T. M., Hingle, M., Chuang, R., Gorely, T., Hinkley, T., Jago, R., Lanigan, J., Pearson, N., & Thompson, D. A. (2013). Conceptual understanding of screen media parenting: report of a working group. Childhood obesity (Print), 9 Suppl, S110-8.
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  Screen media (television, computers, and videogames) use has been linked to multiple child outcomes, including obesity. Parents can be an important influence on children's screen use. There has been an increase in the number of instruments available to assess parenting in feeding and physical activity contexts, however few measures are available to assess parenting practices regarding children's screen media use. A working group of screen media and parenting researchers convened at the preconference workshop to the 2012 International Society for Behavioral Nutrition and Physical Activity (ISBNPA) annual meeting, "Parenting Measurement: Current Status and Consensus Reports," to identify and prioritize issues in assessing screen media parenting practices. The group identified that screen media use can pose different risks for children, depending on their age and developmental stage, across physiologic, psychosocial, and development outcomes. With that in mind, a conceptual framework of how parents may influence their child's screen-viewing behaviors was proposed to include the screen media content, context of viewing, and amount viewed. A research agenda was proposed to prioritize a validation of the framework and enhance the ability of researchers to best assess parenting influences across the three domains of content, context and amount of children's screen media use.
• Qiao, Y., Tinker, L., Olendzki, B. C., Hébert, J. R., Balasubramanian, R., Rosal, M. C., Hingle, M., Song, Y., Schneider, K. L., Liu, S., Sims, S., Ockene, J. K., Sepavich, D. M., Shikany, J. M., Persuitte, G., & Ma, Y. (2013). Racial/ethnic disparities in association between dietary quality and incident diabetes in postmenopausal women in the United States: the Women's Health Initiative 1993-2005. Ethnicity & health.
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  Objective. To examine the association of dietary quality and risk of incident diabetes overall and by race/ethnicity among postmenopausal women enrolled in the Women's Health Initiative (WHI). Research methods and procedures. The WHI recruited 161,808 postmenopausal women between 1993 and 1998, and followed them until 2005. Incident diabetes was determined annually over an average of 7.6 years from enrollment. At baseline, all participants completed a Food Frequency Questionnaire (FFQ). Dietary quality was assessed by the Alternate Healthy Eating Index (AHEI), calculated from the baseline FFQ responses. Results. There were 10,307 incident cases of self-reported treated diabetes over 1,172,761 person-years of follow-up. Most participants did not meet the AHEI dietary goals; that is, only 0.1% of women met or exceeded the recommended consumption of vegetables, and few (17.3%) met or exceeded the recommended level for total fiber. After adjusting for potential confounders, women in the highest quintile of the AHEI score were 24% less likely to develop diabetes relative to women in the lowest quintile of AHEI [hazard ratio (HR) = 0.76 (95% CI: 0.70-0.82)]. This association was observed in Whites [HR = 0.74 (95% CI: 0.68-0.82)] and Hispanics [HR = 0.68 (95% CI: 0.46-0.99)], but not in Blacks [HR = 0.85 (95% CI: 0.69-1.05)] or Asians [HR = 0.88 (95% CI: 0.57-1.38)]. Conclusion. These findings support a protective role of healthful eating choices in reducing the risk of developing diabetes, after adjusting for other lifestyle factors, in White and Hispanic postmenopausal women. Future studies are needed to investigate the relationship between dietary quality and risk of diabetes among Blacks and Asians in relationship to other lifestyle factors.
• Qiao, Y., Tinker, L., Olendzki, B. C., Hébert, J. R., Balasubramanian, R., Rosal, M. C., Hingle, M., Song, Y., Schneider, K. L., Liu, S., Sims, S., Ockene, J. K., Sepavich, D. M., Shikany, J. M., Persuitte, G., & Yunsheng, M. a. (2013). Racial/ethnic disparities in association between dietary quality and incident diabetes in postmenopausal women in the United States: the Women's Health Initiative 1993-2005. Ethnicity and Health.
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  Abstract: Objective. To examine the association of dietary quality and risk of incident diabetes overall and by race/ethnicity among postmenopausal women enrolled in the Women's Health Initiative (WHI). Research methods and procedures. The WHI recruited 161,808 postmenopausal women between 1993 and 1998, and followed them until 2005. Incident diabetes was determined annually over an average of 7.6 years from enrollment. At baseline, all participants completed a Food Frequency Questionnaire (FFQ). Dietary quality was assessed by the Alternate Healthy Eating Index (AHEI), calculated from the baseline FFQ responses. Results. There were 10,307 incident cases of self-reported treated diabetes over 1,172,761 person-years of follow-up. Most participants did not meet the AHEI dietary goals; that is, only 0.1% of women met or exceeded the recommended consumption of vegetables, and few (17.3%) met or exceeded the recommended level for total fiber. After adjusting for potential confounders, women in the highest quintile of the AHEI score were 24% less likely to develop diabetes relative to women in the lowest quintile of AHEI [hazard ratio (HR) = 0.76 (95% CI: 0.70-0.82)]. This association was observed in Whites [HR = 0.74 (95% CI: 0.68-0.82)] and Hispanics [HR = 0.68 (95% CI: 0.46-0.99)], but not in Blacks [HR = 0.85 (95% CI: 0.69-1.05)] or Asians [HR = 0.88 (95% CI: 0.57-1.38)]. Conclusion. These findings support a protective role of healthful eating choices in reducing the risk of developing diabetes, after adjusting for other lifestyle factors, in White and Hispanic postmenopausal women. Future studies are needed to investigate the relationship between dietary quality and risk of diabetes among Blacks and Asians in relationship to other lifestyle factors. © 2013 Copyright Taylor and Francis Group, LLC.
• Hingle, M. D., Hingle, M., & Kunkel, D. (2012). Childhood obesity and the media. Pediatric Clinics of North America, 59(3), 677-692.
• Hingle, M., & Kunkel, D. (2012). Childhood obesity and the media. Pediatric clinics of North America, 59(3), 677-92, ix.
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  This article assesses the role played by media in contributing to the current epidemic of childhood obesity. Electronic media use, often referred to as screen time, is significantly correlated with child adiposity. Although the causal mechanism that accounts for this relationship is unclear, it is well established that reducing screen time improves weight status. Media advertising for unhealthy foods contributes to obesity by influencing children's food preferences, requests, and diet. Industry efforts have failed to improve the nutritional quality of foods marketed on television to children, leading public health advocates to recommend government restrictions on child-targeted advertisements for unhealthy foods.
• Thomson, C. A., Wertheim, B. C., Hingle, M., Wang, L., Neuhouser, M. L., Gong, Z., Garcia, L., Stefanick, M. L., & Manson, J. E. (2012). Alcohol consumption and body weight change in postmenopausal women: results from the Women's Health Initiative. International journal of obesity (2005), 36(9), 1158-64.
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  To determine whether alcohol consumption is associated with incident overweight or obesity in normal-weight, postmenopausal women.
• Beltran, A., Hingle, M. D., Knesek, J., O'Connor, T., Baranowski, J., Thompson, D., & Baranowski, T. (2011). Identifying and clarifying values and reason statements that promote effective food parenting practices, using intensive interviews. Journal of Nutrition Education and Behavior, 43(6), 531-535.
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  PMID: 22078775;PMCID: PMC3215937;Abstract: Objective: Generate and test parents' understanding of values and associated reason statements to encourage effective food parenting practices. Methods: This study was cross-sectional. Sixteen parents from different ethnic groups (African American, white, and Hispanic) living with their 3- to 5-year-old child were recruited. Interested parents were directed to a Web site, where they provided screening information and informed consent. Two types of telephone interviews were used: semistructured intensive interviews and cognitive interviews. Results: The most common core values identified in the semistructured interview were religion/spirituality, family, and health, which appeared invariant across parent ethnicity. Parent responses to cognitive interviews enabled rephrasing of statements that were not well understood, the list of values was increased, and reason statements were added to cover the spectrum cited by parents. Conclusions and Implications: Values and reason statements will be used to tailor intrinsic motivational messages for effective food parenting practices. © 2011 Society for Nutrition Education and Behavior.
• Hingle, M. D., Beltran, A., Hingle, M., Knesek, J., T, O. C., Thompson, D., Baranowski, J., & Baranowski, T. (2011). Identifying and clarifying values and reasons statements that promote effective food parenting practices, using intensive interviews.. Journal of Nutrition Education and Behavior, 1-5.
• Hingle, M. D., Hongu, N. K., Hingle, M., Merchant, N., & Thomson, C. (2011). Dietary Assessment Tools Using Mobile Technology.. Topics in Clinical Nutrition, 26(4).
• Hingle, M. D., Laddu, D., Dow, C., Hingle, M., Thomson, C., & Going, S. (2011). A Review of evidence-based strategies to treat obesity in adults.. Nutrition in Clinical Practice, 26(5), 512-525.
• Hongu, N., Hingle, M. D., Merchant, N. C., Orr, B. J., Going, S. B., Mosqueda, M. I., & Thomson, C. A. (2011). Dietary assessment tools using mobile technology. Topics in Clinical Nutrition, 26(4), 300-311.
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  Abstract: Recent advancements in technology in dietary assessment, specifically use of mobile phone and digital imaging of food, are promising areas in dietetics research and practice. Research continues to focus on refining and creating new assessment methods to evaluate food intake with higher degrees of accuracy. The purpose of this article is to introduce available dietary assessment tools for an individual's diet recording that could be considered for use in research and medical nutrition therapy using mobile technology. Challenges and opportunities for use in clinical studies and future directions of dietary assessment tools in practice are discussed. Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.
• Ledoux, T. A., Hingle, M. D., & Baranowski, T. (2011). Relationship of fruit and vegetable intake with adiposity: a systematic review. Obesity reviews : an official journal of the International Association for the Study of Obesity, 12(5), e143-50.
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  Fruit and vegetable (FV) intake has been proposed to protect against obesity. The purpose of this paper was to assess the FV consumption to adiposity relationship. Twenty-three publications were included.
• Hingle, M. D., O'Connor, T. M., Dave, J. M., & Baranowski, T. (2010). Parental involvement in interventions to improve child dietary intake: A systematic review. Preventive Medicine, 51(2), 103-111.
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  PMID: 20462509;PMCID: PMC2906688;Abstract: Objective: Interventions that aim to improve child dietary quality and reduce disease risk often involve parents. The most effective methods to engage parents remain unclear. A systematic review of interventions designed to change child and adolescent dietary behavior was conducted to answer whether parent involvement enhanced intervention effectiveness, and what type of involvement was most effective in achieving desired outcomes. Method: In 2008, Pub Med, Medline, Psych Info, and Cochrane Library databases were searched to identify programs designed to change child and adolescent dietary intake that also involved parents. Methods of parental involvement were categorized based on the type and intensity of parental involvement. These methods were compared against intervention design, dietary outcomes, and quality of reporting (evaluated using CONSORT checklist) for each study. Results: The literature search identified 1774 articles and 24 met review criteria. Four studies systematically evaluated parent involvement with inconsistent results. Indirect methods to engage parents were most commonly used, although direct approaches were more likely to result in positive outcomes. Four studies met > 70% of CONSORT items. Conclusion: Limited conclusions may be drawn regarding the best method to involve parents in changing child diet to promote health. However, direct methods show promise and warrant further research. © 2010 The Institute For Cancer Prevention.
• O'Connor, T., Watson, K., Hughes, S., Beltran, A., Hingle, M., Baranowski, J., Campbell, K., Canal, D. J., Bertha, A., Zacarías, I., González, D., Nicklas, T., & Baranowski, T. (2010). Health Professionals' and Dietetics Practitioners' Perceived Effectiveness of Fruit and Vegetable Parenting Practices across Six Countries. Journal of the American Dietetic Association, 110(7), 1065-1071.
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  PMID: 20630164;Abstract: Fruit and vegetable intake may reduce the risk of some chronic diseases. However, many children consume less-than-recommended amounts of fruit and vegetables. Because health professionals and dietetics practitioners often work with parents to increase children's fruit and vegetable intake, assessing their opinions about the effectiveness of parenting practices is an important step in understanding how to promote fruit and vegetable intake among preschool-aged children. Using a cross-sectional design, collaborators from six countries distributed an Internet survey to health and nutrition organization members. A self-selected sample reported their perceptions of the effectiveness of 39 parenting practices intended to promote fruit and vegetable consumption in preschool-aged children from May 18, 2008, to September 16, 2008. A total of 889 participants (55% United States, 22.6% Mexico, 10.9% Australia, 4.4% Spain, 3.3% Chile, 2.2% United Kingdom, and 1.6% other countries) completed the survey. The fruit and vegetable intake-related parenting practices items were categorized into three dimensions (structure, responsiveness, and control) based on a parenting theory conceptual framework and dichotomized as effective/ineffective based on professional perceptions. The theoretically derived factor structures for effective and ineffective parenting practices were evaluated using separate confirmatory factor analyses and demonstrated acceptable fit. Fruit and vegetable intake-related parenting practices that provide external control were perceived as ineffective or counterproductive, whereas fruit and vegetable intake-related parenting practices that provided structure, nondirective control, and were responsive were perceived as effective in getting preschool-aged children to consume fruit and vegetables. Future research needs to develop and validate a parent-reported measure of these fruit and vegetable intake-related parenting practices and to empirically evaluate the effect of parental use of the parenting practices on child fruit and vegetable consumption. © 2010 American Dietetic Association.
• Elder, J. P., Shuler, L., Moe, S. G., Grieser, M., Pratt, C., Cameron, S., Hingle, M., Pickrel, J. L., Saksvig, B. I., Schachter, K., Greer, S., & K., E. (2008). Recruiting a diverse group of middle school girls into the trial of activity for adolescent girls. Journal of School Health, 78(10), 523-531.
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  PMID: 18808471;PMCID: PMC2764409;Abstract: Background: School-based study recruitment efforts are both time consuming and challenging. This paper highlights the recruitment strategies employed by the national, multisite Trial of Activity for Adolescent Girls (TAAG), a study designed to measure the effectiveness of an intervention to reduce the decline of physical activity levels among middle school-aged girls. TAAG provided a unique opportunity to recruit large cohorts of randomly sampled girls within 36 diverse middle schools across the United States. Methods: Key elements of the formative planning, coordination, and design of TAAG's recruitment efforts included flexibility, tailoring, and the use of incentives. Various barriers, including a natural disaster, political tension, and district regulations, were encountered throughout the recruitment process, but coordinated strategies and frequent communication between the 6 TAAG sites were helpful in tailoring the recruitment process at the 36 intervention and control schools. Results: Progressively refined recruitment strategies and specific attention to the target audience of middle school girls resulted in overall study recruitment rates of 80%, 85%, and 89%, for the baseline, posttest, and follow-up period, respectively. Discussion: The steady increase in recruitment rates over time is attributed to an emphasis on successful strategies and a willingness to modify less successful methods. Open and consistent communication, an increasingly coordinated recruitment strategy, interactive recruitment presentations, and participant incentives resulted in an effective recruitment campaign. © 2008, American School Health Association.

Proceedings Publications

• Ussery, C., Ussery, C., Hingle, M. D., Going, S. B., Going, S. B., Merchant, N. C., Roe, D., Roe, D., Stump, C. S., Kutob, R. M., Kutob, R. M., Kutob, R. M., Stump, C. S., Stump, C. S., Roe, D., Merchant, N. C., Merchant, N. C., Going, S. B., Ussery, C., , Hingle, M. D., et al. (2016, April 6). Metabolic Risk Factor Prevalence in Children Participating in a Family-Based Community Diabetes Prevention Program. In Experimental Biology Conference.

Presentations

• Hingle, M. D. (2023, April). University of Arizona Multicultural Scholars in Culinary Medicine. USDA National Institute for Food and Agriculture. Combined Project Director Meeting.. virtual: United States Department of Agriculture.
• Hingle, M. D. (2023, June). Prioritizing Nutrition Security, Health Equity & Wellbeing Among Arizona Families and Communities. Invited Seminar. University of Arizona: University of Arizona Mel and Enid Zuckerman College of Public Health.
• Hingle, M. D. (2023, March). Harnessing the Power of Food as Medicine. University of Arizona College of Medicine Research Day. University of Arizona: College of Medicine.
• Hingle, M. D. (2023, May). Harnessing the Power of Food as Medicine Across Arizona. Arizona Academy of Nutrition and Dietetics Annual Meeting. Tucson, Arizona: AzAND.
• Hingle, M. D. (2023, May). Harnessing the Power of Food as Medicine. Arizona Arthritis Center’s Healthy Living Series. Tucson, Arizona: University of Arizona Arthritis Center.
• Hingle, M. D. (2023, September). Harnessing the Power of Food as Medicine: The Food and Resources Expanded to Support Health (FRESH) Study. University of Texas - Austin. Austin, TX: University of Texas - Austin.
• Hingle, M. D., Turner-McGrievy, B., Gardner, C., & Harwatt, H. (2020, April). How behavioral science can play a role in the interconnection between diet and climate change. Society of Behavioral Medicine Annual Meeting. San Francisco, CA: Society of Behavioral Medicine.
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  Symposium.
• Ratje, J., & Hingle, M. D. (2023, May). The Art of Working with Faculty: Communication, Translation, and Collaboration. Western Association for College and University Business Officers. Phoenix, Arizona: WACUBO.
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  Breakout session / workshop.
• Hingle, M. D., Yaroch, A., Parks, C. A., & Shanks, C. B. (2020, June). Addressing Food Insecurity Across the United States: Innovative Policy, System, and Environment Solutions for an Age-Old Problem. International Society for Behavioral Nutrition & Physical Activity Annual Meeting. Auckland, NZ: International Society for Behavioral Nutrition & Physical Activity.
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  Symposium
• Short, E., Serrano, G., Saboda, K., Roe, D., Blew, R. M., & Hingle, M. D. (2021, June). Correlation Between Mother and Child Diet Quality Differs by Food Security Status. International Society for Behavioral Nutrition and Physical Activity. virtual due to COVID19: International Society for Behavioral Nutrition and Physical Activity.
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  Short E*, Serrano GA*, Saboda K, Roe DJ, Blew RM, Hingle MD. Correlation Between Mother and Child Diet Quality Differs by Food Security Status. Presented at International Society for Behavioral Nutrition and Physical Activity (ISBNPA) XChange 2021 [virtual due to COVID19]
• Hingle, M. D. (2019, April). Developing a Model of Type 2 Diabetes Care in Food Insecure Populations: the FRESH-2 Study. University of Arizona Udall Center for Studies in Public Policy. University of Arizona: University of Arizona Udall Center for Studies in Public Policy.
• Hingle, M. D. (2019, March). Are You What You Eat (and How Do You Know?). Charter 100. Tucson, Arizona: Charter 100.
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  Host: Allison Vaillancourt
• Hingle, M. D. (2019, October). Healthy Living During the Postdoc Years. University of Arizona Postdoc Talk - Learn, Connect, Advance Brownbag Series. Graduate Center: University of Arizona Graduate Center.
• Hingle, M. D. (2019, September). Wearables and Invisibles: The Role of Devices and Apps in Health Behavior Change. University of Arizona Healthy Campus Summit. Campus Health: Campus Health.
• Hingle, M. D., & Davenport, M. (2019, November). Closing the College Hunger Gap: Activation and Activism at the University of Arizona. University of Arizona Nutrition Navigators and Campus Health. Campus Health: Department of Nutritional Sciences and Campus Health.
• Hingle, M. D., Short, C., Palmeira, A., Marques, M., & Patrick, H. (2019, June). Defining Success in Digital Health Behavior Solutions: Academic vs Industry Perspectives. International Society for Behavioral Nutrition and Physical Activity Annual Meeting. Prague, Czech Republic: International Society for Behavioral Nutrition and Physical Activity.
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  Symposium
• Garcia, D. O., Valdez, L. A., Aceves, B., Campas, D., Loya, J., Hingle, M. D., Humphrey, K., Bell, M. L., McEwen, M., & Hooker, S. P. (2018, Spring). The Feasibility of a Gender- and Culturally-Sensitive Weight Loss Intervention Plus Mobile Health Technology for Hispanic Males. Society of Behavioral Medicine 2018. New Orleans, LA: Society of Behavioral Medicine.
• Hingle, M. D. (2018, April). Measuring and Modeling Dietary Behavior to Prevent Metabolic Disease. Endocrinology Journal Club. Arizona Health Sciences Center: Division of Endocrinology/Lawrence Mandarino.
• Hingle, M. D. (2018, February). Measuring, Modeling, and Modifying Dietary Behavior to Prevent Metabolic Disease. Department of Psychology - Friday Brown Bag Speaker Series. Psychology Bldg.: Health Psychology.
• Hingle, M. D., & Short, E. (2018, November). Addressing diet-related disease in a climate of food and economic scarcity: the FRESH-2 Study. University of Arizona Udall Center for Public Policy Workshop - Human challenges in extreme environments. Marshall Building, The University of Arizona: University of Arizona Udall Center.
• Hingle, M. D., & da Silva, V. (2018, March). Food as Medicine: Current UA Initiatives and Future Opportunities to Integrate Nutrition with Medical Care and Prevention. University of Arizona Center for Regional Food Studies Brown Bag Series. ENR-2, University of Arizona: University of Arizona Center for Regional Food Studies.
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  [Invited Presentation] March 20, 2018, with Vanessa da Silva.
• Hingle, M. D., & da Silva, V. (2018, March). Food as Medicine: Current initiatives and future opportunities to connect the dots across our food system.. UA CEAC Seminar Series. [Invited Presentation] March 30, 2018, with Vanessa da Silva.. University of Arizona Controlled Environment Agriculture Center: University of Arizona Controlled Environment Agriculture Center.
• Hingle, M. D. (2017, July). Measuring, Modeling, and Modifying Dietary Behavior to Prevent Obesity and Metabolic Disease. Slimming World, Scientific Advisor Board Meeting. Alfreton, United Kingdom: Slimming World.
• Hingle, M. D. (2017, March). Sustainable models of community-based diabetes prevention for at-risk children and families. Phoenix Children’s Hospital 5th Annual Childhood Obesity Symposium. Scottsdale: Phoenix Children's Hospital.
• Hingle, M. D. (2017, November). Sustainable models of community-based diabetes prevention for at-risk children and families. Banner University Medical Center, Department of Pediatrics. Banner University Medical Center: Department of Pediatrics, Division of Hematology/Oncology.
• Hingle, M. D. (2017, October). Measuring, Modeling, and Modifying Dietary Behavior to Prevent Obesity and Metabolic Disease. University of Arizona College of Nursing: Cutting Edge – A Research Seminar Series. University of Arizona: College of Nursing.
• Hingle, M. D., & Going, S. B. (2017, April). Are You What You Eat? Myths Presumptions and Facts About Nutrition, Physical Activity, and Your Health. University of Arizona Nutrition Navigators Spotlight Series. University of Arizona: University of Arizona Campus Health Services.
• Hingle, M. D., & Kobourov, S. (2017, March). Food Fight! Innovations in monitoring, modeling, and modifying food intake. A USC mHealth Collaboratory workshop. Los Angeles, CA: University of Southern California.
• Spruijt-Metz, D., de la Haye, K., Hingle, M. D., Kobourov, S., Stankovic, J., & Lach, J. (2017, March). New technologies and analytic techniques: Towards innovations in monitoring, modeling, and modifying food intake. Society for Behavioral Medicine. San Diego, CA: SBM.
• Gordon, J. S., Cunningham, J. K., Johnson, T., Armin, J. S., Hingle, M. D., & Giacobbi, P. (2016, March 30-April 2). See Me Smoke-Free. Technology Preview. 37th annual meeting of the Society of Behavioral Medicine. Washington DC.
• Hingle, M. D. (2016, December). Sugar-Sweetened Beverages, Diabetes Risk, and Diet Quality. Board of Directors Meeting. Southern Arizona Community Food Bank.
• Hingle, M. D. (2016, December). The EPIC Kids Study: A Family-Focused YMCA-Based Intervention to Prevent Type 2 Diabetes in At-Risk Youth. The University of Arizona Endocrinology Grand Rounds. Tucson, AZ.
• Hingle, M. D. (2016, February). Open Knowledge: Bridging Perspectives to Address Water Challenges. Water, Energy, and Food Science-Policy Dialogue. Tucson, AZ: The University of Arizona Udall Center and School of Geography.
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  Panel Member and Presenter
• Hingle, M. D. (2016, September). The EPIC Kids Study: a randomized family-focused YMCA-based intervention to prevent type 2 diabetes in at-risk youth. Invited Presentation. University of Hawai'i at Manoa, Honolulu HI.
• Hingle, M. D., & Going, S. B. (2016, April). Are You What You Eat?. The University of Arizona Graduate Center Lecture Series on Healthy Living. Tucson, Az: The University of Arizona Graduate Center.
• Hingle, M. D., & Patrick, H. (2016, March). There Are Thousands of Apps for That – Navigating Mobile Technology for Nutrition Education and Behavior. Society for Nutrition Education and Behavior Webinar Series. Webinar: Journal of Nutrition Education and Behavior.
• Hingle, M. D., da Silva, V., Skorupski, K., & Mullins, V. (2016, April). A Nutrition Roundtable – All About Sugar. University of Arizona Cooperative Extension EFNEP Program. Webinar: University of Arizona Cooperative Extension EFNEP Program.
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  University of Arizona Cooperative Extension EFNEP Program, A Nutrition Roundtable – All About Sugar Webinar panelists: Hour-long webinar with panelists from Nsc Dept: Melanie Hingle, Kayle Skorupski, Vanessa da Silva, Ronnie Mullins
• Hubbs-Tait, L., Kimble, A., Hingle, M. D., Novotny, R., & Fiese, B. (2016, April). A systematic review of obesity prevention and treatment trials addressing parenting. Experimental Biology. San Diego, CA: FASEB.
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  A systematic review of obesity prevention and treatment trials addressing parenting - Hubbs-Tait L, Kimble A, Hingle M, Novotny R, Fiese B.
• Sacher, P., Wolin, K., Stubbs, J., Heitmann, B., & Hingle, M. D. (2016, May). Weight Management in a Digital World. International Congress on Obesity. Vancouver, British Columbia: Slimming World, UK.
• Hingle, M. D. (2015, August). The Health Benefits of the Mediterranean Diet – with an Arizona Twist!. 2015 Cooperative Extension Conference. Marriott Starr Pass Resort, Tucson, AZ: UA Cooperative Extension.
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  The University of Arizona Cooperative Extension 2015 Conference – The Health Benefits of the Mediterranean Diet – with an Arizona Twist! - Tucson, AZ 8/15 (Invited Talk)
• Hingle, M. D. (2015, December). The Role of Dietary Energy Density in Obesity and Cancer Prevention. Cancer Prevention and Control Seminar. The University of Arizona: CPC Seminar/Arizona Cancer Center.
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  Cancer Prevention and Control Seminar. The Role of Dietary Energy Density in Obesity and Cancer Prevention – Arizona Cancer Center, December 2015 (Invited)
• Hingle, M. D. (2015, July 27). Mobile and Wireless Approaches to Dietary Behavior Change: What is the evidence, and where do we go from here?. Society for Nutrition Education and Behavior. Pittsburgh, PA: SNEB.
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  Hingle M. Mobile and Wireless Approaches to Dietary Behavior Change: What is the evidence, and where do we go from here? SNEB Plenary Session: Augmenting Nutrition with Technology: Providing Some Answers. Presented at the Society for Nutrition Education and Behavior, Pittsburgh, Pennsylvania, July 27, 2015. [Invited Presentation]
• Hingle, M. D., & Thomson, C. A. (2015, March). Optimism, Diet, Body Weight and Health in the Women’s Health Initiative. Women’s Health Initiative Psychosocial Special Interest Group. Conference Call: Women’s Health Initiative Psychosocial Special Interest Group.
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  Women’s Health Initiative Psychosocial Special Interest Group Conference Call. Optimism, Diet, Body Weight and Health in the Women’s Health Initiative
• Hingle, M. D., Gorin, S., Lewis, B., Rickman, A., Buman, M., Richardson, C., Craft, L., & Marquez, D. (2015, Spring 2015). Technology, Physical Activity, and Healthcare: Using exercise in medicine. Society for Behavioral Medicine Annual Meeting. San Antonio, TX: ACSM/SBM.
• Hingle, M. D., Spruijt-Metz, D., McCabe, R., Pollak, J., & Staiano, A. (2015, November). Game-changing e/mHealth technologies for obesity prevention and control. The Obesity Society. Los Angeles, CA: The Obesity Society.
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  Game-changing e/mHealth technologies for obesity prevention and control (Hingle M, Spruit-Metz D, McCabe R, Pollak JP, Staiano A. Presented at The Obesity Society, Los Angeles, CA, November 3-7, 2015. [Session Chair]
• Diep, C., Hingle, M. D., Chen, T., Dadabhoy, H., Beltran, A., Baranowski, J., Subar, A., & Baranowski, T. (2013, May). Validation of the Automated Self-Administered 24-Hour Dietary Recall for Children (ASA-24 Kids) among 9-11-year-old youth. ISBNPA 2014.
• Hingle, M. D. (2014, Spring). Behavioral Approaches to Pediatric Obesity Prevention: A Focus on Mobile and Wireless Methods. UA Department of Family and Community Medicine. University of Arizona: Department of Family and Community Medicine.
• Tinker, L., Neuhouser, M., Prentice, R., Di, C., Beasley, J., Zheng, C., Howard, B., Johnson, K., Van Horn, L., Beresford, S., Seguin, R., Song, Y., Ryckman, K., Eaton, C., Mossavar-Rahmani, Y., Thomson, C., Hingle, M. D., Stern, J., Tindle, H., , Qi, L., et al. (2013, May 2014). Biomarker-calibrated estimates of dietary self-reported energy intake and the risk of overweight and obesity in the Women’s Health Initiative (WHI).. Experimental BiologyWHI.
• Tabung, F., Steck, S., Ma, Y., Ockene, J., Shivappa, N., Hurley, T., Liese, A., Zhang, J., Shikany, J., Park, H., Millen, A., Martin, L., Jiao, L., Hou, L., Agalliu, I., Hingle, M., Liu, S., & Hebert, J. (2013, April). Validation of the Dietary Inflammatory Index in the Women’s Health Initiative. Experimental Biology. Boston, MA.
• Burd, R., & Hingle, M. (2012, June). Development and Classroom Incorporation of Novel Software for Collection and Visualization of Dietary Behavior and Reasons for Eating. River Falls, WI: North American Colleges and Teachers of Agriculture (NACTA) Annual Meeting.
• Burd, R., Yoon, D., & Hingle, M. (2012, September). Collection and Visualization of Dietary Behavior and Reasons for Eating Using a Popular and Free Software Application.. Boston, MA.
• Hingle, M. D. (2012, April). Optimizing the User Experience for Mobile Health Interventions. Tucson, AZ.
• Hingle, M. D. (2012, October). Optimizing the User Experience for Mobile Health Interventions. Phoenix AZ.
• Hingle, M., Ellison, E., McKenzie, N., Thomson, C., Logan, R., & Harris, R. (2012, October). Youth-Participatory Approach to Inform the Development of SMS Messages to Promote Sun Safe Behaviors in Adolescents.. La Jolla, CA.
• Hingle, M. D. (2011, February). New Approaches to Increasing Physical Activity in Youth. Hong Kong.
• Hingle, M. D. (2011, January). Behavioral Approaches to Obesity Prevention. Corvallis, OR.
• Hingle, M. D. (2011, January). Technology to Change Nutrition and Physical Activity Behavior: ViBE. SISTA Colloquium Series Technology to Change Nutrition and Physical Activity Behavior: ViBE. Tucson, AZ.
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  Video
• Hingle, M. D. (2011, July). The Use of Technology to Influence Health Behavior in Youth. Houston, TX.
• Hingle, M. D. (2011, June). Childhood Obesity Prevention, Current Research Strategies and Future Directions. Mexico City, MX.
• Hingle, M. D. (2011, March). The Use of Mobile Technologies to Impact Health Behavior. Diabetes Endocrine Monthly Meeting. Tucson, AZ: University of Arizona Diabetes Center.
• Hingle, M. D., & B, R. (2011, February). Collaborative Mind-Mapping Approach to Obesity Prevention. Annual FCHS In-Service. Tucson, AZ.

Poster Presentations

• Hingle, M. D. (2023, August). The University of Arizona’s Culinary Medicine Initiative. The University of Arizona Cooperative Extension 2023 Conference. Tucson, Arizona: Arizona Cooperative Extension.
• Hingle, M. D. (2023, September). The University of Arizona’s Culinary Medicine Initiative. Arizona Health Equity Conference. Phoenix, Arizona: ArizonaHealthEquity.org.
• Ruelas, A. L., Contreras, T. M., Romero, J. E., Zavala, R. G., Plata, M. C., Hingle, M. D., Guirado, B. A., & Haby, M. M. (2022, May). Factors Affecting the Dropout Rate of Intensive Lifestyle Interventions for Weight Loss.. International Society for Behavioral Nutrition and Physical Activity Annual Meeting. Phoenix, Arizona: International Society for Behavioral Nutrition and Physical Activity.
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  Research conducted by Alma Ruelas and Colleagues at Universidad de Sonora. I serve on Alma's PhD committee.
• Short, E., Bryant, H., Gonzalez, R., Roe, D., Taren, D., Thompson, D., & Hingle, M. D. (2022, May). Food-based Diabetes Self-Management and Education Intervention for Food Insecure Patients with Type 2 Diabetes: A Mixed-Methods Feasibility Study.. International Society for Behavioral Nutrition and Physical Activity Annual Meeting. Phoenix, Arizona: International Society for Behavioral Nutrition and Physical Activity.
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  Graduate work by Eliza Short, my PhD student.
• Garcia, D. O., Thomson, C. A., Hingle, M. D., Klimentidis, Y. C., Pfander, J. L., Ballesteros, G., Pentecost, M. L., & Morrill, K. E. (2020, Spring). Weight loss interventions for Hispanic women in the USA: a protocol for a systematic review.. AACR.
• Hingle, M. D., Serrano, G. A., Short, E., Saboda, K., Roe, D., & Blew, R. M. (2021, April). Association of Diet Quality with BMI and Waist Circumference by Food Security Status Among Low-Income Women at Risk of Type 2 Diabetes. Society of Behavioral Medicine Annual Meeting. Virtual due to COVID19: Society of Behavioral Medicine.
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  Serrano GA*, Short E*, Saboda K, Roe D, Blew R, Hingle M. Association of Diet Quality with BMI and Waist Circumference by Food Security Status Among Low-Income Women at Risk of Type 2 Diabetes. Presented at the Society of Behavioral Medicine Annual Meeting, April 2021. [virtual due to COVID19]
• Penaloza, I., Skiba, M., Werts, S., West, J., Hingle, M. D., Thomson, C. A., & Crane, T. E. (2020, April). Responsiveness to Motivational Interviewing among Latina Ovarian Cancer Survivors participating in the LIvES Study. Society of Behavioral Medicine Annual Meeting. San Francisco, CA: Society of Behavioral Medicine.
• Short, E., Bryant, H., Gonzalez, R., Sheava, J., Taren, D., & Hingle, M. D. (2021, September). A pilot food-focused intervention for diabetes management in primary care.. National Institutes of Health Workshop on Food Insecurity, Neighborhood Food Environment, and Nutrition Health Disparities: State of the Science. Virtual due to COVID19: National Institutes of Health.
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  Short E*, Bryant H, Gonzalez R, Sheava J, Taren D, Hingle M. A pilot food-focused intervention for diabetes management in primary care. Presented at the National Institutes of Health Workshop on Food Insecurity, Neighborhood Food Environment, and Nutrition Health Disparities: State of the Science, September 21-23, 2021. [Poster] Virtual Meeting.
• Short, E., Sharma, J., Thompson, D., Gonzalez, R., Sheava, J., Taren, D. L., & Hingle, M. D. (2020, April). Client Preferences and Diabetes Management Guidelines Inform the Design and Elements of a Therapeutic Food Box Intervention. Society of Behavioral Medicine Annual Meeting. San Francisco, CA: Society of Behavioral Medicine.
• Hingle, M. D., Wertheim, B. C., Bea, J. W., Garcia, D. O., Neuhouser, M. L., Snetselaar, L., Tinker, L., Waring, M., & Thomson, C. A. (2015, Fall). Dietary energy density and weight change in the Women’s Health Initiative. The Obesity Society Annual Meeting. Los Angeles, CA.
• Short, E., Gonzalez, R., Kohler, L. N., Taren, D. L., Sheava, J., & Hingle, M. D. (2019, July). Diet Quality Among Food Bank Clients in Southern Arizona. Society for Nutrition Education and Behavior Annual Meeting. Orlando, FL: Society for Nutrition Education and Behavior.
• Short, E., Gonzalez, R., Taren, D. L., Sheava, J., & Hingle, M. D. (2019, May). Developing a model to impact diet-sensitive disease risk in community food bank settings: the FRESH-2 Study. 4th Annual El Rio-Wright Center for GME Community Health Research Fair. El Rio Community Health Center | Manning House: El Rio Community Health Center.
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  Short E, Gonzalez R, Sheava S, Taren D, Hingle M. Poster presentation at El Rio Community Health Center, Tucson, Arizona, [May 8, 2019]
• Short, E., Sepulveda, M., da Silva, V., & Hingle, M. D. (2018, March). Developing a Model of Type 2 Diabetes Care in Food Insecure Populations. College of Agriculture & Life Sciences Spring Poster Forum. University of Arizona: College of Agriculture & Life Sciences.
• Garcia, D. O., Valdez, L., Aceves, B., Campas, D., Loya, J., Hingle, M. D., Bell, M., & McEwen, M. (2017, March/April). A Gender- and Culturally-Sensitive Weight Loss Intervention for Hispanic Males. Society of Behavioral Medicine. San Diego, CA: Society of Behavioral Medicine.
• Garcia, D. O., Wertheim, B. C., Bea, J. W., Chen, Z., Hingle, M. D., Klimentidis, Y. C., Lewis, C., & Thomson, C. (2016, May). Relationships between adiposity indices and mortality in a multiethnic menopausal cohort: findings from the Women’s Health Initiative.. Women’s Health Initiative Annual Investigator’s Meeting 2016. Columbus, OH: Women's Health Initiative Collaborative.
• Sur, B., Going, S. B., Saboda, K., Roe, D. J., Stump, C., Kutob, R., & Hingle, M. D. (2017, March/April). Changes in BMI, self-reported family nutrition, physical activity, and sedentary behaviors in The EPIC Kids Study: a family-focused YMCA-based intervention to prevent type 2 diabetes in at-risk youth. Society of Behavioral Medicine. San Diego, CA: Society of Behavioral Medicine.
• Thomson, C. A., Wertheim, B. C., Hingle, M. D., Crane, T. E., & Neuhouser, M. L. (2017, March/April). Eating Frequency and Chronic Disease Risk Among Postmenopausal Women: Results from the Women’s Health Initiative. Society of Behavioral Medicine. San Diego, CA: Society of Behavioral Medicine.
• Campas, D., Valdez, L. A., Aceves, B., Lopez, J., Bell, M., Garcia, D. O., Hingle, M. D., McEwen, M., & Hooker, S. (2016, November). Recruiting Hispanic Men for a Gender- and Culturally-Sensitive Weight Loss Intervention. The Obesity Society. New Orleans, LA.
• Egan, M., Hopkins, L., & Hingle, M. D. (2016, July). Encourage Practice and Inspire Change in Kids (EPIC Kids) Diabetes Prevention Program at the YMCA.. Society for Nutrition Education and Behavior. San Diego, CA.
• Gordon, J. S., Armin, J., Cunningham, J., Giacobbi, P., & Hingle, M. D. (2016, Spring). See Me Smoke-Free: An Mhealth App for Women to Address Smoking, Diet and Physical Activity. Society for Nicotine ResearchSociety for Nicotine Research.
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  See Me Smoke-Free: An Mhealth App for Women to Address Smoking, Diet and Physical ActivityJudith S. Gordon, PhD, Julie Armin, PhD, James Cunningham, PhD, Peter Giacobbi, PhD, Melanie Hingle, PhD & Thienne Johnson, PhD
• Gordon, J. S., Armin, J., Cunningham, J., Giacobbi, P., Hingle, M. D., & Johnson, T. (2016, Spring). See Me Smoke-Free: An Mhealth App for Women to Address Smoking, Diet and Physical Activity. Society of Behavioral Medicine. Washington DC: Society of Behavioral Medicine.
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  See Me Smoke-Free: An Mhealth App for Women to Address Smoking, Diet and Physical ActivityJudith S. Gordon, PhD, Julie Armin, PhD, James Cunningham, PhD, Peter Giacobbi, PhD, Melanie Hingle, PhD & Thienne Johnson, PhD
• Gordon, J. S., Cunningham, J. K., Johnson, T., Armin, J. S., Hingle, M. D., & Giacobbi, P. (2016, March 2-4). See Me Smoke-Free: Development and feasibility of an mHealth app for women to address smoking, diet and physical activity. Annual meeting of the Society for Research on Nicotine and Tobacco. Chicago, IL.
• Gordon, J. S., Cunningham, J. K., Johnson, T., Armin, J. S., Hingle, M. D., & Giacobbi, P. (2016, March 30-April 2). See Me Smoke-Free: Results of a feasibility trial of an mHealth app for women to address smoking, diet and physical activity.. 37th Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine. Washington DC.
• Gordon, J. S., Cunningham, J. K., Johnson, T., Armin, J. S., Hingle, M. D., & Giacobbi, P. (2016, March 30-April 2). See Me Smoke-Free: Results of a feasibility trial of an mHealth app for women to address smoking, diet and physical activity.. 37th annual meeting and scientific sessions of the Society of Behavioral Medicine. Washington DC.
• Gordon, J. S., Gordon, J. S., Cunningham, J. K., Cunningham, J. K., Johnson, T., Johnson, T., Armin, J. S., Armin, J. S., Hingle, M. D., Hingle, M. D., Giacobbi, P., & Giacobbi, P. (2016, March 2-4). See Me Smoke-Free: Development and feasibility of an mHealth app for women to address smoking, diet and physical activity. Annual Meeting of the Society for Research on Nicotine and Tobacco. Chicago, IL.
• Hartenstein, P., Saboda, K., Hingle, M. D., McGovern, E., & Chin, C. (2016, October). A community-based study assessing the relationship between HOMA-IR, sleep duration and school start times. American Academy of Pediatrics Annual Meeting. San Francisco, CA.
• Hingle, M. D., Saboda, K., Roe, D., Kutob, R., Stump, C., Merchant, N., & Going, S. (2016, June). Preliminary Impact of a Family-Focused Community-Based Program to Prevent Diabetes in Children: The EPIC Kids Study.. International Society for Behavioral Nutrition and Physical Activity. Cape Town, South Africa.
• Hopkins, L., & Hingle, M. D. (2016, July). Evaluating the Public Health Impact of a Community-Based Family-Focused Diabetes Prevention Program Using RE-AIM. Society for Nutrition Education and Behavior. San Diego, CA.
• Ussery, C., Going, S., Roe, D., Kutob, R., Stump, C., Merchant, N., & Hingle, M. D. (2016, Spring). Metabolic risk factor prevalence in children participating in a family-based community diabetes prevention program. Experimental Biology. San Diego, CA: FASEB.
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  Christopher Ussery, Scott Going, Denise Roe, Randa Kutob, Craig Stump, Nirav Merchant, Melanie Hingle
• Greenblatt, Y., Gomez, S., Alleman, G., Rico, K., McDonald, D., & Hingle, M. D. (2015, April 1). Optimizing Nutrition Education in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Experimental Biology. Boston, MA: The FASEB Journal.
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  Greenblatt Y, Gomez S, Alleman G, Rico K, McDonald D and Hingle M. Optimizing Nutrition Education in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Presented at Experimental Biology, Boston, MA, March 28-April 1, 2015. Published in the FASEB Journal; Vol 29; Suppl 1; Pages 687.35
• Hingle, M. D., McDonald, D. A., Greenblatt, Y., Rico, K., Gomez, S., & Alleman, G. (2015, June). Formative Research to Understand Promoters and Barriers to Participation in the Supplemental Nutrition Program for Women, Infants, and Children (WIC). International Society for Behavioral Nutrition and Physical Activity. Edinburgh, Scotland.
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  Hingle M, McDonald D, Greenblatt Y, Rico K, Gomez S and Alleman G. Formative Research to Understand Promoters and Barriers to Participation in the Supplemental Nutrition Program for Women, Infants, and Children (WIC). Presented at the International Society for Behavioral Nutrition and Physical Activity, Edinburgh, Scotland.
• Hingle, M. D., Wertheim, B., Bea, J. W., Garcia, D. O., Neuhouser, M., Seguin, R., Snetsaalar, L., Tinker, L., Waring, M., & Thomson, C. (2015, November). Dietary Energy Density and Weight Change in the Women’s Health Initiative. The Obesity Society. Los Angeles, CA: The Obesity Society.
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  Hingle M, Wertheim BC, Bea JW, Garcia DO, Neuhouser ML, Seguin R, Snetsaalar L, Tinker L, Waring ME, Thomson CA. Dietary Energy Density and Weight Change in the Women’s Health Initiative. Presented at The Obesity Society, Los Angeles, CA, November 3-7, 2015
• Turner, T., & Hingle, M. D. (2015, November). Mindfulness-based App Aimed at Dietary Behavior in Teens. The University of Arizona CALS 2015 Research Forum. The University of Arizona: College of Agriculture and Life Sciences.
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  The University of Arizona CALS 2015 Research Forum. Mindfulness-based App Aimed at Dietary Behavior in Teens. T Turner* (presenting author) and M Hingle (Poster)
• Turner, T., Kutob, R. M., Going, S. B., Merchant, N. C., Roe, D., Stump, C., & Hingle, M. D. (2014, November). E.P.I.C. Kids study: a family-focused community program to prevent type 2 diabetes in youth. The University of Arizona CALS 2014 Research Forum. University of Arizona: College of Agriculture and Life Sciences.
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  The University of Arizona CALS 2014 Research Forum. E.P.I.C. Kids study: a family-focused community program to prevent type 2 diabetes in youth. T Turner* (presenting author), R Kutob, S Going, N Merchant, D Roe, C Stump, M Hingle
• Hingle, M. D., Hongu, N. K., Orr, B., Merchant, N., Nichter, M., Roe, D., Astroth, K., Borden, L., & Going, S. (2013, August). Stealth Health: Youth Innovation, Mobile Technology, Online Social Networking, and Informal Learning to Promote Physical Activity. Society for Nutrition Education and Behavior. Portland, OR: SNEB.
• Hingle, M. D., Snyder, A., McKenzie, N., Thomson, C., Logan, R., & Harris, R. (2013, March). Texting Teens to Promote Knowledge, Attitude and Behavior Change for Skin Cancer Prevention. Society of Behavioral Medicine. San Francisco, CA: SBM.
• Kunkel, D., & Hingle, M. D. (2013, March). Longitudinal Monitoring of Industry Self- Regulation of Televised Food Marketing to Children and Its Impact on Nutritional Quality. Robert Wood Johnson Foundation Healthy Eating Research. New Orleans, LA: Robert Wood Johnson Foundation.
• Going, S., Hongu, K., Hingle, M., Orr, B., Merchant, N., Nichter, M., Roe, D., Astroth, K., Borden, L., & Marsh, S. (2012, June). Stealth Health: Youth Innovation, Mobile Technology, Online Social Networking, and Informal Learning to Promote Physical Activity. Society for Nutrition Education and Behavior. Washington, DC.
• Hingle, M. D. (2012, May). Motivations for Healthy Eating and Dietary Behavior in a Diverse Group of Adolescents. International Society for Behavioral Nutrition and Physical Activity. Austin, TX.
• Hingle, M., Nichter, M., Merchant, N., Hongu, N., Roe, D., & Going, S. (2012, June). Development and Evaluation of An Informal SMS-Based Intervention To Promote Healthy Lifestyle Behaviors In Adolescents. Society for Nutrition Education and Behavior. Washington, DC.
• Hingle, M., Nichter, M., Merchant, N., Kulasinghe, D., Parizek, D., Hongu, N., Orr, B., Roe, D., & Going, S. (2011, December). Development and evaluation of health messages and an SMS-based software delivery system for distribution to and use by adolescents: Akshen Talk. mHealth summit. Washington, DC.
• Thomson, C., Hingle, M., Wertheim, B., Wang, L., Neuhouser, M., Gong, Z., Garcia, L., Stefanick, M., & Manson, J. (2011, October). Alcohol Consumption and body weight change in postmenopausal women of the Women's Health Initiative. Obesity Society Annual Meeting. Orlando, FL: The Obesity Society.
• Wilkinson-Lee, A., Hingle, M., & Wilhelm, M. (2011, July). Best Practices From the Data Collector's Perspective: Defining Hard and Soft Refusals and Exploring Effective Conversion Strategies. NCS Research Day. NIH: NCS.

Reviews

• Kopp, L. M., Gastelum, Z., Guerrero, C. H., Howe, C. L., Hingorani, P., & Hingle, M. (2017. Lifestyle behavior interventions delivered using technology in childhood, adolescent, and young adult cancer survivors: A systematic review(pp 13-17).
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  Childhood, adolescent, and young adult cancer survivors demonstrate increased cardio-metabolic risk factors, which are amenable to lifestyle changes. The use of technology to impact lifestyle change expands previously limited intervention access, yet little is known about its use. We summarized lifestyle interventions for survivors delivered using technology, finding six studies, primarily targeting physical activity. Study samples were small and durations ranged from 5 to 16 weeks and outcomes modest. Participants were older, white, survivors of leukemia or brain tumors, and the majority received Web-based interventions. Study quality was moderate. Few technology-based interventions have been developed, suggesting an area of opportunity for survivors.
• Hingle, M. D., Navarro, L. M., Rezaimalek, A., & Going, S. B. (2013. The Use of Technology to Promote Nutrition & Physical Activity Behavior Change in Youth: A Review(pp 1-28).

Other Teaching Materials

• Hingle, M. D., Patrick, H., Steinberg, D., Thompson, D., Morgan, K., Livingstone, K., & DeSmet, A. (2019. The New Frontier of Behavioral Research: Big Data, User Phenotypes, and Precision Interventions. International Society for Behavioral Nutrition and Physical Activity.
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  The purpose of this half-day, interactive workshop is to advance participant understanding of multi-modal data integration, interpretation, and application from the perspectives of behavioral scientists engaged in diet, physical activity, and obesity prevention research. Participants will learn to identify the different types of data needed to create a real-world phenotype, propose how these data might be captured and integrated to form a holistic view of an individual and their health status, and discuss potential challenges of applying these data within the context of personalized health and behavior change prescriptions.

Others

• Hingle, M. D., Hekler, E., Taylor, J., Sweet, C. C., & Glaser, D. (2020, April). Getting our students industry-ready: A design-oriented workshop to advance programmatic training to prepare behavior science students for careers in industry. Society of Behavioral Medicine Annual Meeting.
  More info

  Workshop at the Society of Behavioral Medicine.
• Garcia, D. O., Valdez, L. A., Aceves, B., Campas, D., Loya, J. L., Hingle, M. D., McEwen, M. M., & Hooker, S. P. (2017, March). A Gender- and Culturally-Sensitive Weight Loss Intervention for Hispanic Males. [Abstract].
• Garcia, D. O., Valdez, L. A., Aceves, B., Campas, D., Lopez, J., Rodriguez, E., Hingle, M. D., Bell, M., Mcewen, M. M., Hooker, S., Garcia, D. O., Valdez, L. A., Aceves, B., Campas, D., Lopez, J., Rodriguez, E., Hingle, M. D., Bell, M., Mcewen, M. M., & Hooker, S. (2016, November). Recruiting Hispanic Men for a Gender- and Culturally-Sensitive Weight Loss Intervention. [Abstract]..
• Hingle, M. D., & Patrick, H. (2016, February). Tens of Thousands of Health Apps — Which One Is Right for You?. PBS Next Avenue. http://www.nextavenue.org/tens-of-thousands-of-health-apps-which-one-is-right-for-you/
• Hingle, M. D., Wertheim, B. C., Bea, J., Garcia, D. O., Neuhouser, M., Sequin, R., Snetsaalar, L., Tinker, L., Waring, M., & Thomson, C. A. (2015, November/Winter). Dietary Energy Density and Weight Change in the Women's Health Initiative. Obesity Society National Meeting [Abstract].
• Adamo, K., Hingle, M. D., Maddison, R., Maloney, A., Simons, M., Staiano, A., & Baranowski, T. (2013, June). Gaming, Adiposity and Obesogenic Behaviors among Children: A Roundtable Discussion. Games for Health Journal. http://online.liebertpub.com/doi/abs/10.1089/g4h.2013.0034?journalCode=g4h