- Email: [email protected]
Effect of Face-to-Face Nutrition Counseling and Follow-Up Care in Korean Adults with Hypercholesterolemia
MONDAY, OCTOBER 20
Poster Session: Food/Nutrition Science; Education; Management; Food Services/Culinary; Research Health Perceptions of Cancer Survivors Harvesting at an Urban Garden
Impact of Online Collaborative Case-Based Learning about Pediatric Obesity Management on Students’ Intent to Apply Knowledge in Practice
Author(s): A. Joseph, K. Wolf, C. Spees; Medical Dietetics, Ohio State Univ., Columbus, OH
Author(s): W. Bignell, J.G. Fischer; Foods and Nutrition, Univ. of Georgia, Athens, GA
Learning Outcome: After listening to or reading the abstract presentation, learner will be able to describe the health perceptions of cancer survivors at an urban garden.
Learning Outcome: Participants will be able to identify two elements of a constructivist learning approach and describe the impact of self-reflective activity on students’ intention to transfer knowledge about pediatric obesity and treatment to practice.
Due to advances in early detection and treatment, the number of cancer survivors increases dramatically each year. However, as a result of the effects of cancer treatment, genetic predisposition, and lifestyle behaviors, cancer survivors are at much greater risk for comorbid conditions including recurring primary cancers, secondary malignancies, cardiovascular disease, osteoporosis, diabetes, and functional decline. An estimated 35% of cancer deaths could be prevented by modifiable lifestyle behaviors, such as adopting a plant-based diet. The purpose of this study was to determine if an urban gardening initiative improves perceptions of health and wellness in cancer survivors. Adult cancer survivors were provided access to an urban garden to harvest herbs and produce up to 3 times/week for 5 months. Three focus groups (n¼28) were conducted in 2013 to assess the health perceptions of participants. An open-ended question thread was utilized, and data were transcribed from the audio-recorded sessions and analyzed by identifying, coding, and categorizing primary patterns/themes. Participants cited similar responses resulting in five overarching themes: (1) improvements in mental and physical health; (2) greater adherence to a plant-based diet; (3) healthy alterations in cooking and meal planning; (4) greater sense of support including community involvement and volunteer appreciation; and (5) scheduling barriers to harvesting and maintenance with grocery store produce. The results of this study provide insights on the positive health outcomes as well as the barriers to harvesting garden produce for cancer survivors in an urban garden setting.
Objective: This mixed methods study examined the impact of an innovative collaborative online case-based learning (CBL) module grounded in constructivist learning principles on students’ perception of learning and intent to apply obesity management knowledge and skills in practice. Methods: Students in a life cycle nutrition class participated in the online CBL module consisting of individual reflections about attitudes and behaviors, discussion boards, and small group assignments addressing family influences on pediatric obesity. Students completed pre-test/post-tests of knowledge, a post-module satisfaction survey, and a reflective essay of perceived learning. SPSS v. 21 for Mac was used for paired t-test and descriptive statistics, and self-evaluations were analyzed using qualitative data analysis methods (thematic coding). Results: Eighty-eight students were included in analyses. The mean difference between pre-tests and post-tests was +10.3% (SEM 1.2%, P < 0.001). The majority of students (84%) agreed that the initial reflective essay raised awareness of previous knowledge about, and values associated, with obesity, and most students (73%) agreed that the post-module selfreflective essay helped them assess what they learned. The majority (87%) felt confident in their skills to address obesity management practice in similar situations, and most students (67%) believed that creating a care plan as a group developed skills used in practice. Thematic analysis of self-reflections revealed three targets of intent to apply knowledge and skills gained in the module: with self, family/future family, and future clients/patients. Conclusion: Online collaborative CBL modules including self-reflection increased intent to apply knowledge and skills in pediatric obesity management practice.
Funding Disclosure: None Funding Disclosure: College of Family and Consumer Sciences, University of Georgia, Athens, Georgia
Effect of Face-to-Face Nutrition Counseling and Follow-Up Care in Korean Adults with Hypercholesterolemia
Furthering the Dietetic Intern’s Learning Experience Author: S.H. Sullivan; University of TN Health Science Center, Memphis, TN
Author(s): J. Park, J. Kim; Hlth. Promotion Ctr., Samsung Med. Ctr., Seoul, Korea, Republic of Learning Outcome: Individualized face-to-face nutrition counseling and follow-up care by clinical dietitians was effective in lowering serum LDL cholesterol levels indicating reduce of risk for cardiovascular disease. The purpose of this study was to evaluate the effect of nutrition counseling and follow-up care in Korean adults with hypercholesterolemia. 74 subjects with low-density lipoprotein cholesterol(LDL-C) levels higher than 160mg/dL(NCEP-ATP III recommendation) at medical check-up participated in the study. These subjects were divided into three groups, group A (received both nutrition counseling and follow-up care, n¼8), group B(only received faceto-face nutrition counseling with no follow-up care, n¼53), and group C(no nutrition counseling nor follow-up care, n¼13). There were no significant differences between three groups in baseline characteristics such as age, weight and LDL-C levels. Individualized faceto-face nutrition counseling, progressed by clinical dietitians, follow a diet low in fat, saturated fat, and cholesterol with concomitant energy restriction for weight loss when necessary. At follow-up care, after 3 months, diet related nutrition informations were sent via post mail. After 1 year, serum LDL-C levels of three groups were assessed at medical check-up. There were significant reduction in serum LDL-C levels with group A(-216.4%) and B(-9.812.6%). But no significant change was observed with group C. 53% of group A, and 48% of group B reached LDL-C levels below 160mg/dL. However only 38% of group C achieved normal LDL-C levels. In conclusion, face-to-face nutrition counseling and followup care by clinical dietitians was effective lowering LDL-C levels. This result means that nutrition counseling plays an important role in reducing cholesterol levels and with follow-up care combined, it was the most effective way to do so. Also it contributes to reduce the risk for cardiovascular disease. Funding Disclosure: None
Learning Outcome: To assess the usefulness and effectiveness of distance learning via an online collaborative platform for dietetic interns in preparation for on-site rotations. There is a high demand for sites and preceptors for dietetic internships. The Boling Center for Developmental Disabilities (BCDD) Nutrition department is a site for five dietetic internship rotations to learn about intellectual and developmental disabilities and inborn errors of metabolism. Each rotation in 2013 was comprised of an online portion and an on-site portion. The purpose of online learning was to effectively provide background information and to encourage self-directed learning and collaboration. On Sharepoint, a webbased learning platform, interns were required to complete online modules that included videos and interactive posts for three topic modules. Interns could rate each module on (a)handouts, audio, visual materials, (b)clarity of explanations, concepts, ideas, and (c)overall quality of the training topic. A survey on SurveyMonkey was completed following online work, using both a 5 rating likert scale and open ended comments. Summary results ranged from poor to excellent, with very good as the most common answer for individually-rated sections. For overall quality of Sharepoint, ‘good’ was most commonly selected (22%) and for overall training videos and experience, ‘very good’ was most commonly selected (26%). A few comments stated that Sharepoint is not user-friendly for technology’s current standards and the webpage was busy in appearance; however, distance and online learning was beneficial prior to the visit on-site and made learning easy, convenient, and productive. In conclusion, the online learning portion could be improved, but was overall valuable for interns and provided opportunity for preparation prior to on-site experience. Funding Disclosure: None
A-52
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
September 2014 Suppl 2—Abstracts Volume 114 Number 9
Poster Session: Food/Nutrition Science; Education; Management; Food Services/Culinary; Research Health Perceptions of Cancer Survivors Harvesting at an Urban Garden
Impact of Online Collaborative Case-Based Learning about Pediatric Obesity Management on Students’ Intent to Apply Knowledge in Practice
Author(s): A. Joseph, K. Wolf, C. Spees; Medical Dietetics, Ohio State Univ., Columbus, OH
Author(s): W. Bignell, J.G. Fischer; Foods and Nutrition, Univ. of Georgia, Athens, GA
Learning Outcome: After listening to or reading the abstract presentation, learner will be able to describe the health perceptions of cancer survivors at an urban garden.
Learning Outcome: Participants will be able to identify two elements of a constructivist learning approach and describe the impact of self-reflective activity on students’ intention to transfer knowledge about pediatric obesity and treatment to practice.
Due to advances in early detection and treatment, the number of cancer survivors increases dramatically each year. However, as a result of the effects of cancer treatment, genetic predisposition, and lifestyle behaviors, cancer survivors are at much greater risk for comorbid conditions including recurring primary cancers, secondary malignancies, cardiovascular disease, osteoporosis, diabetes, and functional decline. An estimated 35% of cancer deaths could be prevented by modifiable lifestyle behaviors, such as adopting a plant-based diet. The purpose of this study was to determine if an urban gardening initiative improves perceptions of health and wellness in cancer survivors. Adult cancer survivors were provided access to an urban garden to harvest herbs and produce up to 3 times/week for 5 months. Three focus groups (n¼28) were conducted in 2013 to assess the health perceptions of participants. An open-ended question thread was utilized, and data were transcribed from the audio-recorded sessions and analyzed by identifying, coding, and categorizing primary patterns/themes. Participants cited similar responses resulting in five overarching themes: (1) improvements in mental and physical health; (2) greater adherence to a plant-based diet; (3) healthy alterations in cooking and meal planning; (4) greater sense of support including community involvement and volunteer appreciation; and (5) scheduling barriers to harvesting and maintenance with grocery store produce. The results of this study provide insights on the positive health outcomes as well as the barriers to harvesting garden produce for cancer survivors in an urban garden setting.
Objective: This mixed methods study examined the impact of an innovative collaborative online case-based learning (CBL) module grounded in constructivist learning principles on students’ perception of learning and intent to apply obesity management knowledge and skills in practice. Methods: Students in a life cycle nutrition class participated in the online CBL module consisting of individual reflections about attitudes and behaviors, discussion boards, and small group assignments addressing family influences on pediatric obesity. Students completed pre-test/post-tests of knowledge, a post-module satisfaction survey, and a reflective essay of perceived learning. SPSS v. 21 for Mac was used for paired t-test and descriptive statistics, and self-evaluations were analyzed using qualitative data analysis methods (thematic coding). Results: Eighty-eight students were included in analyses. The mean difference between pre-tests and post-tests was +10.3% (SEM 1.2%, P < 0.001). The majority of students (84%) agreed that the initial reflective essay raised awareness of previous knowledge about, and values associated, with obesity, and most students (73%) agreed that the post-module selfreflective essay helped them assess what they learned. The majority (87%) felt confident in their skills to address obesity management practice in similar situations, and most students (67%) believed that creating a care plan as a group developed skills used in practice. Thematic analysis of self-reflections revealed three targets of intent to apply knowledge and skills gained in the module: with self, family/future family, and future clients/patients. Conclusion: Online collaborative CBL modules including self-reflection increased intent to apply knowledge and skills in pediatric obesity management practice.
Funding Disclosure: None Funding Disclosure: College of Family and Consumer Sciences, University of Georgia, Athens, Georgia
Effect of Face-to-Face Nutrition Counseling and Follow-Up Care in Korean Adults with Hypercholesterolemia
Furthering the Dietetic Intern’s Learning Experience Author: S.H. Sullivan; University of TN Health Science Center, Memphis, TN
Author(s): J. Park, J. Kim; Hlth. Promotion Ctr., Samsung Med. Ctr., Seoul, Korea, Republic of Learning Outcome: Individualized face-to-face nutrition counseling and follow-up care by clinical dietitians was effective in lowering serum LDL cholesterol levels indicating reduce of risk for cardiovascular disease. The purpose of this study was to evaluate the effect of nutrition counseling and follow-up care in Korean adults with hypercholesterolemia. 74 subjects with low-density lipoprotein cholesterol(LDL-C) levels higher than 160mg/dL(NCEP-ATP III recommendation) at medical check-up participated in the study. These subjects were divided into three groups, group A (received both nutrition counseling and follow-up care, n¼8), group B(only received faceto-face nutrition counseling with no follow-up care, n¼53), and group C(no nutrition counseling nor follow-up care, n¼13). There were no significant differences between three groups in baseline characteristics such as age, weight and LDL-C levels. Individualized faceto-face nutrition counseling, progressed by clinical dietitians, follow a diet low in fat, saturated fat, and cholesterol with concomitant energy restriction for weight loss when necessary. At follow-up care, after 3 months, diet related nutrition informations were sent via post mail. After 1 year, serum LDL-C levels of three groups were assessed at medical check-up. There were significant reduction in serum LDL-C levels with group A(-216.4%) and B(-9.812.6%). But no significant change was observed with group C. 53% of group A, and 48% of group B reached LDL-C levels below 160mg/dL. However only 38% of group C achieved normal LDL-C levels. In conclusion, face-to-face nutrition counseling and followup care by clinical dietitians was effective lowering LDL-C levels. This result means that nutrition counseling plays an important role in reducing cholesterol levels and with follow-up care combined, it was the most effective way to do so. Also it contributes to reduce the risk for cardiovascular disease. Funding Disclosure: None
Learning Outcome: To assess the usefulness and effectiveness of distance learning via an online collaborative platform for dietetic interns in preparation for on-site rotations. There is a high demand for sites and preceptors for dietetic internships. The Boling Center for Developmental Disabilities (BCDD) Nutrition department is a site for five dietetic internship rotations to learn about intellectual and developmental disabilities and inborn errors of metabolism. Each rotation in 2013 was comprised of an online portion and an on-site portion. The purpose of online learning was to effectively provide background information and to encourage self-directed learning and collaboration. On Sharepoint, a webbased learning platform, interns were required to complete online modules that included videos and interactive posts for three topic modules. Interns could rate each module on (a)handouts, audio, visual materials, (b)clarity of explanations, concepts, ideas, and (c)overall quality of the training topic. A survey on SurveyMonkey was completed following online work, using both a 5 rating likert scale and open ended comments. Summary results ranged from poor to excellent, with very good as the most common answer for individually-rated sections. For overall quality of Sharepoint, ‘good’ was most commonly selected (22%) and for overall training videos and experience, ‘very good’ was most commonly selected (26%). A few comments stated that Sharepoint is not user-friendly for technology’s current standards and the webpage was busy in appearance; however, distance and online learning was beneficial prior to the visit on-site and made learning easy, convenient, and productive. In conclusion, the online learning portion could be improved, but was overall valuable for interns and provided opportunity for preparation prior to on-site experience. Funding Disclosure: None
A-52
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
September 2014 Suppl 2—Abstracts Volume 114 Number 9