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Good Night! Sleep Tight! Parent Cognitions Related to Sleep Effects on Health and Weight of Preschool-Aged Children
MONDAY, OCTOBER 21
Poster Session: Food/Nutrition Science; Education; Management; Food Services/Culinary; Research Good Night! Sleep Tight! Parent Cognitions Related to Sleep Effects on Health and Weight of Preschool-Aged Children
Interprofessional Collaboration between Dietetic Interns and Dental Students Enhances Learning Outcomes of the Students and Provides Interdisciplinary Care to This Population
Author(s): D. Golem1, J. Martin-Biggers2, N. Hongu3, J. Worobey2, C. Byrd-Bredbenner2; 1 College of Health, Human Services, and Science, Ashford Univ., San Diego, CA, 2 Nutritional Sciences, Rutgers, The State Univ. of New Jersey, New Brunswick, NJ, 3 Nutritional Sciences, Univ. of Arizona, Tucson, AZ
Author(s): J.E. Ziegler1, D. Rigassio Radler1, G. Heir2, H. Cohen3, R. Touger-Decker1; 1 Department of Nutritional Science, University of Medicine & Dentistry of New Jersey, Newark, NJ, 2Center for Oral, Facial Pain, New Jersey Dental School, Newark, NJ, 3 Division of Oral Medicine, New Jersey Dental School, Newark, NJ
Learning Outcome: To describe parents’ cognitions of the effects of sleep on their preschool children's health and obesity risk and parents’ sleep hygiene parenting practices.
Learning Outcome: To describe the collaborative team-based approach to patient care between dietetic interns and dental students/residents at an urban dental school clinic.
Inadequate sleep increases obesity risk in children. The sleep cognitions, sleep hygiene practices, barriers to promoting positive sleep practices in children, and coping strategies of parents of 2- to 5- year old children were explored via focus group interviews (n¼21) and survey (n¼136). Focus group parents felt sufficient sleep was requisite to child wellbeing. Negative effects of inadequate sleep for children that parents identified were decreased mood/irritability; greater daytime tiredness; diminished daytime functioning and focus; and decreased appetite and food intake. No parents identified the influence of sleep on weight outcomes. Barriers to positive sleep practices were stimulation before bed from TV, sugary foods/drinks, and involvement in activities; wakefulness due to nap schedule and limited physical activity; and ulterior motives (fear of dark, desire to be with parents). Common strategies for overcoming barriers reflected recommended sleep hygiene techniques (adequate daytime physical activity; consistent sleep-wake schedules; bedtime routines; reducing stimulating activity before bed). Of surveyed parents, 90% set a bedtime for preschoolers, with set bedtimes more common among English (94%) than Spanish speakers (84%). Kids without set bedtimes watched more TV and were less active. Parents are aware of methods for coping with sleep barriers, yet are not aware of the influence of inadequate sleep on weight status. Some are unaware of the benefits of a set bedtime. The interrelationships among inadequate sleep, greater time spent TV watching, less time spent in physical activity, and obesity risk warrant increased attention in childhood obesity research and interventions.
The multifaceted relationships among oral, systemic and nutritional health present opportunities for interprofessional competency-driven experiences for dietetic interns and dental students/residents. A collaborative team-based approach to patient care has been employed in an urban dental school clinic. The University of Medicine and Dentistry of New Jersey-School of Health Related Professions’ dietetic interns complete an oral health rotation in the New Jersey Dental School general, oral medicine (OM) and orofacial pain (OFP) clinics, partnering with dental students/residents as both complete competencies and treat culturally and socioeconomic diverse medically complex patients. Experiential learning begins with the interns’ observation of the pre-doctoral dental students’ performance of oral exams, continues with discussion of normal versus non-normal exam findings and concludes with patient diet assessment and team-based counseling. The interns help the students evaluate diet and caries risk and provide guidance and recommendations for modification of diets to maximize the patient's oral and systemic health and manage oral-function problems. Together both disciplines' trainees provide comprehensive patient care in the post-graduate OFP and OM clinics. The dietetic interns team with dental residents and faculty providing diet assessment for patients with complex medical conditions including temporomandibular joint disorders, chronic facial pain, cardiovascular, renal, immune-compromising diseases, and head and neck cancer. The dietetic interns develop patient and professional diet educational materials with an oral health focus and complete assignments on uses and risks of dietary supplements in dental care. Interprofessional collaboration between the dietetic interns and dental students/ residents enhances learning experiences for all involved.
Funding Disclosure: United States Department of Agriculture, National Institute of Food and Agriculture, Grant Number 2011-68001-30170
Funding Disclosure: None
Peer Nutrition Counseling Session Enhance Skills of Dietetics Students Author(s): B.G. Marques, A. Tallant, A.N. Jones; School of Health Sciences, Western Carolina Univ., Cullowhee, NC Learning Outcome: Participants will be able to identify interviewing and counseling skills that improved in dietetics students who provided peernutrition counseling as an experiential component of the curriculum. Research indicates that the counseling skill of a Registered Dietitian depends on usage and training. Both didactic and experiential learning are essential for dietetics students as part of the educational process. This study examined the effectiveness of peer-nutrition counseling as an experiential technique to enhance student confidence in basic nutrition knowledge and specific skills essential for effective counseling. Upper division dietetics students who were enrolled in or had previously taken a course in nutrition interviewing and counseling were paired with lower division students currently enrolled in a personal nutrition course. Peer counselors provided four nutrition counseling sessions with their peer clients during a three month semester. The peer counselors completed computer based pre- and post- questionnaires to rank their knowledge of basic nutrition and ability to use specific techniques for effective client nutrition counseling. Data from pre- and post-questionnaires were entered into SPSS and evaluated using t-tests and ANCOVA. Overall student peer nutrition counselors had high levels of self-confidence in their basic nutrition knowledge and skills needed to work effectively with clients before beginning the counseling sessions. After completing four nutrition counseling sessions the post-questionnaires revealed significant (p < 0.05) increases in self-perceived skills related to the ability to use verbal language the peer-client could understand, ability to help the client make specific nutrition goals, and the ability to be sure that the goals matched the readiness of the client. These data indicate that participation in peer-nutrition counseling was an effective experiential learning technique for dietetics students. Funding Disclosure: Western Carolina University, College of Health and Human Sciences
September 2013 Suppl 3—Abstracts Volume 113 Number 9
Impact of Oral Health Assessment Training for Israeli Ministry of Health Dietitians on Changes in Oral Nutrition Focused Physical Assessment Skills - A Pilot Study Author(s): R.A. Brody, N. Trostler, R. Touger-Decker, D. Rigassio Radler, S. Rachman-Elbaum; Nutritional Sciences, Univ. of Med. and Dentistry of New Jersey, Newark, NJ Learning Outcome: The participant will determine the impact of an oral health training program on nutrition focused physical assessment skills over time. Objective: To determine the impact of an oral health assessment training program for Israeli dietitians on changes in oral nutrition focused physical assessment (ONFPA) skills over time. Design/Subjects: Thirty dietitians working in Israeli Long-Term-Care (LTC) facilities who attended the program completed ONFPA data collection forms on patients at three time periods (pre-intervention, 3- and 6-months post-intervention). Participants documented that they ‘performed’ skills, used information from the ‘medical record’, or ‘did not assess’ skills related to ONFPA (intra-oral, extra-oral, cranial nerves, dysphagia screening) and reported referrals to health professionals and diet changes. Statistics: Descriptive statistics and chi-square analyses were used. Results: Pre-intervention, 331 assessment forms were completed; post intervention, 321 and 181 were completed at 3 and 6-months, respectively. At 3-months post intervention compared to baseline, participants were significantly more likely to perform and document ONFPA skills for all skills (p< 0.001) and were 5.7 times more likely to refer a patient to other health care professionals (p<0.001). At 6-months compared to 3-months postintervention, there was no significant change in how 9 of 10 skills tested were performed. Participants continued to ‘perform’ ONFPA skills versus use information from the medical record or not assess the skill. For eight of the 10 ONFPA skills, the proportion performing ONFPA skills versus using the medical record or not assessing the skill was greater than 85%. Conclusions: Participants in this ONFPA program designed for dietitians in LTC increased their skills from pre-training and maintained the increase in skills performance over time. Funding Disclosure: Colgate Palmolive Fellowship in Nutrition, Oral Health/Dental Education of the Foundation of the Academy of Nutrition and DIetetics
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-51
Poster Session: Food/Nutrition Science; Education; Management; Food Services/Culinary; Research Good Night! Sleep Tight! Parent Cognitions Related to Sleep Effects on Health and Weight of Preschool-Aged Children
Interprofessional Collaboration between Dietetic Interns and Dental Students Enhances Learning Outcomes of the Students and Provides Interdisciplinary Care to This Population
Author(s): D. Golem1, J. Martin-Biggers2, N. Hongu3, J. Worobey2, C. Byrd-Bredbenner2; 1 College of Health, Human Services, and Science, Ashford Univ., San Diego, CA, 2 Nutritional Sciences, Rutgers, The State Univ. of New Jersey, New Brunswick, NJ, 3 Nutritional Sciences, Univ. of Arizona, Tucson, AZ
Author(s): J.E. Ziegler1, D. Rigassio Radler1, G. Heir2, H. Cohen3, R. Touger-Decker1; 1 Department of Nutritional Science, University of Medicine & Dentistry of New Jersey, Newark, NJ, 2Center for Oral, Facial Pain, New Jersey Dental School, Newark, NJ, 3 Division of Oral Medicine, New Jersey Dental School, Newark, NJ
Learning Outcome: To describe parents’ cognitions of the effects of sleep on their preschool children's health and obesity risk and parents’ sleep hygiene parenting practices.
Learning Outcome: To describe the collaborative team-based approach to patient care between dietetic interns and dental students/residents at an urban dental school clinic.
Inadequate sleep increases obesity risk in children. The sleep cognitions, sleep hygiene practices, barriers to promoting positive sleep practices in children, and coping strategies of parents of 2- to 5- year old children were explored via focus group interviews (n¼21) and survey (n¼136). Focus group parents felt sufficient sleep was requisite to child wellbeing. Negative effects of inadequate sleep for children that parents identified were decreased mood/irritability; greater daytime tiredness; diminished daytime functioning and focus; and decreased appetite and food intake. No parents identified the influence of sleep on weight outcomes. Barriers to positive sleep practices were stimulation before bed from TV, sugary foods/drinks, and involvement in activities; wakefulness due to nap schedule and limited physical activity; and ulterior motives (fear of dark, desire to be with parents). Common strategies for overcoming barriers reflected recommended sleep hygiene techniques (adequate daytime physical activity; consistent sleep-wake schedules; bedtime routines; reducing stimulating activity before bed). Of surveyed parents, 90% set a bedtime for preschoolers, with set bedtimes more common among English (94%) than Spanish speakers (84%). Kids without set bedtimes watched more TV and were less active. Parents are aware of methods for coping with sleep barriers, yet are not aware of the influence of inadequate sleep on weight status. Some are unaware of the benefits of a set bedtime. The interrelationships among inadequate sleep, greater time spent TV watching, less time spent in physical activity, and obesity risk warrant increased attention in childhood obesity research and interventions.
The multifaceted relationships among oral, systemic and nutritional health present opportunities for interprofessional competency-driven experiences for dietetic interns and dental students/residents. A collaborative team-based approach to patient care has been employed in an urban dental school clinic. The University of Medicine and Dentistry of New Jersey-School of Health Related Professions’ dietetic interns complete an oral health rotation in the New Jersey Dental School general, oral medicine (OM) and orofacial pain (OFP) clinics, partnering with dental students/residents as both complete competencies and treat culturally and socioeconomic diverse medically complex patients. Experiential learning begins with the interns’ observation of the pre-doctoral dental students’ performance of oral exams, continues with discussion of normal versus non-normal exam findings and concludes with patient diet assessment and team-based counseling. The interns help the students evaluate diet and caries risk and provide guidance and recommendations for modification of diets to maximize the patient's oral and systemic health and manage oral-function problems. Together both disciplines' trainees provide comprehensive patient care in the post-graduate OFP and OM clinics. The dietetic interns team with dental residents and faculty providing diet assessment for patients with complex medical conditions including temporomandibular joint disorders, chronic facial pain, cardiovascular, renal, immune-compromising diseases, and head and neck cancer. The dietetic interns develop patient and professional diet educational materials with an oral health focus and complete assignments on uses and risks of dietary supplements in dental care. Interprofessional collaboration between the dietetic interns and dental students/ residents enhances learning experiences for all involved.
Funding Disclosure: United States Department of Agriculture, National Institute of Food and Agriculture, Grant Number 2011-68001-30170
Funding Disclosure: None
Peer Nutrition Counseling Session Enhance Skills of Dietetics Students Author(s): B.G. Marques, A. Tallant, A.N. Jones; School of Health Sciences, Western Carolina Univ., Cullowhee, NC Learning Outcome: Participants will be able to identify interviewing and counseling skills that improved in dietetics students who provided peernutrition counseling as an experiential component of the curriculum. Research indicates that the counseling skill of a Registered Dietitian depends on usage and training. Both didactic and experiential learning are essential for dietetics students as part of the educational process. This study examined the effectiveness of peer-nutrition counseling as an experiential technique to enhance student confidence in basic nutrition knowledge and specific skills essential for effective counseling. Upper division dietetics students who were enrolled in or had previously taken a course in nutrition interviewing and counseling were paired with lower division students currently enrolled in a personal nutrition course. Peer counselors provided four nutrition counseling sessions with their peer clients during a three month semester. The peer counselors completed computer based pre- and post- questionnaires to rank their knowledge of basic nutrition and ability to use specific techniques for effective client nutrition counseling. Data from pre- and post-questionnaires were entered into SPSS and evaluated using t-tests and ANCOVA. Overall student peer nutrition counselors had high levels of self-confidence in their basic nutrition knowledge and skills needed to work effectively with clients before beginning the counseling sessions. After completing four nutrition counseling sessions the post-questionnaires revealed significant (p < 0.05) increases in self-perceived skills related to the ability to use verbal language the peer-client could understand, ability to help the client make specific nutrition goals, and the ability to be sure that the goals matched the readiness of the client. These data indicate that participation in peer-nutrition counseling was an effective experiential learning technique for dietetics students. Funding Disclosure: Western Carolina University, College of Health and Human Sciences
September 2013 Suppl 3—Abstracts Volume 113 Number 9
Impact of Oral Health Assessment Training for Israeli Ministry of Health Dietitians on Changes in Oral Nutrition Focused Physical Assessment Skills - A Pilot Study Author(s): R.A. Brody, N. Trostler, R. Touger-Decker, D. Rigassio Radler, S. Rachman-Elbaum; Nutritional Sciences, Univ. of Med. and Dentistry of New Jersey, Newark, NJ Learning Outcome: The participant will determine the impact of an oral health training program on nutrition focused physical assessment skills over time. Objective: To determine the impact of an oral health assessment training program for Israeli dietitians on changes in oral nutrition focused physical assessment (ONFPA) skills over time. Design/Subjects: Thirty dietitians working in Israeli Long-Term-Care (LTC) facilities who attended the program completed ONFPA data collection forms on patients at three time periods (pre-intervention, 3- and 6-months post-intervention). Participants documented that they ‘performed’ skills, used information from the ‘medical record’, or ‘did not assess’ skills related to ONFPA (intra-oral, extra-oral, cranial nerves, dysphagia screening) and reported referrals to health professionals and diet changes. Statistics: Descriptive statistics and chi-square analyses were used. Results: Pre-intervention, 331 assessment forms were completed; post intervention, 321 and 181 were completed at 3 and 6-months, respectively. At 3-months post intervention compared to baseline, participants were significantly more likely to perform and document ONFPA skills for all skills (p< 0.001) and were 5.7 times more likely to refer a patient to other health care professionals (p<0.001). At 6-months compared to 3-months postintervention, there was no significant change in how 9 of 10 skills tested were performed. Participants continued to ‘perform’ ONFPA skills versus use information from the medical record or not assess the skill. For eight of the 10 ONFPA skills, the proportion performing ONFPA skills versus using the medical record or not assessing the skill was greater than 85%. Conclusions: Participants in this ONFPA program designed for dietitians in LTC increased their skills from pre-training and maintained the increase in skills performance over time. Funding Disclosure: Colgate Palmolive Fellowship in Nutrition, Oral Health/Dental Education of the Foundation of the Academy of Nutrition and DIetetics
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-51