Good Grinding for Wise Dining Nutrition Education for Older Adults

1
Good Grinding for Wise DiningNutrition Education
for Older Adults

• 2008 Priester National Extension Health
  Conference
• Raleigh/Durham, North Carolina
• April 8-10, 2008

2
Overview

• Background
• Theoretical Framework
• Adapted Precede-Proceed Model
• Program Planning and Implementation
• Acknowledgements

3
Background

• Utilize Resources
• Executive Office on Aging
• Area Agencies on Aging
• Nutrition Education for Wellness

4
Adapted PRECEDE-PROCEED Model
Needs Assessment
Evaluation
Program Planning and Implementation
Social Assessment
Process Evaluation
Curriculum Development
Pilot Test
Train Facilitators
Implement
Epidemiological Assessment
Impact Evaluation
Behavioral and Environmental Assessment
Outcome Evaluation
5
Program Planning and Implementation
Curriculum Development
Curriculum Development
Pilot Test
Train Facilitators
Implement
6
Curriculum Development

• Needs Assessment
• Survey, Interview, Focus Discussion
• Literature Review
• Food Guidance
• Behavior Change Theories
• Literature Review

7
Best Practice Components

• Sahyoun, Pratt Anderson, 2004
• Existing specific health condition
• Motivation
• Goal setting
• Hands-on activities
• Incentives
• National Council on Aging, 2004
• Limit messages
• Hands-on activities
• Active participation
• Lay educators

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Education Components

• Best Practice Components
• Hands-on activities
• Incentives
• Target messages
• Active participation
• Lay educators
• Other Components
• Short
• Simple

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Curriculum Development
Guiding Principles
Education Topics
Survey
Best Practice Components
Modules and Lessons
Literature Review
Other Components
Food Guidance
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Modules Lessons

• Module 1 Strategies for Eating
• Lesson 1 Easy Meals
• Lesson 2 Sharing Meals
• Lesson 3 Food Storage
• Module 2 Choosing Foods
• Lesson 1 Fruits and Veggies
• Lesson 2 Eating Out
• Lesson 3 Eating for Wellness
• Food Safety

• Module 3 Regular Eating
• Lesson 1 Healthy Bones
• Lesson 2 Nutritious Snacking
• Lesson 3 Whole Grains
• Module 4 Celebration Foods
• Lesson 1 Favorite Foods
• Lesson 2 Sugars/Fats/Salts
• Lesson 3 Living Local
• Water

11
Program Planning and Implementation
Pilot Test
Curriculum Development
Pilot Test
Train Facilitators
Implement
12
Pilot Testing

• Pilot Test 1 Alu Like
• Over 80 seniors
• 3 sites
• Pilot Test 2 Lanakila
• Over 200 seniors
• 12 sites
• Outcome
• Revised lesson format
• Revised handouts
• Catchy Phrases

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Catchy Phrases
Lesson Topic
Phrase

• Easy Meals
• Sharing Meals
• Food Storage
• Eating Out
• Whole Grains

• No-Cook Cooking
• Sharing is Caring
• No Need, No Buy
• When Eating Out, Choose Fruits and Veggies for
  Your Mouth
• Whole Grains we Go. Go, Go Whole Grains!

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Program Planning and Implementation
Train Facilitators
Curriculum Development
Pilot Test
Train Facilitators
Implement
15
Train Facilitators
Molokai
Kauai
Maui
Oahu
Lanai
Hilo
Kona
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Training

• Background Information
• Modules and Lessons
• Food Safety
• Recipes
• Demonstration
• Practice Session

17
Presentation Tips

• Be Prepared
• Speak Clearly
• Make Eye Contact
• Answer Honestly
• Be Enthusiastic

18
Program Planning and Implementation
Implement
Curriculum Development
Pilot Test
Train Facilitators
Implement
19
Implementation Phase

• Implement statewide
• Kauai County
• Maui County
• Oahu
• Big Island
• Monitoring

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Acknowledgements

• Special thanks to
• Lanakila Meals on Wheels
• Alu Like
• Hawaii County Office on Aging
• Maui County Office on Aging
• Honolulu Elderly Affairs
• Kauai Agency on Elderly Affairs
• Funding provided by
• State of Hawaii Executive Office on Aging
• In collaboration with University of Hawaii,
  College of Tropical Agriculture and Human
  Resources, Cooperative Extension Services Food
  Stamp Nutrition Education Program

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Contact Information

• Good Grinding for Wise Dining
• University of Hawaii at Manoa
• College of Tropical Agriculture and Human
  Resources
• Department of Human Nutrition, Food, Animal
  Sciences
• Cooperative Extension Services
• Nutrition Education for Wellness
• 1955 East-West Road, 306
• Honolulu, Hawaii 96822
• Phone [phone]
• Fax [phone]

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References

• Gielen, A.C. McDonald, E.M. (2002). Using the
  precede-proceed planning model to apply health
  behavior theories. In K. Glanz, B.K. Rimer,
  F.M. Lewis (Eds) Health behavior and health
  education (pp. 409-436). San Francisco John
  Wiley Sons.
• National Council on Aging (2004). Healthy Eating
  for Successful Living in Older Adults. Retrieved
  on December 5, 2007 from https//www.ncoa.org/Down
  loads/ModelProgramsHealthyEating.pdf
• Sahyoun, N.R., Pratt, C.A. and Anderson, A.
  (2004). Evaluation of nutrition education
  interventions for older adults a proposed
  framework. Journal of the American Dietetic
  Association, 104, 58-69.