. BHUTANESE/NEPALI CARBOHYDRATE FOOD LIST (Ragat Ma Guliyo Ko Matra Badaunay Khana) !"# $% "&'()* +* $%#,! -./01 2%0 Puri Beaten Rice Rice Pudding 2(! Legumes/Pulses/Dal .' Sweets & Snacks "&'()* , 2%3% Breads & Grains 4&',+% Fruit 4' 4&' Starchy Vegetables #!+%!5 Green Pumpkin Milk !" Arabic 17% Spanish 16% Bosnian 16% Russian 11% Nepali 10% Vietnamese 6% Farsi 5% Mandarin 4% Dari 4% Kurdish 1% Other 10% Interpreter Services Coverage Ratio for BJH Medical Campus FINDINGS • 88% of RDs reported they would recommend this tool to other RDs • 59% of RDs reported a need for NSB education tools • Surveyed RDs described materials to be very easy to follow/understand, colorful, and engaging RECOMMENDATIONS • Separate pt. material from educator material for ease of printing and presentation • Use picture resources with low literacy patients • Adapt similar materials for other cultures For further information contact: Lillie Larsen: [email protected] Shannon Ebron: [email protected] Development and Evaluation of Carbohydrate Counting Tool for Traditional Bhutanese-Nepali Foods Shannon E. Ebron, BS Lillie Larsen, RD, LD, CDE International Carbohydrate Counting Education: A Diabetes Tool for the Nepali-speaking Bhutanese BOOKLET ORGANIZATION: Element 1: Introduction to culture and cuisine • Provides a briefing of the group’s history, health customs, and traditional cuisine. Element 2: Pictorial Tools • Provides a pictorial “list” of CHO and non-CHO foods and plate-method meal planning tools. Element 3: Traditional Food List • Provides a traditional Nepali diabetes exchange list Element 4: Recipes • Provides traditional recipes that are adapted to improve nutritional composition INTENDED USE: • Guide NSB patients in determining what is and what is not a carbohydrate (CHO) food. •Increase patient confidence in the assembly of meals consisting of CHO and non-CHO foods. METHOD • Drafted materials based upon the following: • Review of literature • Interpreter input • Patient feedback • Exploration of international grocery stores • Experimentation with traditional recipes • RDs evaluated materials per online survey COMPOSITION OF SURVEY RESPONDENTS • 77% Clinical RDs • 8% Community RDs • 15% Dietetics Education RDs BHUTANESE/NEPALI NON-CARB FOOD LIST (Ragat Ma Guliyo Ko Matra Kamti Banaunay Khana) !"# $% "&'()* +* $%#,! +$,#( -.%/.0 1%. Meats, Poultry, & Fish $2",3% Sesame Seeds #(' Paneer Red Meats including... Goat (Mutton) Lamb Buffalo/Bison Non-Starchy Vegetables #!+%!4 Fats and Oils -*3* , #0' PROBLEM: Carbohydrate counting tools for the NSB are limited and often require users to have a high level of literacy. PROJECT QUESTION: Would a “universal design” (UD) carbohydrate-counting tool meet the needs of NSB persons with diabetes and their educators? Project Setting: Center for Outpatient Health, Barnes-Jewish Hospital, St. Louis, Missouri BACKGROUND INFORMATION STATISTICS: •As of 2012, more than 49,000 Nepali-speaking Bhutanese (NSB) have resettled in the US. •At Barnes-Jewish Hospital, NSB-interpreted encounters increased from “0” encounters in 2009 to 4,976 in 2012. •Diabetes Education materials are crucial as 8.7% of adults in the South-East Asia region (Includes Bhutan & Nepal) have diabetes. Acknowledgements: Laxmi Regmi & Praja Dhital: Interpreter Services, Barnes-Jewish Hospital, St. Louis, MO