Nutrition education project

Samantha A. Moitt R.D.

Community Nutrition

Fall 2014

Background

Program Goal and Objectives

Proposed Intervention

Design of the Nutrition Education Program

Marketing Plan

Evaluation Results

Outcomes

Challenges

Improvements

Obesity is a major problem in Antigua &

Barbuda

60% of adults screened nationally are

either overweight/obese1

71% of Nurses at Mount St. John Medical

Center (MSJMC) are either

overweight/obese

Contributors include stress, shift work,

high cost of fruits and vegetables2

There are no

wellness programs at

the hospital

Nurses indicated that

they would like help

in managing their

weight

35 nurses were surveyed

71% were not happy with their weight

70.5% are trying to lose weight

54.2% are overweight

17% are obese

Only 2 persons got the recommended

amount of activity

The Health Belief Model3

Change in behavior

Use of a role model

Self efficacy

Increase healthy behavior among nurses

through education on lifestyle changes

specifically healthy eating and exercise

75% of nurses would indicate a physical activity

that they can do in the upcoming week.

75% of nurses would indicate 2 changes they can

make to their diets within the upcoming week

By the end of the seminar 95% of nurses are to

identify 3 behavioral goals that they wish to

achieve in 6 months

Seminar

1 hour lunch seminar

Follow up 30 minutes session

Location

MSJMC auditorium

Target Audience

50 nurses employed at MSJMC who are

interested in developing healthy habits

On the Road to Good Health

Product

Seminar

Multiple Speakers

Lunch

Goal Sheets

Handouts on exercise

and healthy eating

Place

MSJMC auditorium

Nursing Office

Education Department

Price

Free to nurses

Lunch provided

TOOL WEEK 1 WEEK 2 WEEK 3 WEEK 4

Flyers x x x X

Email x X

Dept meetings X

Overhead

announcement

x

Welcome and Introduction

Presentation by nutritionist

Goal, Objectives and Community Findings

Where do the Calories Come From?

Presentation by dietitian

Handouts on Food Based Dietary Guidelines, Healthy snacks

Evaluation-What 2 changes do you plan to make to your diet within the next week?

Moving on your Own Time

Presentation by group fitness trainer

Fitting activity into your busy schedule

5 minute aerobics session

Evaluation - What activity can you commit to

doing within the upcoming week?

Ends with Lunch

If I can you can too!

Presentation by role model nurse

Keeping Tabs

Social worker to discuss goal setting and

support systems

Evaluation – Identify 3 behavioural goals you

would like to accomplish within 6 months

Wrap up

Did the program improve self efficacy?

Was the support information provided

helpful?

What effect did the seminar have on your long term health goals?

What activity can you commit to doing within the upcoming week

What 2 changes do you plan to make to your diet within the next week?

What 3 behavioral goals did you identify to accomplish within 6 months?

Do you plan on contacting any of the support professionals for further help?

Do you have any suggestions for improving the seminar in the future?

If we were to offer other Lunch and Learn Seminars, do you think you would attend? Please feel free to provide suggested topics.

QUESTION

What activity can you

commit to doing within

the upcoming week?

RESULTS

Walking 70%

Counting steps (using

the app) 21%

Going to the gym 9%

QUESTION

What 2 changes do you

plan to make to your diet

within the next week?

RESULTS

Cutting down on fast

food

Drinking more water

Cutting out bread

Decreasing starch intake

Increasing vegetable

intake

Eating more fruits

Decreasing portion sizes

QUESTION

What 3 behavioral goals

did you identify to

accomplish within 6

months?

RESULTS

Increasing exercise

Drinking more water

Using more vegetables

Snacking on fruits

Using less fast food

Support persons contacted after seminar

Nutritionists and Dietitians of Antigua &

Barbuda

Nurses identified as role models

Social worker

Only 50% of nurses were able to return for

the follow up seminar

The second session ran over by 15

minutes

Was not able to meet the goal setting

objective of 95%

1. Increase staff participation

2. Work with marketing department to

develop an ongoing wellness program

3. Collaborate with the education

department to offer regular activities

1. The Government of Antigua and Barbuda. (2012). Antigua and Barbuda Food and Nutrition Security Policy. (PDF document). St. John’s, Antigua.

2. Antunes, L. Levandovski, R. Dantas, G. Caumo, W. Hidalgo, M. (2010). Obesity and shift work: chronobiological aspects. Nutrition Research Reviews, Volume 23,155-168. doi:10.1017/S0954422410000016

3. Boyle,M. Holben, D. (2013).Community Nutrition in Action An Entrepreneurial Approach. California, United States: Wadsworth CenageLearning.