SUNY Oneonta School of Education, Human Ecology & Sports Studies: Recent submissions
Now showing items 21-40 of 63
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Providing Salt-Free and Sugar-Free Seasoning Blends to Adolescents and their Effect on Vegetable Intake in the School EnvironmentObjective: To evaluate the effect of providing sugar-free, salt-free spice blends on vegetable intake among adolescents Design: Quasi-experimental, case-control Methods: Subject selection, consumption, and enjoyment of vegetables served in school-offered meals was measured prior to the intervention period and again following 4 weeks of providing spice blends. Measurements were made using numerical and Likert scales along with open-ended solicitation of feedback. Setting: South Jefferson High School, Adams, New York Participants: High school students enrolled in health classes in the 2023-2024 school year (n=13). Intervention: Following a pre-test assessment, students were provided with optional spice blends in the lunch lines for 4 weeks. After the 4 weeks, a post-test was administered to measure the effect of the spices on vegetable selection, consumption, and enjoyment. Results: After 4 weeks, the spice blends did not produce significant changes in vegetable selection, consumption, or enjoyment among subjects. Conclusions and Implications: Herbs and spices have been demonstrated elsewhere to be effective methods for improving vegetable intake in the adolescent population.22,23 This study’s results suggest the need for further, more rigorous testing in the population.
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The Food Farmacy Project: Bridging the Gap Between Discharge and the Establishment of a Long-Term, Community-Based Food Source for Patients Experiencing Food InsecurityThe purpose of this study was to determine the feasibility and usefulness of the Food Farmacy Program at Garnet Health affiliated hospitals. The Food Farmacy Program is a pilot program that consists of a closed food pantry which provides positively screened food insecure patients with a food bag containing a 3-day supply of non-perishable food items upon discharge. A total of 2 participants (n=2) received the food bag and completed an outcome assessment survey one week post discharge between April 10, 2023 and April 21, 2023. Participant responses were recorded in an excel spreadsheet and analyzed for frequency of each response to each question. Results of this study show that both participants (100%) found the food bag to be “very useful”, lasted them an average of 3.5 days, helped them maintain satiety for the duration, and was age appropriate for their household. The results of this study indicate that the Food Farmacy Program should continue to be offered in the Garnet Health system as a supplement to other interventions aimed at addressing food insecurity
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Evaluating a Nutrition Education Intervention to Promote A Healthy Lifestyle Among Older AdultsObjectives: Evaluate the effectiveness of a new nutrition program developed to address the nutrition education needs of this community. Design: Quasi-experimental Design Methods: The intervention included a new nutrition education program at Carmine Carro Community Center over a period of 5 weeks. Multiple nutrition education classes (5 classes) for older adults in this community were provided to increase their knowledge and promote a healthy lifestyle. Participants were asked to attend each class session. Participants were recruited from the community senior center, located in Brooklyn, NY. Convenience sampling was used to recruit participants. Participants attended these classes as they liked, but they needed to be a member in order to be able to participate. Multiple tools were used to collect data to quantify the effectiveness of the intervention, which included pre-tests and post-tests surveys/questionnaires, nutrition exit slip, activities and games. Quantitative Data (participants surveys/questionnaire scores) were analyzed and compared using paired t-tests created using SPSS software. Qualitative Data were thematically examined to identify facilitators for this intervention, which included observations made during each class session. Results: The nutrition education intervention program increased participants’ knowledge about cholesterol (p < 0.05). However, it demonstrated that there was no change following the diabetes lesson. Participants reported a positive experience with the nutrition intervention program that was implemented. Many were very involved during the class sessions. p-values were used to show the significance difference between the pre-tests and post-tests. Discussion: This nutrition education intervention was effective in increasing the community’s knowledge, and skills. Even Though participation varied during each class session, positive feedback was received from participants. Previous studies have demonstrated that nutrition education works in teaching participants to recognize a healthy diet and promote a healthy lifestyle. A bigger sample size was included in these studies. However, similar results were obtained as it gave participants the opportunity to participate in increasing their knowledge. Strengths of this study is that it provided researchers with complete control over all aspects of the independent variable, more generalizable, and have better external validity. Limitations of this study is that randomization is not used, participation was very low for some of the class sessions, time conflict with the class, bias
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Rural Geriatric Nutrition: Addressing Nutrition Related Knowledge DeficitsObjective: To evaluate the effectiveness of a nutrition-related education program on knowledge deficits and the initiation of behavior changes. Design: Mixed methods. Methods: Participant knowledge was compared using a pre- and post-test survey. Initiation of behavior change was assessed through individual nutrition-related goals. Setting: Dillio’s Café, Prattsburgh, NY Participants: In 2023, 12 older adults who utilize the meal program participated. Intervention: In 2023, a nutrition intervention was delivered to all 12 participants via trivia and jeopardy styled games based on the social cognitive theory. Results: Post-test survey scores were significantly greater than the pre-test survey scores with a p<0.05. Initiation of behavior change was notable in 11 participants as seen through individual nutrition-related goals. Conclusions and Implications: Delivering a nutrition education is an effective way to address nutrition-related knowledge deficits and initiating behavior changes for more healthful lives. Additional research is needed to measure compliance to behavior change.
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Evaluating the Effectiveness of an Intervention Designed to Address Malnutrition in Elderly PatientsObjective: To evaluate the effectiveness of group nutrition counseling compared to individualized nutrition counseling. Design: Quasi experimental trial Methods: Participants split into two groups. The knowledge change of participants was evaluated by comparing scores of pre- and post- activity. Setting: North Westchester Restorative Nursing Facility, Mohegan Lake, NY Participants: 10 residents of the nursing home enrolled in the study Intervention: Each group participated in an activity in which they determined the daily serving recommendations of sorted various food groups. After an educational lesson, the participants performed the same activity. Results: The 1-on-1 counseled participants showed a statistically significant improvement. There was no statistically significant difference shown among group-counseled participants. Conclusion: The study indicates that 1-on-1 counseling is a more effective method of nutrition intervention compared to group counseling
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Increasing Fruit & Vegetable Intake Through the Health Belief Model in Socioeconomically Disadvantage Individuals of St. Lawrence County, New YorkObjective: To evaluate how effective an intervention designed using the Health Belief Model is on increasing fruit & vegetable intake. Design: Quasi-experimental Methods: Utilized qualitative and quantitative (with Mann-Whitney U Test). Participants were recruited through a program called Bonus Bucks at GardenShare organization. Data was collected through google forms with a pre and post-test. Setting: Online ZOOM platform. Pre-test & post-test through google forms. Participants: five participants completed the whole intervention online intervention. Intervention: Health Belief Model was utilized to change behavior. Three online sessions were utilized to cover key points in the Health Belief Model including health risks, health benefits, barriers and solutions to fruits and vegetables. Included education on prime seasons of fruits and vegetables and activities to engage participants like discussions and questions. Results: The intervention insignificantly changed fruit and vegetable intake. Behavior change based on the Health Belief Models perceived threats, benefits, solutions, and self-efficacy was insignificant. Conclusions and Implications: As this study is a pilot study further research is needed to eliminate limitations and decrease gaps in the intervention. The intervention to evaluate how effective an intervention based on the Health Belief Model was to increase
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Effectiveness of a Food Map Tool to Address Food Insecurity Amongst a Senior PopulationObjective: To evaluate the effectiveness of a food map tool on increasing knowledge about local sources of food and the information needed on such food map tools to improve the effectiveness. Design: Qualitative Experiment Design. Methods: Community members’ perception of the usefulness of a food map tool created for Livingston County was evaluated using focus groups. Participants were asked pre- & post-questions about the map. Content analysis was used to identify emerging themes. The themes were used to make improvements to the food map tool. Setting: Dansville and Mt. Morris congregate meal sites in Livingston County, NY Participants: In February 2023, 15 community members, who attend the congregate meal sites in Dansville and Mt. Morris, aged 60 years and older were enrolled in this study. Intervention: In February 2023, the food map tool was introduced to community members in a focus group setting. Prior to being shown the tool, participants were asked pre-questions. After seeing the food map, they were asked a series of post-questions. Their responses were recorded for content analysis. Results: The use of a food map tool increased community members’ knowledge of local food sources. However, identified emerging themes support the need for revisions to the food map to increase the effectiveness of the tool. The food map was generally well-received, and many participants opted to keep a copy of the map for themselves. Conclusions and Implications: The food map tool, with proper revisions, can be an effective method to increase the knowledge of local food sources and utilization of such a tool. Determining what the residents are looking for and what they want is important when creating an effective food map tool.
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Change in Adolescent Nutrition Knowledge and Self-Efficacy Following Education and Activity InterventionObjective: To evaluate the effectiveness of an in-class lecture and hands-on activity intervention on the nutrition knowledge and self-efficacy of adolescents attending high school health classes. Design: Three nutrition-related surveys and questionnaires were completed by adolescents before and after a 15- to 20-minute presentation-style lecture, group discussion, and hands-on shopping and meal planning activity. Setting: A public high school in up-state New York. Analysis: Pre- and post-survey results were compared and analyzed using paired t-tests and the nonparametric Wilcoxon Signed-Rank Test. General observations of data trends were also considered. Results: All three assessment tools showed statistically significant improvements from pre- to post-intervention. However, the level of impact demonstrated ranges from minimal in the knowledge scores (Cohen’s d-value of 0.321, 95% confidence) to moderate in the case of self-efficacy (Cohen’s d-value of 0.545, 95% confidence) and health literacy (Z = -2.679, p = 0.007). Conclusions: In-class nutrition interventions can positively influence the nutrition knowledge survey scores, self-efficacy questionnaire ratings, and health literacy scores of adolescents. Social Cognitive Theory-based nutrition interventions using knowledge and skill building methodologies are effective in a high school setting and can be expanded beyond the research realm into health class teaching techniques
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Is Gamification a Curse or a Blessing? Teacher and Student Perspectives About the Use of Blooket in a High School ClassroomThe action research study was conducted to understand how the use of Blooket in high school science classrooms impacts the learning environment. After implementing the specific software into my classroom, I have questioned the value of the integration of such a program as a result of student behavior. In other words, I was looking to investigate whether this gamification detracts from the lesson objective or supports it. This was completed among seventeen, ninth-grade Earth Science students at a suburban New York high school. A total of five science teachers participated in the study as well. After collecting data, three themes were established with the research questions in mind. These themes focused on the various opinions derived from perspectives of both the students and the teachers. Based on the findings and developed themes, I have come to the recommendation of avoiding certain game modes that instigate competitive nature and are found to lead to negative behavior that further disrupts the learning environment.
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Perspectives of Teachers Working in a Virtual School Environment in Upstate New YorkThe COVID-19 pandemic caused many changes for schools and students. Many schools had to make temporary accommodations to continue instruction virtually during periods of quarantine. Despite the return to in-person learning for many schools, options for virtual learning are becoming more popular. However, there is a lack of professional training for virtual teaching. In addition, there is very little literature on virtual schools, which is needed as virtual K-12 schools become more popular. The purpose of this study was to understand the perspectives of teachers working at the New York Public Virtual Learning Academy (PVLA). This study utilized open-ended questionnaires and interviews of 16 teachers working at the PVLA. Data was organized via reduction into codes and themes. This study found that while many participants described virtual teaching as a positive experience, yet there are a few areas in need of more preparation. This study suggests that with the right support and preparation, virtual teaching can be a viable option for many teachers.
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Evaluating the Effectiveness of a Balanced Plate InterventionObjective: To evaluate the effectiveness of 3 educational sessions on nutrition knowledge and behavior in a virtual Facebook group run by a Registered Dietitian. Design: Quasi-experimental design Methods: Three educational sessions were created based on the needs of the Nourished with Emily Facebook group members. Pre and post-tests were used to determine a difference in knowledge before and after the intervention. Behavior change was also evaluated in participants. Setting: Virtual; Zoom Participants: Women who are between the ages of 25-55, live across the United States, and are employed who are members of the Nourished with Emily Facebook group. Intervention: A pre-test was sent out to those that signed up before the intervention. A zoom link was sent to all participants who signed up. The 3educational sessions were based off the areas on the needs assessment survey that were answered incorrectly by most participants. A post-test was sent to participants after the final educational session as well as another post-test one week later. Results: There was no significant difference between the mean total scores of the pre and post-tests. There was also no significance difference in the qualitative data found on the pre and post-tests. However, it was seen that the participants reported that they did apply the information they learned from the intervention on post-test that was sent out 1 week after the last session. Conclusions and Implications: The 3 educational sessions were not effective in significantly increasing nutrition knowledge in this virtual population. These findings reject the authors’ hypothesis that the educational sessions would increase knowledge of the participants.
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Money Gone Up in Smoke: The Tobacco Use and Malnutrition Nexus in BangladeshBackground: The tobacco epidemic in Bangladesh is pervasive. Expenditures on tobacco may reduce money available for food in a country with a high malnutrition rate. Objectives: The aims of the study are to quantify the opportunity costs of tobacco expenditure in terms of nutrition (i.e., food energy) forgone and the potential improvements in the household level food-energy status if the money spent on tobacco were diverted for food consumption. Method: We analyzed data from the 2010 Bangladesh Household Income and Expenditure Survey, a nationally representative survey conducted among 12,240 households. We present 2 analytical scenarios: (1) the lower-bound gain scenario entailing money spent on tobacco partially diverted to acquiring food according to households' food consumption share in total expenditures; and (2) the upper-bound gain scenario entailing money spent on tobacco diverted to acquiring food only. Age- and gender-based energy norms were used to identify food-energy deficient households. Data were analyzed by mutually exclusive smoking-only, smokeless-only, and dual-tobacco user households. Findings: On average, a smoking-only household could gain 269-497 kilocalories (kcal) daily under the lower-bound and upper-bound scenarios, respectively. The potential energy gains for smokeless-only and dual-tobacco user households ranged from 148-268 kcal and 508-924 kcal, respectively. Under these lower- and upper-bound estimates, the percentage of smoking-only user households that are malnourished declined significantly from the baseline rate of 38% to 33% and 29%, respectively. For the smokeless-only and dual-tobacco user households, there were 2-3 and 6-9 percentage point drops in the malnutrition prevalence rates. The tobacco expenditure shift could translate to an additional 4.6-7.7 million food-energy malnourished persons meeting their caloric requirements. Conclusions: The findings suggest that tobacco use reduction could facilitate concomitant improvements in population-level nutrition status and may inform the development and refinement of tobacco prevention and control efforts in Bangladesh.
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Development and calibration of a dietary nitrate and nitrite database in the NIH-AARP Diet and Health StudyObjective: Nitrate and nitrite are probable human carcinogens when ingested under conditions that increase the formation of N-nitroso compounds. There have been limited efforts to develop US databases of dietary nitrate and nitrite for standard FFQ. Here we describe the development of a dietary nitrate and nitrite database and its calibration. Design: We analysed data from a calibration study of 1942 members of the NIH-AARP (NIH-AARP, National Institutes of Health-AARP) Diet and Health Study who reported all foods and beverages consumed on the preceding day in two non-consecutive 24 h dietary recalls (24HR) and completed an FFQ. Based on a literature review, we developed a database of nitrate and nitrite contents for foods reported on these 24HR and for food category line items on the FFQ. We calculated daily nitrate and nitrite intakes for both instruments, and used a measurement error model to compute correlation coefficients and attenuation factors for the FFQ-based intake estimates using 24HR-based values as reference data. Results: FFQ-based median nitrate intake was 68·9 and 74·1 mg/d, and nitrite intake was 1·3 and 1·0 mg/d, in men and women, respectively. These values were similar to 24HR-based intake estimates. Energy-adjusted correlation coefficients between FFQ- and 24HR-based values for men and women respectively were 0·59 and 0·57 for nitrate and 0·59 and 0·58 for nitrite; energy-adjusted attenuation factors were 0·59 and 0·57 for nitrate and 0·47 and 0·38 for nitrite. Conclusions: The performance of the FFQ in assessing dietary nitrate and nitrite intakes is comparable to that for many other macro- and micronutrients.
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Healthcare and Wellness Practitioner Confidence in Provision of Nutrition Education and Use of Evidence-Based Nutrition ResourcesObjectives: Differences in messaging from healthcare and wellness practitioners can lead to consumer confusion and mistrust in nutrition. The regular use of evidence-based nutrition resources by practitioners could improve consistency in patient education. The confidence registered dietitians (RDNs) and non-RDN practitioners have in providing nutrition education and the use of evidence-based nutrition resources in patient education is not known. Objectives: 1) To evaluate how confident RDN and non-RDN practitioners are in providing nutrition education, and 2) to evaluate RDN and non-RDN use of evidence-based nutrition resources.
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The Effects of Explore Learning’s Math and Science Simulations on Student Engagement in a Rural High SchoolStudents across the nation struggle to build a conceptual understanding of scientific phenomena. The complexity of scientific concepts is difficult for students to understand, and students struggle to visualize the processes that are taught in science. New approaches that incorporate digital simulations can be used to enhance student learning of biological processes. However, more research is needed to understand how digital simulations can be used in the classroom to improve student engagement, and ultimately improve student learning. This qualitative study invited secondary teachers at rural high school who use Explore Learning’s digital simulations to teach math and science concepts. The teacher participants completed an online questionnaire which asked them to share their perspectives and opinions of Explore Learning’s simulations and how it effects student engagement. Findings suggest that Explore Learning Math and Science Gizmos increases student engagement. Based on these findings, the student researcher suggests that further research be conducted to test the effect Explore Learning's digital simulations on students' engagement when learning in math and science.
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The crowding-out effect of tobacco expenditure on household spending patterns in BangladeshBackground: Tobacco consumption constitutes a sizable portion of household consumption expenditure, which can lead to reduced expenditures on other basic commodities. This is known as the crowding-out effect. This study analyzes the crowding-out effect of tobacco consumption in Bangladesh, and the research findings have relevance for strengthening the tobacco control for improving health and well-being. Methods: We analyzed data from the Bangladesh Household Income and Expenditure Survey 2010 to examine the differences in consumption expenditure pattern between tobacco user and non-user households. We further categorize tobacco user households in three mutually exclusive groups of smoking-only, smokeless-only, and dual (both smoking and smokeless); and investigated the crowding-out effects for these subgroups. We compared the mean expenditure shares of different types of households, and then estimated the conditional Engel curves for various expenditure categories using Seemingly Unrelated Regression (SUR) method. Crowding-out was considered to have occurred if estimated coefficient of the tobacco use indicator was negative and statistically significant. Results: We find that tobacco user households on average allocated less in clothing, housing, education, energy, and transportation and communication compared to tobacco non-user households. The SUR estimates also confirmed crowding-out in these consumption categories. Mean expenditure share of food and medical expenditure of tobacco user households, however, are greater than those of tobacco non-user households. Albeit similar patterns observed for different tobacco user households, there were differences in magnitudes depending on the type of tobacco-use, rural-urban locations and economic status. Conclusion: Policy measures that reduce tobacco use could reduce displacement of commodities by households with tobacco users, including those commodities that can contribute to human capital investments.
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Role of Phytoestrogens in Cancer TherapyCancer is a leading cause of death worldwide, and the numbers of new cancer cases are expected to continue to rise. The main goals of cancer therapy include removing the primary tumor, preventing the spread of distant metastases, and improving survival and quality of life for the patients. To attain these goals of cancer therapy, the combination of different chemotherapeutics, as opposed to the conventional single-agent treatment, is an emerging area of research. Given the potential risks of drug toxicity in such treatment, the focus is to have a second compound that increases the anticancer potential of the primary agent but which reduces toxicity. There is an ever growing interest in treatment with natural compounds, such as plant phytoestrogens, as an adjuvant cancer therapy along with conventional cancer therapy. The question remains whether or not adding these compounds to the cancer therapy regimen as a second agent would be beneficial, and if they are safe to be used among cancer patients. The current literature suggests that phytoestrogen treatment is capable of inducing G2/M cell cycle arrest in a number of cancer cell lines, as well as upregulating cell cycle inhibitory molecules. Phytoestrogen therapy has been shown to inhibit inflammation, angiogenesis and metastases in various in vivo tumor models, and pronounced benefits have been observed when combined with radiation therapy. The lack of side effects from phase I and II clinical trials of phytoestrogens in cancer therapy points towards their safety, but to further understand their added benefit clinical studies with large sample sizes are required. We have reviewed the recent research studies in these areas in an attempt to find evidence for their role in cancer therapy as well as safety.
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Comparative analysis of diet and tobacco use among households in BangladeshIntroduction: While studies from developed countries have reported dietary differences between tobacco users and non-users, less is known about the influence of tobacco on diet in developing countries where malnutrition is a major public health challenge. Methods: In this study we used the nationally representative Household Income Expenditure Survey 2010 from Bangladesh. Detailed household-level food consumption data including both ethnic and region-specific foods were collected over 14 days, consisting of 7 visits each collecting two days of dietary recall information. Results: Out of 12240 households, 2061 consumed smoking tobacco only (16.8%), 3284 consumed smokeless tobacco only (26.8%), and 3348 consumed both (27.4%). Overall, 71% of the households reported expenditure on tobacco (smoking and/or smokeless) and were considered any-tobacco use households. Our results indicate that after controlling for household expenditure, household size, household child to adult ratio, place of residence (urban/rural), and region fixed effects, any-tobacco households consumed significantly lower amounts (g/ day) of milk and dairy products (β = -17.11, p<0.01) and oil/fat (β = -10.30, p<0.01) compared to tobacco non-use households (β: adjusted mean difference in food amount g/day/household). Conversely, consumption of cereal grains (β = 152.46, p<0.0001) and sugar (β = 8.16, p<0.0001) were significantly higher among any-tobacco households compared to non-tobacco households. We observed similar patterns for smoking-only, smokeless-only, and dual tobacco product households. Conclusions: Evidence of dietary differences between tobacco-use and non-use households may play an important role in developing strategies to address poor diet and malnutrition among tobacco-use households in a developing country like Bangladesh. This study provides one of the first reports addressing diet in relation to tobacco use from a developing country, particularly using nationally representative data. The finding that tobacco-use households have poorer dietary consumption than non-use households suggests that it is important to address tobacco use in the context of nutrition and development programs in low-income environments.
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A Retrospective Chart Review to Determine the Prevalence of Malnutrition in the Elderly and the Effects of Nutrition InterventionsBackground: The prevalence of malnutrition in elderly patients continues to increase with an aging population. Patients with malnutrition are at risk for longer hospital stays, increased risk of frailty, at higher risk for having a poor quality of health, poor health outcomes and increased mortality. Objectives: Evaluate the effectiveness of new nutritional interventions to help correct malnutrition diagnosis criteria. Setting: Presbyterian Home and Services an Acute Rehab and Long Term Care Nursing Facility Participants: 27 elderly patients initially met the malnutrition criteria, at the time of the interventions there were only 20 patients Study Design: Retrospective Study to evaluate the effectiveness of nutritional interventions. That data was utilized to help develop new nutritional interventions. Methods: The newly developed interventions were implemented and the data was collected over a 3 week span. data was collected on weight change, Pre and Post-BMI. The data was analyzed utilizing SPSS Software. Intervention: A high calorie diet was implemented for patients that met the criteria for malnutrition, patients with BMI of 23 were screened to prevent BMI <22, whole milk was programmed in house diet in place of 2% milk Results:100% of the patients had a beneficial wt gain of .10 to 1.25#. This was clinically relevant as evidenced by the score of the paired T-test. During the time frame of the interventions none of the patients had their malnutrition criteria diagnosis corrected. Conclusions: Early screening and implementing nutritional interventions can help prevent malnutrition. Once a patient is diagnosed with malnutrition it is difficult to correct.
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Effectiveness of Education on Knowledge and Participation in Community ProgramsIntroduction: A Quasi-experimental study was performed to determine if education in the form of handouts would increase participant use in the Low-Income Home Energy Assistance Program (LIHEAP), and the Supplemental Nutrition Assistance Program (SNAP Ed) programs. Methods: Participants were recruited for this study the day of the intervention. The effectiveness of this study was based on changes in pre- and post- questionnaire responses. Participants completed a pre- questionnaire prior to the intervention, and a post questionnaire 3 weeks later. Results: There was a significant change in the number of participants who stated they received education/information on LIHEAP, and SNAP Ed (p = 0.023). All other results were not statistically significant. Conclusions: Further studies should be completed to evaluate the effectiveness of education on increasing knowledge, and participation in community programs. While this study provided insight to the benefit that education may have on community program participation, there was limited significance in results and further studies should be altered.