Good Grinding for Wise Dining Nutrition Education for

Good Grinding for Wise Dining Nutrition Education for Older Adults 2008 Priester National Extension Health Conference Raleigh/Durham, North Carolina April 8 -10, 2008

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

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

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

Program Planning and Implementation Curriculum Development Curriculum Pilot Train Test Facilitators Development Implement

Curriculum Development n Needs Assessment Survey, Interview, Focus Discussion n Literature Review n Food Guidance n n Behavior Change Theories n Literature Review

“Best Practice” Components n Sahyoun, Pratt & Anderson, 2004 n n n Existing specific health condition Motivation Goal setting Hands-on activities Incentives National Council on Aging, 2004 n n Limit messages Hands-on activities Active participation Lay educators

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

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

Modules & Lessons n Module 1: Strategies for Eating n n n Lesson 1: Easy Meals Lesson 2: Sharing Meals Lesson 3: Food Storage n n Module 2: Choosing Foods n n n Lesson 1: Fruits and Veggies Lesson 2: Eating Out Lesson 3: Eating for Wellness Food Safety Lesson 1: Healthy Bones Lesson 2: Nutritious Snacking Lesson 3: Whole Grains Module 4: Celebration Foods n n n Module 3: Regular Eating Lesson 1: Favorite Foods Lesson 2: Sugars/Fats/Salts Lesson 3: Living Local Water

Program Planning and Implementation Curriculum Development Pilot Train Facilitators Test Pilot Test Implement

Pilot Testing n Pilot Test 1: Alu Like n n n Pilot Test 2: Lanakila n n n Over 80 seniors 3 sites Over 200 seniors 12 sites Outcome n n n Revised lesson format Revised handouts “Catchy Phrases”

Catchy Phrases Lesson Topic Phrase n n Easy Meals Sharing Meals Food Storage Eating Out n Whole Grains n n n n No-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!

Program Planning and Implementation Curriculum Development Train Facilitators Pilot Test Implement

Train Facilitators Molokai Kauai Maui Oahu Lanai Hilo Kona

Training Background Information n Modules and Lessons n Food Safety n Recipes n Demonstration n Practice Session n

Presentation Tips Be Prepared n Speak Clearly n Make Eye Contact n Answer Honestly n Be Enthusiastic n

Program Planning and Implementation Curriculum Development Implement Pilot Test Train Facilitators Implement

Implementation Phase n Implement statewide Kauai County n Maui County n Oahu n Big Island n n Monitoring

Acknowledgements n Special thanks to: n n n n 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: n n 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

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: (808) 956 -4124 Fax: (808) 956 -6457

References Gielen, A. C. & Mc. Donald, 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/Downloads/Model. Programs. Healthy. Eating. 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.