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Dietetics and Clinical Nutrition Commons

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2018

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Full-Text Articles in Dietetics and Clinical Nutrition

Association Between Spatial Access To Food Outlets, Frequency Of Grocery Shopping, And Objectively-Assessed And Self-Reported Fruit And Vegetable Consumption, Jared T. Mcguirt, Stephanie B. Jilcott Pitts, Alison Gustafson Dec 2018

Association Between Spatial Access To Food Outlets, Frequency Of Grocery Shopping, And Objectively-Assessed And Self-Reported Fruit And Vegetable Consumption, Jared T. Mcguirt, Stephanie B. Jilcott Pitts, Alison Gustafson

Dietetics and Human Nutrition Faculty Publications

Because supermarkets are a critical part of the community food environment, the purpose of this paper is to examine the association between accessibility to the supermarket where participants were surveyed, frequency of shopping at the supermarket, and self-reported and objectively-assessed fruit and vegetable consumption. Accessibility was assessed using Geographic Information Systems (GIS) measured distance and multiple versions of the modified Retail Food Environment Index (mRFEI), including a localized road network buffer version. Frequency of shopping was assessed using self-report. The National Cancer Institute Fruit and Vegetable screener was used to calculate daily servings of fruits and vegetables. Skin carotenoids were …


Impact Of Individual Traits, Saturated Fat, And Protein Source On The Gut Microbiome., Jennifer M Lang, Calvin Pan, Rita M Cantor, W H Wilson Tang, Jose Carlos Garcia-Garcia, Ira Kurtz, Stanley L Hazen, Nathalie Bergeron, Ronald M Krauss, Aldons J Lusis Dec 2018

Impact Of Individual Traits, Saturated Fat, And Protein Source On The Gut Microbiome., Jennifer M Lang, Calvin Pan, Rita M Cantor, W H Wilson Tang, Jose Carlos Garcia-Garcia, Ira Kurtz, Stanley L Hazen, Nathalie Bergeron, Ronald M Krauss, Aldons J Lusis

Faculty Publications & Research of the TUC College of Pharmacy

Interindividual variation in the composition of the human gut microbiome was examined in relation to demographic and anthropometric traits, and to changes in dietary saturated fat intake and protein source. One hundred nine healthy men and women aged 21 to 65, with BMIs of 18 to 36, were randomized, after a two-week baseline diet, to high (15% total energy [E])- or low (7%E)-saturated-fat groups and randomly received three diets (four weeks each) in which the protein source (25%E) was mainly red meat (beef, pork) (12%E), white meat (chicken, turkey) (12%E), and nonmeat sources (nuts, beans, soy) (16%E). Taxonomic characterization using …


Assessment Of Interprofessional Team Collaboration Scale (Aitcs): Further Testing And Instrument Revision., Carole Orchard, Linda L Pederson, Emily Read, Cornelia Mahler, Heather Laschinger Dec 2018

Assessment Of Interprofessional Team Collaboration Scale (Aitcs): Further Testing And Instrument Revision., Carole Orchard, Linda L Pederson, Emily Read, Cornelia Mahler, Heather Laschinger

Nursing Publications

INTRODUCTION: The need to be able to assess collaborative practice in health care teams has been recognized in response to the direction for team-based care in a number of policy documents. The purpose of this study is to report on further refinement of such a measurement instrument, the Assessment of Interprofessional Team Collaboration Scale (AITCS) first published in 2012. To support this refinement, two objectives were set: Objective 1: to determine whether the items from the data collected in 2016 load on the same factors as found for the 2012 version of the 37-item AITCS. Objective 2: to determine whether …


Association Of Dietary Nitrate Intake With The 15-Year Incidence Of Age-Related Macular Degeneration, Bamini Gopinath, Gerald Liew, Annette Kifley, Joshua R. Lewis, Catherine Bondonno, Nichole Joachim, Jonathan M. Hodgson, Paul Mitchell Dec 2018

Association Of Dietary Nitrate Intake With The 15-Year Incidence Of Age-Related Macular Degeneration, Bamini Gopinath, Gerald Liew, Annette Kifley, Joshua R. Lewis, Catherine Bondonno, Nichole Joachim, Jonathan M. Hodgson, Paul Mitchell

Research outputs 2014 to 2021

Background

Dietary nitrate, found predominantly in green leafy vegetables and beetroot, is a precursor of nitric oxide. Under- or overproduction of nitric oxide is implicated in the etiology of several eye diseases. However, the potential influence of dietary nitrate intake on age-related macular degeneration (AMD) risk has not been assessed.

Objective

To investigate the temporal association between dietary nitrate intake (from both vegetable and nonvegetable sources) and the 15-year incidence of AMD, independent of potential confounders.

Design

A longitudinal cohort study conducted from 1992-1994 to 2007-2009.

Participants/setting

The Blue Mountains Eye Study is a population-based study of adults aged 49+ …


Pediatric Nasogastric Tube Placement And Verification: Best Practice Recommendations From The Novel Project., Sharon Y. Irving, Gina Rempel, Beth Lyman, Wednesday Marie A Sevilla, Ladonna Northington, Peggi Guenter, American Society For Parenteral And Enteral Nutrition Dec 2018

Pediatric Nasogastric Tube Placement And Verification: Best Practice Recommendations From The Novel Project., Sharon Y. Irving, Gina Rempel, Beth Lyman, Wednesday Marie A Sevilla, Ladonna Northington, Peggi Guenter, American Society For Parenteral And Enteral Nutrition

Manuscripts, Articles, Book Chapters and Other Papers

The placement of a nasogastric tube (NGT) in a pediatric patient is a common practice that is generally perceived as a benign bedside procedure. There is potential risk for NGT misplacement with each insertion. A misplaced NGT compromises patient safety, increasing the risk for serious and even fatal complications. There is no standardized method for verification of the initial NGT placement or reverification assessment of NGT location prior to use. Measurement of the acidity or pH of the gastric aspirate is the most frequently used evidence-based method to verify NGT placement. The radiograph, when properly obtained and interpreted, is considered …


A Mobile-Based Intervention For Obesity Prevention Among Female College Students In Saudi Arabia: A Randomized Controlled Trial, Abeer Hussain Alssafi Nov 2018

A Mobile-Based Intervention For Obesity Prevention Among Female College Students In Saudi Arabia: A Randomized Controlled Trial, Abeer Hussain Alssafi

FIU Electronic Theses and Dissertations

College students transitioning from adolescence into early adulthood may encounter new stresses, which may lead to unhealthy weight-related behaviors and weight gain. Students gain approximately 4-9 pounds during their first 2 years in college. Health behaviors in this population pose an increased risk because they tend to persist into adulthood. In Middle Eastern countries including Saudi Arabia, student obesity is on the rise. About 24% of female college students were overweight or obese in Saudi Arabia in 2015. This dissertation describes the development of a mobile intervention program using Instagram and a self-tracking app to minimize the risk of overweight/obesity …


Staff Member Recognized For Leadership, College Of Education And Human Development Oct 2018

Staff Member Recognized For Leadership, College Of Education And Human Development

Family and Consumer Sciences News

KALAMAZOO, Mich.—Western Michigan University's multicultural affairs director, Diana Hernández, received El Concilio's 2018 Quetzalcoatl Award in recognition of her stature as a professional Latinx leader who has been working, contributing, supporting and advocating for the well-being of the Latinx community in Kalamazoo


Technology At Your Fingertips: Allocation Of Clinical Resources Across Multi-Site Network, Ann Flickinger Ms, Rd, Ldn, Melissa Faura Rd, Ldn Oct 2018

Technology At Your Fingertips: Allocation Of Clinical Resources Across Multi-Site Network, Ann Flickinger Ms, Rd, Ldn, Melissa Faura Rd, Ldn

Clinical Nutrition Service

No abstract provided.


Using Clinical Technology In Epic To Impact Malnutrition Reimbursement, Melissa Faura Rd, Ldn, Catherine Carter Rd, Ldn, Melinda Polk Ms, Rd, Cnsc, Ldn, Suzanne Ickes Rd, Ldn, Kimberly Procaccino Mba, Rd, Ldn, Ann Flickinger Ms, Rd, Ldn Oct 2018

Using Clinical Technology In Epic To Impact Malnutrition Reimbursement, Melissa Faura Rd, Ldn, Catherine Carter Rd, Ldn, Melinda Polk Ms, Rd, Cnsc, Ldn, Suzanne Ickes Rd, Ldn, Kimberly Procaccino Mba, Rd, Ldn, Ann Flickinger Ms, Rd, Ldn

Clinical Nutrition Service

No abstract provided.


The Efficacy Of A Diet Low In Fermentable Oligosaccharides, Disaccharides, Monosaccharides, And Polyols (Fodmaps) In The Treatment Of Irritable Bowel Syndrome, Raelyn Haubensak Oct 2018

The Efficacy Of A Diet Low In Fermentable Oligosaccharides, Disaccharides, Monosaccharides, And Polyols (Fodmaps) In The Treatment Of Irritable Bowel Syndrome, Raelyn Haubensak

Honors Theses

This paper reviews the efficacy of the low-FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) diet in treating the symptoms associated with irritable bowel syndrome (IBS). Since IBS has a wide range of etiologies and symptoms, it is often difficult to treat. A large majority of patients report their symptoms being associated with their diet. Researchers have shown that specific components of food, FODMAPs, may play a role in exacerbating symptoms. In this literary review, the physiological effects and the efficacy of the low-FODMAP diet was explored using current literature. In conclusion, the low-FODMAP diet may be an efficacious treatment option …


Fall 2018 Family Science News Round-Up, College Of Education And Human Development Oct 2018

Fall 2018 Family Science News Round-Up, College Of Education And Human Development

Family and Consumer Sciences News

  • Publications
  • Presentations at National Conferences
  • Family Science Faculty Service to Professional Organizations
  • Welcoming Our New Faculty (Summer II 2018)
  • Student Organizations
  • Student Accomplishments
  • New Academic Options and Major


Fall 2018 Fashion Merchandising And Design News Round-Up, College Of Education And Human Development Oct 2018

Fall 2018 Fashion Merchandising And Design News Round-Up, College Of Education And Human Development

Family and Consumer Sciences News

  • Awards
  • Conferences
  • Publications
  • Program Events


Fall 2018 Dietetics News Round-Up, College Of Education And Human Development Oct 2018

Fall 2018 Dietetics News Round-Up, College Of Education And Human Development

Family and Consumer Sciences News

  • Presentations
  • Student Dietetic Association
  • Program News


Assessing The Cost Of Healthful Food Choices In America, Sarah Wagner Oct 2018

Assessing The Cost Of Healthful Food Choices In America, Sarah Wagner

Student Writing

No abstract provided.


Dietary Intake And Physical Activity Assessment: Current Tools, Techniques, And Technologies For Use In Adult Populations., Holly L. Mcclung, Lauren T. Ptomey, Robin P. Shook, Anju Aggarwal, Anna M. Gorczyca, Edward S. Sazonov, Katie Becofsky, Rick Weiss, Sai Krupa Das Oct 2018

Dietary Intake And Physical Activity Assessment: Current Tools, Techniques, And Technologies For Use In Adult Populations., Holly L. Mcclung, Lauren T. Ptomey, Robin P. Shook, Anju Aggarwal, Anna M. Gorczyca, Edward S. Sazonov, Katie Becofsky, Rick Weiss, Sai Krupa Das

Manuscripts, Articles, Book Chapters and Other Papers

Accurate assessment of dietary intake and physical activity is a vital component for quality research in public health, nutrition, and exercise science. However, accurate and consistent methodology for the assessment of these components remains a major challenge. Classic methods use self-report to capture dietary intake and physical activity in healthy adult populations. However, these tools, such as questionnaires or food and activity records and recalls, have been shown to underestimate energy intake and expenditure as compared with direct measures like doubly labeled water. This paper summarizes recent technological advancements, such as remote sensing devices, digital photography, and multisensor devices, which …


Experimental Evaluation Of The Importance Of Colonization History In Early-Life Gut Microbiota Assembly, Inés Martínez, Maria X. Maldonado-Gomez, João Carlos Gomes-Neto, Hatem Kittana, Hua Ding, Robert J. Schmaltz, Payal Joglekar, Roberto Jiménez Cardona, Nathan L Marsteller, Steven W. Kembel, Andrew K. Benson, Daniel A. Peterson, Amanda Ramer-Tait, Jens C. Walter Sep 2018

Experimental Evaluation Of The Importance Of Colonization History In Early-Life Gut Microbiota Assembly, Inés Martínez, Maria X. Maldonado-Gomez, João Carlos Gomes-Neto, Hatem Kittana, Hua Ding, Robert J. Schmaltz, Payal Joglekar, Roberto Jiménez Cardona, Nathan L Marsteller, Steven W. Kembel, Andrew K. Benson, Daniel A. Peterson, Amanda Ramer-Tait, Jens C. Walter

Department of Food Science and Technology: Faculty Publications

The factors that govern assembly of the gut microbiota are insufficiently understood. Here, we test the hypothesis that inter-individual microbiota variation can arise solely from differences in the order and timing by which the gut is colonized early in life. Experiments in which mice were inoculated in sequence either with two complex seed communities or a cocktail of four bacterial strains and a seed community revealed that colonization order influenced both the outcome of community assembly and the ecological success of individual colonizers. Historical contingency and priority effects also occurred in Rag1-/- mice, suggesting that the adaptive immune system …


Testing A Web-Based Interactive Comic Tool To Decrease Obesity Risk Among Minority Preadolescents: Protocol For A Pilot Randomized Control Trial, May May Leung, Katrina F. Mateo, Sandra Verdaguer, Katarzyna Wyka Sep 2018

Testing A Web-Based Interactive Comic Tool To Decrease Obesity Risk Among Minority Preadolescents: Protocol For A Pilot Randomized Control Trial, May May Leung, Katrina F. Mateo, Sandra Verdaguer, Katarzyna Wyka

Publications and Research

Background: Childhood obesity is a public health crisis, particularly in low-income, minority populations in the United States. Innovative and technology-enhanced interventions may be an engaging approach to reach at-risk youth and their parents to improve dietary behaviors and feeding practices. However, such tools are limited, especially ones that are theory-based; co-developed with user-centered approaches; tailored to low-income, minority preadolescents; and include parent-focused content.

Objective: The objectives of this study include assessing the feasibility and acceptability and exploring the potential impact of the Intervention INC (Interactive Nutrition Comics for urban, minority preadolescents) Web-based tool, which is focused on decreasing childhood obesity …


Considerations For Best Practices In Studies Of Fiber Or Other Dietary Components And The Intestinal Microbiome, David M. Klurfeld, Cindy D. Davis, Robert W. Karp, Emma Allen-Vercoe, Eugene B. Chang, Benoit Chassaing, George C. Fahey Jr, Bruce R. Hamaker, Hannah D. Holscher, Johanna W. Lampe, Andre Marette, Eric Martens, Stephen J. O'Keefe, Devin J. Rose, Maria Saarela, Barbara O. Schneeman, Joanne L. Slavin, Justin L. Sonnenburg, Kelly S. Swanson, Gary D. Wu, Christopher J. Lynch Aug 2018

Considerations For Best Practices In Studies Of Fiber Or Other Dietary Components And The Intestinal Microbiome, David M. Klurfeld, Cindy D. Davis, Robert W. Karp, Emma Allen-Vercoe, Eugene B. Chang, Benoit Chassaing, George C. Fahey Jr, Bruce R. Hamaker, Hannah D. Holscher, Johanna W. Lampe, Andre Marette, Eric Martens, Stephen J. O'Keefe, Devin J. Rose, Maria Saarela, Barbara O. Schneeman, Joanne L. Slavin, Justin L. Sonnenburg, Kelly S. Swanson, Gary D. Wu, Christopher J. Lynch

Food for Health: Publications

Considerations for best practices in studies of fiber or other dietary components and the intestinal microbiome. Am J Physiol Endocrinol Metab 315: E1087–E1097, 2018. First published August 21, 2018; doi:10.1152/ajpendo.00058.2018.—A 2-day workshop organized by the National Institutes of Health and U.S. Department of Agriculture included 16 presentations focused on the role of diet in alterations of the gastrointestinal microbiome, primarily that of the colon. Although thousands of research projects have been funded by U.S. federal agencies to study the intestinal microbiome of humans and a variety of animal models, only a minority addresses dietary effects, and a small subset is …


Supermarket Retailers’ Perspectives On Healthy Food Retail Strategies: In-Depth Interviews, Olivia Martinez, Noemi Rodriguez, Allison Mercurio, Marie Bragg, Brian Elbel Aug 2018

Supermarket Retailers’ Perspectives On Healthy Food Retail Strategies: In-Depth Interviews, Olivia Martinez, Noemi Rodriguez, Allison Mercurio, Marie Bragg, Brian Elbel

Publications and Research

Background

Excess calorie consumption and poor diet are major contributors to the obesity epidemic. Food retailers, in particular at supermarkets, are key shapers of the food environment which influences consumers’ diets. This study seeks to understand the decision-making processes of supermarket retailers—including motivators for and barriers to promoting more healthy products—and to catalogue elements of the complex relationships between customers, suppliers, and, supermarket retailers.

Methods

We recruited 20 supermarket retailers from a convenience sample of full service supermarkets and national supermarket chain headquarters serving low- and high-income consumers in urban and non-urban areas of New York. Individuals responsible for making …


Wmu To Expand Offerings In Youth And Community Development, College Of Education And Human Development Aug 2018

Wmu To Expand Offerings In Youth And Community Development, College Of Education And Human Development

Family and Consumer Sciences News

Youth and community development (YCD) is a quickly-professionalizing field, and WMU’s new master of arts degree and graduate certificate program in the College of Education and Human Development complete a continuum of community-based professional development opportunities available at the university.


Green Tea Polyphenol Epigallocatechin-3-Gallate-Stearate Inhibits The Growth Of Streptococcus Mutans: A Promising New Approach In Caries Prevention, Amy Lynn Melok, Lee Lee, Siti Ayuni Mohamed Yussof, Tinchun Chu Aug 2018

Green Tea Polyphenol Epigallocatechin-3-Gallate-Stearate Inhibits The Growth Of Streptococcus Mutans: A Promising New Approach In Caries Prevention, Amy Lynn Melok, Lee Lee, Siti Ayuni Mohamed Yussof, Tinchun Chu

Department of Biology Faculty Scholarship and Creative Works

Streptococcus mutans (S. mutans) is the main etiological bacteria present in the oral cavity that leads to dental caries. All of the S. mutans in the oral cavity form biofilms that adhere to the surfaces of teeth. Dental caries are infections facilitated by the development of biofilm. An esterified derivative of epigallocatechin-3-gallate (EGCG), epigallocatechin-3-gallate-stearate (EGCG-S), was used in this study to assess its ability to inhibit the growth and biofilm formation of S. mutans. The effect of EGCG-S on bacterial growth was evaluated with colony forming units (CFU) and log reduction; biofilm formation was qualitatively determined by Congo red assay, …


Wmu Student Aims To Clean Up The Fashion Industry, College Of Education And Human Development Jul 2018

Wmu Student Aims To Clean Up The Fashion Industry, College Of Education And Human Development

Family and Consumer Sciences News

Western Michigan University - undergraduate student Avery Green. His fashion startup, House of Pariah, goes against the grain, selling nonconformity and placing an emphasis on sustainability and inclusion.


Flexitarian Diet And Weight Control: Healthy Or Risky Eating Behavior?, Catherine A. Forestell Jul 2018

Flexitarian Diet And Weight Control: Healthy Or Risky Eating Behavior?, Catherine A. Forestell

Arts & Sciences Articles

A carefully planned vegetarian diet meets nutrition recommendations by providing essential nutrients and lowering levels of saturated fat and cholesterol. Because balanced diets that limit or exclude meat tend to be lower in calories than omnivorous diets, it has been suggested that vegetarian eating patterns may be motivated by weight control. This view has been supported by findings demonstrating that vegetarians have a higher rate of disordered and restrained eating than non-vegetarians. Other findings suggest that weight control is a primary reason identified by adolescents and young adults for eliminating items such as meat and other animal products from their …


Production Of Bioactive Isothiocyanates By Bacterial Myrosinase, Juan Isaiz, Xiaoji Liu, Michael J. Miller Jul 2018

Production Of Bioactive Isothiocyanates By Bacterial Myrosinase, Juan Isaiz, Xiaoji Liu, Michael J. Miller

PRECS student projects

Isothiocyanates (ITCs) are bioactive products found in several plants belonging to the Brassicaceae family, and are produced as defense upon disruption of the tissue by herbivores or pathogens, but in humans they have shown anti-cancer and anti-inflammatory properties.

Although we know gut microbes can hydrolyze GSL into ITC, the mechanism is not known. With improved detection methods, the aim of this experiment is to explore whether the gut microbial myrosinase β-glucosidase found within the genome of E. coli Nissle 1917 can hydrolyze glucosinolates (GSLs) into detectable ITCs.


Assessment Of Nutrition Status Of Adults Using The Nutrition Focused Physical Examination, Kaycee Patrick, Anna Claire Goodroe, Detri Brech Jul 2018

Assessment Of Nutrition Status Of Adults Using The Nutrition Focused Physical Examination, Kaycee Patrick, Anna Claire Goodroe, Detri Brech

Dietetics and Nutrition Class Publications

Background: Thirteen percent of the United States (U.S.) population is over 65 years of age and up to 50% are malnourished; therefore, seniors were chosen as the subjects for this research study.

Objective: To identify malnutrition in older adults using the Nutrition Focused Physical Examination (NFPE), and to compare the results to the Academy of Nutrition and Dietetics parameters for assessment of nutritional status.

Design: Each senior voluntarily completed a head-to-toe NFPE, 24-hour diet recall, and anthropomorphic measures were also taken. Information was later analyzed and results were given to each participant.

Participants/setting: Seniors from the Senior Center in Arkadelphia, …


Impact Of A Nutrition And Yoga Intervention In Breast Cancer Suvivors' Quality Of Life, Tammy C. Fogarty Jun 2018

Impact Of A Nutrition And Yoga Intervention In Breast Cancer Suvivors' Quality Of Life, Tammy C. Fogarty

FIU Electronic Theses and Dissertations

The aim of the present study was to determine if a nutrition and yoga intervention will improve quality of life (QoL) in breast cancer survivors (BCS). Using the Transactional Model of Stress and Coping as a guide to lead the intervention, the intervention assessed potential barriers, self-efficacy, diet quality, and physical activity as it relates to quality of life. Twenty-seven women were enrolled in the study and randomly assigned to the control or intervention group. The intervention consisted of 6-weeks of yoga classes and 6-weeks of online nutrition education. The control group received a nutrition consultation and nutrition guidelines from …


Guide To Popular Diets, Food Choices, And Their Health Outcome, Ronald D. Hills Jr., Emily Erpenbeck Jun 2018

Guide To Popular Diets, Food Choices, And Their Health Outcome, Ronald D. Hills Jr., Emily Erpenbeck

Pharmaceutical Sciences Faculty Publications

Integrative medicine is becoming increasingly important for a patient population afflicted with preventable illnesses such as cardiometabolic disease. Diet and nutrition are an under-tapped opportunity in health care for improving wellness and patient-centered health outcomes. Key nutritional principles are reviewed for alternate dietary strategies patients choose from in pursuit of healthy living or to alleviate chronic illness. Whole food eating plans are discussed including plant-based, Mediterranean, Paleo, and ketogenic diets as well as the specific carbohydrate and low FODMAP diets for colitis and irritable bowel syndrome. Opposed to the traditional categorization of diets by macronutrient composition, it is more useful …


Eating Frequency And The Role Of Snacking On Body Weight Of Wic Preschool Children, Andrea Charvet Jun 2018

Eating Frequency And The Role Of Snacking On Body Weight Of Wic Preschool Children, Andrea Charvet

FIU Electronic Theses and Dissertations

The objective of this study was to understand the influence of eating episodes and snack quality on body weight of children ages 3-4.9 years participating in the Broward County Special Supplementation Nutrition Program for Women, Infants, and Children (WIC).Additional objectives were to evaluate obesity risk factors and to examine the effect of childcare arrangements on body weight. Data was collected from 7 Broward County Health Department WIC clinics over 4 months via a researcher-administered questionnaire. Additional data was extracted from the WIC data system. BMI-for-age percentiles were used to categorize children by weight according to Centers for Disease Control (CDC) …


Using A Model To Design Activity-Based Educational Experiences To Improve Cultural Competency Among Graduate Students, Yeon Bai, Kathleen D. Bauer Jun 2018

Using A Model To Design Activity-Based Educational Experiences To Improve Cultural Competency Among Graduate Students, Yeon Bai, Kathleen D. Bauer

Department of Nutrition and Food Studies Scholarship and Creative Works

To improve the cultural competency of 34 students participating in graduate nutrition counseling classes, the Campinha-Bacote Model of Cultural Competence in the Delivery of Health Care Services was used to design, implement, and evaluate counseling classes. Each assignment and activity addressed one or more of the five constructs of the model, i.e., knowledge, skill, desire, encounters, and awareness. A repeated measure ANOVA evaluated pre- and post-test cultural competence scores (Inventory for Assessing the Process of Cultural Competence among Healthcare Professionals). The overall cultural competence score significantly improved (p < 0.001) from “culturally aware” (68.7 at pre-test) to “culturally competent” (78.7 at post-test). Students significantly improved (p < 0.001) in four constructs of the model including awareness, knowledge, skill, and encounter. Factor analysis indicated that course activities accounted for 83.2% and course assignments accounted for 74.6% of the total variance of cultural competence. An activity-based counseling course encouraging self-evaluation and reflection and addressing Model constructs significantly improved the cultural competence of students. As class activities and assignments aligned well with the Campinha-Bacote Model constructs, the findings of this study can help guide health educators to design effective cultural competence training and education programs.


Using A Model To Design Activity-Based Educational Experiences To Improve Cultural Competency Among Graduate Students, Kathleen D. Bauer, Yeon Bai Jun 2018

Using A Model To Design Activity-Based Educational Experiences To Improve Cultural Competency Among Graduate Students, Kathleen D. Bauer, Yeon Bai

Department of Nutrition and Food Studies Scholarship and Creative Works

To improve the cultural competency of 34 students participating in graduate nutrition counseling classes, the Campinha-Bacote Model of Cultural Competence in the Delivery of Health Care Services was used to design, implement, and evaluate counseling classes. Each assignment and activity addressed one or more of the five constructs of the model, i.e., knowledge, skill, desire, encounters, and awareness. A repeated measure ANOVA evaluated pre- and post-test cultural competence scores (Inventory for Assessing the Process of Cultural Competence among Healthcare Professionals). The overall cultural competence score significantly improved (p < 0.001) from “culturally aware” (68.7 at pre-test) to “culturally competent” (78.7 at post-test). Students significantly improved (p < 0.001) in four constructs of the model including awareness, knowledge, skill, and encounter. Factor analysis indicated that course activities accounted for 83.2% and course assignments accounted for 74.6% of the total variance of cultural competence. An activity-based counseling course encouraging self-evaluation and reflection and addressing Model constructs significantly improved the cultural competence of students. As class activities and assignments aligned well with the Campinha-Bacote Model constructs, the findings of this study can help guide health educators to design effective cultural competence training and education programs.