Nutrition Education For You! Nutrition Education For You! Tips on how to eat healthy on a budget. Jessica L. Marich Rowan University Nutrition Education For You! Executive Summary: The Nutrition Education for You program worked with individuals of Salem County who were considered low-income individuals. This work shop was basically a pretest that tested 10 clients for starters. The clients were some friends and family, and random individuals that I did not know. The goals of the Nutrition Education for You program, were: present the importance of nutrition to low-income families in Salem County and to improve Low-income families of Salem County nutritious food selection. These goals are important to the program. This program has guided the participants towards a nutritious lifestyle, by providing nutrition education workshop to the participants. The program was conducted at a social hall by myself. This program was about promoting nutrition education to low-income families through education. The intervention was suited for the low-income members of Salem County. Program Rationale: The USDA did a study to figure out how much it would cost a week for produce for a family. The results show $2-$2.50 per person per day would buy enough produce for the Dietary Guidelines for Americans. For a family of four, it would cost about $70 a week just for produce, which a lot of low income families cannot afford. When income is scarce, families’ food budget gets smaller, causing them to buy cheaper foods. Low income families buy more processed foods like sugary cereals, white bread, and canned goods. Most of their produce consist of potatoes, canned vegetables and beans. Energy dense sweets and fats are easier for low income families because they don’t require a lot of work to make and they are also cheaper (Drewnowski and Eichelsdoerfer 2010). Nutrition Education For You! According to FRAC, “Low-income neighborhoods frequently lack full-service grocery stores and farmers’ markets where residents can buy a variety of fruits, vegetables, whole grains, and low-fat dairy products.” Individuals in these low-income neighborhoods are limited to convenience stores, and small shops, that mostly filled with high energy dense foods. These energy dense foods cost less but, they contribute to the growing problem of poor nutrition. According to Drenowsiki and Specter, “Obesity rates in the United States have risen sharply over the past 2 decades. By 1990–2000, 64% of adults aged ≥ 20 were classified as overweight and 30% were classified as obese.” Obesity and type 2 diabetes are dependent on a person’s socioeconomic status and nutrition. Individuals with limited resources such as nutritious foods, money, and healthcare are more prone to develop obesity and other disease. Due to the links between low-income families and poor nutrition habits, it seems as if there is a need for a program that will educate low-income families about nutrition, and budgeting their income to fit in the healthier food options. I took some pretest surveys of families in a low-income neighborhood. According to my surveys 80% of participants said that healthy eating is too expensive. 60% of the participants said that budgeting money is too hard as well. 60% of the participants also said that they don’t think good nutrition can prevent illness and diseases. A solution to these results would be a program to educate nutrition to these families. Therefore I proposed a nutrition education program which focuses on the low-income population, to increase their knowledge of nutrition and teach them how to eat healthy on a budget. This program will decrease poor nutrition and disease/illness risks. Needs Assessment Nutrition Education For You! When the needs assessment was performed, I collected data from surveys done by families of low income. The four steps that I took were: 1. determined the current status of low income families in Salem County. 2. Analyzed the data that I collected. 3. Prioritized the needs expressed by the families and the public health department. 4. Validated the prioritized needs of low income families of Salem County (McKenzie, Neiger, Thackeray 2013, 50). To determine the current health status of low income families, I used the PRECEDE model that focuses on these 5 diagnosis: 1. Social diagnosis 2. Epidemiological diagnosis 3. Environmental/ Behavioral diagnosis 4. Educational/ Organizational diagnosis 5. Administrative diagnosis (McKenzie, et al., 2013 53-55). First, for the social diagnosis of low income families of Salem County, I studied the quality of life. This was done by handing out surveys to different families of Salem County. The survey questions focused on the factors associated with eating habits in the home. Second, I figured out the health status of these families with the epidemiological diagnosis. This was done by surveys about the number of low income families and the number of health complications of those families. Third, the environmental/behavioral diagnosis was determined in the surveys that were handed out. The questions about the environment and behavioral aspects focused on the families’ food budgets, and availability of fresh nutritious foods in Salem County. Fourth, the educational/ organizational diagnosis was done by figuring out the predisposing factors, enabling factor, and the reinforcing factors (McKenzie et al., 2013 54). These factors were determined by the surveys done by the low income families. The predisposing factors that low income families had are that they may not have good enough Nutrition Education For You! knowledge of the benefits of nutritious eating. The enabling factors were that the unhealthy food is cheaper and easier to make or eat. There was also a lack of reinforcing factors like nutrition counseling and accessible healthy foods. The last thing that was done was to figure out the health status of low income families of Salem County is the administrative diagnosis. This allowed me to determine the resources that I have for a program. As soon as I collected all the information that I needed, I analyzed the data. I analyzed the data from low income families by looking it over. After looking over the data, I was able to note the concerns of the families with reasons for the concerns. When I prioritized the needs of low income families of Salem County, I figured out the importance of nutrition education. As soon as the problems were found, I started to create an intervention. Once the intervention was in place I implemented the intervention and hopefully solved the problems of low income families and their health status. Finally when I validated the prioritized needs, I went back through the needs assessment to make sure that the concerns of low income families and the public health department were actually needed in Salem County. Goals and Objectives: Goal #1: Improve the overall knowledge of nutrition of low-income families in Salem County. Objective #1: All participants will attend a 2 hour nutrition workshop, on October 10, 2014. Objective #2: 80% of participants will improve their nutrition knowledge by 50%. Goal #2: Improve Low-income families of Salem County nutritious food selection. Objective #1: 80% of the participants will buy more nutritious foods by 20%. Objective #2: All participants will be surveyed at the end of the workshop, to see what they learned from the work shop and what they will use in their daily lives. Nutrition Education For You! Program Description Workshop: The workshop will be 2 hours with a lecture and with some hands on material on October 10, 2014. The purpose of this workshop is to educate people how to eat healthy on a budget. It will consist of a lecture with some hands on experience as well. There will be different topics addressed during this workshop. Lecture: The lecture will be an hour, on October 10, 2014. The lecture will be taught by myself. The lecture will address the nutrition needs of the low income families. The lecture will include subjects such as: nutrition basics (what foods are healthy, what the foods do for our body etc.), healthy substitutions, how to make a meal plan, eating healthy on a budget, and how to change their bad eating behaviors. Activity: After the lecture, the whole group will participate in hands on activities. This will be helpful so the clients can see how to prepare nutritious foods by substituting ingredients. They will also be taught how to make a healthy meal plan for the week that the whole family will like. They will also be given healthy recipes that they can take home to try. This last part will take at the most an hour. Question and answers: Nutrition Education For You! The clients will be able to ask questions throughout the lecture period, but there will also be an allotted time at the end for questions. Marketing Plan: I will have flyers to hand out. The flyers will have information about the workshop as well as date, time, and location. The flyers will also include a phone number, and an e-mail address. I will hand these flyers out 1 month in advance of the start date to give participants time to schedule it in. Once the clients contact me about the program, I will get their information (name, phone number, e-mail address, etc.). Nutrition Education For You! Free! Taught by professional nutritionist from Salem County! Improve your health with food! Learn new ways OCT. 10, 2014 NUTRITION EDUCATION FOR YOU From tips to eating healthy on a budget to learning how to improve your overall health. to eat healthy! Free information and healthy recipes! 58 Timberman Rd Woodstown NJ, 08098 (856) 555-5555 Marich16@students.rowan .edu October 10, 2014 Nutrition Education For You! Budget Table: Expenditures Quantity Cost Equipment: Laptop 1 $0 20 $12.00 Personnel Myself 0 Space: (3 hours) Social $60.00 Marketing: Flyers (copies) Hall in Porchtown Supplies: notebook 10 paper, and pens, ink, printer notebooks, 60 paper, stamps pack pens, 2 ink $215.00 cartridge, copy paper 5,000 sheets, 3 books of stamps Travel: 0 miles $0.00 Incentive: recipes (3 40 $24.00 different kinds) Total expenses: $945 Budget Explanation copies Nutrition Education For You! I will be the person hosting this workshop. I will be presenting this work shop for free to gain some personal experience with educating others and promoting health. This is also a pretest for myself so I can personally view different ways to improve my organizational and preparation skills. The space for the pretest will be done at a local hall, which will cost $20 an hour ($60 for 3 hours). The only equipment necessary will be a laptop that I already own. The incentives that will be given out include: recipes. The supplies for this program will be note books which cost $1.93 each, pens which cost $5.29 for a 60 pack, ink cartridge for the printer which cost $45 each (the workshop will most likely need two cartridges for printing, copy paper printing the recipes which will cost $60 for 5000 sheets. The copies of the flyers will be $.60 a piece The total expenses for this program will be $945.00 Timeline: Nutrition Education For You! Feb10-20,2014: perform needs assessment Mar. 3, 2014: develop rationale. Apr. 8, 2014: develop goals and objectives. May. 20, 2014: create intervention. July 1, 2014: conduct formative evaluation. Aug 1-September 1, 2014: assemble necessary resources. September 1October 1, 2014: market program. October 10,2014: phase 1: workshop. Oct.10-, 2014: program evaluation. . Program Evaluation: Nutrition Education For You! Impact Evaluation: Impact evaluation is used to see what skills (if any) were attained by the participants, if there were any behavior changes, or different attitudes about the topic of the program. This evaluation was done immediately after the program. To perform the impact evaluation of this program, the clients were surveyed. The purpose of the surveys were to see what the clients learned, if they will be confident to use what they learned on their own, and if they are satisfied with what they learned from the program. This evaluation has shown whether any of the clients decided to change their eating habits. The impact variables were self-efficacy, behavioral capability. The variables were measured by surveys to the clients. The clients were asked to explain how they felt the program has or has not benefitted them. It is important to hear whether the clients benefited or not, to see what needs to be changed and what can stay the same about this program. References Drewnowski Adam and Eichelsdoerfer, Petra. (2010 November). Can Low-Income Americans Afford a Healthy Diet? Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2847733/ Drewnowski Adam and Specter SE . (2004). Poverty and obesity: the role of energy density and energy costs1, 2. Retrieved from http://ajcn.nutrition.org/content/79/1/6.full. No Author. (n.d). Why Low-Income and Food Insecure People Are Vulnerable To Overweight and Obesity. Retrieved from http://frac.org/initiatives/hunger-and-obesity/why-are-lowincome-and-food-insecure-people-vulnerable-to-obesity/ Nutrition Education For You! Salem County Public Health Department. (n.d). Mission. Retrieved from http://www.salemcountynj.gov/health/