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Abstract Results

Comprehensive nutrition education interventions that emphasize behavior modification
PLANT POWER! & The benefits to our Health The outcome of this intervention showed that there was an increase in knowledge and self-
strategies can be very effective and lead to greater weight loss as well as greater weight A Nutrition Education for Post-Surgery Bariatric Patients efficacy of the patients regarding plant proteins. ~38% of participants could not identify
maintenance and less emotional issues post bariatric surgery (Nijamkin, et al., 2013). This plant protein sources correctly and by the end of the intervention, ~88% could. 75% of the
nutrition education intervention provided post-surgical bariatric patients with the Amanda Smith, Practicum 2016 patients felt that they could now not only incorporate plant proteins into their everyday
understanding and confidence to incorporate non-animal product proteins into their diets on a Preceptor: Katie Gorman, RD lives, but they could come up with recipes as well. The barrier that they were too
daily basis. The intervention was performed during one session using constructs from the HackensackUMC Mountainside Hospital expensive or too much of a hassle to incorporate into meals declined by half, and the
Health Belief Model (Rosenstock, Strecher & Beckert, 1988). The session engaged all perceived benefits increased to 87.5%. Lastly, the perceived severity of having some type
participants by using a PowerPoint lecture, tasting demonstrations and sharing personal of cardiovascular problem in the future from consuming too many animal products
opinions. Pre-tests and post-tests were handed out to all individuals to evaluate their dramatically increased by 50%.
knowledge, perceived barriers and benefits, as well as self-efficacy. The post-test evaluations Application of the Health Belief Model to Bariatric Patients
showed improvements in overall knowledge of plant proteins, self-efficacy in incorporating
Individual Perceptions Modifying Factors Likelihood of Action
plant proteins into the everyday diet and a decrease in the perceived barriers. These findings
suggest that patients who involve themselves in post-bariatric surgery nutrition education Perceived susceptibility Different ages, genders, Perceived Barriers
support groups can gain knowledgeable information that can further help them maintain a and perceived severity post- bariatric surgery -Patients may believe
positive health status. of disease time, educational eating plant based is
-Participants are statuses to be costly.
Introduction & Background
concerned that if they considered. Patients may not want to
• According to the CDC, more than one-third of the U.S. adult population is obese, which do not lose weight they try new foods.
is about 76 million adults (2015). are going to be at higher -Patients may not think it
risk for comorbidities is possible to get in
• Comprehensive nutrition education interventions that emphasize behavior modification like hypertension, Perceived threat of enough protein without
strategies can be very effective and lead to greater weight loss as well as greater weight diabetes and cancer. disease consuming meat
maintenance and less emotional issues post bariatric surgery (Nijamkin, et al., 2013). -If there is potential products.
for comorbidities to
• Attendance at support groups and nutrition education pre and post bariatric surgery is worsen, patients may
stop consuming meat Perceived Benefits
crucial to efficient weight loss as well as reducing or ceasing treatment for patients with
products. -Emphasis on how easy it is to
hypertension & diabetes (Matthew et al., 2015).
incorporate these plant based
proteins into the everyday diet.
• Vegetarian diets are associated with a lower risk of ischemic heart disease, hypertension,
-Plant proteins are heart healthy
type 2 diabetes, obesity, and some types of cancer (Cullum-Dugan, D., & Pawlak, R.
and can provide just as much
2015). Cues to action (media,
protein as animal products. Conclusion
education)
As seen through this intervention, the patients gained valuable knowledge regarding
• There is a positive relationship between optimal weight loss and the amount of times -Providing a tasting for the
plant protein consumption as an alternative to a healthy lifestyle. Their self-efficacy as well
patients attend support groups post-bariatric surgery (ASMBS, 2015). clients to open up the pallet
as increased knowledge about the benefits of plant proteins has suggested that this
to plant proteins.
Likelihood of behavior change: intervention was successful.
Aims -Providing tips on creating a
As seen through this support group, it is very important to involve post-bariatric
menu to include plant Self-efficacy
Overall Goal: To increase the knowledge of bariatric patients regarding protein
-Use tasting demonstrations to reinforce surgery patients in routine nutrition educations. It not only keeps them up-to-date on the
consumption from sources other than meat. proteins in their everyday
the plant based proteins. most current nutrition topics but it also is a place for them to interact with others who have
• Objective 1: The patients will be able to identify food items that are high in protein lives.
-Have clients create their own menus to gone through the same process as them. They are able to ask questions and relate to each
besides meat products.
help them gain the confidence to put other without feeling pressured or judged. Post-bariatric surgery counseling is extremely
• Objective 2: The patients will understand the benefits of meeting protein needs from
together a full meal using plant based important for these patients to manage and maintain their weight loss.
non-meat sources.
proteins. Having this nutrition education on plant proteins seemed to be a success as self-
• Objective 3: The patients will be able to come up with menu ideas to create meals
Materials & Methods efficacy and perceived severity increased meanwhile the perceived barriers decreased. It
without meat but are still high in protein.
One 70-minute intervention was created for individuals at HackensackUMC Mountainside was interesting that the patients had already seemed to know many of the benefits of
Hospital's Outpatient Bariatric Program who have had bariatric surgery within the past consuming plant proteins as the knowledge of the benefits was very high on the pre-test.
Theoretical Background More research needs to be done regarding whether or not these support groups can really
week to years ago. The main goal was increasing their self-efficacy, the perceived benefits
The Health Belief Model (Rosenstock, Strecher & Beckert, 1988) emphasizes that and decreasing their perceived barriers and perceived severity of the consumption of plant help these patients past that 5 year mark when the weight starts to slowly come back on.
individuals are more likely to perform a behavior if they perceive the behavior will lead to proteins. There were a total of 8 participants, 7 females and 1 male between the ages of • References
Adult Obesity Facts. (2015). Retrieved July 23, 2016, from https://www.cdc.gov/obesity/data/adult.html
anticipated outcomes they value. The constructs that were used in this intervention were: 26-52 who ranged from 12 days post-op to 2 years post-op. A pre-test and post-test were

Cullum-Dugan, D., & Pawlak, R. (2015). Position of the Academy of Nutrition and Dietetics: Vegetarian Diets. Journal Of The
• Perceived Benefits - An individual’s beliefs that taking a certain action would reduce the

given to all patients to evaluate knowledge, self-efficacy and perceived barriers and Academy Of Nutrition & Dietetics, 115(5), 801-810. doi:10.1016/j.jand.2015.02.033
Matthew, B., Flesher, M., Sampath, S., Nguyen, N., Alizadeh-Pasdar, N., & Barclay, K. (2015). The effect of intensive preconditioning
risk or seriousness of a condition. benefits of plant proteins.

and close follow-up on bariatric surgery outcomes: Does multidisciplinary care contribute to positive results whether a gastric
• Perceived Barriers - An individual’s belief of the tangible and intangible costs of taking • “How Well Do you Know your Plant Proteins Quiz” bypass or sleeve gastrectomy is performed?. British Columbia Medical Journal, 57(6), 238-243.
Nijamkin, M. P., Campa, A., Nijamkin, S. S., & Sosa, J. (2013). Comprehensive Behavioral-Motivational Nutrition Education
action. • True/False Questions

Improves Depressive Symptoms Following Bariatric Surgery: A Randomized, Controlled Trial of Obese Hispanic Americans.
• Self-Efficacy – Personal ability to perform behaviors that lead to desired outcomes. • Benefits of Consuming Plant Proteins Journal of Nutrition Education and Behavior, 45(6), 620-626. doi:10.1016/j.jneb.2013.04.264
Recommendations for the pre surgical psychosocial evaluation of bariatric surgery patients - American Society for Metabolic and
• Perceived Severity - An individual’s belief of the seriousness of a condition and its • Tips for Cooking and Dining Out

Bariatric Surgery. (2015). Retrieved July 24, 2016, from http://asmbs.org/resources/recommendations-for-the-presurgical-
consequences. • Tasting plant proteins psychosocial-evaluation-of- bariatric-surgery-patients
Rosenstock IM, Strecher VJ, Becker MH. Social Learning Theory and the Health Belief Model, Health Educ Quarterly. 1988; 15(2):175-
• Creating menus

183.