You are on page 1of 1

SUNDAY, OCTOBER 22

Poster Session: Professional Skills; Nutrition Assessment & Diagnosis; Medical Nutrition Therapy

Internship Match and Entry Level Exam Performance of Undergraduate versus Patient-driven, Nutrition Education Program for Adults with Type II Diabetes Among a Small
Graduate Level Didactic Students Great Basin Tribe

Author: B. Leonberg; Drexel University Author(s): C. Wilson1, L. Tom-Orme2, J. Metos3; 1University of Utah, 2Division of
Epidemiology, University of Utah, 3Department of Nutrition & Integrative Physiology,
Learning Outcome: Participants will be able to state potential enhanced out- University of Utah
comes of students who enter the dietetic internship and take the entry level
exam after completing a master’s level DPD. Learning Outcome: Participants will be able to identify the successful components of a
diabetes nutrition program developed by an American Indian dietitian for an underserved
Background: Didactic programs in nutrition and dietetics have typically been Great Basin Tribe.
taught at the undergraduate (bachelor’s degree [BS]) level. In 2009, Drexel
University added a graduate (master’s degree [MS]) level track, aimed at Background: Type 2 diabetes mellitus (T2DM) is prevalent among a small, underserved,
providing a route to entering the profession to applicants who have already Great Basin tribe that straddles the Utah-Nevada state line. The geographically isolated
completed a BS in another discipline. The purpose of this project was to tribe faces nutritional challenges with food access and lack of health care. The purpose of
compare acceptance to dietetic internship, first-time pass rates, and exam this patient-driven, nutrition education program is to test the effectiveness of lesson plans
score percentiles on the entry level exam for BS- vs. MS- prepared students delivered by an American Indian dietitian for patients with T2DM.
from the same university.
Methods: A needs assessment was conducted through in-depth interviews with com-
Methods: Dietetic internship (DI) acceptance rates were calculated using data munity members, and resulted in implementation of three tailored lesson plans. By
provided to program directors by D &D Digital (Ames, IA). First-time pass deliberate choice, program administrators were of American Indian descent in hopes that
rates and exam score percentiles on the entry level exam were calculated the curriculum would align to cultural sensitivities and patient receptiveness. Participants
using exam data provided by Pearson Vue (Bloomington, MN). were contacted using convenience sampling. Instructional materials accompanying the
lesson plans included handouts, visuals, and prompts. Changes in patient awareness,
Results: Between January 2011 and December 2016, 59 BS and 106 MS stu- attitude, knowledge and behavior were evaluated.
dents applied for DI; 34/59 (58%) of BS students and 83/106 (77%) of MS
students received a DI match via the computer match. An additional 25/59 Results: T2DM is evident among one-fourth of the adult population living on the Great
(42%) and15/106 (14%) later matched with the Drexel Individualized Super- Basin reservation and 20 (91%) received nutrition education. Lesson plan topics imple-
vised Practice Pathway (ISPP). In total, 88% (52/59) of BS students and 92% mented were: Carbohydrate Counting (n¼9), My Plate (n¼6), and Healthy Cooking (n¼5).
(98/106) of MS students matched with a DI or ISPP during their first appli- Based on evaluations, 75% of participants’ stated increased nutrition knowledge, 75% felt
cation cycle. During the same period, 85% (33/39) of BS alumni (mean score confident to practice what they learned, 80% found the lesson very helpful, and 100%
50th percentile) and 97% (72/74) of MS alumni (mean score 70th percentile) agreed the instructor delivered a culturally appropriate lesson.
taking the entry level exam passed on their first attempt.
Conclusions: Overall, this program influenced participation rates and improved nutrition
Conclusion: Graduates of a master’s level DPD have higher acceptance rates to knowledge which demonstrated effectiveness of patient-driven lessons delivered by an
DI, higher first-time pass rates, and higher score percentiles on the entry level American Indian dietitian. Future projects for this population should provide continuous
exam, as compared to BS graduates. The future education model can be ex- educational support and assess clinical outcomes.
pected to better prepare students for success in DI and on the entry-level
exam. Funding Disclosure: Native Agriculture and Food Systems Scholarship - First Nations
Development Institute
Funding Disclosure: None

Middle East Dietetics Needs Assessment: Identifying Opportunities for Future Collaborative Prevalence of Food Insecurity among Hospitalized Patients
Activities
Author(s): D. Sowa, C. Hartney, A. Asthana, S. Peterson; Rush University
Author(s): E. Myers1, R. Hakeem2, N. Bdour3, T. Kour4, F. Atayata5, S. Tashtoush6, N. Cakir Bicer7, Medical Center
S. Sakar7, C. Erginbas7, R. Kahill8, M. Herrera9, M. Boyd10; 1EF Myers Consulting, Inc, 2Raana
Laiqat Ali Khan College of Home Economics - Karachi, 3Hamad Medical Corporation, Learning Outcome: Describe prevalence of food insecurity among adult pa-
4
Middle East at Action Against Hunger, 5Compass Group, 6King Abdulla Medical City, tients admitted to a general medical/surgical unit.
7
Istanbul Arel University, 8Vision Healthcare Systems (International) Pty Ltd, 9Universidad
Central de Venezuela, 10American Overseas Dietetic Association
Household food insecurity, defined as limited or uncertain access to adequate
food, is associated with obesity. Minimal information is available to describe
Learning Outcome: Identify methods for conducting dietetics needs assessments that the prevalence of food insecurity among hospitalized adult patients. This
use social media (Linked In) and common issues and opportunities for collaborative ac- project determined rates of food insecurity among adult patients admitted to
tivities selected by dietitians/nutritionists in the Greater Middle East. a tertiary medical center. A convenience sample of 600 adult patients
admitted to general medical/surgical floor was utilized. Patients were asked
Background: Recent advancements in the dietetics profession in education, practice, and over the previous year if they worried about food running out or if they had
research are disseminated/adopted through collaborations across borders. A needs assess- enough money to get more food if needed. Responses were categorized as
ment of dietitians in the Middle East is the first step in identifying future collaborations. often, sometimes and never; patients were defined as food insecure if they
responded often or sometimes. Patients were queried regarding utilization of
Method: The 41 item needs assessment survey was translated into Arabic and Turkish and
supplemental nutrition assistance programs (SNAP) and food banks/de-
was disseminated through Linked In groups, country dietetic organizations when avail-
positories (FB) over the past year. Age, gender, race/ethnic and BMI were also
able, and by country representatives (CR) from Feb-June 2016. The research team met to
collected. Patients were overweight (29.98.4 kg/m2), middle aged (55.87.1
evaluate results and identify potential future projects.
years old), women (58%) and Caucasian (39%) and African American (39%).
Results: Responses from 542 dietitians represented 21 of 30 Middle Eastern countries. Approximately 16% identified as food insecure. There was no difference in age
Dietitians reported working in their country from < 2 years (37%) >2-5 years (20%). >5-10 or BMI between food secure and insecure patients. However, food insecure
years and > 10 years (24%). Over half (56%) had been employed as a dietitian for <5 years patients were more likely to be morbidly obese (21%vs.12%, p¼0.03)
with 54% working in hospitals, 34% in outpatient consultation and 11% in research/ compared to the food secure. Almost 20% of the sample used SNAP and 13%
academia. Undergraduate preparation was usually a 3-5 year BS (86.9%) with 13 % used FB. However, only 45% and 35% of food insecure patients utilized SNAP
reporting less than BS degree. In addition, 11% reported a MS degree and 9% reported a and FB, respectively. A better understanding of food security among hospi-
doctoral degree. The most common title was either Dietitian (28%) or Nutritionist (22%) talized patients can facilitate the creation of targeted interventions to
with 60% holding a government or professional society credential. Discussions about the improve diet. These data suggests that food insecure patients may not be
question/issues in dietetics education, credentialing, evidence-based practice, and nutri- utilizing food assistance programs.
tion care process/terminology led to development of two potential follow-up projects.
Funding Disclosure: None
Conclusion: This study offered insights into internationalizing dietetics practice through
effective collaboration and cross-cultural learning, in this case through 1) Awareness and
Support for Professional Practice Issues (Nutrition Care Process and Evidence Based Di-
etetics Practice) and 2) Dietitian/Nutritionist Advocacy Issues projects.

Funding Disclosure: Academy of Nutrition and Dietetics Foundation

A-12 JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS September 2017 Suppl 1—Abstracts Volume 117 Number 9
Descargado para Anonymous User (n/a) en Universidad Libre de ClinicalKey.es por Elsevier en octubre 11, 2022. Para uso personal
exclusivamente. No se permiten otros usos sin autorización. Copyright ©2022. Elsevier Inc. Todos los derechos reservados.

You might also like