Interprofessional student service-learning experiences are integrated into the preventive care of older adult residents of public housing in Appalachia. Receiving a Health Resources and Services Administration grant provided the College of Nursing at East Tennessee State University the opportunity to expand interprofessional clinical experiences for students by partnering with the College of Pharmacy, the College of Clinical and Rehabilitative Health Sciences, and the local public housing authority. Select faculty from each college met and developed a plan to form student teams from all three colleges to conduct in-home comprehensive medical and nutrition assessments and medication chart reviews of high-risk older adults. Following the in-home visit, students and faculty discuss the assessment findings at planned interprofessional meetings. Students present their findings from each discipline's perspective and collaboratively set health priorities and develop intervention strategies and an inclusive follow-up plan. Excerpts from students' reflective narratives discussing the impact of the interprofessional service-learning experiences are shared.

Interprofessional student service-learning experiences are integrated into the preventive care of older adult residents of public housing in Appalachia. Receiving a Health Resources and Services Administration grant provided the College of Nursing at East Tennessee State University the opportunity to expand interprofessional clinical experiences for students by partnering with the College of Pharmacy, the College of Clinical and Rehabilitative Health Sciences, and the local public housing authority. Select faculty from each college met and developed a plan to form student teams from all three colleges to conduct in-home comprehensive medical and nutrition assessments and medication chart reviews of high-risk older adults. Following the in-home visit, students and faculty discuss the assessment findings at planned interprofessional meetings. Students present their findings from each discipline's perspective and collaboratively set health priorities and develop intervention strategies and an inclusive follow-up plan. Excerpts from students' reflective narratives discussing the impact of the interprofessional service-learning experiences are shared.

Thesis (M. Com. (Business Management)) -- University of Limpopo, 2021 / The trend towards healthy eating has been gradually growing in South Africa. Health consciousness has become more apparent with customers not only wanting to consume quick and convenient meals, but also meals that are nutritionally beneficial. Although fast-food outlets have risen to the occasion by providing for this demand, there are few studies in South Africa that focus on strategic guidelines for fast-food outlets to enable strategic planning for achieving customer satisfaction and the increase in profits with healthier food options on the menu. The purpose of this study was to explore strategic guidelines for customer satisfaction with healthier diet menu items in fast-food franchising outlets in South Africa. An extensive literature review was conducted on the South African fast-food industry and customer satisfaction. The study followed a quantitative method approach, and 400 respondents were selected using the convenience sampling method. An empirical study was conducted in which data was collected from 329 customers of fast-food outlets within the Capricorn Municipality, South Africa by means of self-administered questionnaires. The findings of this study reveal that there is a general level of satisfaction amongst South African customers with the healthier food options available at fast-food outlets with areas of improvement for price, convenience and atmosphere pertaining to healthier diet meals. The study made recommendations on a variety of healthy menu items, interaction between managers and customers, price and value, extended service hours, safe parking and walking distance, cleanliness, staff appearance and dining-in feeling and provided a model on Strategic Sustainable Growth as a guideline to increasing customer satisfaction with healthier diet menu items.

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OBJECTIVE: The effects of a computer-assisted instruction (CAI) tutorial program on learning clinical reasoning skills were compared in undergraduate dietetics students. DESIGN: A drill-and-practice program to control for time on task, and tutorial program, and a simulation program, as the test vehicle, were developed. The tutorial and simulation programs presented data on a patient with cardiovascular disease. SETTING: Subjects were tested in 30 undergraduate dietetics programs. SUBJECTS: Participants were 413 undergraduate diet therapy students enrolled in a coordinated program in dietetics (CPD) or a didactic program in dietetics (DPD). INTERVENTION: After completion of lectures on cardiovascular disease, subjects were given the drill-and-practice program plus a simulation test (group 1), the tutorial plus a simulation test (group 2), or the simulation test only (group 3). MAIN OUTCOME MEASURES: Scores on the simulation test were compared. Variables included type of CAI, dietetics program, year in school, computer experience, and experience using a medical chart. Mastery of objectives related to lower- and higher-level clinical reasoning skills introduced in the tutorial program was computed. STATISTICAL ANALYSIS: One-way analysis of variance and Student-Newman Keuls tests were conducted to determine any differences among the three groups. Reliability was determined using the Kuder-Richardson Formula 20. RESULTS: The reliability coefficient of the stimulation test was 0.93. Group 2 higher on the simulation test than group 1 or group 3. As a group, the CPD students scored higher than the DPD students. When CPD and DPD students were divided into the three experimental groups, there was no significant difference between the CPD and DPD student simulation scores. Group 2 mastered all objectives for lower-level reasoning skills and the higher-level decision-making objective better than groups 1 and 3. APPLICATIONS/CONCLUSIONS: A computer tutorial program enhanced clinical reasoning skills in undergraduate dietetics students. This type of program could be used to supplement many topics taught in diet therapy and provide DPD students with experimental learning before their clinical intern practicums.

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No description available.

A treatment outcome study was conducted comparing a low-fat diet intervention with an education-support group and a waiting-list control group in the treatment of premenstrual tension syndrome (PMS) or Late Luteal Phase Dysphoric Disorder (LLPDD). Subjects met provisional diagnostic criteria for LLPDD and symptoms were monitored prospectively. A low-fat diet was hypothesized too be an effective intervention for reducing the severity of both physical and emotional symptoms in women suffering from LLPDD. This was based on the theory relating raised estrogen levels to premenstrual distress, and research suggesting low-fat diets reduce estrogen levels. The hypothesis that a low-fat diet would decrease premenstrual suffering was not supported by the results of this study. However, there appeared to be an advantage to participating in a group which provided support and information on LLPDD compared to receiving no treatment. Implications for future research, treatment recommendations, and methodological issues are discussed. / Ph. D.

The study was conducted for the purpose of designing and evaluating an educational program for undereducated diabetes mellitus patients. The program as designed integrated recommended emphases found in the literature for the development of educational programs for low literacy levels and accounted for cultural relevancy. Developed program components were the diabetic diet guide and an audiotape-slide presentation entitled, "How to Follow the Diabetic Diet Guide." Concentrated efforts were made to develop understandable and applicable dietary education materials. Educator and professional dietitian expertise were utilized in the formation and completion of the program design. Patients similar to potential study participants voluntarily served as trial learners provided input relative to realistic content transmission, application to the daily dietary regimen, and comprehensibility. The program components are clear, concise, colorful, visually-oriented, and interesting. The provision of an easy-to-follow guide for regular home use allows for repetitive application of required dietary principles. The content emphasis was on the necessary concepts for dietary control of the disease. Knowledge areas included nutritional knowledge basic to the disease, the foods in food groups, the measurement of serving sizes of foods using standard methods, unrestricted foods, restricted foods, the use of fat in food preparation, and the advocacy of an established eating routine throughout the day from day-to-day. In the diabetic diet guide, the aforementioned concepts were clearly and colorfully presented so that literacy was not required. The same concepts utilizing portions of the guide were reinforced by a unisex cartoon character explaining use of the guide. Evaluation instruments were designed to test program effectiveness with an undereducated diabetes mellitus patient population. The instruments (developed by the researcher) were a 70-item knowledge test, a 24-hour recall record, and a medical chart information sheet. A field test trial was conducted with 50 participants who are served on an outpatient basis. The site was the High Point Memorial Hospital Outpatient Clinic, funded by the health department. Fifty consenting participants were randomly assigned to experimental and control groups by a ratio of two to one by race and sex. Thirty-two experimental and 18 control subjects completed the study. All data collection was orally solicited initially, at two months, and at four months. The educational intervention was presented only to experimental subjects. Evaluation of increments in knowledge, decreases in weight, blood glucose values, and minimal acute complications indicated the newly designed program was successful. The data was subjected to statistical analysis using analysis of covariance. The initial scores or readings were used as covariates to control for initial variances. Knowledge scores improved significantly from the beginning to the end of the study (p ≤ 0.0001). Knowledge attainment must occur for subsequent application as reflected by clinical measurements. The desirable clinical measurements were generated during the four-month study as shown by statistically significant decreases in blood glucose values (p < 0.05) and a pronounced trend in weight loss. A further indication of success was that the experimental population had fewer acute complications than the control subjects. / Ph. D.

Selected anthropometric (body weight and BMI), dietary (kilocalories, carbohydrate, protein, total fat, saturated fat, linoleic acid, oleic acid, dietary cholesterol, and P/S ratio), blood pressure, and blood lipid parameters (total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), triglyceride (TG), and TC/HDL-C and LDL-C/HDL-C ratios) were assessed in 67 males from the Cardiac Therapy and Intervention Program at Virginia Tech. Several studies have found strong correlations between these variables and the incidence of coronary heart disease. The group (cardiac or intervention), status (active or inactive), time (1982-83 baseline period, 1983-84 short-term follow-up period, and 1986 long-term follow-up period), and the group and status combination (cardiac active (CA), cardiac inactive (CI), intervention active (IA), and intervention inactive (II)) were chosen for statistical analysis to determine if there were significant differences due to these effects. The P/S ratio ( < 1.0), the dietary cholesterol intake ( > 250 mg), the level of blood cholesterol ( > 200 mg/dl), and the TC/HDL-C and the LDL-C/HDL-C ratios ( > average risk) were identified as areas which needed improvement in all groups. Compared to the dietary guidelines proposed by American Heart Association (AHA), all combinations of comparisons across three time periods exhibited higher percentages of kilocalories provided by total fat, saturated fat, and protein, and lower percentages of kilocalories provided by linoleic acid and carbohydrate. The HDL-C levels were below the fiftieth percentiles relative to, the Lipid Research Clinics Population Study data. Blood pressures were under good control. The four subgroups exhibited significantly different mean body weights and TC/HDL-C and LDL-C/HDL-C ratios. The II group had the highest values for all these variables, the lowest mean body weight was seen in the CI group, and the IA group had the lowest mean values for the latter two ratios. There was a trend toward the lowest mean dietary intake and blood lipid levels occurring at the short-term follow-up period; however, only the mean intakes of total calories and carbohydrate and the blood LDL-C levels were significantly different among the three time periods. The lowest mean values for these three variables occurred at the short-term follow-up period while the highest mean values occurred at the long-term follow-up period. The group effect was seen in the mean intakes of total fat, saturated fat, linoleic acid, oleic acid, and the percentage of kilocalories as fat and the mean levels of systolic and diastolic blood pressures. The intervention group exhibited the higher mean values for these variables. The major difference relative to status was in the mean values of the TC/HDL-C ratio. The inactive participants had the higher mean value. The results of a discriminant analysis procedure which was used to determine which combination of risk factors was most influential in distinguishing the cardiac group from the intervention group indicated that abnormal electrocardiogram test res~lts and age were the most influential factors of those studied. / M.S.