The National Electric Coil Company/Cooper Industries, Inc. plant in Harlan County, Kentucky was a mining support operation primarily engaged in the cleaning and repair of mining equipment from 1951 to 1987. Trichloroethylene (TCE) and degradation byproducts, polychlorinated biphenyls (PCBs), and vinyl chloride were released into the areas surrounding the plant periodically for decades. Routine water sampling of area wells by the Kentucky Department of Environmental Protection Division of Water revealed significant levels of TCE, PCBs, and vinyl chloride. The toxicology of these chemicals implicates various systems, including cardiovascular, dermal, endocrine, and neurological. University of Kentucky’s Superfund Basic Research Program’s (UK-SBRP) biomedical research is based on the premise that nutrition can modulate the effects of Superfund contaminants. In this study, the Community Outreach Core developed and delivered nutrition education programs to community members to address three issues: reduce total dietary fat, increase omega-3 fat, and increase dietary fiber. Initial efforts revealed the need for a holistic approach to identify and build trust with community members before programs could be presented. Results from informal discussions, qualitative assessments, and 24-hour dietary recalls using 2007 Nutrient Data System for Research were used to measure specific outcomes; increased knowledge, improved attitudes, and dietary behavior changes.

<p> The purpose of this project is to create fun and educational lesson plans for before and after school childcare providers of children in kindergarten through fifth grade. The lesson plan will incorporate aspects of physical activity and nutrition into the basic curriculum for this age group. The nutrition and physical activity curriculum contains four themed weekly lessons. Each lesson incorporates a nutrition discussion, an activity related to the discussion, and one group game. The lessons and activities were designed to incorporate minimal materials so that any facility could easily incorporate them. A committee of nutrition professionals and educators reviewed the curriculum and improvements were made based on their recommendations.</p>

<p> Childhood obesity is a disease that affects 17% of children aged 2-19. This disease, best described by a social ecological perspective, is multifactorial in nature and includes individual, familial, community, and societal contributors. As the causes are multifactorial, so too should be prevention and treatment. Healthcare providers, specifically physicians, can play an important role in the diagnosis, prevention, and treatment of childhood obesity, especially if they appropriately utilize nutrition behavior change counseling to facilitate lifestyle changes. Behavior change falls within the realm of the social and behavioral sciences, disciplines that will receive greater emphasis on the newly designed MCAT 2015^&reg;; therefore, premedical and medical programs may need to alter their approaches to disseminating this discipline-specific knowledge. Nutrition education is currently limited in medical education; and thus, just as premedical programs seek to increase the social and behavioral sciences, so too should they increase nutrition education. In light of these recommended curricular changes, researchers sought to investigate the current state of premedical and medical students. views of childhood obesity. This dissertation describes three studies conducted for that purpose. In study 1, researchers investigated 30 pre-healthcare undergraduate seniors. views of childhood obesity and their sources of knowledge through in-depth qualitative interviews. Investigators found that students with specialized coursework and significant volunteer and/or internship experience had a deeper understanding of childhood obesity; however, as a whole, students failed to see the role of healthcare providers in prevention and treatment. These findings provide justification for premedical programs to guide students to see their role in prevention and treatment through educating them on the social ecological model and providing them with relevant service-learning opportunities and guided reflection. In study 2, researchers conducted a similar nationwide qualitative investigation in 78 third and fourth year medical students. These students described student-, patient- and healthcare system-centered barriers, including their lack of knowledge, patients. lack of access, and their lack of time in practice. Students also requested more applicable information and counseling training in order to equip them to prevent and treat childhood obesity. Much like the pre-healthcare seniors, these medical students failed to discuss their role in prevention and treatment. Therefore, medical schools need to help their students overcome barriers by providing them knowledge and skills and helping them understand their role in prevention and treatment. In study 3, researchers built on the knowledge gained from study 1 and study 2 and developed a valid and reliable computerized tool, the Childhood Obesity Prevention Self-efficacy (COP-SE) survey. Factor analysis of 444 completed surveys from students at 53 medical schools revealed a two factor structure with a correlation of 0.637 between factors. Factor 1 assesses self-efficacy in nutrition counseling while Factor 2 measures self-efficacy to assess readiness to change and initiate nutrition lifestyle changes. There was high reliability within factors (Factor 1 = 0.946; Factor 2 = 0.927), and the correlation (0.648) between the COP-SE survey and a general self-efficacy survey confirmed that the COP-SE measures domain-specific self-efficacy. This valid and reliable survey can be used by medical schools as a formative or summative assessment of students. self-efficacy in childhood obesity prevention and treatment. Further research should include confirming the factor structure and exploring the significance of response trends seen in this sample. The findings of all three studies can be used by premedical and medical programs to maximize the effectiveness of their preparatory programs to provide students with the necessary skills for prevention and treatment of childhood obesity. With the appropriate preparation, future healthcare providers can build their self-efficacy in disease prevention and treatment, hopefully resulting in improved patient outcomes.</p>

As increasing numbers of baby boomers enter retirement age, Georgia senior centers will be inundated with more computer-savvy seniors than ever before. Web-based nutrition education is a pragmatic option to complement the traditional classroom nutrition education sometimes hindered by the centers’ limited monetary and personnel resources. This exploratory observational study sought to pilot test a companion to classroom nutrition education, a prototype Dietary Approaches to Stopping Hypertension (DASH) diet website, for future implementation in Georgia senior centers. Classroom DASH diet lessons were designed and pilot tested on a convenience sample of community dwelling older adults in 6 metropolitan area centers (n=109). Next, the same lessons were incorporated into a senior-friendly DASH diet website specially designed to meet the needs of older adults and pilot tested on a second convenience sample in one center (n=5). Descriptive and analytical statistics were used to compare baseline and post-website blood pressures, body weights, and DASH-related nutrition knowledge. There was a significant difference in the scores for systolic blood pressure at baseline (M=145.60, SD=8.385) and post-website (M=136.40, SD=9.607) conditions; t(4)=3.74, p =.020. Diastolic blood pressure and weight showed no significant change. A survey of DASH-related knowledge, behaviors, and beliefs showed movement towards desired responses on 44% of survey questions after the intervention. An opinion survey collected seniors’ perspectives on their website experience. 100% of participants reported satisfaction with the website and willingness to continue using it. Refinements to the alpha-prototype website are recommended before further testing with a larger pilot study group. Although expanded research is necessary, results from this limited pilot test suggest that web-based nutrition education is a promising method to reinforce classroom lessons teaching dietary and lifestyle management of hypertension in Georgia senior centers. Multi-component nutrition education holds potential to address diversity in cultures, learning preferences, and functional limitations of Georgia seniors.

<p>The goal of the Mississippi State University Extension Service (MSU-ES) is to improve the quality of life for all Mississippians. One specific group that agricultural change agents work with at the county level is beef producers. Grazing lands have received much attention over the last few years regarding environmental concerns and Best Management Practices (BMPs) for beef cattle operations. </p><p> The adoption of these practices was voluntary during the time this study was conducted, however; adoption was highly encouraged by the MSU-ES and the Natural Resources Conservation Service (NRCS). By knowing the level of adoption of BMPs that Mississippi beef producers have implemented, change agents can more effectively plan educational programming efforts for producers to better understand the importance of BMP adoption. </p><p> The purpose of this study was to describe the adopter categories of Mississippi beef producers as determined by Rogers (2003) adopter characteristics generalizations based on their (1) socioeconomic status, (2) personality values and communication behavior, and (3) opinions. It also examined the correlations between the adopter categories to predict the level of the three BMPs being studied. </p><p> The adopter categories were innovator, early adopter, early majority, late majority, and laggard. The three BMPs that were the focus of the study were rotation grazing, riparian buffers, and pasture renovation. </p><p> The results of the study indicated that Mississippi beef producers could be correctly identified in the adopter categories. By identifying the adopter categories of the Mississippi beef producers and then examining the correlations among the variables, prediction of BMP adoption of rotational grazing and riparian buffers was possible. </p><p> The relationships between MSU-ES agents and their programming efforts, as well as the relationships between NRCS district conservationist and their programs, were studied. Non-adoption, though not an adopter category, was also examined and the reasons for it were cited. </p>

The purpose of this study was to evaluate the problem solving method applied to a self-instructional material in nutrition education. A comparative evaluation design was employed to determine the value of a problem solving model reflected in a commercially developed material, referred to as the 'Calcium Calculator'. Data were collected using a quasi-experimental randomized group pretest, posttest research design. A panel of judges then evaluated the impact of the problem solving method in nutrition education. Three research questions were generated for the purpose of this study. The first involved comparing impacts produced by the two forms of the 'Calcium Calculator'. Measures of impact, selected based on learner objectives of the 'Calcium Calculator', were learners': attitudes toward dietary calcium and osteoporosis; perception of problem solving ability and self-reported dietary calcium intake. The second research question was posed to investigate the nature of relationships between learners' levels of self-esteem and measures of instructional impact. Influences of selected biodemographic variables on change in the measures of impact were explored in the third research question. Eighteen groups of women (n=241) from community centres were randomly assigned to one of three intervention groups: Groups A and B were exposed to active problem solving methods while group C viewed a film, a passive information-oriented instructional technique. The latter group was included in.the study since active learning was hypothesized to result in greater impact than passive learning. Pretest data were collected using a self-administered questionnaire and food intake form. Posttest data were collected an average of 4.7 weeks later using a modification of the pretest questionnaire which included a self-esteem scale, along with the food intake form. Forty-four percent of women (n=l06) who completed pretest questionnaires returned for the posttest session. Participants in all three intervention groups experienced increases in attitude scores from pre- to posttest, and these changes were significant within groups B and C. Perceptions of problem solving ability were maintained within intervention groups B and C, yet decreased significantly within intervention group A. Significant increases in self-reported dietary calcium intakes occurred in all three intervention groups among non-pregnant women whose pretest dietary calcium intakes were below their Recommended Nutrient Intake. Impacts produced by form A and B of the 'Calcium Calculator' were significantly different on only one dependent variable: perception of problem solving ability (p≤0.05). Changes in the dependent variables produced by problem solving versus non-problem solving interventions were not significantly different. Changes in dietary calcium intake and attitude toward dietary calcium and osteoporosis were not significantly correlated with self-esteem levels. However, positive significant correlations were identified between learners' levels of self-esteem and change in learners' perceptions of their problem solving ability (p≤0.0l). Measures of impact were infrequently influenced by the biodemographic variables. Of the associations that were identified, most involved dietary characteristics of participants. Yet change in perception of problem solving ability was also affected by a combination of three demographic variables: age, employment status and education. A panel of users (n=9) of educational materials was asked to make judgements on selected study results. Although judges did not distinguish between impacts produced by the two problem solving materials, they acknowledged that: (1) an important relationship exists between self-esteem and learners' perceptions of their problem solving ability and (2) the problem solving method is valuable when directed to specific kinds of learners. The quasi-experimental research design used in this study appeared appropriate for the evaluation of innovative instructional methods. Two main advantages of the design were its comparative nature and its use of a panel of experts to judge the relative effectiveness of both forms of the 'Calcium Calculator' as well as the value of the problem solving method and self-esteem in material design. / Education, Faculty of / Curriculum and Pedagogy (EDCP), Department of / Graduate

The findings of Nutrition Canada, a national nutrition survey, have emphasized the importance of nutrition education to the public. It is a fact that the health professional most often disseminating nutrition information to the public is the public health nurse. Thus there was a need to investigate the nutritional knowledge of public health nurses, as well as their attitudes toward nutrition, and the kind of nutrition information they are offering to the public. This study involved testing the dependent variables: nutrition knowledge, attitudes and practices of public health nurses and comparing these with the independent variables: educational background, recency of acquisition of nursing related degree, years of nursing experience, age, qualification of the educators who taught nutrition in the training curriculum, years of home economics studied in high school, number of nutrition related communications with a nutritionist, and other types of nutrition experience or education. The nature of the relationship of knowledge, attitudes, and practices, and the interrelationships of knowledge and attitudes with practices were determined. Data were collected by a mail questionnaire which yielded a response rate of 85.1%. Coding and computer analysis of data resulted in percentage mean scores for the tests of nutrition knowledge, attitudes, and practices of 75.79, 89.48, and 65.08 respectively. The areas of nutrition knowledge in which the public health nurses scored lowest were nutrition and pregnancy-related to requirements and supplementation, knowledge about nutrient requirements, nutrient composition of foods, and weight reduction. Tests of nutrition attitudes revealed that the nurses had poor attitudes toward the importance of meal planning. Public health nurses demonstrated poor practices in counselling the public in budgeting, vegetarian diets, and dietary manipulation of fats. Nurses showed poor personal nutrition practices in meal management and in adhering to the recommended cereal group intake of the B.C. Daily Food Guide. Regression analysis indicated that the factors related to nutrition knowledge were educational background, recency of acquisition of nursing related degree, and years of experience. Factors related to nutrition attitudes were age, home economics training in high school, number of consultations with a nutritionist, and attendance at nutrition courses in continuing education. Nutrition practices were related to opportunities for consultation with a nutritionist and attendance at nutrition conferences. Partial correlation analysis of the dependent variables revealed significant and direct relationships between knowledge and attitudes, practices and attitudes, and practices and knowledge. The weakest relationship was between knowledge and attitudes. The strongest relationship was between knowledge and practices. Recommendations for a more effective inservice nutrition education program for public health nurses were made. / Education, Faculty of / Curriculum and Pedagogy (EDCP), Department of / Graduate

The diploma thesis describes the importance of education of young athletes in the field of nutrition. The theoretical part describes nutrition for children. It explains which macronutrients and micronutrients exist and why they are important for the child's body. Furthermore, sports nutrition for children and adolescents is discussed. Last but not least, the basic concepts associated with education, motivation and the influence of food on the mental and physical development of children and adolescents are explained. To meet the main purpose of this work, four goals were set. The first three goals are to compare two groups of boys. The first group of boys has been included in regional football academies for a long time and has been educated about proper nutrition in the past when joining the regional football academy and then in the following years. In the second group, the boys who come to the regional football academy are new, have never been instructed in proper nutrition before and will be educated for the first time. The comparison outlines whether and what is the difference between the results of body composition and diet of previously educated boys compared to those who were newly informed. The fourth goal was to verify whether and what is the importance of education and educational materials...

The Cooperative Extension System has focused on nutrition education for low-income families for approximately 29 years via the Expanded Food and Nutrition Education Program (EFNEP). In response to the need for a comprehensive economic evaluation of EFNEP, Virginia Cooperative Extension (VCE) was awarded a grant from the Cooperative State Research, Education and Extension Services, United States Department of Agriculture (CSREES, USDA) to conduct a cost benefit analysis (CBA) of nutrition education programs, with emphasis on EFNEP. Virginia EFNEP served as the pilot program to test the evaluation procedure. This study is a part of the CBA of Virginia EFNEP. The purpose is to calculate the indirect tangible benefits derived from participation in EFNEP. The indirect tangible benefits are classified as 1) delaying productivity loss due to mortality and 2) avoiding productivity loss due to morbidity. This study also uses sensitivity analysis to evaluate the effects of two critical assumptions pertaining to retention of dietary behaviors and to incidence rate of diseases in the low-income population. Finally, the discount rate is analyzed via sensitivity calculations. There were two major conclusions drawn from this study. First, the indirect benefits accounted for more than $1 million of the total benefit generate by EFNEP. Second, the sensitivity analyses support the positive outcome (i. e., positive return on every dollar invested) derived from the CBA of Virginia EFNEP. / Master of Science

In November 1977 Congress established the Nutrition Education and Training Program (NETP) with the passage of Public Law 95-166. Section 227.37 of the NETP Regulations (1978) mandates that each state establish a plan of action for the use of any federally appropriated funds earmarked for "nutrition education" , and further, the plan should contain a proposal to instruct all students in the state about the nutritional value of foods as well as the relationship between food , nutrition, and health. Section 19 of Public Law 95- 166 stipulates a "needs assessment" as one of the components of NETP and that each state conduct such assessments. The purpose of this study is to furnish the Utah State Office of Education Nutrition Specialist information about the "Licensed Group Day Care Centers" regarding: l. the nutrition concepts taught; 2. the methods and strategies used; 3. the educational level of day care personnel; 4. the State Office of Education Nutrition Specialist's role in day care; 5 . the day care center's cooperation for nutrition inservicing of the faculty; and, 6. the day care center's cooperation with secondary/university training programs. A review of literature indicates that little has been done to evaluate day care programs with regard to "nutrition education". Before the establishment of Public Law 95- 166 Federal and State licensing, guidelines were vague and did not stipulate "education" in their nutrition regulations. Results of a mail survey show that 89 . 1% of the responding centers teach some nutritional concepts. Cooking and tasting experiences, along with pictures and stories, were the main activities used by the centers. The most requested teaching aides we r e puppet and flannel board stories , songs , pictures , and food recipes. This survey shows the majority of the teachers are college educated and have some nutritional training.