self-efficacy as a predictor of compliance to a cardiac diet regimen

1
WEDNESDAY, OCTOBER 27 POSTER SESSION: NUTRITION EDUCATION/PUBLIC RELATIONS PROMOTING A HEALTHY START FOR YOUNG CHILDREN. L.F. Marquart, PhD, RD, C.S. Chalupnicki, R.D. and S. Hosey, P&C Food Markets, Syracuse, NY. Nutritionists are often looking for creative approaches to deliver a nutrition message to preschool children, their teachers and parents. Nutraman, Chrissy Clown and Roy the Nutraboy used juggling, gymnastics and singing to create genuine enthusiasm about good eating and regular exercise among local day care/nursery school children. This 20-minute program was designed to promote a "Healthy Start: Food To Grow On" for children 2-6 years of age. The local supermarket chain promoted the program through in-store poster displays and direct mailings to day care centers/nursery schools. Nutraman and company presented 40 programs at 25 sites to 1470 children and 75 teacher/caregivers. A variety of interactive teaching techniques were used. Fruit and vegetable consumption was emphasized through the Nutra-Gang (dressed fruits and vegetables) and Roy the Nutraboy (child-sized ventriloquist figure). Juggling and singing helped highlight the importance of eating fruits and vegetables. Exercise was encouraged through mime and audience participation in animal characterizations. Brochures, newsletters and activity booklets were distributed to teachers for parents and children. Teachers and caregivers from 17 facilities completed evaluations several weeks after the program. Of the 17 facilities that responded, 17 indicated the program was age appropriate, 14 used the nutrition coloring pages in class, 17 provided more nutrition and exercise opportunities for children, 6 reported positive feedback from parents, 12 would like more nutrition and exercise information/activities, while 17 sent all the "Healthy Start" materials home to parents. This program, along with media coverage, increased visibility and requests for "Healthy Start" materials. USE OF VISUAL AIDS TO PRESENT THE FOOD GUIDE PYRAMID FOR NATIONAL NUTRITION MONTH. S. R. McClure, MS, RD, LD, K. B. Bradford, RD, LD, M. Bivins, RD, LD, L. Zeitler, RD, LD, CNSD, J. Hershom, RD, LD, J. Summers, RD, LD, J. Dickson, RD, LD, J. Chang, MS, RD, LD, and E. James, Department of Nutrition and Food Service, The University of Texas M. D. Anderson Cancer Center, Houston, TX During National Nutrition Month, dietitians (RDs) and dietetic technicians (DTs) featured the Food Guide Pyramid to promote the theme, "Eat Right America." The goals were to 1) introduce the Food Guide Pyramid, 2) help the public and staff visualize the portions of food needed to fulfill the requirements of the pyramid, and 3) stimulate interest in foods from other cultures. A three dimensional table top model of the pyramid, made of plexiglass, was used for displaying food. Each Wednesday, the RDs and DTs manned a table outside the cafeteria during peak lunch hours. Appropriate nutrition information and food samples were distributed weekly. Week 1 featured the bread and cereal group. A jar containing 600 calories of air popped millet, wheat, rice, and corn was utilized as a guessing game and an educational tool. An ADA apron and lunch bag served as prizes for the weekly drawings. Posters on grains were developed by a junior girl scout troop under the guidance of an RD. Week 2, seven servings of fruits and vegetables were added to the pyramid. Unusual fruits and vegetables were featured. Week 3 presented the meat and milk groups. Nine varieties of beans were displayed as well as milk, cheese, yogurt, and meat. Week 4 highlighted the addition of fats and sweets to the pyramid. The annual per capita consumption of sugar, 128 lbs, was displayed. Posters revealed the added sugar content of certain foods by placing individual bags of sugar under the pictures of these foods. Ten pounds of beef fat was used to give substance to the concept that a daily intake of 100 "extra" calories can result in a 10-pound weight gain in a year. One hundred calorie portions of some favorite snack foods were displayed and distributed. Week 5 focused on a healthy diet. The pyramid was fully stocked to demonstrate a recommended daily intake of food. Changes in nutrition labeling were featured. Throughout the month, participants were captivated by the visual displays of food portion sizes, sugar consumption, fat tissue, and unique foods. These were effective tools for generating interest and educating the staff, patients, and visitors. SELF-EFFICACY AS A PREDICTOR OF COMPLIANCE TO A CARDIAC DIET REGIMEN. A.E. Martin, MS, RD, College of Agriculture, Department of Foods and Nutrition and Home Economics, California State Polytechnic University, Pomona CA Twenty two cardiac inpatients of St. Joseph's Hospital in Tucson, Arizona, were studied to assess the relationship between an individual's perception of self-efficacy (SE) in following a low fat diet and actual amount of kilocalories (kcals) consumed as fat. Subjects were eligible if they were between the ages of 21 and 80, admitted to the Coronary Intensive Care Unit with the diagnosis of angina or myocardial infarction, without additional chronic diseases and the ability to read, write, and speak English. One patient refused participation. Following educational intervention by a Registered Dietitian, a SE questionnaire was administered. Participants were asked to rate statements regarding intentions towards diet using a 5-point Likert Scale. The participants were then followed up by telephone at 6 and 12 weeks post-intervention and interviewed to obtain a 24-hour dietary recall and food frequency assessment. Three patients were not able to be contacted for follow-up. The Spearman Rank Correlation Coefficient (p < .05) was employed to determine if a relationship existed between perceived SE and actual amount of kcals consumed as fat. Although no relationship between the defined variables was confirmed, all of the subjects except for two consumed an amount of fat equal to or less than 30% of estimated kcals to maintain ideal body weight. This suggests that all of the subjects were compliant with the diet prescribed. In addition, all subjects except for one in the present study scored above 40 on the SE questionnaire, indicating that 95% of the participants felt that he/she 'could probably do' all of the tasks indicated to lower fat intake. Inherent drawbacks with this study included a relatively small sample size (N= 19), and subjective reports of dietary intake. Telephone follow-up was found to be of value, albeit time consuming, affording an opportunity for informal evaluation of the subject's comprehension of the diet prescription and useful feedback on educational methods. The contact also provided the subjects a change to ask questions and to receive reinforcement for progress to date. DIETARY PRACTICES AND RELEVANT CHARACTERIS- TICS OF UNIVERSITY DANCE MAJORS. M.J. Leeds, EdD, RD, and C.M. Menke, RD, Department of Allied Health, Slippery Rock University, Slippery Rock, PA Dancers are under continuous pressure to be at low body weights, not only for a particular look, but also for performance. The purposes of this study were to determine dietary practices and identify related char- acteristics in female university dance ma- jors. Subjects included 14 female dance ma- jors, 18 to 22 years old, at a 4 year univer- sity in rural, western Pennslyvania. Data collection methods included a 3-day food re- cord, skinfold measurements, a personal in- formation questionnaire, and an oxygen capac- ity (V02) test. The mean BMI was 22.4+2.8, the mean percent body fat was 23.4+4.1, and 78.6 percent of the dancers reported that they desired to lose weight. The 3-day food record showed a mean caloric intake of 1,298.2+428.5 Calories. The mean percent of Calories from carbohydrate was 57.1+7.1, from fat was 29.2+7.0, and from protein was 13.9+ 2.4. The mean intake for iron was 9.1+2.7 milligrams (mg), 71.4 percent of the ancers were below 67 percent of their Recommended Dietary Allowance (RDA). The mean intake for calcium was 522.7+198.8 mg, 85.7 percent were below 67 percent f their RDA. The mean in- take for vitamin C was 102.2+65.5 mg. Some form of supplement was being-used by 28.6 percent of the dancers; 85.7 percent were on the university meal plan. The mean V02 max was 41.3+13.4 milliliters (ml) of oxygen per kilogram-(kg), with the average range being 35 to 43 ml/kg. In conclusion, the findings show that the dance majors were lacking in calories, iron, and calcium, suggesting a need for dietary counseling. A-60 / SEPTEMBER 1993 SUIPILEMENT VOLUME 93 NUMBER 9 ······ I···············*··········· ···· ····· **·· · ·· ··· · · ·· · ------------------

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Page 1: Self-efficacy as a predictor of compliance to a cardiac diet regimen

WEDNESDAY, OCTOBER 27

POSTER SESSION: NUTRITION EDUCATION/PUBLIC RELATIONSPROMOTING A HEALTHY START FOR YOUNGCHILDREN. L.F. Marquart, PhD, RD, C.S. Chalupnicki,R.D. and S. Hosey, P&C Food Markets, Syracuse, NY.

Nutritionists are often looking for creative approaches todeliver a nutrition message to preschool children, their teachersand parents. Nutraman, Chrissy Clown and Roy the Nutraboyused juggling, gymnastics and singing to create genuineenthusiasm about good eating and regular exercise among localday care/nursery school children. This 20-minute program wasdesigned to promote a "Healthy Start: Food To Grow On" forchildren 2-6 years of age. The local supermarket chainpromoted the program through in-store poster displays anddirect mailings to day care centers/nursery schools. Nutramanand company presented 40 programs at 25 sites to 1470 childrenand 75 teacher/caregivers. A variety of interactive teachingtechniques were used. Fruit and vegetable consumption wasemphasized through the Nutra-Gang (dressed fruits andvegetables) and Roy the Nutraboy (child-sized ventriloquistfigure). Juggling and singing helped highlight the importance ofeating fruits and vegetables. Exercise was encouraged throughmime and audience participation in animal characterizations.Brochures, newsletters and activity booklets were distributed toteachers for parents and children. Teachers and caregivers from17 facilities completed evaluations several weeks after theprogram. Of the 17 facilities that responded, 17 indicated theprogram was age appropriate, 14 used the nutrition coloringpages in class, 17 provided more nutrition and exerciseopportunities for children, 6 reported positive feedback fromparents, 12 would like more nutrition and exerciseinformation/activities, while 17 sent all the "Healthy Start"materials home to parents. This program, along with mediacoverage, increased visibility and requests for "Healthy Start"materials.

USE OF VISUAL AIDS TO PRESENT THE FOOD GUIDE PYRAMIDFOR NATIONAL NUTRITION MONTH. S. R. McClure, MS, RD,LD, K. B. Bradford, RD, LD, M. Bivins, RD, LD, L. Zeitler, RD, LD,CNSD, J. Hershom, RD, LD, J. Summers, RD, LD, J. Dickson, RD, LD,J. Chang, MS, RD, LD, and E. James, Department of Nutrition andFood Service, The University of Texas M. D. Anderson Cancer Center,Houston, TX

During National Nutrition Month, dietitians (RDs) and dietetictechnicians (DTs) featured the Food Guide Pyramid to promote thetheme, "Eat Right America." The goals were to 1) introduce the FoodGuide Pyramid, 2) help the public and staff visualize the portions offood needed to fulfill the requirements of the pyramid, and 3)stimulate interest in foods from other cultures. A three dimensionaltable top model of the pyramid, made of plexiglass, was used fordisplaying food. Each Wednesday, the RDs and DTs manned a tableoutside the cafeteria during peak lunch hours. Appropriate nutritioninformation and food samples were distributed weekly. Week 1featured the bread and cereal group. A jar containing 600 calories ofair popped millet, wheat, rice, and corn was utilized as a guessinggame and an educational tool. An ADA apron and lunch bag servedas prizes for the weekly drawings. Posters on grains were developedby a junior girl scout troop under the guidance of an RD. Week 2,seven servings of fruits and vegetables were added to the pyramid.Unusual fruits and vegetables were featured. Week 3 presented themeat and milk groups. Nine varieties of beans were displayed aswell as milk, cheese, yogurt, and meat. Week 4 highlighted theaddition of fats and sweets to the pyramid. The annual per capitaconsumption of sugar, 128 lbs, was displayed. Posters revealed theadded sugar content of certain foods by placing individual bags ofsugar under the pictures of these foods. Ten pounds of beef fat wasused to give substance to the concept that a daily intake of 100"extra" calories can result in a 10-pound weight gain in a year. Onehundred calorie portions of some favorite snack foods were displayedand distributed. Week 5 focused on a healthy diet. The pyramidwas fully stocked to demonstrate a recommended daily intake offood. Changes in nutrition labeling were featured. Throughout themonth, participants were captivated by the visual displays of foodportion sizes, sugar consumption, fat tissue, and unique foods. Thesewere effective tools for generating interest and educating the staff,patients, and visitors.

SELF-EFFICACY AS A PREDICTOR OF COMPLIANCE TO ACARDIAC DIET REGIMEN. A.E. Martin, MS, RD, College ofAgriculture, Department of Foods and Nutrition and HomeEconomics, California State Polytechnic University, Pomona CA

Twenty two cardiac inpatients of St. Joseph's Hospital in Tucson,Arizona, were studied to assess the relationship between anindividual's perception of self-efficacy (SE) in following a low fat dietand actual amount of kilocalories (kcals) consumed as fat. Subjectswere eligible if they were between the ages of 21 and 80, admittedto the Coronary Intensive Care Unit with the diagnosis of angina ormyocardial infarction, without additional chronic diseases and theability to read, write, and speak English. One patient refusedparticipation. Following educational intervention by a RegisteredDietitian, a SE questionnaire was administered. Participants wereasked to rate statements regarding intentions towards diet using a5-point Likert Scale. The participants were then followed up bytelephone at 6 and 12 weeks post-intervention and interviewed toobtain a 24-hour dietary recall and food frequency assessment. Threepatients were not able to be contacted for follow-up. The SpearmanRank Correlation Coefficient (p < .05) was employed to determine if arelationship existed between perceived SE and actual amount of kcalsconsumed as fat. Although no relationship between the definedvariables was confirmed, all of the subjects except for two consumedan amount of fat equal to or less than 30% of estimated kcals tomaintain ideal body weight. This suggests that all of the subjectswere compliant with the diet prescribed. In addition, all subjectsexcept for one in the present study scored above 40 on the SEquestionnaire, indicating that 95% of the participants felt that he/she'could probably do' all of the tasks indicated to lower fat intake.Inherent drawbacks with this study included a relatively smallsample size (N= 19), and subjective reports of dietary intake.Telephone follow-up was found to be of value, albeit time consuming,affording an opportunity for informal evaluation of the subject'scomprehension of the diet prescription and useful feedback oneducational methods. The contact also provided the subjects achange to ask questions and to receive reinforcement for progress todate.

DIETARY PRACTICES AND RELEVANT CHARACTERIS-TICS OF UNIVERSITY DANCE MAJORS. M.J. Leeds,EdD, RD, and C.M. Menke, RD, Department ofAllied Health, Slippery Rock University,Slippery Rock, PA

Dancers are under continuous pressure tobe at low body weights, not only for aparticular look, but also for performance.The purposes of this study were to determinedietary practices and identify related char-acteristics in female university dance ma-jors. Subjects included 14 female dance ma-jors, 18 to 22 years old, at a 4 year univer-sity in rural, western Pennslyvania. Datacollection methods included a 3-day food re-cord, skinfold measurements, a personal in-formation questionnaire, and an oxygen capac-ity (V02) test. The mean BMI was 22.4+2.8,the mean percent body fat was 23.4+4.1, and78.6 percent of the dancers reported thatthey desired to lose weight. The 3-day foodrecord showed a mean caloric intake of1,298.2+428.5 Calories. The mean percent ofCalories from carbohydrate was 57.1+7.1, fromfat was 29.2+7.0, and from protein was 13.9+2.4. The mean intake for iron was 9.1+2.7milligrams (mg), 71.4 percent of the ancerswere below 67 percent of their RecommendedDietary Allowance (RDA). The mean intake forcalcium was 522.7+198.8 mg, 85.7 percent werebelow 67 percent f their RDA. The mean in-take for vitamin C was 102.2+65.5 mg. Someform of supplement was being-used by 28.6percent of the dancers; 85.7 percent were onthe university meal plan. The mean V02 maxwas 41.3+13.4 milliliters (ml) of oxygen perkilogram-(kg), with the average range being35 to 43 ml/kg. In conclusion, the findingsshow that the dance majors were lacking incalories, iron, and calcium, suggesting aneed for dietary counseling.

A-60 / SEPTEMBER 1993 SUIPILEMENT VOLUME 93 NUMBER 9

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