1. Nutrition Fundamentals and Medical
Nutrition Therapy
Provide Nutrition Education
Corresponds with
LEARNING PLAN 16
Copyright 2016 Association of Nutrition and Foodservice
Professionals
2. Objectives
Develop a plan for nutrition education
Select educational materials and resources
Use resource materials and equipment in teaching
Evaluate client readiness and ability to learn
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
3. Objectives
Ascertain background and knowledge of clients
Implement a teaching plan
Suggest appropriate/available social resources
Evaluate effectiveness of the teaching
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
4. Providing Nutrition Education
One form of nutrition intervention (as defined by the
Academy)
Help client support care by self-managing their diet
Enable client to make better food choices (make
decisions)
Positive lifestyle and behavior changes
Extensive client involvement
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
5. Developing Objectives
Learning Objective
» “What do I want the client to learn?”
S.M.A.R.T
» S = Specific
» M = Meaningful
» A = Achievable
» R = Reasonable (Realistic)
» T = Timely
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
6. Learning Objectives
S – Specific
» Describe the outcome as precisely as possible
M – Meaningful
» Answer questions such as “How does this relate to the
mission?”
A – Achievable
» Answer questions such as “How can this be achieved with
the resources available?”
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
7. Learning Objectives
R - Reasonable/Realistic
» Answer questions such as “What makes this possible to
achieve?”
T – Timely
» Answer questions such as “When will this be accomplished?”
S.M.A.R.T. objectives are also
» Observable
» Measurable
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
8. Brain Break
Rewrite the following objective to make it fit the key
elements of S.M.A.R.T. Client will select foods that are
healthier.
» Client will choose foods that are lower in fat and sugar from a
one-day selective menu with 90% accuracy.
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
9. Group Instruction
Shared learning and experiences
Motivation
» Engage participants in discussion
» Describe learning objectives
Organization
» Teaching method
» Teaching material
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
10. Group Instruction
Practice
» Encourage clients to actively participate in training
Application
» Client applies information to his/her own situation
Closing
» Thank you, summary and evaluation
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
11. Conduct Nutrition Education
Effective communication
Visual aids
» Handouts, slides, posters, DVD’s, etc., food models,
portioning equipment
Serving sizes
» Most Americans do not understand portion sizes
» Food models, portioning equipment
» Demonstration
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
12. Brain Break
What would you suggest to improve a visual aid for a 90-
year old man who is going to an assisted living center?
» Make sure the print is large
» Minimize the material on a page to no more than seven lines
of information
» Keep the information simple
» Help him choose items or make substitutions from a sample
menu
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
13. Conduct Nutrition Education
Adapt teaching to client education needs
» Be observant of non-verbal communication while assessing
understanding of nutrition education
» Research credible resources for utilization in planning and
presenting the education
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
14. Brain Break
Suggest at least two resources the CDM could turn to for
diabetic nutrition education materials.
» ANFP - Association of Nutrition and Foodservice
Professionals
» The Academy – Academy of Nutrition and Dietetics
» ADA – American Diabetes Association
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
15. Evaluation
Important to determine effectiveness of education
provided
Three levels of evaluation
» Client reaction
- Client provides feedback
» Actual learning
» Behavioral change
- Determine if dietary habits have changed
- Observe choices on a selective menu
- Observe choices in the dining room
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
16. Evaluation
Refine plan as needed
Document education provided
Provide positive reinforcement
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
17. Brain Break
A client that you have worked with over several nutrition
education sessions consistently performs very well in
answering questions about what was learned. However,
when it comes to actually making better choices on the
selective menu, she makes poor choices. What might be
going on here?
» There may be cultural or psychological factors or emotional
issues involved.
Nutrition Fundamentals and Medical Nutrition Therapy • Provide Nutrition Education • Learning Plan 16
Editor's Notes
When choosing a motivation, pick an opening
that will quickly engage participants’ attention. It may be a question,
such as: What do you find most confusing (or annoying) about
your current diet? Sometimes, a statistic can capture attention. An
example is: Ninety percent of people who go on weight loss diets end
up heavier than when they started. Why is that? The motivation needs
to feel non-threatening.
Research demonstrates that people remember only 20
percent of what they hear, 30 percent of what they see, but 50 percent
of what they hear and see (Metcalf 1997). By having clients actively participate
in training, it can expected that the clients will remember 90
percent of what they say and do.
Effective Communication
Respect personal space, observe cultural rules about touching, establish rapport, ask questions and listen to the answers, notice eye contact, pay attention to body movements, note client responses
Visual aids keep clients’ attention, reinforce main ideas,
save time, and increase understanding and retention.
Make key points simple, and design
handouts to be readable, especially for anyone with a vision impairment
(14 point font or larger is recommended when working with senior
The most effective visual aid is limited to one idea that can be communicated within three to five seconds.
Regardless of whether there is one person or six people, adapting the
teaching to what each client needs is essential. The diet history for each
person is the foundation of personalized diet planning and education
Evaluation – Client Reaction:
Following a one-on-one nutrition counseling session, it is
also imperative to solicit the client’s reaction. Usually, this is done informally,
by asking questions.
Evaluation – Actual Learning:
To evaluate learning, use written and
verbal questions, often given as a post-test. A drawback, however, is that many people feel intimidated by a formal
test. An alternative to written tests is a friendly question-and-answer session.
Refine Plan: A feedback tool such as
the evaluation may help with this process. Since a rapport has already
been established with the clients, it is easier to discover the reasons simply
by asking the question(s) in a friendly, low-key manner.
In addition, it’s critical to recognize the distinction between knowledge
and behavior. Also consider the big picture. Nutrition education is only one component
of a health plan. Furthermore, it is easy for a client to believe that sound nutrition is an
all-or-nothing endeavor.
Evaluation – Document: Document who was
involved (e.g. client and/or family members), what was covered, and
what objectives were agreed upon. In addition, name any handout(s)
that were provided. As possible, state has been seen that
shows how the client can meet behavioral objectives.
Evaluation – Reinforcing: Providing a nutrition tip on a menu, labeling foods in a group dining area, noticing when a client implements a dietary change, highlighting a special item on a menu