5. Why the increase?
CONTRIBUTING FACTORS
Media
Peer Pressure
Sedentary Life
Dissatisfaction with body
image
Misinformation/Misconception
6. JUST BECAUSE IT’S NATURAL
DOESN’T MEAN ITS SAFE
Products = Contaminated, NOT
labeled, or labeled incorrectly
Herbs are mixed Exact amount of
active ingredients = UNKNOWN
Active ingredients = Harmful
7. Why are they dangerous?
CONSUMPTION IN BRAZIL, MIDDLE EAST, SPAIN, CHINA, UNITED STATES
Xenadrine RFA-1 23-yr male died of a heatstroke
E.sinica 27-year-old patient racing heart rate, and shortness
of breath
YOUNG ADULTS ARE SUSCEPTIBLE
Ephedra = Most common
Risks= serious risk for patients with HTN, heart disease, diabetes,
hepatic injury, death
DANGER of Ephedra = Ephedrine stimulates beta receptors on
fat cells which are located in the heart inc. heart rate and blood
pressure.
8. Community: Women adults in Lebanon
Purpose/Goal: Assess the prevalence of the
use of weight loss drugs and herbal
supplements of university students in
Lebanon and investigate the contributing
factors
Target population: Female students
registered at the American University of
Beirut, in their senior year, in the FAFS
department year 2014-2015.
Assessment
9. Objectives For Assessment
Objectives:
Asses the eating habits of AUB
students
Identify gaps in nutrition education
resources on campus
Identify students TV habits and taste
Determine weight status of students
Community Objective: Availability of
weight loss pills and herbal
10. Why This Target Group?
Part of community that suffers
propaganda
Victims to dissatisfaction of body
image
Motivated to take drastic
measures to look certain way
Fit in, impress a crush
Females = educated makes
way for educational intervention
11. Methods of Data Collection
Target population
Observation
Surveys
Libraries and archives
Communities
Internet, television, radio,
advertisements.
Scientific publications
Ministry of health in Lebanon
12. INTERVENTION
Goal: Reduce the use of weight loss drugs
and herbal supplements
Objectives: use of weight loss drugs and
herbal supplements of female university
students of the AUB by 50% in their senior
year, in the FAFS department year 2014-
2015 within 1 year
13. Process objective:
- Nutritionist educator should conduct
lecture 1 x per week over the course of
6 months.
- Nutrition educator should conduct
cooking class 1 x per month for 6
months
- Fitness coach to initiate physical
activity class 2x week for 6 months
15. Interventions
Level 1
- Brochure (include Test Knowledge)
a) Contributing factors
b) Dangers of weight loss supplements
and herbal supplements
c) Healthy alternative methods for
weight loss.
- Flyers Raise awareness +
advertise group lecture
16. SampleFlyer
TO FIND OUT:
ATTEND OUR GROUP LECTURES
WHERE? AUB, AGRICULTURE 102
WHEN? FRIDAY 4:30 – 5:20
CONTACT INFO: daa41@mail.aub.edu,
swc02@mail.aub.edu, sar10@mail.aub.edu,
DON’T KNOW WHICH TO CHOOSE?
17. JUST BECAUSE
IT’S NATURAL, IT
DOESN’T MEAN
IT’S SAFE
SAY NO TO
HERBAL
SUPPLEMENTS
WANT TO KNOW MORE?
ATTEND OUR GROUP LECTURES
WHERE? AUB, AGRICULTURE 102
WHEN? FRIDAY 4:30 – 5:20
CONTACT INFO: daa41@mail.aub.edu, swc02@mail.aub.edu, sar10@mail.aub.edu,
18. Level 2
Group Lecture
Capacity = 50 students
Time= 1x week on Fridays at 4:30 to 5:20
Location: AUB, Room 102 in the Agriculture
building
Aim: Fix misconceptions regarding the safety of
herbal and weight loss supplements by showing
their harmful effect.
19. Lesson Plan
Title: Just because it’s natural it doesn’t
mean its safe
Target Audience: Female students
registered at the American University of
Beirut, in their senior year, in the FAFS
department year 2014-2015.
Instructional Time/Duration: 50 minutes.
Session begins at 4:30 until 5:20 pm 1 x
week for 6 months
Overview/main goal: Fix misconceptions
regarding safety of herbal and weight loss
supplements by showing their harmful effects
20. Objectives:
After the lecture students should demonstrate be
able to identify the risks of using herbal
supplements and weight loss objectives.
Students should identify and be aware of
alternative healthy weight loss methods.
Materials:
1 computer (Laptop or desktop in order to play the
presentation)
Any necessary cables to connect certain devices
1 hard copy of the lesson in case the computer malfunctions
Projector (LCD)
Brochures for the 50 students present in the class (bring 60
copies in case)
Evaluation Sheets
21. Procedure/The Lesson: Steps to follow
The Plan
◦ Conducted by nutrition educators
◦ Arrive to class at least 10 minutes early
◦ Evaluation sheet for flyers.
◦ Conductor must be well-paced
◦ Conduct the Lesson based on the
PowerPoint slides
22. Level 2
(After Increase Knowledge Increase Skill)
Next 6 months
• Alternative weight loss classes
a) Cooking Class
b) Physical Activity class
23. Cooking Class
Aim: It is another way of losing weight
Student in preparation phase according to
the transtheoretical model
Improving skills of cooking healthy meals
change behavior
(behavioral capability component of the
SCT construct)
24. Location: AUB Pilot plant room, behind
chemistry department
Time: 4 pm for 2 hours every month for 6
months.
Who: Nutritionist + Chef conducting this
cooking class.
Capacity: 20 students.
Cooking booklet
25. Physical Activity
Cross-fit
Strength + Conditioning system
promote broad + targeted fitness.
Payment: Free (use ID)
When: Twice a week on Monday and
Wednesday at 6pm for 50 minutes for 6
months.
Who: Certified fitness coach Ryan
Alameddine
Where: AUB gym
27. Level 3
CREATE SUPPORTIVE ENVIORNMENT
CHANGE
See legislation prohibiting herbal
supplements and weight loss drugs that are
not approved by FDA.
- Ministry of Health urge them to apply the
FDA laws and regulations regarding these
supplements
Make a partnership with a local pharmacy to
use as a setting to highlight the danger of
supplement use or weight loss meds.
29. Input Outputs Outcomes
Money
Time
Resources
Funding
Equipment
Volunteers
Community Nutritionists
Pharmacy (partner)
Materials (LCD,
ingredients for recipes)
Survey
Activities
Flyers
Brochures
Awareness sessions
(Lectures)
Train/teach students
through:
- Physical Activities
- Cooking Sessions
Build partnerships
(pharmacy)
Participation
Students
Participants
Policy makers
Short-term:
Change knowledge,
attitude, awareness,
opinions and belief
about safety of herbal
supplements.
Medium:
Changes in behavior of
students who consume
these supplements.
Long-term:
Well being and health
status of students
Stop long term
consumption of weight
loss medications and
herbal supplements
30. Evaluation
Help determine progress + check if still
on the right track of achieving set goal.
Evaluating our intervention will be done
through several steps.
We will do formative, process,
impact and outcome evaluation as
follows:
31. Formative Evaluation:
Comprehensive evaluation sheets
examine the design of our session,
our delivery methods, and the use of
our resources.
Give our session to a small sample
group before giving it to the actual
students of the university, to pilot
test our presentation + evaluation
forms.
32. Process Evaluation
HOW DID YOU HEAR ABOUT US?
Check the box with your answer
o From a Friend
o From the flyers around campus
o From the Internet
o From Teachers
To evaluate whether the flyers distribute at beginning
of the lecture
33. Process Evaluation
To evaluate the Facebook page see the
# of users who have liked the page or
followed the page.
To test instructor:
For interventions in a class-instructor
conducted form at the end of each class
evaluation form distributed + collected
after completion.
34. Good Average Bad
The class:
Was the information clear?
Did it provide sufficient information?
Was it well designed?
Did it capture your attention?
The presenters:
Was their voice audible?
Could you identify to them?
Did they attract your attention?
Were they knowledgeable of the
topic?
The handouts:
Were they well designed?
Was the information clear?
Were they useful?
Overall impression:
Did you benefit from this session?
Did it provide you with sufficient
information?
Did it offer good alternatives?
How was your overall impression?
35. To Test Students:
After session test their ability to
identify the risks of using these
supplements.
We will do that by giving them Test Your
Knowledge worksheet
36. Impact evaluation:
Stay in contact (emails) with students
for 1 week after they have taken the
session see if goals of project have
been met
37. Outcome Evaluation:
Send online evaluation form emails
of participants one year after they
have taken the session
Through these forms ask about
current food intake, PA, and herbal or
weight loss supplements intake
38. Conclusion
AIMS:
Spread awareness about risks of these
supplements
Change the behavior of students using those
pills
Provide alternative healthier ways for losing
weight.
Make changes at the national level, by banning
the import of illegal and mislabeled products.
This way, we will have tackled an important
contemporary nutritional problem, helped improve
39. Challengesfaced
Thinking about every detail of the work
Work = theoretical assume what was going to
happen
Avoiding “cliché” interventions
Reaching sufficient number of people + fill out
evaluation forms
Our intervention? Or other aspects of the participants
lives?
Succeeding in change w/o relapse in behavior
Cooperating with the government+ partnership hard
to accomplish.
