This study evaluated a community-based intervention to reduce risk factors for falls and fractures in older adults. The intervention provided 16 educational sessions over 4 months to 849 older adults in Georgia senior centers. It focused on fall prevention behaviors and included physical activity. Participants showed significant increases in calcium/vitamin D intake and supplement use, as well as improvements in preventive behaviors and reductions in risk factors. The results provide evidence that the intervention improved behaviors important for reducing falls and fractures in older adults.
This study evaluated a community-based intervention to reduce risk factors for falls and fractures in older adults. The intervention provided 16 educational sessions over 4 months to 849 older adults in Georgia senior centers. It focused on fall prevention behaviors and included physical activity. Participants showed significant increases in calcium/vitamin D intake and supplement use, as well as improvements in preventive behaviors and reductions in risk factors. The results provide evidence that the intervention improved behaviors important for reducing falls and fractures in older adults.
This study evaluated a community-based intervention to reduce risk factors for falls and fractures in older adults. The intervention provided 16 educational sessions over 4 months to 849 older adults in Georgia senior centers. It focused on fall prevention behaviors and included physical activity. Participants showed significant increases in calcium/vitamin D intake and supplement use, as well as improvements in preventive behaviors and reductions in risk factors. The results provide evidence that the intervention improved behaviors important for reducing falls and fractures in older adults.
This study evaluated a community-based intervention to reduce risk factors for falls and fractures in older adults. The intervention provided 16 educational sessions over 4 months to 849 older adults in Georgia senior centers. It focused on fall prevention behaviors and included physical activity. Participants showed significant increases in calcium/vitamin D intake and supplement use, as well as improvements in preventive behaviors and reductions in risk factors. The results provide evidence that the intervention improved behaviors important for reducing falls and fractures in older adults.
P58 (continued) Results: There were significant (P 0.01) increases in the
intake of calcium- and vitamin D-rich foods (increased by discussion, was implemented with a group of 25 Head Start 4 weekly servings), the use of calcium- or vitamin Center supervisors and staff in San Luis Obispo County, D-containing supplements (8 to 9 percentage-point in- CA. creases), and following 7 to 8 of the 8 fall preventive Outcome Measures and Analysis: The program was eval- behaviors (pre: 35% vs. post: 51%), and decreases in overall uated using a self-efficacy pre- and post-test of the training MORR ( 5-6 risk factors: pre: 19% vs. post: 9%). participants. Paired t-tests were used to measure change in Conclusions and Implications: This evaluation provides self-efficacy, skills and outcome expectancies from pre- to evidence that this intervention improves several preventive post-test. behaviors that are important for decreasing the risk of falls Results: Major results showed a significant (p 0.005) and fractures in older adults. This project was funded by the increase in self-efficacy to: 1) communicate nutrition con- Georgia Division of Aging Services, the Northeast Georgia cepts effectively; 2) influence changes in nutrition related Area Agency on Aging, and the University of Georgia. attitudes; and 3) find resources to answer questions. Conclusions and Implications: These results suggest that facilitated group discussion, led by a skilled facilitator, can P60 Focus Groups to Inform the be effective in increasing the self-efficacy of paraprofession- Development of Online Theory Based als working as nutrition educators. Education in Breastfeeding Initiation Best Practices Jennifer Weddig, PhDc, RD, CLC, Metropolitan State P59 Fall and Fracture Preventive Behaviors College of Denver, CB 33, Denver, CO 80217; Increased Following a Community-Based Susan Baker, EdD, Department of Food Science and Intervention in Older Adults in Georgia Human Nutrition, 214E Gifford Building, Colorado State Senior Centers University, Fort Collins, CO 80523, Jennifer Teems, BS, University of Georgia, 871 Meigs sbaker@cahs.colostate.edu; Garry Auld, PhD, RD, Street, Athens, GA 30606, JET0802@uga.edu; Department of Food Science and Human Nutrition, 229 Tiffany Lommel, MS, RD, LD, University of Georgia, Gifford Building, Colorado State University, Fort Collins, tsellers@uga.edu; Joan G. Fischer, PhD, RD, LD, CO 80523, auld@cahs.colostate.edu University of Georgia, jfischer@fcs.uga.edu; Objective: To determine what factors affect a registered Jung Sun Lee, PhD, RD, LD, University of Georgia, nurses ability to support their patient in breastfeeding leejs@fcs.uga.edu; Sudha Reddy, MS, RD, LD, Georgia initiation, if registered nurses have access to computers and Department of Human Resources, Division of Aging the computer skills necessary to complete an online course, Services, sureddy@dhr.state.ga.us; and what hospital policies and procedures, if any, impede a Mary Ann Johnson, PhD, University of Georgia, nurses ability to put their breastfeeding knowledge into mjohnson@fcs.uga.edu practice with their patients. Design, Setting and Participants: Focus groups were con- Objective: The purpose of this study was to evaluate a ducted at 8 Colorado hospitals with over 40 nurses from community-based intervention to reduce risk factors related Labor/Delivery, NICU, Postpartum, and Pediatrics. to falls and fractures in older adults. Outcome Measures and Analysis: The focus group tran- Design, Setting and Participants: The intervention took scripts were analyzed by hand and the main themes of the place in Georgia senior centers and participants were a focus groups were extracted. convenience sample (N 849; mean age 74; 83% Results: Most nurses report that: 1. They do not have female; 55% white, 44% black, 1% other). official protocols for feeding. 2. They are supportive of Intervention: The 4-month intervention consisted of 16 breastfeeding but lacked the hands on skills necessary to sessions, eight of which focused on prevention of falls and assist dyads. 3. The infant is not given uninterrupted skin to fractures, and incorporated components of the Health Be- skin contact during the first 2 hours after birth. 4. They did lief Model. All 16 sessions included physical activity. not observe a dyad breastfeeding every shift and often never Outcome Measures and Analysis: Pre- and post-tests were observed an actual feeding during a shift. 5. They are interviewer-administered and evaluated fall preventive interested in additional education that would allow them to home safety behaviors, intakes of calcium- and vitamin assess a dyad and provide help for common problems 6. D-containing foods and supplements, and 6 modifiable They would benefit from an online course with a skills lab osteoporosis-related risk (MORR) factors (low intake of and that they would have access to high speed internet to calcium-rich food, non-use of a calcium supplement, non- allow for the course to include streaming video and other use of a vitamin D-containing supplement, low physical activity, high risk of falling, and current tobacco use). Continued on page S69 Journal of Nutrition Education and Behavior Volume 40, Number 4, July/August 2008 Supplement S69
P60 (continued) home and about one-third were experienced as a snack.
Saturated fat and sweets intakes were highest in indulgent interactive tools 7. That getting CEUs for completion of escape occasions. the course would be valuable and a motivator for partici- Conclusions and Implications: Attitude and eating occa- pation. sion need state affect eating behaviors and should be con- Conclusions and Implications: The focus groups informed sidered when developing tailored interventions to improve the development of an online course teaching breastfeeding intake and control weight. This project was funded by NIH. initiation best practices and policies that was conducted during November 2007.
P62 Improving the Accuracy of a Self-
P61 Segmentation of Midlife Women by Administered Mailed 24-Hour Food Record Noriko Sudo, PhD, RD, University of Minnesota, Attitude and Eating Occasion Need State and Department of Food Science and Nutrition, 1334 Eckles Relationship to Obesity Indicators, Food Avenue, 225 FScN, St. Paul, MN 55108, Group and Nutrient Intake sudox008@umn.edu; Courtney Perry, MS, RD, University Noriko Sudo, PhD, RD, University of Minnesota, of Minnesota, Department of Food Science and Department of Food Science and Nutrition, 1334 Eckles Nutrition, perry244@umn.edu; Marla Reicks, PhD, RD, Avenue, 225 FScN, St. Paul, MN 55108, University of Minnesota, Department of Food Science sudox008@umn.edu; Dennis Degeneffe, MBA, University and Nutrition, mreicks@umn.edu of Minnesota, Department of Applied Economics, 317 Classroom Office Building, 1994 Buford Avenue, St. Objective: To determine the accuracy of a self-administered Paul, MN 55108-6040, ddegenef@umn.edu; mailed 24-hour food record (FR) by comparing the uncor- Houa Vue, MS, RD, University of Minnesota, rected FR (as received) to the FR corrected by telephone Department of Food Science and Nutrition, 1334 Eckles interview. Avenue, 225 FScN, St. Paul, MN 55108, Design, Setting and Participants: Forty midlife women (49 vuex0067@umn.edu; Marla Reicks, PhD, RD, University of Minnesota, Department of Food Science and 1 5 years) were recruited from flyers on a university campus. Nutrition, 1334 Eckles Avenue, 225 FScN, St. Paul, MN Women were mailed a FR booklet and a 16-page actual-size 55108, mreicks@umn.edu 2D food model booklet. The FR booklet instructed women to describe foods consumed and preparation methods/ Objective: To segment women by attitude and eating oc- recipes. Women returned the completed uncorrected FR casion need state and to determine the relationship be- form by mail and were interviewed by phone to review tween these segments and obesity indicators, food group missing detail and clarify amounts and omissions (corrected and nutrient intake. FR). Design, Setting and Participants: Cross-sectional study Outcome Measures and Analysis: Pearsons correlation with 200 midlife women (46 1 6 years). coefficients and mean differences were calculated for intake Outcome Measures and Analysis: Women completed an of energy and nutrients between the uncorrected and cor- Attitude/Control Belief Questionnaire once and an Eating rected FR. Occasion Questionnaire for 3 eating occasions during Results: All intakes based on the uncorrected and cor- 3-days when diet records were collected. Cluster analyses rected FR were significantly correlated. Mean difference (1 segmented women based on attitudes toward food and SE) was the highest for energy (154 1 62 kcal) and the eating occasions based on motivations underlying food lowest for vitamin E (0.57 1 0.40 mg). For all nutrients and choices. energy, the uncorrected FR overestimated intakes. The Results: Five attitude segments and six eating occasion most frequent missing data in the uncorrected FR was need state segments were identified. Estimated marginal inadequate description of foods and inadequate descrip- means of body mass index, waist circumference, and per- tion of serving sizes. The median number of food items (25 cent body fat were highest in attitude segments defined as and 75 percentiles) per FR with these types of missing data impulsive eaters. Busy cooking avoiders had a higher was 3.5 (2.0, 5.8) and 1.0 (0.0, 1.0), respectively. Education energy intake compared to women in other attitude seg- level may have contributed to more frequent missing data ments. Energy, total fat, and cholesterol consumption per in the uncorrected FR. occasion were highest in routine family meal occasions of Conclusions and Implications: Even with use of well- which more than 60% were dinner and eaten at home with designed booklets, accuracy of mailed FR could be im- children. The percentage of eating occasions in which fruits/vegetables were eaten was also highest in routine proved via telephone interviews. family meal followed by healthy regimen occasions. More than half of indulgent escape occasions occurred away from