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Instructional Design Project:Instructional Design Project:Whole Grains & Whole Grains &
Cardiovascular DiseaseCardiovascular Disease
By: Christine Rymsha, RD, LDNBy: Christine Rymsha, RD, LDN
Who, What, Where?Who, What, Where? Topic: Whole GrainsTopic: Whole Grains
Audience: Patients with Audience: Patients with cardiovascular disease cardiovascular disease (CVD)(CVD)
Location: Location: Marlborough HospitalMarlborough Hospital
Educator: Registered Educator: Registered DietitianDietitian
AudienceAudience
Age: 65+Age: 65+
Most live in Marlborough or surrounding Most live in Marlborough or surrounding towns or citiestowns or cities
Mostly maleMostly male
Large Portuguese populationLarge Portuguese population
Marlborough HospitalMarlborough Hospital
Community hospitalCommunity hospital Part of the Umass Memorial Health Care systemPart of the Umass Memorial Health Care system Opened in 1890Opened in 1890 79 bed facility 79 bed facility Admits 3,800 people annuallyAdmits 3,800 people annually Mission: “to improve the health of the individuals and Mission: “to improve the health of the individuals and
the community we serve as an integral part of the the community we serve as an integral part of the UMass Memorial Health Care system”UMass Memorial Health Care system”
Why?Why?
According to the According to the American Heart American Heart Association (AHA), Association (AHA), cardiovascular disease cardiovascular disease (CVD) is the leading (CVD) is the leading cause of death in males cause of death in males and females (Heart and females (Heart Disease and Stroke Disease and Stroke Statistics, 2008). Statistics, 2008).
(Heart Facts 2007: All Americans)
Why?Why?
The prevalence The prevalence of CVD is 1 in of CVD is 1 in 3 Americans 3 Americans which which increases with increases with ageage
2400 people 2400 people deaths each deaths each dayday
(Heart Disease and Stroke Statistics, 2008)
What?What? Whole grains have been shown to significantly decrease Whole grains have been shown to significantly decrease
cholesterol levels (Mozaffarian et al, 2003; Behall, cholesterol levels (Mozaffarian et al, 2003; Behall, Scholfield, & Hallfrisch, 2004) Scholfield, & Hallfrisch, 2004)
Based on the new food pyramid by the Center for Based on the new food pyramid by the Center for Nutrition Policy and Promotion, at least three servings of Nutrition Policy and Promotion, at least three servings of whole grains are recommended daily for a healthy diet (whole grains are recommended daily for a healthy diet (http://mypyramid.govhttp://mypyramid.gov))
How many servings of whole grains does the average How many servings of whole grains does the average American consume daily? (Heart Disease and Stroke American consume daily? (Heart Disease and Stroke Statistics, 2008)Statistics, 2008)
Less than 1
How?How?
Health Belief ModelHealth Belief Model
Target Behavior: Whole grain intakeTarget Behavior: Whole grain intake
Verbal teaching, hands-on activities, and handouts Verbal teaching, hands-on activities, and handouts with large fontwith large font
One-on-one teachingOne-on-one teaching Mobility issuesMobility issues PrecautionsPrecautions
Goals & ObjectivesGoals & Objectives
Instructional GoalInstructional Goal To improve heart health To improve heart health
in patients with in patients with cardiovascular disease at cardiovascular disease at Marlborough HospitalMarlborough Hospital
Educational ObjectiveEducational Objective Patients will increase Patients will increase
their intake of whole their intake of whole grainsgrains
Educational StrategyEducational Strategy
Part 1: What is a whole grain?Part 1: What is a whole grain? Motivational PhaseMotivational Phase
Patient will be able to Patient will be able to definedefine whole grainwhole grain
Patient will be able to identify why whole grains are Patient will be able to identify why whole grains are heart healthyheart healthy
Patient will be able to identify the health benefits of Patient will be able to identify the health benefits of whole grainswhole grains
Educational StrategyEducational Strategy
Part 2: How does your intake compare to the Part 2: How does your intake compare to the recommendations?recommendations?
Motivational PhaseMotivational Phase Patient will be able to recall how many whole grains Patient will be able to recall how many whole grains
are recommended per dayare recommended per day
Patient will be able to identify the whole grains s/he Patient will be able to identify the whole grains s/he eatseats
Patient will be able to analyze how many whole grains Patient will be able to analyze how many whole grains s/he consumes dailys/he consumes daily