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DESIGN PLAN
KETOGENIC DIET TRAINING
Victoria Rosauda
Instructional Design Plan
Table of Contents
Project Proposal ...............................................................................Error! Bookmark not defined.
Training Analysis Document ............................................................................................................4
Design Document ............................................................................................................................7
Facilitator Guide ............................................................................................................................13
Appendix .......................................................................................................................................30
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Instructional Design Plan
Project Proposal
Southwest Bariatric Center
Project Resources
ROLE NAME
Jason Fung, MD
Jimmy Moore
Subject Matter Experts (SME)
Eric Westman, MD
Thomas DeLauer
Who are you going to plan the training for (the learners)? What are their characteristics?
SBC’s bariatric patients who need to lose weight, pre- and post-surgery, as prescribed by a doctor. The patients
are morbidly obese with many comorbidity diseases. Many do not have any prior knowledge of the ketogenic diet,
how to incorporate the diet into their life, or where they can obtain additional information and resources to help
them to maintain compliance with the diet and ultimately lose weight. The patients’ families and friends also wish
to gain knowledge and understanding of the ketogenic diet in order to provide support to the patients as they
undergo this life transformation.
When will the training be delivered? Where will the training be implemented?
The training will be delivered at the 21st Annual Southwest Bariatric Clinic Health and Wellness Fair. The
instructor led sessions will be held in a conference space at a large convention center.
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What is the current state and the desired state? What are the benefits of your training solution?
Current State:
SBC’s bariatric patients, their families, and friends currently have no knowledge of the ketogenic diet and its
benefits, how to incorporate the diet into their life, or where they can obtain additional information and resources
to help them to maintain compliance with the diet.
Desired State:
SBC’s bariatric patients, their families, and friends would have a full understanding of the ketogenic diet, its
benefits, how to incorporate the diet into their life, and where they can obtain additional information and resources
to help them to maintain compliance with the diet.
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Instructional Design Plan
Project Resources
ROLE NAME
Jason Fung, MD
Jimmy Moore
Subject Matter Experts (SME)
Eric Westman, MD
Thomas DeLauer
Performance Analysis
SBC has found that many of its patients require losing a significant amount of weight prior to being eligible to
safely undergo bariatric surgery. SBC has also found that many of its patients have not been losing a consistent
amount of weight post-surgery. SBC has received feedback about the lack of education patients receives about
diet and nutrition both pre- and post-surgery. SBC would like its patients to follow the ketogenic diet but are
unsure how to quickly disseminate the information about this eating plan. SBC will be holding their annual Health
& Wellness Fair and would like a means of providing attendees with information on the ketogenic diet.
Current State:
SBC’s bariatric patients, their families, and friends currently have no knowledge of the ketogenic diet and its
benefits, how to incorporate the diet into their life, or where they can obtain additional information and resources
to help them to maintain compliance with the diet.
Desired State:
SBC’s bariatric patients, their families, and friends would have a full understanding of the ketogenic diet, its
benefits, how to incorporate the diet into their life, and where they can obtain additional information and resources
to help them to maintain compliance with the diet.
The Problem:
SBC’s bariatric patients need to lose, pre- and post-surgery, as prescribed by a doctor. The patients are morbidly
obese with many comorbidity diseases. Many do not have any prior knowledge of the ketogenic diet, how to
incorporate the diet into their life, or where they can obtain additional information and resources to help them to
maintain compliance with the diet and ultimately lose weight. The patients’ families and friends also wish to gain
knowledge and understanding of the ketogenic diet in order to provide support to the patients as they undergo this
life transformation.
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Instructional Design Plan
Recommendation:
We recommend a 30-minute training session that offers learners high level, easily retainable information to
include what happens when the body goes into ketosis, foods that cause ketosis, foods that can take the body out
of ketosis, meal planning, and tips to be successful on the diet.
Learner Analysis
Primary audience: Attendees of the SBC Health & Wellness Fair: SBC patients, families, and friends.
Age: 18+
Gender: Male, Female
Patients who are required to lose weight pre- and post-bariatric surgery
Family and friends who are interested in supporting the patients in their weight
loss journey
Audience specifics:
We are expecting approximately 30-50 learners in each session which will be held in a conference space at a
large convention center. At the completion of the training, nutrition experts will be available outside of the
conference space to answer questions and offer more information about the diet and how to gain one-on-one
consultation prior to the start of the diet.
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Design Document
Southwest Bariatric Center
Project Resources
ROLE NAME
Jason Fung, MD
Jimmy Moore
Subject Matter Experts (SME)
Eric Westman, MD
Thomas DeLauer
Training Recommendations:
We recommend a training that offers learners high level information to include what happens when the body goes
into ketosis, foods that cause ketosis, foods that can take the body out of ketosis, and tips to be successful on the
diet.
Training Goals:
Upon completion of this training program learners will understand the following:
The benefits of the ketogenic diet
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Instructional Design Plan
Audience:
SBC patients, male and female, age 18+, who seek to lose weight pre- and post-bariatric surgery. Also, family
members of SBC patients seeking to offer support. Each session would have approximately 30-50 people
attending.
Delivery
Content Description:
The Ketogenic Diet Information Session will offer attendees of the SBC Health & Wellness Fair education about
how the body produces ketones, how the state of ketosis can help with weight loss, and information about the
Ketogenic Diet that promotes the production of ketones that leads to fat loss.
Method/Platform:
The information session will be facilitated by registered dietician, Cinnamon Fine, and by registered nurse, Flo
Nightingale. The facilitators will help guide the audience by using PowerPoint slides, videos, activities, and a
knowledge check at the end.
30 Minute Sessions
Session Plan:
Learning Objectives:
Understand how the body produces ketones
Identify foods that can take the body out of ketosis
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Learn where to find more information about the ketogenic diet and how to get started
Topic Outline
ENABLING SEAT
TOPIC TASK/ACTIVITY INSTRUCTIONAL
OBJECTIVE TIME
APPROACH
Overview of Overview of
the the ketogenic Understand
Ketogenic diet how the
Module 1:
Intro to
Video
Effects on stores fat produces
the Body Keto ketones
adaptation
Engagement Activity:
Module 2: Foods that
macronutrients Identify
keep the foods that where players can
Foods to 8 Min.
body in can take practice identifying foods
incorporate
ketosis the body which they SHOULD eat
Foods to
out of and foods they should
eliminate
ketosis ELIMINATE
Identifying foods with
carbs
Looking for
hidden sugars
in food labels
Develop
Planning and
awareness
Module 3: Getting Started on the Diet
Incorporating
Staying on- Getting
the
track during started on
Ketogenic 5 Min.
social settings the Knowledge Check
Diet into your Knowledge Ketogenic
lifestyle Check Diet
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Learn
where to
Information on find more
PowerPoint Slides
resources for information
Conclusion
Stakeholders
All members of SBC staff have requested to review and approve the training program prior to implementation.
ROLE NAME
Psychologist Al B. Fine
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Jason Fung, MD
Jimmy Moore
Subject Matter Experts
Eric Westman, MD
Thomas DeLauer
Administration
ROLE NAME
Evaluation
KIRKPATRICK LEVEL DESCRIPTION
LEVEL 4 - Results
An e-mail survey will be sent post-op at 60 and 90-day intervals
to assess that patient is achieving desired results
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Prototype/Interface Design
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FACILITATOR
GUIDE
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CONTENTS
TRAINING GOALS ............................................................................................................................... 15
FACILITATOR PREPARATION ............................................................................................................. 15
FACILITATOR NOTES: ......................................................................................................................... 16
MATERIALS CHECKLIST AND CLASSROOM SETUP ............................................................................. 17
ICON LEGEND ..................................................................................................................................... 18
SESSION AT A GLANCE....................................................................................................................... 19
OVERVIEW OF THE KETOGENIC DIET AND ITS EFFECTS ON THE BODY ............................................ 20
FOODS THAT KEEP THE BODY IN KETOSIS ........................................................................................ 22
ACTIVITY ............................................................................................................................................. 24
BASIC MEAL PLANNING ..................................................................................................................... 25
INCORPORATING THE KETOGENIC DIET INTO YOUR LIFESTYLE ....................................................... 27
KNOWLEDGE CHECK........................................................................................................................... 28
CONCLUSION ...................................................................................................................................... 29
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TRAINING GOALS
Upon completion of this training, participants will understand the following:
The benefits of the ketogenic diet
FACILITATOR PREPARATION
To successfully facilitate this workshop, it is highly recommended that the workshop be
facilitated by a Registered Dietitian, Nutritionist, or another certified health care
professional.
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FACILITATOR NOTES:
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ICON LEGEND
Icon Meaning
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SESSION AT A GLANCE
Foods to
Ketosis
Develop
Basic meal Planning and awareness of
5 Min.
planning preparing meals sugars in
that are delicious, processed
easy to make, foods
satisfying, and
ketogenic
compliant
Know where
Information on to find more
Conclusion
Module 4:
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Slide 2 – Warning!
Before we begin, I want to remind you that everyone is different
and this diet may not be the best diet for you. Be sure to consult
your physician first before starting any diet plan.
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But first, I want to teach you a little bit about the metabolic
process called Ketosis; which is what the Ketogenic Diet is based
off.
Normally, the body uses glucose that has been stored in the
body’s cells as its primary form of energy.
When the body does not have enough glucose to meet energy
demands, the body will begin to burn fat instead.
Acids build up within the body because of this process. Those acids
are called Ketones. Their purpose is to tell the body to start
breaking down fat.
Let’s watch a quick video so you can see how this process works.
https://youtu.be/b1nxDW5HPjE?t=44s
Now that you’ve seen how the process works in the body, let’s talk
about how you can get your body into a state of ketosis.
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You will eat a lot of meat like fish, beef, lamb, poultry, and eggs.
You will eat high fat dairy products like butter, high fat cream,
and hard cheeses.
You can eat nuts and seeds, but not in excess as nuts contain
carbohydrates.
Eliminate foods that contain carbs and sugars that produce glucose
in your body like grains, sugars (sweeteners included), alcohol,
beans, breads, and candy.
You can have leafy greens and non-starchy veggies so you can
get a low-carb source of fiber and other nutrients.
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The great thing about this diet is that you don’t have to cut carbs
completely as long as you keep it under 20 grams of carbs per
day.
Remember that the sources of your fat should primarily come from
protein found in meats.
We recommend that you eat only when you’re hungry. When you
start feeling full stop eating. This will also help you get into the
habit of being aware of your fullness which will be a major help
after your surgery.
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ACTIVITY
Slide 10: Activity: Eat These Not Those
It’s time to play an activity. Can I have two volunteers?
Activity Instructions:
1. Each player will use a poster which has a section for “Eat
These” and a section for “Not Those.”
2. Both players will be given a stack of cards with images of
foods that ketogenic dieters should eat or eliminate in
their diet.
3. Players will be given 60 seconds to place the image in
the “Eat These” or “Not Those” part of the poster.
4. The player with the most correct cards wins an SBC Heath
& Wellness sports bottle.
If both players win, provide them both with an SBC Health &
Wellness sports bottle.
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You can enhance your meal with delicious and satiating fat.
You don’t have to eliminate all of your carbs, just stick to below
20g of carbs a day. But when selecting, choose leafy greens and
non-starchy veggies.
Here we see a package for Dry Cured Maple Bacon. As you can
see the total fat is 7g and total carbs is 0g. At first, we may think
that this is a perfect product. Now let’s take a look at the
ingredients.
As you can see this product is full of brown sugar, maple, sugar,
and white sugar. Don’t buy this product, instead look for bacon
that doesn’t have added sugar.
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There are over 60 names for sugar that can be used in a food
ingredient list label. Here are some examples.
You have now seen how ketosis works in your body, the foods to
eliminate in your diet and foods to introduce.
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DRAFT: Think about what you eat and draft your own Keto
meal plan.
CHECK: Check to make sure you are including fatty sources
of protein in each meal and are limiting carbs to 20g or less
per day.
RESEARCH: Research other ketogenic information sources for
tips and ideas such as websites, YouTube videos, and books.
REVISE: Make any changes needed to your menu. Don’t eat
anything you don’t like.
CONVERSE: Talk with someone. There are plenty of people
on a keto diet and they’d love to help you.
REPAIR: Make any final changes to your diet plan. Make
sure it’s solid and meets your needs
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KNOWLEDGE CHECK
NOTE: The knowledge check works best when in play mode as the
check mark or false stamp will show up in the animation.
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CONCLUSION
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Appendix
Handouts
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Interactive Activity:
Eat These Not Those Game
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