Community

Needs
Assessment &
Intervention

Queens College Dietetic Internship

Amal El-Rowmeim & Mabel Wu

Child and Adult Care Food
Program (CACFP)
– Federal program affiliated with USDA
– Food and Nutrition Service
– More than 4.2 million children and 130,000 adults served per day
– Sets standards for:
– Menu development
– Nutritious meals that contribute to wellness and development
Child and Adult Care Food
Program (CACFP)
• Food standards are set by USDA’s
MyPlate.
• Promotes family-style meals in
classrooms
• Pre-school children are encouraged to
serve themselves.
• Pre-school teachers act as good role
models during mealtime.
Nutrition Assessment: Head
Start Programs
SOUTH BRONX HEAD START
Underweight
– About 1 in 3 children
5% participating in a Head Start
program is obese.
– About half of the children are
Obese
31% classified as overweight/obese.
Healthy
48%

Overweight
16%
Nutrition Assessment: Beliefs
and Attitude
– Hispanics: 3x more likely to not have health insurance
– May seek out traditional ways of healing
– Use of garlic, mint, chamomile, anise, aloe vera, herbal teas

– Curandero: person with healing powers; prayer and herbal remedies

– Balance of hot and cold foods to promote health
– Rice: hot food
– Beans: cold food
– Imbalance may cause illness
Nutrition Assessment:
Food/Nutrition Related History
– High intake of carbohydrates
– Corn based products, rice, beans
– Generally sufficient in protein
– Eggs, beans, pork, chicken, fish
– Fruit: 1-2.5 servings/day
– ¼ to ⅓ citrus fruits
– Vegetables: 0.5-4 servings/day
– Dark green/orange vegetables intake lower
– Higher tomato intake
*Note: Queso Blanceo and Queso Fresco
– Unpasteurized cheeses (possible food borne illness)
Nutrition Diagnosis

– Food and nutrition-related knowledge deficit (NB-1.1) related to

lack of nutrition education on childhood obesity and picky eating
as evidenced by pre-tests completed by parents with children age
2-5 years old.
Nutrition Intervention:
Healthy People 2020
– Objective 1: NWS-10.1 Reduce the proportion of children aged 2
to 5 years who are considered obese.
– Specific: 2 to 5 year old children
– Measurable: Weight is measured with a scale and plotted on
CDC growth chart to assess weight status as related to age and
height.
– Attainable & Realistic: 10% reduction from 10.4% to 9.4%.
– Timely: Year 2020.
Nutrition Intervention:
Healthy People 2020
– Objective 2: NWS-15 – Increase the variety and contribution of
vegetables in the diets of the population aged 2 years and older
– Specific: 2 to 5 year old children
– Measurable: Variety and intake of vegetables is assessed using a
cup and dietary assessments.
– Attainable & Realistic: 35% increase of total vegetable intake.
– Timely: Year 2020.
Nutrition Intervention

– Nutrition Education – Purpose of the nutrition education

(E-1.1) is to provide healthy tips to parents with children
age 2-5 years to address nutrition diagnosis.
– Nutrition Education – Result interpretation (E-2.1)
through pre/pro-tests before and after the intervention.
SMART Objectives of Workshop

– Parents will understand the proper way to address childhood

obesity.
– Parents will understand Ellen Satter’s Division of Responsibility in
feeding and know their role as a parent when it comes to
mealtime.
– Parents will know how to address picky eaters.
Nutrition Workshop

– Introduction
– Pre-test
– Body of Lesson
– Childhood obesity
– Malnutrition
– Ways to make food more appealing (facilitated discussion)
– Conclusion
– Reiterate weight loss is not the answer for an overweight child.
– Reiterate to parents it takes a lot of patience before a child may attempt to try a food.
– Post-test
Nutrition Monitoring &
Evaluation
– Site 1: – Site 2:
– 15 parents – 11 parents
– Test Results: – Test Results:
– Pre-test score: 51%* – Pre-test score: 39%
– Post-test score: 66% – Post-test score: 71%
Overall Evaluation Results
Pre-Test Post-Test

71
66

51

39

Site 1 Site 2
Pre/Post Questions

1. An obese child should be recommended to be on a strict diet to lose weight.

2. An obese child can also be malnourished.
3. If obesity runs in the family, the child will also become overweight/obese.
4. At least how many attempts does it take for a child to try a new food?
5. A good way to get your child to try new foods is to bribe them with dessert or
another food they really like.
6. Who do you think is responsible for how much the child eats?*
 Site 1 Test Results

16

14
14 14 14
12
12
10 11

8 9 9

6
6
4

2 3
2
0 0
0
Question 1 Question 2 Question 3 Question 4 Question 5 Question 6

Pre-Test Post Test

 Site 2 Test Results

10

9
9 9 9
8

7
7
6
6
5
5
4
4
3
3 3
2

1
1 1 0
0
Question 1 Question 2 Question 3 Question 4 Question 5 Question 6

Pre-Test Post-Test
Marketing & Resources

– Targets non-profit organizations

– Government funded
– Currently little to no competition
– No longer actively promoting company