Syllabus

Master of Science in Applied Nutrition

APN 770 Nutrition Counseling and Communication – Spring A 2022

Credits - 3

Description

The role of the nutrition professional in promoting general health and wellness through a variety of communication methods will be examined. Theoretical models of nutrition counseling and behavior change and evidence-based nutrition intervention design strategies are emphasized. Topics include calculation of diet modifications for a variety of disease states, development of educational materials, techniques for communicating nutrition information to individuals, use of multimedia communication strategies, and culturally appropriate information dissemination strategies.

Materials

Required Materials

  1. Contento. Nutrition education: Linking research, theory, and practice. 3rd ed. Sudbury: Jones & Bartlett Learning; 2016. ISBN-13: 978-1284078008. **NOTE: THIS COURSE HAS BEEN DESIGNED FOR THE 3RD EDITION OF THIS TEXT
  2. Cultural Competency for Nutrition Professionals (eBook). Chicago, IL : Academy of Nutrition and Dietetics, 2015. ISBN: 978-0-88091-498-7
    Purchase it directly from AND http://www.eatrightstore.org/product/E2EBE1F2-A38E-49AB-B5B6-D1D432585F17

Other Materials

Other chapters, articles, and reading materials will be provided or can be found through the UNE Library.

Bonus Text

Kittler. Food and culture. 7th ed. Boston, MA: Cengage Learning, 2017

This textbook is not assigned but added here as a reference for your future career in nutrition. It’s is a comprehensive review of the many cultures making up the American landscape and may be useful as you navigate the different communities you find yourself working with.

Learning Objectives and Outcomes

Upon completion of the course, students will be able to:

  1. Assess the nutrition education needs of different patient and community populations in order to communicate dietary improvements effectively
  2. Promote general health and wellness as a nutrition professional to different patient populations and communities using appropriate educational and behavioral theories, communication methods, and media
  3. Design and deliver an appropriate nutrition education plan for a group or individual based on theories of nutrition education and behavior change, using effective teaching methods and media
  4. Develop confidence in communication skills – in group and one-on-one settings as well as with the public and the media
  5. Recognize the many diverse cultural food traditions of the United State in order to teach nutrition to various subpopulations with cultural sensitivity and awareness.

Assignments

In order to demonstrate your mastery of the concepts and skills in this course, you will complete the following assignments:

APN 770 Key Assessment – Instructional Presentation

Points: 20 (recorded presentation)

This assignment is a capstone presentation to design and deliver nutrition education to promote general health and wellness in a specific community in need. It should be based on one or more theoretical model(s) of behavior change and nutritional instruction that we cover in class, as a roadmap to design nutrition instruction.

Using the DESIGN procedure for nutrition instruction in your Contento text, create and deliver a one- to two-hour instructional presentation, in front of a face-to-face live audience capturing it as a video lecture. This project should demonstrate your competence in nutrition information and intervention strategies based on evidence and skills learned in this course and the APN program as a whole, and give you practice disseminating education.

  • Incorporate at least one persuasive, motivating activity like a group exercise or engaging question, and also a useful instructional aid into your presentation, that helps to simplify and clarify your message or guidelines, like a chart, video, or visual aid
  • Incorporate your chosen recipe from the assignment in Week 3 into your presentation as well. You do not have to prepare the recipe for your presentation, just present the information.
  • Specify dietary modifications that are appropriate for the state of wellness of your chosen group
  • Explain the particular needs and challenges of the sub-population chosen
  • Consider and address any ethical, cultural, or social circumstances or challenges of this group.

DESIGN Procedure

Points: 21 (3 each)

The final nutrition education presentation should be based on, and include, both general and specific educational objectives determined by a chosen theoretical model, and the identified determinants of behavior change, as identified in the weekly DESIGN worksheets.

Assignment Buddy Guidelines

Points: 15 (2 pts a week + 3 pts for Week 7)

Throughout this course you will be working alongside another student in this class, (or possibly two), to help you through your final project. The two or three of you will check in with each other, very briefly, at least one time per week. Between you, you can choose to talk by phone, Skype, FaceTime, GotoWebinar, or another video call service. These sessions should be live, real-time conversations.

You will be assigned a buddy early in Week One, after clarifying your meeting time availability in a scheduling tool. Please get this done as soon as the class term begins, as I expect you to meet with your Buddy in Week One.

These meetings will help you keep on task, get through the sticky parts of the assignment, reinforce your efforts, and make the development process of a nutrition intervention much more fun! Your calls should be brief (15 minutes or less) and on-task.

You will answer the following questions about your weekly worksheet assignment associated with the final DESIGN project, listen to feedback from your Buddy, and then switch roles with your Buddy to do the same for him or her. I expect the feedback given to your Assignment Buddy to be meaningful and helpful and to offer support and suggestions that will enhance your Buddy’s project.

The check-in questions to answer and provide feedback on are:

  1. What did I say I’d do this week?
  2. What I did I actually do?
  3. What worked and what didn’t work?
  4. What are my intended goals for the upcoming week?

You will find an Assignment Buddy Check-in Sheet as a download in each Module to fill out for each session. Please turn in one per week in Weeks 1 through 7, through the assignment submission link in each corresponding module.

Other Assignments

Lectures

This course is lecture-based; please see each week’s module for required, supplemental and optional viewing as applicable.

Discussions

You will be required to participate in discussions. Initial posts are due on Sundays, and responses are due by 11:59 pm ET on Tuesday, the end of the course week. If the initial post and response are not submitted within this discussion week schedule you will be given a zero. Posts submitted after the discussion week will not be graded. Your response post should be targeted to address the assigned discussion question prompt. Please do not stray from the central topic.

Your success in the course relies on robust discussion, critical thinking, and peer-response. Weekly posts responding to the prompts posed are meant to challenge you to integrate the material of the course into a broader understanding and, to enrich the readings, handouts, and lectures. Your initial response should be close to 400 words. Peer-responses should be close to 200 words and must be thoughtful, contain a compliment as well as constructive criticism, and maintain a professional tone.

Your peer responses should facilitate further conversation. Use your critical thinking skills to address potential assumptions of the fellow students’ post. Challenge yourself to consider a differing interpretation or understanding of the initial prompt, and possibly bring in new research or ideas. Specific statements about nutrition and health outcomes should be supported appropriately with citations of peer-reviewed research. The ideas in the initial post and response posts should relate to information from the readings and lectures presented in the course and include additional references from outside the course.

Recipes

In Weeks 3, 4, and 6 you will submit a recipe adding your analysis and a possible modification per assignment instructions. These will be posted in the Recipe discussion forums on the discussion board for that week. They are due at the end of the week, Tuesdays by 11:59 pm ET.

In regard to all assignments, please observe the following:

  • All assignments must be completed using AMA formatting where appropriate.
  • All times refer to Eastern Time (ET).
  • All questions about assignments and all questions, in general, should be sent through email, using your UNE email account.

Writing Statement

As professionals in the field, you will consistently be expected to clearly and concisely articulate advanced concepts for diverse audiences at a variety of educational levels.

Graduate students are expected to produce their best quality work, including screening their work prior to submission for clarity, grammatical, spelling, formatting and mechanical issues.

While there is often a portion of each assignment’s rubric dedicated specifically to grammar, spelling, mechanics, and formatting, it is critical to understand that failure to submit work that has been adequately proofed may result in a reduction of points in other areas of the rubric. These may include, but are not limited to metrics rating professionalism or content knowledge and synthesis; work submitted in graduate courses should provide evidence of strategic reading, writing, and academic speaking skills essential for success in the discipline.

Grading Policy

Your grade in this course will be determined by the following criteria:

Grade Breakdown

AssignmentGrade, pointsPercent of Final Grade
Syllabus Contract11%
DESIGN Worksheets and Buddy Check-ins36 (3 per worksheet and 2 per buddy check-in; 3 pts in Week 7)36%
Discussions3232%
Recipes6 (2 x 3 recipes)6%
Final Assignment Presentation2020%
Portfolio Assignment/Reflection55%
Total100100%

Grade Scale

Grade Points Grade Point Average (GPA)
A 94 – 100% 4.00
A- 90 – 93% 3.75
B+ 87 – 89% 3.50
B 84 – 86% 3.00
B- 80 – 83% 2.75
C+ 77 – 79% 2.50
C 74 – 76% 2.00
C- 70 – 73% 1.75
D 64 – 69% 1.00
F 00 – 63% 0.00

Schedule

Course Dates: 

Week 1: Jan 5 – Jan 11
Week 2: Jan 12 – Jan 18
Week 3: Jan 19 – Jan 25
Week 4: Jan 26 – Feb 1
Week 5: Feb 2 – Feb 8
Week 6: Feb 9 – Feb 15
Week 7: Feb 16 – Feb 22
Week 8: Feb 23 – Feb 27

Week 1:

Lectures

Required Reading:

  • Textbook: Contento, Chapters 2, 3; Chapter 7 – Deciding Behavior Change Goals
  • Textbook: Cultural Competency for Nutrition Professionals (AND 2017), Preface, Ch. 1
  • Kittler PG, Sucher K. Food and Culture. 4. ed. Belmont, Calif [u.a.]: Thomson/Wadsworth; 2004. Chapter 4 in two parts, linked in the course.

Extra Reading: 

  • Textbook: Contento, Chapter 5
  • Textbook: Cultural Competency for Nutrition Professionals – Chapters 13, 15, 17: Islamic, Jewish, and Mormon
  • Fox M. Global food practices, cultural competency, and dietetics (in 3 parts).

Assignments and Discussions: 

Key Assessment Elements:

  • Introduction
  • Assignment Buddy – introduction, poll
  • DESIGN Step 1 and Assignment Buddy Check-in for Week 1

Discussions

Week 2: 

Lectures

Supplemental videos

Required Reading:

  • Textbook: Contento, Chapter 8 – Decide Behaviors
  • Textbook: Cultural Competency for Nutrition Professionals (AND 2017) Chapter 18 – Native American Culture
  • Schulz LO, Bennett PH, Ravussin E, et al. Effects of Traditional and Western Environments on Prevalence of Type 2 Diabetes in Pima Indians in Mexico and the U.S. Diabetes Care. 2006;29:1866-1871.
  • Howard BV, Howard WJ, Comuzzie A, et al. Cardiovascular disease prevalence and its relation to risk factors in Alaska Eskimos. Nutrition, Metabolism and Cardiovascular Diseases. 2010;20:350-358.
  • Resource: Native American PowerPlate

Bonus Reading:

  • McMacken M, Shah S. A plant-based diet for the prevention and treatment of type 2 diabetes. J Geriatr Cardiol. 2017;14(5):342-354.
  • Boucher JL. Supporting patients to make health behavior changes. Diabetes Spectrum. 2010;23:85-86.
  • American Indian Tribes Create an Agricultural Coalition to Impact the Next Farm Bill

Assignments and Discussions: 

  • Key Assessment Elements: Step 2 Worksheet and Buddy Check-in
  • Discussions

Week 3: 

Lectures

Supplemental Videos

Required Reading:

  • Textbook: Contento, Chapter 9 – Theory
  • Theory at a Glance: A Guide for Health Promotion Practice. National Cancer Institute
  • Textbook: Cultural Competency for Nutrition Professionals, Chapter 2 – African American Cultures; Chapter 14, Jamaicans and Chapter 28, Trinidadians and Tobagonians
  • Shin A, Surkan PJ, Coutinho AJ, et al. Impact of Baltimore Healthy Eating Zones: An Environmental Intervention to Improve Diet Among African American Youth. Health Education & Behavior. 2015;42:97S-105S.

Assignments and Discussions:

  • Key Assessment Elements: DESIGN Step 3 Worksheet and Buddy Check-in
  • Recipes: Cook and Share! Recipe Submission (due Tuesday)
  • Discussion

Week 4: 

Lectures

Required Reading: 

  • Textbook: Contento, Chapter 10 – Indicating Objectives
  • Bloom’s Taxonomy of Measurable Verbs
  • Liu J, Chu YH, Frongillo EA, Probst JC. Generation and acculturation status are associated with dietary intake and body weight in Mexican American Adolescents1,2. J Nutr. 2012;142(2):298.
  • Stern MC, Fejerman L, Das R, et al. Variability in cancer risk and outcomes within us latinos by national origin and genetic ancestry. Current Epidemiology Reports. 2016;3:181-190.
  • Textbook: Cultural Competency for Nutrition Professionals, Chapters 3, 6, 11 (Hispanic, Argentinian, Brazilian)

Assignments and Discussions:

  • Key Assessment Elements: DESIGN Step 4 Worksheet and Buddy Check-in
  • Recipes: Recipe Redux (due Tuesday)
  • Discussions

Week 5: 

Lectures

Required Reading:

  • Textbook: Contento, Chapter 11 – Educational Plan
  • Textbook: Cultural Competency for Nutrition Professionals, Chapters 8, 12, 20, 27, 29 – Chinese, Hmong, Pacific Islanders, Thai, Vietnamese
  • Davis B. Defeating diabetes: Lessons from the Marshall Islands. Today’s Dietitian. 2008;10(8):24. http://www.todaysdietitian.com/newarchives/072508p24.shtml
  • Trapp CB, Barnard ND. Usefulness of Vegetarian and Vegan Diets for Treating Type 2 Diabetes. Current Diabetes Reports. 2010;10:152-158. http://rdcu.be/FN74

Bonus Reading:

  • Clifford D, Curtis L. Motivational Interviewing in Nutrition and Fitness. 1st ed. New York: Guilford Press, The; 2015.

Assignments and Discussions:

  • Key Assessment Elements: DESIGN Step 5 Worksheet
  • Cooking Demonstration Activity Assignment
  • Discussions

Week 6: 

Lectures

Supplemental Videos

Required Reading:

  • Textbook: Contento, Chapter 12 – Educational Plan
  • Ip M. Keys to clear communication — how to improve comprehension among patients with limited health literacy. Today’s Dietitian. 2010;12(5):26-36.
  • Velardo S. The Nuances of Health Literacy, Nutrition Literacy, and Food Literacy. Journal of nutrition education and behavior. 2015;47:385-389.
  • Two peer-reviewed research studies on a chosen group

Assignments and Discussions:

  • Final Assignment Elements: DESIGN Step 5b Worksheet and Buddy Check-in; Final Presentation – if ready, share with your buddy and schedule a dry run
  • Recipes: Recipe Redux (due Tuesday)
  • Discussions

Week 7:

Lectures

Required Reading:

  • Textbook: Contento, Chapter 13 – Nail Down the Evaluation Plan
  • Textbook: Cultural Competency for Nutrition Professionals (AND), Chapters 4 and 20 – Asian Indians and Pakistanis

Assignments and Discussions:

  • Final Assignment Elements: DESIGN Step 6 Worksheet, Full DESIGN worksheet, and Buddy Check-in
    • By Thursday of this week, make sure you have met with your Assignment Buddy to discuss each other’s presentations; plan for a longer meeting
  • Final Assignment Presentation: Submit your final recording by Tuesday of this week; submit it to the assignment link as well as to the Final Presentation and Feedback discussion forum
  • Discussions

Week 8:

Final Lecture

Required Reading:

  • Esselstyn C, Gendy G, Doyle J. Original research: A way to reverse CAD? The Journal of Family Practice. 2014;20(s2):5-7.
  • Kim B, Neff R, Santo R, and Vigorito J. The Importance of Reducing Animal Product Consumption and Wasted Food in Mitigating Catastrophic Climate Change. Johns Hopkins Center for a Livable Future. 2015.
  • For your discussion forum this week, choose one chapter of interest to you that has not been yet assigned in required reading in the Cultural Competency for Nutrition Professionals.

Bonus Readings

  • Wellesley L, Happer C, Froggatt A. Changing climate, changing diets: Pathways to lower meat consumption. Executive Summary and Recommendations. Chatham House Report. Nov 18 2015.
  • Ranganathan J, Vennard D, Waite R, Dumas P, Lipinski B, Searchinger T, and Globagri-WRR Model Authors. Shifting diets for a sustainable food future. Working Paper. World Resources Institute. April 2016.
  • Stoll-Kleemann S, O’Riordan T. The sustainability challenges of our meat and dairy diets. Environment: Science and Policy for Sustainable Development. 2015;57(3):34-48.

Assignments and Discussions:

  • Discussions
  • Portfolio Assignment

Student Resources

Online Student Support

Your Student Support Specialist is a resource for you. Please don't hesitate to contact them for assistance, including, but not limited to course planning, current problems or issues in a course, technology concerns, or personal emergencies.

Questions? Visit the Student Support Applied Nutrition page

UNE Libraries:

UNE Student Academic Success Center

The Student Academic Success Center (SASC) offers a range of services to support your academic achievement, including tutoring, writing support, test prep and studying strategies, learning style consultations, and many online resources. To make an appointment for tutoring, writing support, or a learning specialist consultation, go to une.tutortrac.com. To access our online resources, including links, guides, and video tutorials, please visit:

Information Technology Services (ITS)

  • ITS Contact: Toll Free Help Desk 24 hours/7 days per week at 1-877-518-4673

Accommodations

Any student who would like to request, or ask any questions regarding, academic adjustments or accommodations must contact the Student Access Center at (207) 221-4438 or pcstudentaccess@une.edu. Student Access Center staff will evaluate the student's documentation and determine eligibility of accommodation(s) through the Student Access Center registration procedure.

Policies

AMA Writing Style Statement

In keeping with the requirements of the Journal of the Academy of Nutrition and Dietetics and the Journal of Nutrition Education and Behavior, the American Medical Association (AMA) Manual of Style, 11th edition is the required writing format for this course and is available at both UNE libraries under the title "AMA Manual." Additional support for academic writing and AMA format is provided throughout the coursework as well as at the UNE Portal for Online Students.

Online resources: AMA Style Guide

Turnitin Originality Check and Plagiarism Detection Tool

The College of Professional Studies uses Turnitin to help deter plagiarism and to foster the proper attribution of sources. Turnitin provides comparative reports for submitted assignments that reflect similarities in other written works. This can include, but is not limited to, previously submitted assignments, internet articles, research journals, and academic databases.

Make sure to cite your sources appropriately as well as use your own words in synthesizing information from published literature. Webinars and workshops, included early in your coursework, will help guide best practices in AMA citation and academic writing.

You can learn more about Turnitin in the Turnitin Student quick start guide.

Technology Requirements

Please review the technical requirements for UNE Online Graduate Programs: Technical Requirements

Course Evaluation Policy

Course surveys are one of the most important tools that University of New England uses for evaluating the quality of your education, and for providing meaningful feedback to instructors on their teaching. In order to assure that the feedback is both comprehensive and precise, we need to receive it from each student for each course. Evaluation access is distributed via UNE email at the beginning of the last week of the course.

Attendance Policy

Online students are required to submit a graded assignment/discussion prior to Sunday evening at 11:59 pm ET of the first week of the term. If a student does not submit a posting to the graded assignment/discussion prior to Sunday evening at 11:59 pm ET, the student will be automatically dropped from the course for non-participation. Review the full attendance policy.

Late Policy

Assignments: Late assignments will be accepted up to 3 days late; however, there is a 10% grade reduction (from the total points) for the late submission. After three days the assignment will not be accepted.

Discussion posts: If the initial post is submitted late, but still within the discussion board week, there will be a 10% grade reduction from the total discussion grade (e.g., a 3 point discussion will be reduced by 0.3 points). Any posts submitted after the end of the Discussion Board week will not be graded.

Please make every effort ahead of time to contact your instructor and your student support specialist if you are not able to meet an assignment deadline. Arrangements for extenuating circumstances may be considered by faculty.

Student Handbook Online - Policies and Procedures

The policies contained within this document apply to all students in the College of Graduate and Professional Studies. It is each student's responsibility to know the contents of this handbook.

UNE Online Student Handbook

UNE Course Withdrawal

Please contact your student support specialist if you are considering dropping or withdrawing from a course. The last day to drop for 100% tuition refund is the 2nd day of the course. Financial Aid charges may still apply. Students using Financial Aid should contact the Financial Aid Office prior to withdrawing from a course.

Academic Integrity

The University of New England values academic integrity in all aspects of the educational experience. Academic dishonesty in any form undermines this standard and devalues the original contributions of others. It is the responsibility of all members of the University community to actively uphold the integrity of the academy; failure to act, for any reason, is not acceptable. For information about plagiarism and academic misconduct, please visit UNE Plagiarism Policies.

Academic dishonesty includes, but is not limited to the following:

  1. Cheating, copying, or the offering or receiving of unauthorized assistance or information.
  2. Fabrication or falsification of data, results, or sources for papers or reports.
  3. Action which destroys or alters the work of another student.
  4. Multiple submissions of the same paper or report for assignments in more than one course without permission of each instructor.
  5. Plagiarism, the appropriation of records, research, materials, ideas, or the language of other persons or writers and the submission of them as one's own.

Charges of academic dishonesty will be reviewed by the Program Director. Penalties for students found responsible for violations may depend upon the seriousness and circumstances of the violation, the degree of premeditation involved, and/or the student’s previous record of violations.  Appeal of a decision may be made to the Dean whose decision will be final.  Student appeals will take place through the grievance process outlined in the student handbook.