P8 Breastfeeding Basics: Smooth Sailing To The Island of Breastfeeding Paradise

S18 Abstracts
P6 (continued) coupons, a bag of trail mix and an evaluation. Each book

highlighted a vegetable as a main part of the story line.
tion by those who have diabetes is essential for diabetes Nutrition tip sheet and recipe cards encourage parents to
self-management. The development process followed tradi- buy, prepare and serve fruits and vegetables at home. Fifty-
tional curricula design guidelines with initial lessons re- one percent of parents returned the evaluation and sixty-
viewed by 7 experts for content validity relative to breadth two percent indicated an increased interest in purchasing
and depth of information, accuracy, and appropriateness for fruits and vegetables after sharing the book bag with their
target audiences. The content review results were positive, child. This project showed that book bags can be an effec-
with suggested changes incorporated if two or more review-
tive way to deliver nutrition education and increase aware-
ers mentioned the same concept or if grammatical errors
ness in the homes of low-income families. Funding was
were identified. Face validity was assessed by a representa-
provided by King Soopers, Dole Fresh Salads, and the
tive sample (n 25) for clarity, word usage, navigation,
Colorado Physical Activity and Nutrition Program.
and usefulness. Knowledge and skill-based questions were
developed to assess impact based upon face-to-face diabetes
programs and content review. Each section had 3 knowl-
edge questions. Three skill assessment activities were de-
veloped to test participants knowledge of meal planning
techniques, as well as ability to identify carbohydrate-
containing foods and foods containing saturated fats. Skill
P8 Breastfeeding Basics: Smooth Sailing to
assessments were developed using interactive media and the Island of Breastfeeding Paradise
tracked to determine correct responses and number of at- Mitzi Pyland, MEd, RD, LD, Arkansas Department of
tempts in order to assess skill development. This online Health and Human Services, 614 North Grant Street,
interactive diabetes education module will be useful to Cabot, AR 72023, mpyland@healthyarkansas.com; Kim
nutrition educators whose clients or audiences need to Kelmbeck, Arkansas Department of Health and Human
review and update knowledge and skills of basic food Services, 614 North Grant Street, Cabot, AR 72023,
choices in the management of diabetes. khelmbeck@healthyarkansas.com
Smooth Sailing to the Island of Breastfeeding Paradise is a

P7 Benefits of a Nutrition Book Bag Program
2-hour interactive prenatal breastfeeding class presented
Robyn Wearner, BA, RD, Department of Pediatrics-
quarterly. It is facilitated by an Arkansas Department of
Section of Nutrition, University of Colorado Health
Health and Human Services Nutritionist and Breastfeeding
Sciences Center, Denver, CO 80262; Cathy Romaniello,
Peer Counselor through the Family Advocacy Center at
MPH, RD, Department of Pediatrics-Section of
Nutrition, University of Colorado Health Sciences Little Rock Air Force Base in Jacksonville, Arkansas. The
Center, Denver, CO 80262; Michele Drozd, MS, RD, class features a tropical theme and decorations. Topics
Human Biology Program, University of Wisconsin, Green presented include All Aboard (benefits of breastfeeding),
Bay, Green Bay, WI 54311-7001; Vanessa Carter, BS, Avoiding Sharks and Pirates (common breastfeeding
RD, Dialysis Clinic, Inc. 2748 Crossroads Boulevard, myths), Dinner Etiquette (nutrition for breastfeeding
Grand Junction, CO 81506; Garry W. Auld, PhD, RD, mothers), Island Excursion Training (positioning, latch,
Department of Food Science and Human Nutrition, pumps and other aids) and Ask the Tour Guides
Colorado State University, Fort Collins, CO 80523-1571 (questions/answers). Topics are addressed through a series
of games that involve all participants. The class is offered
Take-home nutrition-focused book bags for elementary- one to two weeks prior to a breastfeeding support meeting
aged students is an innovative way to deliver nutrition
and parents receive a follow-up letter inviting them to
education to families. The intent of this pilot was to pro-
attend and thanking them for their participation in the
mote nutrition awareness and increase interest in purchas-
prenatal class. A local health department peer counselor
ing fruits and vegetables in low-income, predominately
contacts attendees monthly through delivery and beyond.
Hispanic families. The From the Classroom to the Family
book bag pilot was implemented in three Denver Public Each parent is provided a tote bag containing breastfeeding
Schools where 91% of students qualified for free and re- promotional items and written material. Upon completion
duced meals. Following other book bag programs, the pilot of the class, participants should be able to list five benefits
was developed and delivered by a classroom-based nutrition of breastfeeding, dispute common myths related to breast-
education program from the University of Colorado Health feeding, demonstrate two or more breastfeeding positions,
Sciences Center and Colorado State University. Book bags describe signs of appropriate latch and list three ways to
were cycled through 8 classrooms and 208 students took a know infant is getting enough breast milk. Evaluation of
book bag home for a long weekend to share with their the class has consistently shown the goals of the class are
families. The book bag contained two bilingual books, being met and attendees enjoy the format. The class is
reading and nutrition tip sheets, recipe cards, free produce provided free of charge.
Journal of Nutrition Education and Behavior Volume 38, Number 4, July/August 2006 Supplement S19
P9 Raising a Healthy Eater healthier feeding behaviors. Preliminary results suggest this
Heather Harvey, MHSc, University of Wisconsin- program is worth pursuing with a larger audience. Funding
Extension, 432 N. Lake Street, Room 301, Madison, WI for this project was provided by the CDC.
53706, heather.harvey@uwex.edu; Gayle Coleman, MS,
RD, University of Wisconsin-Extension, 432 N. Lake P10 Impact of Using the Internet to Share
Street, Room 301, Madison, WI 53706,
Local Solutions to Global Issues
gayle.coleman@uwex.edu; Barbara Duerst, RN, MS,
Alice Henneman, MS, RD, University of Nebraska-
University of Wisconsin-Extension Green County,
Lincoln Extension, 444 Cherrycreek Road, Suite A,
N3150B Highway 81, Monroe, WI 53566-9397,
Lincoln, NE 68528, ahennema@unlnotes.unl.edu; Beverly
barbara.duerst@ces.uwex.edu; Angela Flickinger, RD,
Benes, PhD, RD, Nebraska Department of Education, 301
MPH, University of Wisconsin-Extension Rock County,
Centennial Mall South, PO Box 9498787, Lincoln, NE
Courthouse 51 South Main Street, Janesville, WI 53545-
68509, Bev.Benes@nde.ne.gov; Linda Boeckner, PhD, RD,
3978, angela.flickinger@ces.uwex.edu; Mary Novak, MS,
University of Nebraska-Lincoln Extension, 4502 Avenue
University of Wisconsin-Extension Kewaunee County,
I, Scottsbluff, NE 69361, LBoeckner1@unl.edu; Joyce
810 Lincoln Street, Kewaunee, WI 54216,
Jensen, Lincoln-Lancaster County Health Department,
mary.novak@ces.uwex.edu; Lucia Patrillo, MA, University 3140 N Street, Lincoln, NE 68510,
of Wisconsin-Extension Iron County, Courthouse 300 JJensen@ci.lincoln.ne.us
Taconite Street, Suite 118, Hurley, WI 54534,
lucia.patritto@ces.uwex.edu; Jenny Wehmeier, MS, It is well documented a nutritious diet can help reduce the
University of Wisconsin-Extension Walworth County, incidence of various illnesses and chronic conditions. With
W3929 County Road NN, Elkhorn, WI 53121-4362, decreasing nutrition education budgets at all levels, it is
jenny.wehmeier@ces.uwex.edu; Lori Zierl, MS, University important to leverage our efforts for maximum outreach
of Wisconsin-Extension Pierce County, 412 West Kinne and effectiveness. The purpose of this project was to eval-
Street, Box 69, Ellsworth, WI 54011-0069, uate and quantify the potential helpfulness and time-
lori.zierl@ces.uwex.edu; Judy Arneson, BS, University of savings to other educators by using the Internet to share
Wisconsin-Extension, 4287 Windsong Place, Plover, WI successful local program materials. Four nutrition Power-
54467, aarneson@uwsp.edu Point lesson presentations were shared with other educators
via a Web site. During the first five months on the Web,
Unhealthy weight has become a national health crisis. Poor 12,034 downloads were recorded; 613 individuals (about 5
eating habits and limited physical activity contribute to this percent of the total number of downloads) completed and
crisis. The development of eating behaviors begins in early returned a Web survey after downloading the PowerPoint.
childhood and occurs through a multifaceted process, in- These 613 responses indicated a minimum savings of 8,462
cluding the feeding relationship with the parent. The Rais- hours of PowerPoint development time (equivalent to
ing a Healthy Eater intervention used facilitated dialogue about four years, based on fifty 40-hour weeks/year or an
techniques to provide education for parents of two to five average of 13.8 hours per individual response). As this
year old children. The intervention included nine, small represented only a segment of potential users, total hours
saved could be much higher. Though it wasnt possible to
group lessons focused on parenting, child eating behaviors,
collect data on the overall number of people taught by
and nutrition using a learner-centered approach. Lessons
using these materials, the total outreach was likely multi-
emphasized increased fruit and vegetable consumption, re-
plied many times through sharing. Comments indicated
duced sweetened beverage consumption, and turning off
educators both saved development time that could be spent
television during meals through discussion of individual
helping clientele in other ways and were prepared to give
experiences, activities, food preparation, tasting and goal
programs that otherwise might not have been given. Other
setting. Trained Family Living professionals used facilitated
educators are encouraged to use the Internet to share suc-
dialogue techniques throughout the intervention to pro-
cessful local programs for potential global impact. This
mote active participation and engage learners, resulting in
project was funded by regular office operating funds.
a safe environment that supported behavior change. Results
of evaluations with 25 learners in six sites indicated that
learners enjoyed the lessons and would recommend the P11 Using the Healthy Diabetes Plate
program to friends or family with young children. Partici- Curriculum
pants set unique, personal goals to improve their feeding Martha Raidl, PhD, RD, University of Idaho 322 E. Front
practices, making it difficult to report on a single outcome. Street, Suite 180, Boise, ID 83702; Rhea Lanting, MS,
The most common behavior change cited by participants University of Idaho, 322 E. Front Street, Suite 180,
was trying new foods with their children. Other changes Boise, ID 83702; Marnie Spencer, MS, RD, University of
included turning off TV during meals, serving smaller por- Idaho, 322 E. Front Street, Suite 180, Boise, ID 83702;
tions, and making healthier food choices. Overall trends
were towards increased knowledge of, and practice of, Continued on page S20

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S18 Abstracts

P6 (continued) coupons, a bag of trail mix and an evaluation. Each book

Smooth Sailing to the Island of Breastfeeding Paradise is a

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