Development & Evaluation of CHO Counting Tool for the NSB
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. BHUTANESE/NEPALI CARBOHYDRATE FOOD LIST (Ragat Ma Guliyo Ko Matra Badaunay Khana) !"# $% "&'()* +* $%#,! -./01 2%0 Puri Beaten Rice Rice Pudding 2(! Legumes/Pulses/Dal .' Sweets & Snacks "&'()* , 2%3% Breads & Grains 4&',+% Fruit 4' 4&' Starchy Vegetables #!+%!5 Green Pumpkin Milk !" Arabic 17% Spanish 16% Bosnian 16% Russian 11% Nepali 10% Vietnamese 6% Farsi 5% Mandarin 4% Dari 4% Kurdish 1% Other 10% Interpreter Services Coverage Ratio for BJH Medical Campus FINDINGS • 88% of RDs reported they would recommend this tool to other RDs • 59% of RDs reported a need for NSB education tools • Surveyed RDs described materials to be very easy to follow/understand, colorful, and engaging RECOMMENDATIONS • Separate pt. material from educator material for ease of printing and presentation • Use picture resources with low literacy patients • Adapt similar materials for other cultures For further information contact: Lillie Larsen: [email protected] Shannon Ebron: [email protected] Development and Evaluation of Carbohydrate Counting Tool for Traditional Bhutanese-Nepali Foods Shannon E. Ebron, BS Lillie Larsen, RD, LD, CDE International Carbohydrate Counting Education: A Diabetes Tool for the Nepali-speaking Bhutanese BOOKLET ORGANIZATION: Element 1: Introduction to culture and cuisine • Provides a briefing of the group’s history, health customs, and traditional cuisine. Element 2: Pictorial Tools • Provides a pictorial “list” of CHO and non-CHO foods and plate-method meal planning tools. Element 3: Traditional Food List • Provides a traditional Nepali diabetes exchange list Element 4: Recipes • Provides traditional recipes that are adapted to improve nutritional composition INTENDED USE: • Guide NSB patients in determining what is and what is not a carbohydrate (CHO) food. •Increase patient confidence in the assembly of meals consisting of CHO and non-CHO foods. METHOD • Drafted materials based upon the following: • Review of literature • Interpreter input • Patient feedback • Exploration of international grocery stores • Experimentation with traditional recipes • RDs evaluated materials per online survey COMPOSITION OF SURVEY RESPONDENTS • 77% Clinical RDs • 8% Community RDs • 15% Dietetics Education RDs BHUTANESE/NEPALI NON-CARB FOOD LIST (Ragat Ma Guliyo Ko Matra Kamti Banaunay Khana) !"# $% "&'()* +* $%#,! +$,#( -.%/.0 1%. Meats, Poultry, & Fish $2",3% Sesame Seeds #(' Paneer Red Meats including... Goat (Mutton) Lamb Buffalo/Bison Non-Starchy Vegetables #!+%!4 Fats and Oils -*3* , #0' PROBLEM: Carbohydrate counting tools for the NSB are limited and often require users to have a high level of literacy. PROJECT QUESTION: Would a “universal design” (UD) carbohydrate-counting tool meet the needs of NSB persons with diabetes and their educators? Project Setting: Center for Outpatient Health, Barnes-Jewish Hospital, St. Louis, Missouri BACKGROUND INFORMATION STATISTICS: •As of 2012, more than 49,000 Nepali-speaking Bhutanese (NSB) have resettled in the US. •At Barnes-Jewish Hospital, NSB-interpreted encounters increased from “0” encounters in 2009 to 4,976 in 2012. •Diabetes Education materials are crucial as 8.7% of adults in the South-East Asia region (Includes Bhutan & Nepal) have diabetes. Acknowledgements: Laxmi Regmi & Praja Dhital: Interpreter Services, Barnes-Jewish Hospital, St. Louis, MO
Transcript of Development & Evaluation of CHO Counting Tool for the NSB
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BHUTANESE/NEPALI CARBOHYDRATE FOOD LIST(Ragat Ma Guliyo Ko Matra Badaunay Khana)!"# $% "&'()* +* $%#,! -./01 2%0
Puri Beaten Rice
!
! !!
Rice Pudding2(!
Legumes/Pulses/Dal .'
Sweets & Snacks "&'()* , 2%3%
Breads & Grains 4&',+%
Fruit 4' 4&' Starchy Vegetables #!+%!5
Green Pumpkin
Milk !"
Arabic 17%
Spanish 16%
Bosnian 16%
Russian 11%
Nepali 10%
Vietnamese 6%
Farsi 5%
Mandarin 4%
Dari 4%
Kurdish 1%
Other 10%
Interpreter Services Coverage Ratio for BJH Medical Campus
FINDINGS • 88% of RDs reported they would recommend this tool to
other RDs • 59% of RDs reported a need for NSB education tools • Surveyed RDs described materials to be very easy to
follow/understand, colorful, and engaging
RECOMMENDATIONS
• Separate pt. material from educator material for ease of
printing and presentation
• Use picture resources with low literacy patients
• Adapt similar materials for other cultures
For further information contact: Lillie Larsen: [email protected] Shannon Ebron: [email protected]
Development and Evaluation of Carbohydrate Counting Tool for Traditional Bhutanese-Nepali Foods
Shannon E. Ebron, BS Lillie Larsen, RD, LD, CDE
International Carbohydrate Counting Education: A Diabetes Tool for the Nepali-speaking Bhutanese
BOOKLET ORGANIZATION:
Element 1: Introduction to culture and cuisine • Provides a briefing of the group’s history, health
customs, and traditional cuisine. Element 2: Pictorial Tools • Provides a pictorial “list” of CHO and non-CHO foods
and plate-method meal planning tools. Element 3: Traditional Food List • Provides a traditional Nepali diabetes exchange list Element 4: Recipes • Provides traditional recipes that are adapted to
improve nutritional composition
INTENDED USE: • Guide NSB patients in determining what is and what is not a carbohydrate (CHO) food. • Increase patient confidence in the assembly of meals consisting of CHO and non-CHO foods.
METHOD
• Drafted materials based upon the following:
• Review of literature
• Interpreter input
• Patient feedback
• Exploration of international grocery stores
• Experimentation with traditional recipes
• RDs evaluated materials per online survey
COMPOSITION OF SURVEY RESPONDENTS
• 77% Clinical RDs
• 8% Community RDs
• 15% Dietetics Education RDs
BHUTANESE/NEPALI NON-CARB FOOD LIST(Ragat Ma Guliyo Ko Matra Kamti Banaunay Khana)!"# $% "&'()* +* $%#,! +$,#( -.%/.0 1%.
!
!
!!
! !
!
!
! !
Meats, Poultry, & Fish $2",3%
!
Sesame Seeds#('
Paneer
Red Meats including...Goat (Mutton)LambBuffalo/Bison
Non-Starchy Vegetables #!+%!4
Fats and Oils -*3* , #0'
PROBLEM: Carbohydrate counting tools for the NSB are limited and often require users to have a high level of literacy.
PROJECT QUESTION: Would a “universal design” (UD) carbohydrate-counting tool meet the needs of NSB persons with diabetes and their educators?
Project Setting: Center for Outpatient Health, Barnes-Jewish Hospital, St. Louis, Missouri
BACKGROUND INFORMATION
STATISTICS: • As of 2012, more than 49,000 Nepali-speaking Bhutanese (NSB) have resettled in the US. • At Barnes-Jewish Hospital, NSB-interpreted encounters increased from “0” encounters in 2009 to 4,976 in 2012. • Diabetes Education materials are crucial as 8.7% of adults in the South-East Asia region (Includes Bhutan & Nepal) have diabetes.
Acknowledgements: Laxmi Regmi & Praja Dhital: Interpreter Services, Barnes-Jewish Hospital, St. Louis, MO
