142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Development of an online nutrition education learning module targeting inappropriate modifications to bottles of prepared infant formula

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Rebecca Graves, BS , Department of Nutrition, The University of Tennessee, Knoxville, TN
Betty Greer, Phd, RD , Nutrition, Family and Consumer Sciences, University of Tennessee, Knoxville TN
Janie Burney, Phd, RD , 119 Morgan Hall, University of Tennessee, Knoxville
Suzie Goodell, PhD, RD , Department of Food, Bioprocessing, and Nutrition Sciences, North Carolina State University, Raleigh, NC
Katherine Bower, MPH , Department of Nutrition, University of Tennessee, Knoxville, TN
Jennifer Nicklas, MS-MPH, RD , City and County of Broomfield, Broomfield, CO
Katie Kavanagh, PhD, RD, LDN , Nutrition, The University of Tennessee, Knoxville, TN
Introduction) For normal, healthy infants, the addition of infant cereal to bottles of prepared infant formula is not recommended. However, it is a behavior reported to occur with relative frequency in some populations. In the first phase of this project, conducted among low-income, formula-feeding mothers of young infants (<3 months old), results showed that ~45% of these mothers reported having added infant cereal at least once. Therefore, the objective was to develop targeted nutrition education messages designed to reduce the use of cereal in the bottle.

Methods) Phase I results provided guidance for development of prototype messages. These messages were revised based on in-depth interviews with low-income mothers of formula-fed infants, and further refined via nominal group process conducted with both experts and paraprofessionals. Finally, an additional set of in-depth interviews with the target population resulted in development of two over-arching messages, designed to reduce improper modifications to bottles of prepared infant formula. The messages focus on the satiating property of properly-prepared infant formula and on relative infant stomach size.

Results/Discussion) The Special Supplemental Nutrition Program for Mothers, Infants, and Children (WIC) is implementing online learning as an alternative to, or in conjunction with, traditional classroom education. In collaboration with Extension, using the Moodle platform, the final messages were used to develop two online learning modules: the first delivers the messages via slideshow and narration, while the second overlays several interactive components. These modules will be tested using an RCT design, including three groups (intervention 1; intervention 2; control).  

Learning Areas:

Communication and informatics
Implementation of health education strategies, interventions and programs
Public health or related education

Learning Objectives:
Describe an evidenced-based process for creating nutrition education messages. Identify tools available to create online, interactive nutrition education modules to be used for health promotion and disease prevention among this target population.

Keyword(s): Nutrition, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the lead graduate research assistant for the development of these online learning modules. The testing of these modules is my graduate thesis project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.