1. Nutritional Health Risk Assessment Tool Blue Group Nikki Braisden Ashley Gryte Tammy Henderson Deborah Hill Deanna Sherrick

2. Description of Tool  Originates from Kendall Anderson  Nutritional Center, Colorado State University  Founded by Dr. Pat Anderson  Ongoing out-reach community program  Provides:  Simple, clear nutritional screening for all ages.  Two page general questionnaire related to nutritional intake and activity.

3. Benefits of Tool  Community out-reach programs:  All ages and geographical areas:  1:1 nutritional counseling  Free lipid screening  Diabetic counseling  Free monthly newsletter  Cooking classes for clients/students

4. Importance of Tool  Community focused:  Provides no cost/low-cost screening  Health care providers refers to center  Wellness Programs:  Improves long-term health  Collaborates with Community  Community supportive

5. Reading Level of Tool  Easily read health materials need to be at a 5 th grade reading level  Most popular reading level for pre-printed health care information given to the community (Cornett, 2009).  Lower literacy levels can be a barrier for health education to many people.  Concepts were arranged from general to specific, focusing on 2-3 main topics.

6. Reading Level of Tool (continued…)  Determine and know target audience  Age, culture, primary language  The Kendal Anderson Nutritional Tool  Audience young to older adults with nutritional issues  Research the targeted Audience  Disease processes, budget restraints, knowledge base  Visual presentation of assessment appropriate  Font – 12 to14 Times Roman  Column widths – 30 to 50 characters long

7. Reading Level of Tool (continued…)  Majority of patients can read on a 5 th grade level  Kendal Anderson Nutritional Assessment Tool  Allows viewing of daily intakes and activities  Easily understood where changes need to be made  Able to analyze patterns of daily living according to own information

8. Reliability  Reliability is the degree to which an assessment tool produces stable and consistent results (Phelan & Wren, 2006).  The reliability of The Kendall Anderson Nutrition Assessment Tool depends on the honesty of the patient. If a patient is dishonest with the questions asked then the tool is not useful.  To help improve the reliability, a chart should be given to patients describing what is considered a serving per day for each food group. This way each patient is basing their daily intake on the same scale.

9. Validity  Validity refers to how well a test measures what it is purported to measure (Phelan & Wren, 2006).  The assessment tool is intended for individuals to document their dietary intake and lifestyle, which is exactly what it does.  To help improve the validity of the tool, the recommended servings per day should be listed next to each food group. This is a great way for the patient to see how well they are eating and which food groups they need to cut back on.

10. 10 Assessments with Results  Collect and analyze data  Assessed behaviors  Daily food intake  Lifestyle an diet  Fast food consumption  Other products consumed

11. Behaviors Past and Present

12. Lifestyle and Diet

13. Fast Food

14. Daily Food Groups

15. Daily Food Groups Cont …

16. Products

17. Conclusion  Nutritional Health Assessment Tool  Essential for diagnosis, and comprehensive treatment.  Most widely used screening tool in health promotion.  Becoming mainstream into clinical practice.  Even with diverse patient population, nutritional health risks can be identified.

18. References Bringing physician nutrition specialists into the mainstream :rationale for the Intersociety professional nutrition education consortium. [Special issue]. (1998, reprinted 2015). The American Journal of Clinical Nutrition. Retrieved from http://ajcn.nutrition.org/content/68/4/894.full.pdf Center, K. A. (2015). Kendall Anderson Nutritional Center - Department of Food and Nutrition. Retrieved from http://www.nutritioncenter.coloradostate.edu/contact/index.aspx.http://www.nutritioncenter.coloradostate.edu/contact/index.aspx Colorado State University. (2014). Kendall Anderson Nutrition Center. Retrieved from http://www.nutritioncenter.colostate.edu/programs-services/services.aspx http://www.nutritioncenter.colostate.edu/programs-services/services.aspx Community Outreach Programs. (n.d.). Retrieved August 19, 2015, from http://www.ideafit.com/fitness- library/community-outreach-programshttp://www.ideafit.com/ ComPsych. (2015). Retrieved from Employee Health and Wellness Programs: http://www.compsych.com/services/health-and-wellness-programsRecommended Cornett, S. (Sept. 30, 2009) "Assessing and addressing health.” Literacy"OJIN: The Online Journal of Issues in NursingVol. 14, No. 3, Manuscript 2. Daily Water Intake :: Provided by MyFoodDiary.com. (2015). Retrieved August 19, 2015, from http://www.myfooddiary.com/resources/ask_the_expert/recommended_daily_water_intake.asp

19. References (cont…) Daily Water Intake :: Provided by MyFoodDiary.com. (2015). Retrieved August 19, 2015, from http://www.myfooddiary.com/resources/ask_the_expert/recommended_daily_wate r_intake.asp Institute of Medicine (US) Food Forum Nutritional Risk Assessment: Perspectives, Methods, and Data Challenges, Workshop Summary. Washington (DC):National Academies Press (US); 2007. 3, An Examination of Current and Potential Nutritional Risk Assessment Methods. Available from: http://www.ncbi.nlm.nih.gov/books/NBK37549/www.ncbi.nlm.nih.gov/books/NBK37549/ Medline Plus. (2015, April 1). Retrieved August 19, 2015, from http://www.nlm.nih.gov/medlineplus/ert.htm. http://www.nlm.nih.gov/ Nutrition Outreach and Education Program. (n.d.). Retrieved August 19, 2015, from http://ccseniorservices.org/programs-services/nutrition-outreach-and-education- program/ http://ccseniorservices.org/programs-services/nutrition-outreach-and- Phelan, C. & Wren, J. (2006). Exploring reliability in academic assessment. Retrieved from https://www.uni.edu/chfasoa/reliabilityandvalidity.htm https://www.uni.edu/chfasoa/reliabilityandvalidity.htm Wells, J. L., & Dumbrell, A. C. (2006). Nutrition and aging: Assessment and treatment of compromised nutritional status in frail elderly patients. Clinical Interventions in Aging, 1(1), 67–79.