Source: DELAWARE STATE UNIVERSITY submitted to NRP
DEVELOP AN MS IN DIETETICS INCLUDING EXPERIENTIAL LEARNING TO GRADUATE NUTRITION LEADERS WITH EXPERTISE IN ADDRESSING HEALTH DISPARITIES
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
ACTIVE
Funding Source
Reporting Frequency
Annual
Accession No.
1028550
Grant No.
2022-38821-37297
Cumulative Award Amt.
$149,962.00
Proposal No.
2021-12794
Multistate No.
(N/A)
Project Start Date
May 1, 2022
Project End Date
Apr 30, 2026
Grant Year
2022
Program Code
[EP]- Teaching Project
Recipient Organization
DELAWARE STATE UNIVERSITY
1200 NORTH DUPONT HIGHWAY
DOVER,DE 19901
Performing Department
Human Ecology
Non Technical Summary
According to the Commission on Dietetic Registration (2020), only 2.6 % of dietitians are Black, 3.3% Hispanic, and 3.9% Asian. The Bureau of Labor Statistics predicted an 11% increase in employment opportunities for dietitians (2018 to 2028), making this profession an attractive educational option for students. The increase is partially due to the aging population and rise in chronic diseases requiring more effective prevention strategies and medical nutrition therapy. We are responding to these needs by proposing to develop an MS in Dietetics with experiential learning opportunities including a simulation lab that trains students to promote health, and prevent and treat the incidence of chronic diseases. By 2024, the minimum entry-level registration eligibility requirements for dietitians will change from a baccalaureate to a graduate degree in addition to current academic and supervised practice requirements, mirroring other allied health professions. The mission of the MS in Dietetics will be to train leaders to provide culturally competent food and nutrition services. This project proposes to: (1) Develop an ACEND accredited MS in Dietetics; 2) Develop a simulation lab and experiential learning experiences; 3) Develop interprofessional leadership skill training; and 4) Develop student assignments for educating both paraprofessionals and diverse, underserved communities through extension programming. Anticipated outcomes include the MS in Dietetics, enrollment of a diverse student population, increased knowledge of paraprofessionals, outreach to low income Delaware residents through education programming and extension websites, and well-prepared, culturally competent, interprofessionally trained graduates who increase the diversity of credentialed dietitians in the Mid-Atlantic region.
Animal Health Component
(N/A)
Research Effort Categories
Basic
(N/A)
Applied
(N/A)
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
70350101010100%
Knowledge Area
703 - Nutrition Education and Behavior;

Subject Of Investigation
5010 - Food;

Field Of Science
1010 - Nutrition and metabolism;
Goals / Objectives
The overall goal of the project is to develop a Master of Science in Dietetics to increase the pool of diverse dietitians in the United StatesThe specific objectives to achieve this goal include:To develop the course sequence of the curriculumMap the curriculum to ACEND and DSU student learning outcomes and core competencies.Develop simulation scenarios and activities to enhance student skills in nutrition assessment, diagnosis, nutrition intervention and monitoring/evaluation.Establish a simulation and nutrition assessment lab.Develop student leadership and interprofessional teamwork through an interprofessional leadership forum.Develop student nutrition education activities that expand educational expertise in bridging the knowledge gap of paraprofessionals and Extension personnel and address health disparities in underserved client populations of all ages (see attached support letters).Develop Extension nutrition education website assignments in conjunction with the Extension horticulture specialist
Project Methods
To meet the project goal and objectives, the following activities will be implemented:Establish focus groups consisting of practitioners who employ or work with entry-level dietitians, program graduates, allied health professionals, faculty from other universities including HBCUs, and students who completed a graduate degree to perform a SWOT analysis and discuss educational requirements of a graduate program.Modify the proposed graduate curriculum for the MS in Dietetics.Mapping of the curriculum.Complete simulation certificate: The program director will participate in a week-long simulation course before planning and developing simulation lab activities to ensure excellence in simulation education.Develop simulation scenarios and performance assessment tools with aid from consultant dietitians with expertise in pediatrics, intensive care, diabetes management, dialysis, or geriatrics. While the needed expertise and experiences of consultants have been identified, consultants will not be contacted until funds are available. Since the development of simulation scenarios is not a lengthy process, attracting qualified consultants will pose no problem as the PD has access to a large pool of qualified dietitians through her professional service in ACEND and CDR and her membership in the Academy of Nutrition and Dietetics.Purchase equipment, design the lab spaces, and establish the lab.Assemble an interprofessional workgroup to develop an educational forum for students of different health professions at DSU, including nursing, occupational therapy, dietetics, social work and others. Students from each field will provide an in-depth presentation on how their profession contributes to patient health. Leadership and problem-solving skills will be developed through interprofessional team activities. Then, interprofessional student groups will work together to discuss the treatment plans for different patients, such as for a teenager with anorexia nervosa, a frail stroke victim, or a premature infant transitioning to enteral feeding, assessing the patient's clinical challenges from each profession's perspective and using the combined expertise of all to develop cohesive interventions that integrate the different treatment modalities. A different student will be asked to lead the team meeting and facilitate the discussion to build leadership skills for each scenario.Interprofessional student team supervised practice. The university will sign affiliation agreements with potential community sites such as a child-care facility, long-term care facility, congregate meal site or adult daycare. There, interprofessional student teams will perform joint assessment activities while practicing working toward client health. These integrated learning activities will strengthen interprofessional communication among future allied health professionals.Paraprofessional education. Students in the current undergraduate Coordinated Program in Dietetics have commented on the nutrition knowledge deficit among EFNEP paraprofessionals. The PD and the Extension specialist supervising EFNEP and SNAP-Ed, Dr. Mulgrave, will precept students in the design of didactic content and competency-building strategies for paraprofessionals; assignments will include the development of nutrition education modules for paraprofessionals/SNAP-Ed nutrition educators that could be completed asynchronously and nutrition education classes. For the modules and classes, students will design pre- and post-module assessment instruments. Educating EFNEP and SNAP-Ed target populations with paraprofessionals/ SNAP-Ed nutrition educators. The MS program will develop assignments for students to create interactive nutrition education activities for health promotion and disease prevention in collaboration with paraprofessionals/SNAP-Ed nutrition educators. The classes will be in person unless synchronous virtual content is preferable. Currently, EFNEP programming uses various community centers while SNAP-Ed occurs in Delaware schools. During the pandemic, Zoom/Microsoft Teams served as virtual options for programming.Develop materials on nutritional benefits, storage and preservation, and recipes for the DSU horticulture Extension website and booths (brochures) under supervision of the Extension specialist for horticulture and PD. Students will also design and execute healthy cooking demonstrations online using the promoted horticultural products, which will provide an excellent experience in culinary medicine and media communication while simultaneously benefiting consumers.

Progress 05/01/24 to 04/30/25

Outputs
Target Audience:? Current Graduate Students:The MS in Dietetics started in the fall of 2024 with its first class. Three students received stipends (one Hispanic, one Black, and one Jewish student). In October 2024, two students attended the annual Food and NutritionConference & Expo in Minneapolis, MN with the PI. Current Undergraduate Nutrition Students: Four undergraduate nutrition students received $500 stipends (3 African American and one Hispanic student). The PI implemented new simulation activities in the Nutrition Through the Lifecycle course Program Director:The program director completed theASPEN Parenteral Nutrition Order Writing Course in 2024 to provide additional opportunities for simulation activities with students. Extension Paraprofessionals:Graduate students provided training for extension paraprofessionals and worked with extension agents to provide nutrition education to the community. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? PD training through Course Work: Training has enabled the PD to develop and incorporate simulations into the graduate courses and alternate supervised practice experiences. The ASPEN and Pediatric professional education courses were specifically selected because the access to supervised practice experiences in critical illness and pediatrics are limited in Delaware. The course content ensures that the simulated experiences she develops are rigorous and educationally relevant. The grant funded the following opportunities for professional development: Certificate in Simulation course (2023) ASPEN Parenteral Nutrition Order Writing Course (2024) Pediatrics and NICU Toolkit (2025) Annual Membership - Academy of Nutrition and Dietetics. Conference Attendance: The PD attended the national Food and Nutrition Conference & Expo (FNCE) in 2022 in Orlando, FL, with three undergraduate students and in 2024 in Minneapolis, MN, with the graduate students in the program. Project funds covered the conference expenses and transportation, housing and incidentals for one faculty and five students in total. It also provided funds for two pre-FNCE skills-training workshops for the PD (partial funds for the Clinical Skills Workshop 2022 (PD also received a scholarship from the ACEND) and full funding for Revolutionizing MNT: The Vital Role of Continuous Glucose Monitoring in Diabetes Care 2024). FNCE provides faculty and students with the latest research and products in all areas of foods and nutrition. Through presentation, skill training, networking opportunities and exposure to new products and services, students have the opportunity to explore the various career paths and current research as they explore and speak with professionals in the field. Since students at the university are often from low-income backgrounds, these opportunities are invaluable for them and expand their horizon not only professionally but also personally. Student stipends: During the current academic year (2024/2025), the program supported four undergraduate students with a $500 stipend (2? black females, 1 black male, 1 Hispanic female), two graduate students with a $6,000 stipend (1 Jewish female, 1 Hispanic female), and one graduate student with a $2,000 stipend starting in May 2025 (1 black female). These funds have allowed students to focus more exclusively on their courses work without having to work so many hours off-campus. How have the results been disseminated to communities of interest?The PD developed a PowerPoint and gave a joint presentation with Program Director of the Dietetic Internship at Meredith College, NC, to the Nutrition and Dietetic Educators and Preceptors (NDEP) group of the Academy of Nutrition and Dietetics. The recorded presentation and PowerPoint titled A Simulation Lab - Where Do I Start have been posted on the NDEP website for program directors and faculties in nutrition/dietetics. The student presentations, PowerPoints, and materials for current and future paraprofessionals and extension agents in nutrition will be saved by the Co-PD, who is the supervising extension agent. Student Supervised Practice:Graduate students provided nutrition education at various community sites including the Food Bank of Delaware, EFNEP/Extension, and Title III programs for the elderly What do you plan to do during the next reporting period to accomplish the goals? Completion of the Pediatrics and NICU Toolkit course (May 2025) Continued Implementation of paraprofessional training materials for EFNEP extension (spring 2026) Implementation of Interprofessional Education with OT and nursing (2025/2026 academic year) Review of graduate coursework and simulation experiences to further improve offerings (summer 2025). Purchase of additional lab equipment (Fall 2025) Students and faculty attendingFood and Nutrition Conference and Expo in Nashville, TN (October 2025). Development of program marketing materials (May to August 2025) Support students with stipends during the 2025/2026 academic year CompleteTraining on Competency-Based Education (June 2025)

Impacts
What was accomplished under these goals? Objectives 1 and 2: The MS in Nutritional Sciences was implemented in the fall of 2024. Activites associated with development of the course sequence, currriculum map, and graduate course development were implemented in the 2024/2025 acadmic year. Objective 3: In 2024, the PD completedthe ASPEN (American Society for Enteral and Parenteral Nutrition) Parenteral Nutrition Order Writing Course. The expertise gained in that and previous trainingswas employed in developing and implementing experiential learning activities and projects. For all her courses, the PD developed simulation and experiential learning activities. Objective 4: The PD has established a simulation and assessment lab for the graduate program, which has also been used with undergraduate nutrition majors pursuing PA school and medical school. We are still in the process of ordering small equipment for the lab. Objective 5: Conversations about interprofessional teamwork have been explored with other health professions on campus. In addition, we have reached out to the mass communication department to develop opportunities for students to provide evidence-based answers to mass communication students in interviews on the DSU internal TV that will hopefully commence next fall. The PD plans to write a leadership module this summer to be implemented in the second year of the graduate program as part of the interprofessional educational activities planned for the second year of the graduate program. Objective 6: Spring 2025 is the first year of the graduate community rotation. Students in the EFNEP/SNAP Ed rotation have developed PowerPoints and presented the information to paraprofessionals in EFENP and extension agents to increase their nutrition knowledge and skills in nutritioneducation. The most recent student provided education and practice on Motivational Interviewing as requested by the extension agent overseeing those programs. Objective 7: The work with the Horticulture extension agent has begun this spring in the Culinary Medicine course. Students are currently working on developing recipes with a focus on health promotion that can be posted on the extension website and on learning how to execute cooking demonstrations.

Publications


    Progress 05/01/23 to 04/30/24

    Outputs
    Target Audience:Current freshmen, sophomore, junior, and prospective students enrolled in Food and Nutritional Sciences with the goal of becoming registered dietitian nutritionists Transition of undergraduate Coordinated Program in Dietetics to the graduate CP: The program received approval from the Accreditation Council for education in Nutrition and Dietetics Board to transition from an undergraduate to a graduate Coordinated Program in Dietetics on April 21, 2023. The program graduated the last four undergraduate students, two in spring 2023, one in summer 2023, and one in fall of 2023. The late notice by the ACEND board prevented the program from accepting graduate students in the fall of 2023, postponing the start of the graduate program to fall 2024. Current senior students Stipends: Two undergraduate students received stipends, an African American of $ 1000 , and A Hispanic student, who graduated in December 2023, of $ 500. Students majoring in Food and Nutritional Sciences at Delaware State University Simulation and Experiential Learning: Opportunities for experiential learning continue to be expanded as equipment is ordered for the assessment lab. Although these are to be used predominantly with graduate students, the Food and Nutritional Science program also trains undergraduate pre-Med and pre-physician assistant students who have benefited from the experiential learning modules in Human Nutrition Assessment and Medical Nutrition Therapy classes. Program director The PD completed the Simulation Course offered by the College of Nursing and Health Professions at Drexel University, Pennsylvania from May 15 to 18, 2023, receiving the Certificate in Simulation. The course combined didactic and competency development and prepared the PD to develop various simulation exercises for the graduate courses. Some of the experiential learning activities were implemented in undergraduate upper-level courses. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? The PD completed the Certificate in Simulation Course at Drexel University, Pennsylvania from May 15 to 18, 2023. This workshop provided didactic and experiential learning experiences in the Development of simulation exercises. After completion of the workshop, the PD developed simulation exercises and rubrics for the clinical part of graduate program during the summer of 2023. Additionally, the PD enrolled in the ASPEN (American Society for Parenteral and Enteral Nutrition) Parenteral Nutrition Order Writing Course to facilitate further skill building and prepare simulation exercises for graduate students. Since parenteral nutrition order writing is a complex process, with which many professionals, pharmacists and dietitians struggle, the PD appreciated the benefit of additional training in this area. She is currently completing the individual modules in preparation for the live case work session in May 2024. How have the results been disseminated to communities of interest? Since the start of the graduate program was delayed by one year, the opportunities for training where the PD developed simulation and active learning exercises were implemented with some undergraduate upper-class students preparing for application to physician assistant graduate programs and medical school. According to the students, the simulation activities with their hands-on practice enhanced their learning and were some of the favorite parts of the class. The PD is a lead program reviewer (professional service) for the Accreditation Council for Education in Nutrition and Dietetics, the accrediting agency for nutrition/dietetic programs in the United States. Students must graduate from an accredited program to sit for the credentialing exam to become registered dietitian nutritionists. The additional training in simulation has benefited the PD in her review/evaluation of dietetic internships and graduate nutrition programs and made her more effective in reviewing student assignments, classes, and interviewing stakeholders. What do you plan to do during the next reporting period to accomplish the goals?Development of Simulation Scenarios in Parenteral Nutrition: In May 2024, the PD will complete the Parenteral Nutrition Order Writing Course. Subsequently, she will develop simulation exercises for a parenteral nutrition lab as part of the Medical Nutrition Therapy graduate course in the fall of 2024. ?Development a simulation module for pressure injuries: The simulation kit arrived this morning and will be used to write a pressure injury module in May 2024. Purchase of Materials and Supplies: Additional simulation lab materials and supplies will be ordered during the summer of 2023. Meetings with Extension Personnel: The program director will meet with extension personnel to finalize extension activities for students through EFNEP, SNAP-Ed and the horticulture extension agent for the community rotation in the spring of 2025. Interprofessional Educational Activity Development: The program director will meet with Occupational Therapy and nursing faculties to discuss interprofessional educational activities for students as the graduate program starts in the fall of 2024.

    Impacts
    What was accomplished under these goals? To establish the Simulation and Assessment course modules, the program director completed the Drexel University Simulation course and the HHMI Experiential Learning Training at Delaware State University to develop simulation course and prerotation lab content. The program director continued to develop experiential learning/simulation activities for the Human Nutrition Assessment course, Culinary Medicine course, and Medical Nutrition Therapy I and II. She implemented some of these with undergraduate senior students in the pre-Med and pre-PA tracks. The program director worked on outfitting the simulation lab, ordering numerous items, such a tube feeding training manikins, blood pressure measuring devices, blood glucometers, syringes to practice vitamin B12 injections, or a pressure injury simulation kit.

    Publications


      Progress 05/01/22 to 04/30/23

      Outputs
      Target Audience:Current freshmen, sophomore, junior, and prospective students enrolled in Food and Nutritional Sciences with the goal of becoming registered dietitian nutritionists Transition of undergraduate Coordinated Program in Dietetics to the graduate CP: Starting in 2024, all students seeking to become registered dietitian nutritionists must complete the didactic and supervised practice requirements of an ACEND (Accreditation Council for education in Nutrition and Dietetics) accredited dietetic program, obtain a verification statement ensuring entry level competency and have a graduate degree to sit for the registration examination by the Commission of Dietetic Registration. Through submission of the substantive program change application to ACEND in December 2022 and approval at the ACEND board meeting in April 2023, Delaware State University students will continue to be able to sit for the registration examination upon completion of a masters coordinated program in dietetics since the program successfully transitions from an undergraduate to a graduate program. Since Delaware State University serves predominantly ethnic minority, those students specifically will benefit from the change. Current senior students Stipends: Five students received stipends of $ 1000, paid over ten pay periods in the 2022/2023 academic year. Two of the students were African American, one Hispanic, one half Asian, and one Caucasian. Attending the national Food and Nutrition Conference and Expo (FNCE) in Florida in October 2022: Four students (three supported by this grant), the project director and one co-director (not supported by this grant) attended FNCE. Students attended two and a half days of seminars and spend additional time learning about new products in the field of nutrition and dietetics to prepare them to become effective dietetic professionals. Three of the students are ethnic minorities and one is from an economically disadvantaged background. Students majoring in Food and Nutritional Sciences at Delaware State University Experiential learning modules and simulation exercises including assessment rubrics for dysphagia screening, placement of nasogastric tubes, and the nutrition focused physical exam for diagnosing malnutrition and micronutrient deficiencies. The dysphagia screening and NFPE screening simulations were implemented in the current undergraduate nutrition assessment lab to determine potential beneficial adjustments to the exercise and assessment tool. Program director The PD participated in the pre-conference Clinical Skills Workshop for dietetic program directors/faculty at FNCE, addressing new clinical competencies for dietetic students such as dysphagia screening or inserting nasogastric feeding tubes. The majority of the cost was paid by a stipend the PD received from ACEND, while support of $150 came from the current grant. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?The Clinical Skills workshop at the Food and Nutrition Conference and Expo provided training on implementing new clinical competencies in educational programs. Demonstration of skills were helpful in developing simulation scenarios. Two faculty members and four students attended to annual Food and Nutrition Conference and Expo. This provided an opportunity for networking and continuing education for faculty in program accreditation and their areas of expertise and for students to explore different career paths, network with scientists and professionals in the field, and explore new products for hospitals, food service departments and community programs. How have the results been disseminated to communities of interest?Since the program will start in the next academic year, the opportunities for training were implemented with undergraduate senior students.The modules in the Nutrition Assessment course and some lab experiences were tested with those students in Spring 2023.The students were complementary of the simulation opportunities to develop clinical skills. Weekly Commission in Dietetic Registration exam preparation practice was implemented with senior students during the spring of 2023.The goal is to extend the practice to the whole academic senior year of the students. What do you plan to do during the next reporting period to accomplish the goals?Development of Simulation Scenarios: In May 2023, the program director will complete the Certificate in Simulation Course at Drexel University, Pennsylvania. The content from this workshop and additional resources will be used to develop simulation scenarios for clinical practice in 2023 and 2024. Purchase of Materials and Supplies: Simulation lab materials and supplies will be ordered during the summer of 2023. Meetings with Extension Personnel: The program director will meet with extension personnel to discuss extension activities for students through EFNEP, SNAP-Ed and the horticulture extension agent. Interprofessional Educational Activity Development: The program director will meet with Occupational Therapy and nursing faculties to discuss interprofessional educational activities for students,

      Impacts
      What was accomplished under these goals? The following objectives of the program have been met in the first year: (1) A course sequences for two tracks of the MS in Nutritional Sciences were completed, submitted for 'Authorization to Implement', and approved by Delaware State University Track 1: Coordinated Program in Dietetics track 1. Clinical Track 2. Clinical Track with Thesis Track 2: MS in Nutritional Sciences track (2) A curriculum map linking the MS in Nutrition Sciences Student Learning Outcomes to Delaware State University's Graduate School Student Learning Goals was submitted to and approved by the College of Agriculture and Technology curriculum committee, DSU's Graduate School, and then the Provost and Board of Trustees of the University. A second curriculum map was developed to demonstrate how the Delaware State University Coordinated Program in Dietetics didactic & supervised practice graduate courses align with the 2022 ACEND Core Knowledge & Competencies for the RDN. (3) The program director developed modules for the Nutrition Assessment course and implemented some simulation scenarios for new clinical competencies that were tested with undergraduate senior students in the Coordinated Program in Dietetics. In May 2023, the program director signed up for the Certificate in Simulation Course at Drexel University in Pennsylvania.

      Publications

      • Type: Other Status: Submitted Year Published: 2022 Citation: Other Products/Outputs are activities, events, services, and products that reach people. o Activities include: conducting and analyzing experiments or surveys, assessments, facilitating, teaching, or mentoring. o Events include: conferences, demonstration sites, field days, symposia, workshops, and trainings. o Services include: consulting, counseling, and tutoring. o Products include: audio or video products; curricula; data or databases; equipment or instruments; models; networks and/or collaborations fostered by the project or activity; physical collections or resources, new animal germplasm, or genetic maps; software; technology, methods, or techniques; train-the-trainer manuals; website(s) with the appropriate URL(s); information, skills, and technology for individuals, communities, and programs; or students graduated in agricultural sciences.