1

Emily Kohler
5/7/14
Fish Twice a Week Keeps the Doctor Away
Nutrition 456
Project 2
Nutrition Program Planning
1. Overall goal
a. The goal for the nutrition education program is to improve heart health in adult
men who are employed full time. This will be done through the promotion of
eating fish.
2. Learning needs:
i. Need to target personal concerns and needs: health benefits and chronic
disease management; relevant content
ii. Draw upon knowledge and experiential learning
iii. Motivation and reinforcement to maintain interest
iv. Personalize interactions and consider attitudes and behaviors to adapt
program education accurately
v. Apply/reinforce knowledge
3. Educational needs:
i. Know the possible risks factors of inattention to the heart
ii. Know that fish have omega-3s which have been associated with heart
health
iii. Know how many times a week fish should be eaten
iv. Understand which fish provide the most benefits
v. How to properly prepare fish to receive optimal benefits
4. Measurable Objectives
a. By the end of the nutrition and health promotion program, participants will be able
to do the following. The program will increase knowledge diseases and
complications associated with heart health and thus 75% will be able to list 5 or
more health threats regarding the heart. Next, by receiving knowledge of fishs
positive relationship with heart health, at least 50 % should know 3 or more fish
that contain the most omega-3s. Lastly, participants will have knowledge on
intake recommendations by the American Heart Association and at least 40% of
participants will be eating fish at least once a week.
5. Format
a. There will be 3 lessons involved with the program, each addressing the
educational needs. The first lesson will include basic heart health. This will
revolve around diseases, epidemiology, signs and symptoms, and other
complications experience because of improper heart care. The next lesson will
involve why including fish in ones diet is vital for the heart. It will also address the
recommendations for fish intake. Lastly, there will be a lesson on proper
preparation, which will incorporate cooking lessons at the local high schools
cooking classroom. All of these lessons will be held in classrooms at the local

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high school, occurring after 5pm. Representatives from the American Heart
Association will deliver the first two lessons, while a professional chefs will
control the cooking lesson.
6. Lesson Plan
Title
Goal &
objectives

Duration
Procedure

Materials

How to: Feed your Heart with Proper Fish Preparation

Goal: To achieve heart health by eating fish that is prepared with the intention
to receive optimal nutritional benefits.
Objectives: After preparing and cooking the specified fish, male participants
should be able to properly select and prepare types of fish that offer the most
nutrients associated with heart health. This includes an understanding of
methods involving the least saturated fat and how to achieve the most tasteful
results.
2 day cooking lesson, two hours each
Follow chefs demonstration of preparation and answer questions in a follow
up discussion in order to apply knowledge learned from previous lessons.
These questions will be significant to the lesson and help participants
understand reasoning for the methods shown.
Recipes for salmon and mackereltwo of the most abundant seafood
sources of omega-3s.
Handouts with a review of risks associated with improper nutrient intake and
benefits from healthful nutrients.

Learning
activities

Cooking materials: herbs, spices, citrus, tongs, stoves, grilling pans, plates,
forks, knives, bowls.
Participants will be divided into groups and prepare salmon, and then
mackerel, each day. The chef will demonstrate each step in the recipe, giving
explanation throughout. The participants will then imitate such preparation and
be asked to debrief in a discussion afterwards.

7. Evaluation
a. In order to see how successful the program is, an evaluation will need to take
place. Types of evaluation include process, impact, and fiscal/efficiency. Firstly, a
process evaluation will be conducted by giving a quiz that will ask questions
about risk factors spoken about, such as heart disease, or will prompt
participants to reflect on causes for an unhealthy heart, such as high cholesterol
levels. Other questions will be about how fish can benefit the heart, for instance.
These questions will show how much of the criteria was retained and whether the
lessons were effective. Moving forward, an impact evaluation would be done
through the completion of a quick survey, simply inquiring about how strong
participants feel about the information taught compared to when they first entered
the program. The survey will also ask how often the men prepare fish and how
much confidence they now have in their heart health. In effect, it can become
clear how much change was produced. Lastly, a fiscal/efficiency evaluation will
be done through a review of costs recorded throughout. Each expense will be
recorded throughout the program with a set budget in mind. Whether or not the

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program was economically efficient will be discovered through the comparison of
the budget amount to the actual expenses.
8. Marketing
a.
Similar to the phrase, an apple a day keeps the doctor away, my slogan is, fish
twice a week keeps the doctor away. Ive chosen this because of the truth in the
statement and its familiarity with the phrase weve been hearing our entire lives. The
truth in the message lies behind the recommendation of eating fish twice a week in
order to promote a healthy heart. In order to deliver this slogan, I find it best to use
the internet, being that most jobs require use of a computer and many working men
constantly using their emails. Therefore, an advertising poster will announce the
program and its purpose and be sure to highlight the slogan. Another way to deliver
this message is through posters hung at large facilities within the community, such as
gyms and country clubs-- facilities that are frequented by men as well.
9. Challenges
a. Possible challenges within any program delivery would include learning, literacy,
and nutrition misinformation. I would consider nutrition misinformation to be the
most prominent within the target population of adult men working a full time job.
This is because of the media exposure and the tendency to find quick fixes for
nutritional or health. In order to address this, within the first lessons I will present
some commercials or ads that exemplify false information. This will help
participants know what to look to and be more cautious in what they believe. In
case there are any learning and literacy issues, I believe it would be helpful to
keep the presentation visually based. This will help information to be
straightforward, easy to remember, and feasible.

10. Organizations
a. The American Heart Association would supply the program with representatives
that are educated in statistics and nutrition in terms of cardiovascular health. This
organization is likely to volunteer their services, being that their main goal is to
spread awareness through usage of volunteers and charity.
b. Walmart, a sponsor for the American Heart Association Simple Cooking With
Heart could provide cost effective recipes, allowing for affordable, healthy, and
simple meals.
11. Management
a. This program will involve a registered dietician, a representative from the
American Heart Association, and a professionally trained chef. The registered
dietician will be responsible for overseeing things such as the cost journal,
organizing classroom usage, seeking out organization support, and overseeing
all tasks by the two presenters of the program. Essentially the registered dietician
will be responsible for the structure behind the program and detail work. The RD,
in partnership with the chef and AHA representative, will create the lessons. Data
systems will include a cost diary on an excel document, listing all purchases
made and equating for how much money is left to meet the budget. Furthermore,
data collected will be survey results that will be carefully examined to decide how
successful the program was and what can be improved.