Transcript
Page 1: 24-Hour Food Recalls ( How and Why we use them)

24-Hour Food 24-Hour Food RecallsRecalls

((How and Why we use them)How and Why we use them)

Page 2: 24-Hour Food Recalls ( How and Why we use them)

Food Recalls Measure Food Recalls Measure Program EffectivenessProgram Effectiveness

Change is our primary evaluationChange is our primary evaluation--food consumedfood consumed--behavior changedbehavior changed

We can prove that our programs We can prove that our programs make a difference make a difference

It is our evaluation that keeps the It is our evaluation that keeps the funding coming year after yearfunding coming year after year

Page 3: 24-Hour Food Recalls ( How and Why we use them)

Goal of Food RecallGoal of Food Recall

Accurate and complete Accurate and complete listing of all food and drink listing of all food and drink consumed in the last 24 consumed in the last 24 hours.hours.

Page 4: 24-Hour Food Recalls ( How and Why we use them)

When to Take Food RecallsWhen to Take Food RecallsBefore you begin teachingBefore you begin teachingAfter 3 to 6 lessonsAfter 3 to 6 lessonsAt your last sessionAt your last session

Page 5: 24-Hour Food Recalls ( How and Why we use them)

What We Want to Learn From What We Want to Learn From the Food Recallthe Food Recall

What food was eaten?What food was eaten?How much was eaten?How much was eaten?How was it prepared?How was it prepared?How was it served?How was it served?

Page 6: 24-Hour Food Recalls ( How and Why we use them)

Use Your Food Recall Kit Each Use Your Food Recall Kit Each Time You Take A RecallTime You Take A Recall

It is easier for the participant to It is easier for the participant to recall food and beverage amounts recall food and beverage amounts when you have visual aidswhen you have visual aids

Results will be more accurateResults will be more accurateLay the contents of the kit out on Lay the contents of the kit out on

the table where everyone can see the table where everyone can see them them

Page 7: 24-Hour Food Recalls ( How and Why we use them)

Contents of the KitContents of the KitMeasuring cups and spoons (Liquid and Measuring cups and spoons (Liquid and

Dry)Dry)4 oz. cup, 8 oz. cup, 12 oz, 16 oz, cup4 oz. cup, 8 oz. cup, 12 oz, 16 oz, cupCDCDDeck of cards or the palm of your handDeck of cards or the palm of your handFood ModelsFood ModelsRed Dinner PlatRed Dinner PlatPlastic container with 2 to 3 cups of ricePlastic container with 2 to 3 cups of ricePlastic container with 2 to 3 cups of Plastic container with 2 to 3 cups of

dried beans or dry cerealdried beans or dry cereal

Page 8: 24-Hour Food Recalls ( How and Why we use them)

Preparation for the Food Preparation for the Food RecallRecall

Plan 20 -30 minutes to take a Plan 20 -30 minutes to take a recallrecall

Need paper, pen, Food Recall KitNeed paper, pen, Food Recall KitFor groups, need postersFor groups, need postersUse the Multi-Pass Method of Use the Multi-Pass Method of

taking the recall.taking the recall.

Page 9: 24-Hour Food Recalls ( How and Why we use them)

Multi-Pass MethodMulti-Pass Method

Step #1Step #1 Quick ListQuick List

Step #2Step #2 Detailed DescriptionDetailed Description

Step #3Step #3 ReviewReview

Page 10: 24-Hour Food Recalls ( How and Why we use them)

Tips for getting better recallsTips for getting better recalls

Explain why you are asking Explain why you are asking questionsquestions

Take the recall based on Take the recall based on yesterday’s intake and work yesterday’s intake and work backwardsbackwards

Don’t approve or disapprove with Don’t approve or disapprove with body language or wordsbody language or words

Follow upFollow up

Page 11: 24-Hour Food Recalls ( How and Why we use them)

Tips for getting better Tips for getting better recallsrecalls

Relate eating to time of day and Relate eating to time of day and what they were doing to help what they were doing to help them rememberthem remember

Use your Food Recall Kit—ask the Use your Food Recall Kit—ask the participant to point to serving participant to point to serving sizessizes

Use open-ended questions Use open-ended questions

Page 12: 24-Hour Food Recalls ( How and Why we use them)

Tips for getting better Tips for getting better recallsrecalls

Ask about added ingredients or Ask about added ingredients or condimentscondiments

Avoid labeling mealsAvoid labeling mealsAvoid leading questionsAvoid leading questions

Page 13: 24-Hour Food Recalls ( How and Why we use them)

Guide to Interview: OpeningGuide to Interview: Opening

Introduce yourself.Introduce yourself.Discuss purpose of the 24-hour recall.Discuss purpose of the 24-hour recall.Discuss purpose of what you will do with Discuss purpose of what you will do with

the client’s 24-hour recall.the client’s 24-hour recall.Explain purpose of FNEP or EFNEP, Explain purpose of FNEP or EFNEP,

depending on the person.depending on the person.

Page 14: 24-Hour Food Recalls ( How and Why we use them)

Establish RapportEstablish Rapport

Make small talk; find out about Make small talk; find out about the person you are interviewing.the person you are interviewing.

Allow person to ask questions Allow person to ask questions and make comments, as and make comments, as necessary.necessary.

Page 15: 24-Hour Food Recalls ( How and Why we use them)

Comfort ZoneComfort Zone

Watch your own body language Watch your own body language to make yourself look to make yourself look approachable.approachable.

Sit next to or near client, not Sit next to or near client, not directly across.directly across.

Every person has a different Every person has a different comfort zone.comfort zone.

Page 16: 24-Hour Food Recalls ( How and Why we use them)

No InterruptionsNo Interruptions

Allowing few interruptions shows Allowing few interruptions shows the client that you care about the client that you care about him or her and want to give your him or her and want to give your full attention.full attention.

Ask the client if you can turn Ask the client if you can turn down the TV or Radio.down the TV or Radio.

Turn sound off cell phoneTurn sound off cell phone

Page 17: 24-Hour Food Recalls ( How and Why we use them)

Guide to Interview: Guide to Interview: ExplorationExploration

Ask open-ended questions to Ask open-ended questions to help client remember foods help client remember foods eaten in the last 24 hours.eaten in the last 24 hours.

Page 18: 24-Hour Food Recalls ( How and Why we use them)

Be AttentiveBe AttentiveLook at interviewee while she or Look at interviewee while she or

he is speaking.he is speaking.Nod or say “hmmm” to show that Nod or say “hmmm” to show that

you are listening.you are listening.Ask detailed questions when Ask detailed questions when

interviewing.interviewing.Non-verbal behavior shows your Non-verbal behavior shows your

attentiveness, too!attentiveness, too!

Page 19: 24-Hour Food Recalls ( How and Why we use them)

Be PatientBe Patient

Be patient; not all clients know Be patient; not all clients know how to remember everything how to remember everything eaten in the last 24 hours.eaten in the last 24 hours.

Allow for questions and Allow for questions and comments.comments.

Page 20: 24-Hour Food Recalls ( How and Why we use them)

PrivacyPrivacy

Do not share information about Do not share information about other’s diets if not appropriate.other’s diets if not appropriate.

Let client know that you respect Let client know that you respect his/her privacy and will keep his/her privacy and will keep things between the two of you.things between the two of you.

Hold interview where client feels Hold interview where client feels as if he/she has enough privacy.as if he/she has enough privacy.

Page 21: 24-Hour Food Recalls ( How and Why we use them)

Take NotesTake Notes

Take notes to help you Take notes to help you remember what was said and to remember what was said and to help you discuss with the client help you discuss with the client what was eaten.what was eaten.

Page 22: 24-Hour Food Recalls ( How and Why we use them)

Be Sure to Ask!Be Sure to Ask!

Quantities listed for each food? Quantities listed for each food? Use examples to show volume.Use examples to show volume.

Bread eaten at a meal – what Bread eaten at a meal – what type? Is it whole wheat?type? Is it whole wheat?

Type of fat added to foods – Type of fat added to foods – butter, margarine, etc.?butter, margarine, etc.?

Page 23: 24-Hour Food Recalls ( How and Why we use them)

Be Sure to Ask!Be Sure to Ask!

Milk or sugar added to cereal, Milk or sugar added to cereal, coffee, tea, etc.?coffee, tea, etc.?

List all ingredients in sandwich, List all ingredients in sandwich, salad, or casserolesalad, or casserole

Type of cereal?Type of cereal?Type of milk?Type of milk?

Page 24: 24-Hour Food Recalls ( How and Why we use them)

Be Sure to ask about Mixed Be Sure to ask about Mixed DishesDishes

Can request to see the label to Can request to see the label to determine ingredients, serving determine ingredients, serving size, and calories—then ask how size, and calories—then ask how much the participant ate much the participant ate

If homemade, ask how much of If homemade, ask how much of each ingredient was used in the each ingredient was used in the whole recipe—then ask how whole recipe—then ask how much of the whole they ate much of the whole they ate

Page 25: 24-Hour Food Recalls ( How and Why we use them)

Don’t ForgetDon’t Forget

How was food served? How was food served? (What is added can be (What is added can be significant)significant)

How much water?How much water?How much alcohol did they How much alcohol did they

consume?consume?

Page 26: 24-Hour Food Recalls ( How and Why we use them)

Guide to Interview: ClosingGuide to Interview: ClosingThank client for his/her patience and Thank client for his/her patience and

cooperation.cooperation.Discuss questions and comments client Discuss questions and comments client

might have.might have.Review 24-hour list.Review 24-hour list.Tell your client they will be receiving a Tell your client they will be receiving a

printout of their food recall and a diet printout of their food recall and a diet summary at your next visitsummary at your next visit

Give your client a copy of “What Should Give your client a copy of “What Should I Eat?”I Eat?”

Page 27: 24-Hour Food Recalls ( How and Why we use them)

Group 24-Hour Dietary RecallGroup 24-Hour Dietary Recall

Organize the participants into Organize the participants into groups of five.groups of five.

Or keep the larger group intactOr keep the larger group intactDistribute the food recall formsDistribute the food recall formsSet up visual aidesSet up visual aides

Page 28: 24-Hour Food Recalls ( How and Why we use them)

Multi-Pass ProcessMulti-Pass Process

Quick ListQuick ListDetailed Description Detailed Description Poster of probing questionsPoster of probing questionsReview Review

Page 29: 24-Hour Food Recalls ( How and Why we use them)

ClosingClosingThank the participantsThank the participantsTell the participants that they will Tell the participants that they will

be getting a printout of their food be getting a printout of their food recall and a summary of how recall and a summary of how their food intake meets USDA’s their food intake meets USDA’s My Pyramid recommendations. My Pyramid recommendations.

Give each participant a copy of Give each participant a copy of “What Should I Eat?”“What Should I Eat?”


Recommended