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IASO ORG.
Grant Writing Proposal Assignment
Nutrition 166
Megan Moore Evelyn Morales
Alison MeleAdrian Bourque
5/12/2010
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Table Of Contents
1. Letter Of Intent…………………………………………32. A Transmittal Letter ……………………………………43. Title Page………………………………………………..54. Abstract…………………………………………………65. Grant Narrative:…………………………………………8
a. Needs Statement………………………………..8b. Goals/Objectives………………………………11c. Methods……………………………………….13d. Project Design…………………………………13e. Participants……………………………………17f. Evaluation Plan………………………………..18g. Measurements…………………………………20h. Data Analysis………………………………….21i. Dissemination…………………………………21j. Time And Activity Chart……………………...23k. Capability…………………………………..….24
6. Budget …………………………………………….….26a. Budget Narrative……………………………...28
7. Reference Page………………………………………...318. Appendix A……………………………………………33
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May 11, 2010
ADA Foundation,CSU, Fresno, Department of Food Science and NutritionProposal service unit5241 North Maple AvenueFamily and Food Sciences Building, Room 119 Fresno, CA 93710(559) 278-2164
To the ADA Foundation,
The graduate dietetic students of California State University, Fresno would like to inform
the grant proposal service unit of our intent to submit a proposal for the Build a Better
Community Grant. We are serving elder adults in the San Joaquin Valley and addressing their
health risk and nutrition needs.
If you have any further questions or require any further information please contact me and I will
promptly reply.
Sincerely,
Megan Moore RD, PhDNutritional Service DirectorIaso Org.2010 Iaso PlazaFresno Ca 93726Phone: (559)278-Iaso(4276)Fax: (559)279-Iaso(4276)E-mail: [email protected]
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May 11, 2010
ADA Foundation,CSU, Fresno, Department of Food Science and NutritionProposal service unit5241 North Maple AvenueFamily and Food Sciences Building, Room 119 Fresno, CA 93710(559) 278-2164
To the ADA Foundation,
My colleagues and I are pleased to submit the enclosed proposal in response to the
American Dietetic Association: Building a Better Community Grant. Our proposal addresses the
growing need to educate the elderly in the San Joaquin Valley about drug and nutrient
interactions. This proposal requests $250,000 for a two year project. Enclosed is the original
proposal, as indicated in the call for grant proposals.
If you have any question are require any more information please feel free to contact us and we
will promptly reply.
Sincerely,
Megan More RD, Evelyn Morales RDAllison Mele RD, Adrian Bourque RDNutritional Service Directors Iaso Org.2010 Iaso PlazaFresno Ca 93726Phone: (559)278-Iaso(4276)Fax: (559)279-Iaso(4276)E-mail: [email protected]
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Project Title: Nutrition Education for Vitamin K and anti-coagulants interactions in elderly Grant Program: Building a Better community Proposal Start Date: May 12, 2010Proposal End Date: May 13, 2012 Funds Requested: $250,000
Project Directors:Megan More RDNutritional Service Directors Iaso Org.2010 Iaso PlazaFresno Ca 93726Phone: (559)278-Iaso(4276)Fax: (559)279-Iaso(4276)E-mail: [email protected]
The Award should be made to:
CSU Fresno State Iaso Org.
Authorized Organization Representative:
Megan More RD, Dean of ResearchOffice of Research and Sponsored ProgramsIaso Org.2010 Iaso PlazaFresno Ca 93726Phone: (559)278-Iaso(4276) ext.21Fax: (559)279-Iaso(4276) ext.21E-mail: [email protected]
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Abstract
In a study of medical literacy in the United States, over one-third of patients prescribed warfarin
could not demonstrate how to follow the label instructions on their medication. (Davis) This is
indicative of a major health problem in the United States and Fresno County: patients are not
adequately educated on their prescription medications. This affects adults 55 years or older living
in Fresno who may not receive effective communication from health care providers about the
drug nutrient interactions. (2000 US Census)Though practitioners are providing the information
to their best knowledge in a short amount of time, it is obvious that both of these are inadequate.
The need for effective communication between patients and their health care providers about
interactions between vitamin K and anticoagulants is evident. That is why we propose to develop
a tool that will help to inform the practitioners about the issue and help them to share this
information with patients more effectively. Patients will be more prepared to self-regulate their
vitamin K intake and to prevent deficiency of vitamin K as well as interactions with
anticoagulant medication. The objectives of this program are to: a) educate elderly patients on
vitamin K and anticoagulant interactions so that they will be able to identify foods high in
vitamin k and supplements which to avoid, b) facilitate open communication between
practitioners and patients regarding vitamin K and anticoagulant interaction, c) create a Vitamin
K Tracker tool and d) distribute tool and teach clients how to use it. Brief methods of are
program begins with product design and development: develop our tool and educational
program consisting of educational seminars taught at a 6th grade reading level so that participants
are able to remain focused and comprehend our message. We will follow up with the execution
of our product by scheduling presentations with interested facilities and disturbing Vitamin K
Trackers with brochures and demonstrating how to use them. Initial, three month and six month
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evaluations will help us identify changes that we can adapt the tool to better benefit out target
population. This Project will span 24 months. The budget requested is $250,000.
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Needs Statement
In a study of medical literacy in the United States, over one-third of patients prescribed
warfarin could not demonstrate how to follow the label instructions on their medication. (Davis)
This is indicative of a major health problem in the United States and Fresno County: patients are
not adequately educated on their prescription medications, including the interactions between
prescribed medications and nutrients. This affects the 67,000 adults 55 years or older living in
Fresno who may not receive effective communication from health care providers about the drug
nutrient interactions. (2000 US Census)
Our current focus is interactions between vitamin K and anticoagulant medication such as
warfarin and Coumadin. Practitioners are either unaware or unable to communicate the severity
of this problem to their patients. (couris) In a survey of health practitioners, pharmacists were
shown to know the most about drug interactions with vitamin K. (couris) Dietitians and nurses
demonstrated the lowest knowledge of interactions between the anticoagulants and vitamin K,
although dietitians were better able to identify specific foods that interacted with drugs. (Couris)
The ADA position paper on integration of medical nutritional therapy and pharmacoptherapy
states that ADA promotes “a team approach to care for clients receiving concurrent MNT and
pharmacotherapy and encourages active collaboration.” (J Am Diet Assoc. 2003;103:1363-1370.)
The Department of Veteran Affairs has recently launched a new program to include dietitians as
part of a multidiscipline anticoagulant therapy team, allowing the dietitians to provide more in
depth consultations, updated patient information literature and planned menus thereby providing
improved nutritional care to veterans. (standfill) This research demonstrates the need for
practitioners to be educated on the risks of vitamin K and anticoagulant interactions and to
address these issues with patients.
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A study of pharmacist intervention in elderly patients show that pharmacists working
closely with physicians are better able to identify drug-related problems including taking the
wrong drug, taking a drug in the wrong amount, taking a drug inappropriately and interactions
between drugs. (sellers) Pharmacists are currently the primary resource for patients to access
information on interactions with their drugs, so it is equally vital that the pharmacists are assisted
in ways to communicate directions, risks and side effects of vitamin K-anticoagulant
interactions. In an interview with CVS pharmacist Debbie Butler Pharm.D on April 18, 2010, she
told us that she was often too busy to have an in-depth consultation with patients and felt she was
unable to meet their individual needs. Her other concerns were that patients are able to deny
consultation and that they had many different doctors and medications, so interactions were not
properly monitored. She stated a need for an easy-to-teach and easy-to-use tool that would
facilitate communication between pharmacist and patient to increase the patient’s knowledge
about how to take the drugs effectively and safely.
Practitioners may discourage intake of vitamin K altogether for patients taking
anticoagulants which puts patients at risk for deficiencies. On May 1, 2010 we interviewed
seniors taking anticoagulants living at Park Kingsburg Senior Community. Most of them told us
that their doctor had instructed them to avoid vitamin K. They identified dark leafy greens as a
high vitamin K food. However, when they discussed their diet they indicated that they were
eating many foods that they did not realize were high in vitamin K, such as Ensure shakes and
green tea. It is obvious that they lacked the education to accurately assess their diet for vitamin K
intake. Symptoms of deficiency include bruising, bleeding, decrease in clotting and decreased
blood pressure. (http://www.nlm.nih.gov/medlineplus/ency/article/002407.htm, vorvick) A
decrease in vitamin K intake has been linked to Alzheimer’s disease. (presse) It is clear that
avoiding vitamin K altogether is not the best approach for regulating vitamin K intake while
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taking prescription anticoagulants. Practitioners who do not emphasize the importance of
managing intake of vitamin K may put their patients at risk for complications due to increased
blood pressure and clotting, if vitamin K intake fluctuates significantly. (harris) Dietary vitamin
K does contribute to and is an effective component of anticoagulant therapy. (booth, harris)
Though practitioners are providing the information to their best knowledge in a short
amount of time, it is obvious that both of these are inadequate. The need for effective
communication between patients and their health care providers about interactions between
vitamin K and anticoagulants is evident. That is why we propose to develop a tool that will help
to inform the practitioners about the issue and help them to share this information with patients
more effectively. By providing a take-home Vitamin K Tracker, we will bridge the gap in patient
education of vitamin K and anticoagulant interactions. Patients will be more prepared to self-
regulate their vitamin K intake and to prevent deficiency of vitamin K and negative interactions
with anticoagulant medication.
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Goals & Objectives
1. Educate elderly patients on vitamin K and anticoagulant interactions.
a. Patients will be able to identify 10 high vitamin K foods that are in their normal
diet.
b. Patients will be able to identify supplements they should avoid.
c. 50% of patients will meet the daily recommended intake within 3 months of their
first consultation.
d. Patients with symptoms of vitamin K deficiency will decrease by 50% 6 months
after their first consultation.
e. At least 150 patients will participate in this program within the first 6 months.
2. Facilitate open communication between practitioners and patients regarding vitamin K
and anticoagulant interaction.
a. Practitioners will learn to emphasize the severity of this drug interaction with their
patients.
b. Practitioners will be able to identify the FDA recommendations for vitamin K
during anticoagulant therapy and use the data provided to establish their own
recommendation.
c. Practitioners will review the deficiency symptoms for vitamin K to better help
them diagnose patients.
d. Practitioners will receive Vitamin K Trackers and all related media to educate
their patients.
e. Practitioners will receive support and updated information on drug nutrient
interactions from our organization.
3. Create a “Vitamin K Tracker”.
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a. The tool must be handy, low tech and easy to use.
b. The tool will use basic language, colors and pictures to give easily understandable
information about vitamin K intake.
c. The tool will help patients estimate their daily intake of vitamin K and allow them
to assess their adequacy and consistency.
d. At least 80% of participants will report the tool being beneficial.
4. Distribute Vitamin K Tracker and educate patients on how to use it.
a. Patients will demonstrate proficiency in using the Vitamin K Tracker to estimate
vitamin K intake at the end of their first consultation.
b. 50% of patients will have used the Tracker at least once in the 3 months following
their consultation.
c. 35% of patients will use the Tracker regularly in the 3 months following their
consultation.
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Methods
Project Design
Development
This ongoing project is the first of many similar projects we plan to complete to
provide the elderly people in Fresno County with more and better information regarding
the interaction between their diet and prescription medications.
The first step is to develop our tool and educational program. The Vitamin K
Tracker is still in its prototype phase and has been successfully tested in a very small
scale. It was created on a computer using Microsoft Publisher and will be professionally
printed. Brochures that outline and reiterate information given during the educational
component, explain how to use the vitamin K tracker and give contact information for
our office for support are also designed using Microsoft Publisher software and will be
printed professionally. We are currently seeking bids for publishing our tools and
brochures. This will also require access to internet as well as subscription to scientific
journals to ensure that we are providing the most relevant, up-to-date information.
Though we are utilizing this technology to create the tool, the Vitamin K Tracker itself
will be low tech, easy to read and easy to use since we are reaching the elderly population
who may be less comfortable with a more high-tech system. The Vitamin K Tracker will
also be lightweight and portable. It can easily be carried in a purse to be referenced for
meals outside the home or can be stored easily in a kitchen or dining room for quick daily
reference. It is important that the Vitamin K Tracker be colorful, attractive with graphics
and large print. This will make it more fun to use and easier for people who have trouble
seeing or reading.
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Concurrently, we will develop an educational program. This program will be an
interactive Microsoft Powerpoint presentation. We intend to bring our presentation to the
participants, as it will more accessible and convenient for them, thus increasing the
participation rate. We will need portable equipment including a computer, projector and
projection screen. This will allow us to provide consistent educational seminars at many
different locations, increasing the number of participants we can reach. It is vital that our
presentation be concise, easy to understand as well as interactive to increase retention of
information. It will last no more than 20 minutes and be taught at a 6th grade reading level
so that the majority of participants are able to remain focused on and comprehend our
message. Topics that will be covered include: risks of vitamin K deficiency, risks of
vitamin K mismanagement and interaction with anticoagulant medications, food sources
of vitamin K and foods to avoid while taking anticoagulants.
An additional education component will be for the health care providers in the
facilities. This can include pharmacists, physicians, dietitians, nurses, nutrition assistants,
etc… who work directly with patients taking anticoagulants. Specifically the practitioners
who are generally trained and do not specialize in anticoagulant therapy. In a consultation
lasting no more than 20 minutes, we will address their concerns regarding their patients
and vitamin K anticoagulant interactions. We will provide a summary of the most up to
date research regarding regulation of vitamin K during anticoagulant therapy as well as
guidelines for educating patients. Depending on the interest of the health care providers,
this may be a small group consultation that is more like a conversation or a slightly larger
group setting requiring Powerpoint presentation.
Once these three aspects of our presentation have been developed initially, they
will be implemented, assessed and changed. We understand that this program will be
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fluid and develop over time. That is why feedback from our participants will be so
important.
Execution
As previously mentioned, our initial step will be to contact facilities to offer our
program. We will then schedule presentations with interested facilities. Both of these
steps will be the duty of the program director. The two educators will travel to the
facility for the scheduled time to give the presentation and meet with participants and
facility staff. The first 20 minutes will consist of the educational portion for older
adults taking anticoagulants. Family members and caretakers will be encouraged to
attend as well. We will present our slides using projector and projection screen and
answer general questions. Any highly specific questions we feel will not apply to the
majority of the group will be referred to the individual consultations.
After the presentation is over, the educators will hand out the Vitamin K Trackers
with brochures and demonstrate how to use them. This is simply done by turning the
wheel of the Tracker to find the food of concern. It can be identified by name or
picture. There are three color sections on the wheel: red, yellow and green. What
section the food is located in will indicate the level of vitamin K in that food. Low
vitamin K foods (less than 40 ug per serving) are green, medium (40 – 250 ug per
serving) are yellow and red are high (more than 250 ug per serving). We will offer a
quarterly newsletter and request mailing addresses and phone numbers of participants.
At this point, participants will be free to leave if they wish.
Participants who want more detailed or personalized information are welcome to
stay and discuss in more detail with our educators. A food frequency questionnaire
will be administered to help participants identify sources of vitamin K in their diet. We
15
will use the vitamin K food frequency questionnaire validated for elderly patients in a
study by Presse et al. (Presse) We will help the participants identify sources of vitamin
K in their diet and assess their current intake. Above all, we will stress that they must
consult with their doctor before making any changes in their diet.
The educators will also meet with facility staff, if requested. We will give a
summary of the most up to date research regarding vitamin K maintenance and
anticoagulant therapy. Part of our presentation will include methods to teach patients
how to manage their vitamin K and how to appropriately explain the concerns of
vitamin K and drug interactions to patients. The health care providers will also be
given Vitamin K Trackers, and taught how to use it as well as how they can teach it to
their other patients. We will offer our newsletter to these participants as well so they
may pass that information on to their other patients.
All participants will be provided with information on how to contact our office
should they desire further support for vitamin K anticoagulant interactions. The
program director will be responsible for taking these inquiries and delegating them to
the appropriate person. The researcher will be responsible for making contact with the
participants for program evaluation at three months, six months and one year.
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Participants
The target population for this program is made up of adults aged 55 years or older
living in Fresno County who are currently taking prescription anticoagulants. They will
be recruited through health care facilities they frequent such as clinics, physician’s
offices, senior communities and long term care facilities. Our goal for the first six months
is to work with at least 100 patients who will participate in our education program and
receive a Vitamin K Tracker and a complementary brochure to take home. They will be
offered the opportunity to sign up for a quarterly newsletter that will provide updated
data, recipes, tips and other helpful information. We will use the provided contact
information to survey them at a later date for their opinions of the program, the tool and
to track their vitamin K status and anticoagulant use. Providing this information will be
voluntary, but strongly encouraged so that we can improve the efficacy of our program.
Secondary participants will be the health care providers working at the facilities,
specifically those who treat patients taking anticoagulants. We will contact these people
initially to offer our services. We have currently contacted two facilities, CVS Pharmacy
on Shaw Avenue and Park Kingsburg Senior Community that have agreed to let us offer
our program to their patients/residents. At which time, we would also meet with any
pertinent health care providers for no more than 20 minutes to educate them on the
importance of stressing vitamin K maintenance to their patients and provide guidelines
for educating patients. They will also be given a Vitamin K Tracker and brochure to keep
or give to other patients.
All participants will be given contact information for our office so that they can
receive replacement tools, additional information, referrals or further support for nutrient-
drug interaction concerns.
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Evaluation
Formative evaluation
Prior to producing the Vitamin K Tracker, we will distribute surveys and hold focus
groups at the facilities we intend to visit in order to assess the potential participants
(including practitioners) current knowledge of interaction between vitamin K and
anticoagulants, vitamin k sources in foods, DRI level of vitamin K, and knowledge of
other dietary factors associated with anticoagulants. We will use this information when
creating our Tracker and educational material so that we can meet the needs of our target
population. Analyzing and compiling the data will be the responsibility of the researcher.
Distribution and collection of the surveys will include the entire team.
Process and Impact Evaluation
3 Month Evaluation – At this point, we will contact patients using the information provided
when they registered for the newsletter. We will survey them for the following information:
age, sex, ethnicity, whether they have used the Tracker, how regularly they use it, any
comments, suggestions or questions they may have to improve it, changes they’ve made in
their diet, symptoms of deficiency, and lab values of levels of vitamin K that they receive
regularly. Answering these questions will be voluntary and low pressure. Participants will be
allowed to refuse to answer without any consequences. Participants may ask to be removed
from our evaluation list at this time. This survey will be developed by the researcher. The
researcher will begin collecting data 3 months after the initial presentation by the educators.
6 Month Evaluation – Six months after the presentation, the researcher will contact the
participants with a similar survey. This survey, however, will also include similar questions
to the formative evaluation survey. This will allow us to assess an increase in their
knowledge about vitamin K and anticoagulant interaction. At this point, we will also conduct
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a survey of practitioners with whom we have met to get their opinions on the efficacy of our
program. Questions may include what they liked or didn’t like about our presentations, both
to their patients and to themselves, what changes they would make or would like to see, and
if they have noticed a change in their patients.
These surveys will be analyzed by the researcher. Quantitative facts, such as age, sex,
ethnicity, use of Tracker, frequency of use, and lab values of vitamin K will be evaluated to
show trends of significance. This will help us identify demographics that are not using the
tool, and we can adapt the tool to reach these groups. An example would be to make it more
culturally sensitive to a specific ethnicity. We will also be able to evaluate if our tool is
helping the participants keep their levels steady and meet DRIs for vitamin K.
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Measurements
Researchers will distribute questionnaires and conduct one-on-one surveys with
participants to evaluate knowledge of Vitamin K recommendations and sources. This will allow
the educators to tailor the educational seminar to directly address patient needs and concerns.
After the seminar, any participants interested in more detailed information will be able to fill out
a Food Frequency Questionnaire in order to identify vitamin K sources in their daily diets.
(presse 2) The questionnaire will include the options to provide their name, age, sex, ethnicity,
address, phone number, email and state the best way to contact them. They must also indicate if
they would like to receive the program’s newsletter. After the seminar, the researcher will
conduct the three month evaluation. Participants will be contacted to see if they are using the
tool, how often and if they have any comments. If they have not used it they will be encouraged
to do so. The participants will then be informed that they will be contacted again in three months
for a final evaluation. After six months, patients will be contacted by the researcher for
additional feedback on the tool to assess their knowledge of vitamin K interaction and use of the
tool. Questionnaires will again be distributed via email/mail to see what information they have
retained. Serum levels of vitamin K that are provided by patients will be analyzed to see if there
is a change. All notes and personal information on participants will be kept secure on file in the
office computer system with strict access.
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Data Analysis
The hired statistician will calculate percentages, frequencies and means to determine the
participant’s knowledge of Vitamin K sources and drug interactions provided from
questionnaires filled out by the participants.
Dissemination
We are really passionate about increasing the awareness and education of people on the affect of
vitamin K on anticoagulation therapy; our goal is to create an impact and reach as many people
as we can so the dissemination plan is very important to our organization. To ensure that we get
the maximum impact that we can we intend on having our outreach coordinator present the
results of our trial program in various places that will get our company noticed. We will be
contacting the facilities that we visited in the study including the doctor’s offices, free clinics,
senior centers, retirement homes, and independent and assisted living facilities to share the
findings with them in person and through newsletters to increase awareness and credibility of our
program. Healthcare providers such as nurses, doctors, pharmacists, and other practitioners that
are not specialists in anticoagulation therapy will receive emails, paper mail, and presentations of
our findings to show them that this program is necessary and will save them time in educating
the patients in the long run. We will also contact local media such as KSEE 24, and KMPH FOX
26; and local radio stations, and the Fresno Bee to publish our findings and draw awareness to
our amazing free program. The outreach coordinator will also be up to date on what is going on
in the valley and we will present, educate, and distribute our many tools at local health fairs and
senior events to spread the word about our organization, this Vitamin K Tracker program and the
results. Being actively involved in our community keeps us in touch with our target population
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and helps us to gather information on how to better our program. The availability of the program
will be highlighted on our website (www.Iaso.org/vitamink), and also hopefully be disseminated
at local meetings regarding nutrition and health (i.e. The California Dietetic Association).
Hopefully this will reach more potential participants who will then contact us and request our
services creating a demand for the program and a need for additional grant money.
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Time and Activity Chart
TaskTime to Complete Start Date End Date
Personnel Responsible
1. Hire for additional positions 4 weeks 5/24/2010 6/21/2010
Program Director/ Office Manager
Establish office, order supplies, Establish budget 2. Research demographics and identify areas of need within target population. 2 weeks 5/24/2010 6/7/2010 Researcher 3. Establish networking with senior living centers, clinics, and pharmacies in the area to offer our services. 4 weeks 5/24/2010 6/21/2010
Outreach coordinator
4. Plan and create Vitamin K Tracker tool 1 week 6/14/2010 6/21/2010 All Staff 5. Go out to locations and provide tools and brochures accompanied by client assessments and educational seminar 12 weeks 6/21/2010 8/23/2010 Educators 6. Create and distribute Newsletters for participants 1 week 7/19/2010 on-going Educators 7. Conduct a three-month evaluation by contacting participants involved in the program 2 weeks 9/20/2010 10/4/2010
Researcher and educators
8. Continue outreaching to facilities, send newsletters, and collect feedback from participants to enhance program and tool 10 weeks 10/4/2010
12/20/2010
Outreach coordinator
9. Conduct a six-month evaluation 2 weeks 12/20/2010 1/3/2010
Researcher and educators
10. Evaluate results and determine success of program. Make improvments and plan expansion 2 weeks 1/3/2010 1/17/2010 Researcher 11. Write additional grants and organize funraisers to run and maintain progam on-going 5/24/2010
end of program Fundraiser
12. If the need and funds are present, begin research for new tools for different drug-nutrient interaction unknown 1/17/2010 unknown All Staff
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Capabilities
Our mission statement is to meet the nutritional needs of older adults living in the Central Valley
with compassion, education and cultural competence. Our primary goal is to increase nutritional
literacy of older adults in the Central Valley. The main focus is to increase awareness of nutrient
drug interactions and provide education regarding food-based management of these interactions
to older adults as well as the practitioners treating them. Our first project as an organization is the
Vitamin K Tracker, which is a tool we have developed to help older adults taking anticoagulant
medication monitor their vitamin K levels. Implementing this tool as part of an educational
seminar will demonstrate the importance of meeting and maintaining consistently the DRI for
vitamin K. Teach information regarding levels of vitamin K in commonly eaten foods and
provide a tool for patients and practitioners to keep, at no cost, which will allow them to monitor
their vitamin K levels themselves. On April 1, 2010 we visited Parks Kingsburg Senior
Community and executed educational seminar on the Vitamin K Tracker. The reaction received
after are initial presentation supported the need for this tool. When asked what their doctors had
told them about vitamin K while on anticoagulants most were not able to remember the
recommendations given and those who did remembered very little. They also expressed their
difficulty understanding pamphlets and other materials which were given to them about being on
anticoagulants. The participants of the Vitamin K tracker demonstrated gratitude high levels of
gratitude. The expressed how easy it was to understand the information and how easy it was to
use. The convenience of the Vitamin K tracker appealed too many as something they can use on
a daily basis. The Vitamin K Tracker, with some minor adjustments, was a huge success and
enables us to continue with the goal to increase nutritional literacy of older adults. Staff
personnel are extremely vital to the success of this program. Project director encompasses the
expertise in all areas needed for the success of this program. A project director with experience
24
in marketing and nutritional education will be able to construct an informative marketing plane
which will bring on program success. Educators are also of great importance to this program.
Educators with a degree in dietetics and experience in public speaking will be able to physically
show the importance of the Iaso organization. They are the face that clients will see and their
confidence, knowledge and attitudes are what clients and donors with use to judge the credibility
of the program. Outreach Coordinators will also be used to make the Iaso Organization expanded
in to larger areas. Outreach coordinators will recruit volunteers as well as facilities, clients and
donors that will help to make our organization expand and become well known. Once we have
successfully achieved our goals with this project, we plan to expand and address other nutrient-
drug interactions affecting this population
*See Appendix A for Resumes of the Grant Seekers: Projects staff
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Budget
Year 1
Direct Cost
A. Salaries and Wages
a. Senior Personnel
i. 1 Project Director (Full Time) $40,000
b. Other Personnel
i. 2 educators(part time) $32,000 total
ii. Researcher/satiation ( per diem) $750
iii. Outreach coordinator (Part time)7,000
B. Total Salaries and wages :$46,000
C. Equipment:4,6000
D. Materials and supplies: $5000
E. Travel :$500
F. All Other Cost: $9,700
G. Total Direct Cost (items B to F): 85,366
Indirect cost (20% of direct cost):$1,707.32
TOTAL:$87,073.32
Year 2
A. Salaries and Wages
a. Senior Personnel
i. 1 Project Director (Full Time): $40,000
b. Other Personnel
i. 2 educators(part time) : $32,000
ii. Researcher/ Statistician ( per diem) $750
iii. Outreach coordinator (Part time):$7,000
B. Total Salaries and wages: $83,366
C. Equipment :$3,000
D. Materials and supplies:5,000
E. Travel:$1,000
F. All Other Cost: $9,700
G. Total Direct Cost (items B to F): $82,466
26
Indirect cost (20% of direct cost): $1,649.32
Total: $84,115.32
Two Year Total: $171,188.64
27
Budget Narrative
Year 1
Direct Cost
A. Salaries and wages
a. Senior Personnel
i. 1 Project Director (full time):Megan Moore RD, PhD: $40,000. Must be a graduate from a four year university. Must have obtained at least an undergraduate degree in Marketing with 2 years experience in working in the field. Experience in working Non-profit organizations would be beneficial. Responsibilities included overseeing office manager, contacting facilities to offer services. They must also be able to develop, implement and maintain practical business practices. Makes formative decisions on behalf of the company as well as give performance evaluations
b. Other Personnel
i. 2 Educator (part time/ interns): $16,000 each $32,000 total Must have graduated from a four year university and obtain an undergraduate degree in Dietetics or public health. Responsibilities include traveling to off site location and present the tool to clients and be able to communicate efficiently with program director and office manager. They must also be able write monthly newsletters.
ii. Researcher/ Statistician (per Diem): $30 per hours for two hours a month at $750 a year. Must have a graduated from a four year university with a degree in statistics. Responsibilities include collection, analysis, interpretation and presentation of quantitative information. Involved in the designing surveys and conducting focus groups to gather consumer feedback.
iii. Outreach coordinator (part time/ volunteer):10% of the time at $7,000, Must have at least two years college experience in nutrition or public health outreach. Responsibilities included recruiting volunteers for the program, planning fundraising events and contact with donors. Involved in media interaction, contact facilities to offer program, community outreach.
B. Total Salaries and wages: (total salaries and benefits) :$63,766
C. Equipment: 2 desktop computers, 2 laptop Computers,2 computer printer, 2
printer/copiers, publishing software, Projector and screen, Office supplies. $4,600.00
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D. Materials and supplies: cost of producing tools and pamphlets $5,000
E. Travel: Mileage to offsite facilities for product presentation: $500
F. All Other Cost
a. Rent of office space: 100sq ft office $500/month= $6000 year
b. Utilities: $250/month= $3000 year
c. Telephone and internet cost: $50/ month = $600 year
d. Printing and copping( miscellaneous) $100 year
G. Total Direct Cost (items B to E)
a. Total cost above equals:$85,366
Indirect cost (20% of direct cost):$ 1,707.32
TOTAL: $87,073.32
Year 2
Direct Cost
A. Salaries and wages
a. Senior Personnel
i. 1 Project Director (full time): $40,000 Must be a graduate from a four year university. Must have obtained at least an undergraduate degree in Marketing with 2 years experience in working in the field. Experience in working Non-profit organizations would be beneficial. Responsibilities included overseeing office manager, meeting with clients. They must also be able to develop, implement and maintain practical business practices. Makes formative decisions on behalf of the company as well as give performance evaluations
b. Other Personnel
i. 2 Educator (part time/ interns): $16,000 each at $32,000 Total. Must have graduated from a four year university and obtain an undergraduate degree in Dietetics or public health. Responsibilities include traveling to off site location and present the tool to clients and be able to communicate efficiently with program director and office manager. They must also be able write monthly newsletters.
ii. Researcher/ Statistician (per Diem): $30 per hours for two hours a month at $750 a year. Must have a graduated from a four year university with a degree in statistics. Responsibilities include collection, analysis, interpretation and presentation of quantitative information. Involved in
29
the designing surveys and conducting focus groups to gather consumer feedback.
iii. Outreach coordinator (part time/ volunteer):10% of the time at $7,000. Must have at least two years college experience in outreach. Responsibilities included recruiting volunteers for the program. Involved in media interaction, contact facilities to offer program, community outreach.
B. Total Salaries and wages : $ 85,366
C. Equipment: Office supplies and keep up of equipment: $3,000
D. Materials and supplies: cost of producing tools and pamphlets $5,000
E. Travel: Mileage to offsite facilities for product presentation:$1000
F. All other cost
a. Rent of office space: 100sq ft office $500/month= $6000 year
b. Utilities: $250/month= $3000 year
c. Telephone and internet cost: $50/ month = $600 year
d. Printing and copping( miscellaneous) $100 year
G. Total Direct Cost (items B to F):$ 82,466
Indirect cost (20% of direct cost): $1,649.32
Total $84,115.32
Two Year Total: $171,188.64
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References
Tool:
US Department of Agriculture, Agricultural Research Service, USDA Nutrient Data Laboratory. Composition of foods raw, processed, prepared. USDA Nutrient Database for Standard Reference, Release 16-1.
Booth (see below)
DRIs: http://fnic.nal.usda.gov/nal_display/index.php?info_center=4&tax_level=2&tax_subject=256&topic_id=1332 Accessed on April 15, 2010
Images from Microsoft Clip Art
Mypyramid.gov: http://www.mypyramid.gov/pyramid/index.html accessed on April, 15 2010
Logo graphic:
www.absoluteastronomy.com/topics/iaso
Grant narrative:
1. Davis TC, Wolf MS, Bass 3rd PF, Thompson JA, Tilson HH, Neuberger M, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med. 2006;146:887-94.
2. US Census Bureau. Census 2000 Data for the State of California page. Available: http://www.census.gov/census2000/states/ca.html. Accessed April 24, 2010.
3. Couris RR, Tataronis GR, Dallal GE, Blumberg JB, Dwyer JT. Assessment ofhealthcare professionals' knowledge about warfarin-vitamin K drug-nutrientinteractions. J Am Coll Nutr. 2000 Aug;19(4):439-45.
4. Hager M, Hutchins A. Position of the American Dietetic Association: Integration of medical nutrition therapy and pharmacotherapy. J Am Diet Assoc. 2003;103:1363-1370.
5. Standfill J, Pennington A, Campalans N, Carroll P, Pipkin T, Bryant P. Registered Dietitians and the Interdisciplinary Anticoagulation Team. J Am Diet Assoc. 2009; 109: A-80.
6. Sellors J. A randomized controlled trial of a pharmacist consultation program for family physicians and their elderly patients. Canadian Medical Association Journal. 2003; 169(1)
7. US National Library of Medicine Medline Plus Encyclopedia. Vitamin K page. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/002407.htm Accessed April 19,2010.
8. Presse N, Shatensentein B, Kergoat M, Ferland G. Low Vitamin K Intakes in Community-Dwelling Elders at an Early Stage of Alzheimer’s Disease. J Am Diet Assoc. 2008;108:2095-2099
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9. Harris JE. Interaction of dietary factors with oral anticoagulants: review and applications. J Am Diet Assoc. 1995; 95:580-584.
10. Booth SL. Dietary vitamin K guidance: an effective strategy for stable control of oral anticoagulation? Nutr Rev. 2010: 68(3):178-181.
11. Presse N, Shatenstein B, Kergoat M, Ferland G. Validation of a semi-qualitative food frequency questionnaire measuring dietary vitamin K intake in elderly people. J Am Diet Assoc 2009; 109(7): 1251 – 1255.
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Appendix A
Megan [email protected]: (925) 548-0366
15 Stow Court San Ramon, CA 94583
EDUCATION
I graduated from California High School in 2006 with high honors and a 4.0. I will receive a BS in Food Science and Nutrition, with an emphasis in Dietetics and a minor in chemistry at CSU Fresno in the spring of 2011. CURRICULUM VITAE Introduction to Cooking, Healthy
Cooking Techniques Introduction to Nutrition, Nutrition
Through the Life Cycle, Community Nutrition, Advanced Nutrition
Introduction to Food Science, Food and Dairy Chemistry
Food Systems Management Statistics, Introduction to Accounting
HONORS AND AWARDS
• President’s List SDA Continuing Student Scholarship
EXPERIENCE
USDA, FSIS, OPHS, Western Lab, 620 Central Ave Alameda, CA 94501 06, 2007 – 08, 2007 As Chemistry Lab Technician, I assisted chemists by preparing hundreds of samples daily, making solutions and preparing substrates. Patricia Linden, supervisor (510) 337-5030
Walt Disney World, Lake Buena Vista, FL
08, 2008 – 01, 2009As a College Program Intern, I participated in multi-functional team that served over 1,000 guests per hour on Kali River Rapids in Disney’s Animal Kingdom. College Program Office, (407) 827-7721
Math Crazy, 1521 Tollhouse Rd Suite B Clovis, CA 93611 08, 2007 – PresentTutor approximately 10 high school and junior high school students each week in algebra I and II, geometry, chemistry, and English. John Van Buskirk, supervisor, (559) 325-6789
VOLUNTEER EXPERIENCE
Agricultural Ambassadors 08, 2009 - Present
I represented the CSUF Jordan College of Agricultural Sciences and Technology in recruiting and community outreach events. Dr. Steven Rocca, (559) 278-5088
Bulldog Pantry 02, 2010 - PresentI volunteered at this student run food pantry providing free foods including fresh fruits and vegetables to the local community.
Fresno Metro Ministry 02, 2010 – 05, 2010
I participated in an internship in the Hunger Nutrition Program to provide nutritional information for low income families in Fresno. Karen Clifton, (559) 485 - 1416
PROFFESSIONAL AFFILIATION
American Dietetic Association California Dietetic Association
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Golden Key International Honor Society
References available upon request.
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Evelyn Ariel Morales4885 N Chestnut Apt 154 Fresno CA 93726
Phone: [email protected]
Objective: To seek funding from the Build A Better Community Grant to Start a program aimed at increasing awareness of nutrient drug interactions and providing nutrition educational support.Accomplishments:
Participated in The Fresno State Campaign that raised over two hundred thousand dollars in ten months.
Currently enrolled at Fresno State to earn a degree in Food and Nutritional Science; Diet and food admin.
Employment History:Company: Quizno’s CorpoationMay 2009- PresentPosition: Team Member
Company: RuffaloCody City: FresnoSeptember 2007 to May 2009Position: CallerDescription: Ruffalocody is a fundraising company that has partnered up with Fresno State to start the largest fundraising efforts the University has had in over one hundred years. Students call alumni, parents, and friends through a computer and internet based program. Students call prospects all over the nation to updated information and talk to them about supporting Fresno State.As a Caller it is my job and responsibility to make the prospect feel comfortable to share their personal information with me and comfortable enough to give to the college. I deal with personal information that included home addresses, email addresses, employer and credit card information. I have learned to answer every call with a smile on my face and to leave my emotions and personal situation outside of the workplace.REFRENCE: Manager- Eric [email protected] Veronica Granadosphone-209-261-8356 Company: City Of Los Banos 2005-2007Position: Recreational EmployeeDescription:
Worked on various different project that included recreation programs in Basketball, soccer, T-ball, and summer day camp programs. Handled elderly clients to young children. Dealt with difficult people on a daily bases.
Summer Fun Camp was the main program that I was associated with. This program taught me how to be cheerfully and up beat while still keeping a professional out look. My duties included; Organizing events, planning activities, watching over children from ages 5 to 12 yrs, dealing with petty cash and checks of large amounts. Education:California State University, FresnoField Of Study: College of Ag Science and TechMajor: Food and Nutritional Science: Diet and food admin.
I am currently enrolled as a full time second year student studding for a degree in science. Courses Taken: Nutrition 61- Intro To Dietetics
Nutrition 54- Intro to Nutrition Nutrition 160- Nutrition across the lifecycle Nutrition 166- Community Nutrition Chem 3A- Intro to Chemistry Chem 8- Organic Chemistry Chem 150- Biochemistry FSM 60- Servsafe Fsm 131- Intro To Food Systems Management Fsc1 - Intro To Food Science Culg 50- Food And Culinary Science I Psych 10- Intro To Psychology Math 11- Statistics Bio 65- Human Physiology
Los Banos High SchoolGrad year: 2007Degree: Diploma Senior Class Vice President.Duties included; Organizing and planning events, Conduction of meetings and having school sprit. Skills: Spanish/English fluency.Strong communication skills and ability to learn quickly.Knowledgeable in Microsoft OfficeOperation of general office equipment, including: copying, scanning, faxing, etcDetail oriented, organized and able to multi-task. Ability to work on their own as well as within the team.Energetic and up-beat
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Adrian M. Bourque
111 w. 9th st. #206 Clovis, Ca 93612. Mobile: (559) 430-6268. [email protected]
Profile
Combine patience, determination, and persistence to troubleshoot client issues
Related ExperienceCUSTOMER SERVICE March 2010 – Present Customer Service Representative, State Farm Insurance Answer phones, take payments, set appointments, write checks, take customer Claims and policy changes, make bank deposits, order supplies.
Contact: Kriss Ellis – State Farm AgentPhone: (559) 439-7757
DEPARTMENTAL MANGAGEMENTApril 2004 – March 2010 Photo Lab Supervisor, Longs Drugs-CVS/PharmacyRun and maintain photo lab and equipment, customer service, run cash register, open/close store, balance registers, balance cash safe, manage employees, train employees, order supplies, stock shelves, answer phones.
Maintained a high level of customer service and satisfaction. Received award recognition for high performance in Secret Shopper program. Received recognition for time dedication.
Contact: Mike Ingalls – Store ManagerPhone: (559)430-6268
SkillsSpanish (working knowledge)MS Office (proficient)
EducationPresent: Bachelor of Science Degree in Food Science and Nutrition (in progress)Fresno State University. GPA: 3.11 out of 4.0. Major GPA: 3.26 out of 4.0.
Related Courses:NUTR 54- Elementary NutritionNUTR 61- Introduction to the Profession of DieteticsNUTR 160- Nutrition across the Life CycleNUTR 166- Community Nutrition
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FSC 1- Introduction to Food Science and TechnologyFSM 60- ServSafeFSM 131- Introduction to Food Systems ManagementMATH 11- Elementary StatisticsCOUN 74- Introduction to Counseling
2004: High School DiplomaRedwood High School. GPA: 3.7 out of 4.0
Honors and Activities On Deans List for six semesters. Received scholarship for outstanding Golden State Exam test scores. Cheer team- five years. Marching Band Color Guard- four years. Varsity Swim team- one
year. Volunteer at Bulldog Pantry
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1662 E . ES CA LO N • FRE SN O , CA 93710P HO N E (559 ) 977 -6214 • F AX (559 ) 432 -5243 • E -M A IL
AL IME LE@ M AIL .FRE SN O S TA TE.E DU
A L I S O N M E L EOBJECTIVE
To seek a funding for a grant to state up a program that is geared toward educating the elderly on vitamin K and the interactions that it has with anticoagulation therapy.
EMPLOYMENTJan 06-CurrentGerald Mele & Associates Fresno, CaliforniaAdministrative Assistant Daily tasks included entering timecards and making new jobs in
QuickBooks. Answering the multiline phone, taking messages, and dealing with the clients. Ordering supplies, sending shipments, dropping off and picking up plans, going to building departments, typing up contracts, using Microsoft Word, Excel, Works, and Outlook daily; and any other various tasks that were asked of me.
Mar 06-Dec 06 Direct Marketing SolutionsFresno, California
Receptionist Daily tasks included reading and sorting emails, data entry with
Microsoft Excel, Mapping out daily routes with Microsoft Streets and trips, and billing. Also answered phones and ran errands when needed.
Oct 05-Mar 06 Premiere Wireless Fresno, CaliforniaCell Phone Sales Representative Daily tasks included opening the store, daily Microsoft Excel
use to log every receipt, internet cell phone activation web site, selling cell phones to people and making sure that they left the store happy and with something form the store.
May 02-Oct 05 Sears Clovis, CaliforniaJewelry Sales Representative Daily tasks included opening and closing the department,
handling the safe and putting away the jewelry cases at night, taking care of the cash drawer for the whole entire store, selling jewelry, meeting credit goals, and helping customers in any way that I could.
EDUCATION2008-Present Fresno State University Fresno, California
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Student Degree in Health Science: Dietetics in progress Current GPA is 3.52005-2008 Fresno City College Fresno, CaliforniaStudent Graduated with honors with an Associate of Arts Degree 1999-2002 Clovis West High School Fresno, CaliforniaGeneral Education Graduated from high school a semester early with a 3.5
NUTRITION RELATED COURSESChem 8: Elementary Organic Chemistry (B)FSC 1: Introduction to Food Science (B)FSM 131: Introduction to Food Systems Management (B)Nutr 61: Introduction to Dietetics (A)Bio 65: Human Physiology (C)Nutr 160: Nutrition across the Lifecycle (A)Chem 150: General Biochemistry In progress (A)Coun 174: Introduction to Counseling In Progress (A)Culg 50: Food and Culinary Science I In Progress (A)FSM 60: Serve Safe In Progress (A)Nutr 153: Advanced Nutrition In Progress (B?)Nutr 166: Community Nutrition In Progress (A)Nutr 54: Introduction to Nutrition (A)Math 11: Elementary Statistics (B)
VOLUNTEER WORK2009 - Present The Bulldog Pantry Fresno, CA
CLUBS/HONORS 2010- Present Sigma Alpha Lambda- CSU Fresno Chapter
National Leadership & Honors Organization Member
2010- Present American Dietetic Association (ADA) Student Member2010 – Present the California Dietetic Association (CDA) Student Member
2009- Present the Student Dietetic Association (SDA) Fresno, CA Member
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