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Pan-African Conference 21 - 24 July 2002 Inter-Continental Hotel ...

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Abstracts 10/22/02 11:26 AM Page 20<br />

S20<br />

Audio-Computer Assisted Self-administered <strong>Inter</strong>viewing is an interview<br />

method where the person to be interviewed sits in a quiet place on her/his<br />

own in front of a laptop with a headset. The questions will be displayed on the<br />

computer screen and simultaneously listened to in the appropriate local<br />

language via the headset with simple answering instructions where the<br />

interviewed person only presses designated keys. The feasibility of ACASI<br />

will be evaluated and results from the data collection method will be<br />

compared with traditional face-to-face interviewing.<br />

ABSTRACT NO. 109. NUTRITION CD-ROM TRAINING IN AFRICA: AN<br />

APPRAISAL OF A NUTRITION TRAINING CD-ROM BY THE USE OF A<br />

COMPUTER ASSISTED SELF-ADMINISTERED QUESTIONNAIRE<br />

Waruru Anthony1 , Antonsson-Ogle Britta 2 , Hambraeus Leif3 , Tylleskär<br />

Thorkild1 .<br />

1Centre for <strong>Inter</strong>national Health, Armauer Hansen Building, N-50<strong>21</strong> Bergen, Norway<br />

2Dept of Rural Development Studies, Swedish University of Agricultural Sciences,<br />

Sweden<br />

3Dept of Medical Sciences, Uppsala University, Sweden<br />

Two CD-ROMs (Nutrition in Africa 1 and 2) for nutrition training of<br />

undergraduates were developed by nutrition professionals from Africa during<br />

a training programme in Sweden. We wanted to know how the use of CD-<br />

ROMs in training compared to traditional methods; the impact of the<br />

difference(s) on learning; and its usability.<br />

Using computer assisted self-administered interviewing (CASI), this study<br />

evaluated the usability of the CD-ROM ‘Nutrition in Africa 1’ with respondents<br />

from Uppsala (Sweden), Egerton and Kenyatta (Kenya), and Bergen (Norway)<br />

Universities. <strong>Inter</strong>activity, ease of using the program and the respondents’<br />

multimedia preferences were measures for usability. Ease to revisit topics was<br />

a reason for preference of CD-ROMs to books (30/38) and most (27/38) still<br />

found it necessary to refer to books after using CD-ROMs. The narrator’s voice<br />

(32/38), better graphics (36/38), case scenarios (36/38), quizzes (36/38), and<br />

interactivity indicated preference of CD-ROMs. Ability to revisit topics was<br />

convenient in absence of the teacher. Hyperlinked multimedia elements such<br />

as the narrator’s voice, graphics, and pictures make multimedia programs a<br />

richer learning experience. <strong>Inter</strong>activity, achieved by case scenarios, popquizzes<br />

and other learning activities is an indispensable feature of CD-ROM<br />

mediated learning. However, the instructor’s presence is still needed to<br />

facilitate the discursive learning process.<br />

We conclude that multimedia CD-ROMs bridge the information gap, and are<br />

feasible instructional tools even in Africa. They are complementary and the<br />

instructor facilitates the learning process. Computer assisted self-administered<br />

interviewing is a viable method of data collection.<br />

ABSTRACT NO. 114. Allergy Advisor: an allergy and intolerance<br />

Diagnostic and Management Software Tool<br />

Steinman H, Von Blerk Nl<br />

PO Box 565, Milnerton 7435, South Africa<br />

Allergy Advisor is an informatics bridge between the growing body of<br />

research on allergies and intolerances, and the growing incidence of allergies<br />

and intolerances seen in clinical practice. This bridge is made particularly<br />

necessary because of the generally limited time spent on the subject in<br />

classrooms. The computer programme brings the large body of research into<br />

use through guiding and expanding the patient interview and follow-up.<br />

Allergy advisor uses parts of the patient interview, particularly reports of<br />

adverse reactions to food and other substances, and by a series of steps helps<br />

provide a complete picture of both the patient’s condition and the proper<br />

treatment. The steps lead to information on whether a reaction is common or<br />

even known at all, whether the reaction is likely to be an allergy or intolerance,<br />

what constituent of the food or substance is likely to be the cause of the<br />

reaction, and whether cross-reactions are likely.<br />

Further investigations are facilitated by the programme (e.g. CAP-RAST codes<br />

and information on an elimination diet are provided). Post-diagnosis<br />

management facilities include “free-from” diets, substitutes and recipes, and<br />

lists of hidden allergens. At this point the programme incorporates research on<br />

the most effective management practices.<br />

Allergy advisor can also be seen as a research and teaching aid inasmuch as it<br />

is a structured and interactive guide to the field of allergies and intolerances.<br />

<strong>July</strong> <strong>2002</strong>, Vol. 15, No. 2 SAJCN (Supplement)<br />

ABSTRACTS<br />

ABSTRACT NO. 115. HARMONIZATION OF NUTRITION TRAINING: A<br />

CURRICULUM REVIEW, 2000<br />

Sibiya TE<br />

University of Swaziland, PO Luyengo, Swaziland<br />

The need to reconceptualize the content, context and processes in terms of,<br />

training, research and service delivery through harmonization of Nutrition<br />

training expressed at various fora <strong>Inter</strong>national <strong>Conference</strong> on Nutrition (ICN<br />

1992) and the commonwealth Regional Health Community Secretariat for East<br />

and Central <strong>African</strong> (CRHC-ECSA, 1997). Swaziland, like many developing<br />

countries is nutritionally vulnerable, and therefore one strategy that can<br />

improve quality service in nutrition is to provide a comprehensive curriculum<br />

that will ensure training programmes and performance management<br />

strategies that will promote healthy sustainable nutrition throughout the<br />

country.<br />

The challenges that this process will present are discussed in detail by the<br />

author and the various components of ensuring a successful implementation<br />

of the several phases of the process are highlighted.<br />

The presentation will take advantage of ITANA<strong>2002</strong> to demonstrate how the<br />

various aspects of the Swaziland Nutrition initiative will attempt to integrate<br />

the various concepts into an IT environment to make the concepts more<br />

accessible for a larger number of nutrition practitioners, students, institutions<br />

as well as the global environment. While various resistance to IT change may<br />

be prevalent in other parts of the developing world, this change will provide<br />

Swaziland with various opportunities to put the whole concept of nutrition in<br />

a more modern dynamic environment, needless to mention the interest the<br />

Swaziland experience will generate at ITANA <strong>2002</strong>.<br />

ABSTRACT NO. 116. Using e-Nutrition to collect data on food eating<br />

patterns on the campus of the University of Zimbabwe<br />

Harris EW 1 , Nkungula A 2<br />

1Community Nutrition Research Group, Agricultural Research Service, US<br />

Department of Agriculture, Beltsville, Maryland, United States<br />

2Department of Technical Education, University of Zimbabwe, Harare, Zimbabwe<br />

Experiential learning was used as a technique to teach dietary assessment at<br />

the University of Zimbabwe. Students designed their class projects based on<br />

lectures, which systematically introduced them to basic concepts of survey<br />

research methodology, questionnaire development, interviewing techniques,<br />

data analysis, and presentation. Computer labs were used to introduce<br />

students to Windows and diet analysis software. Students were divided into<br />

four groups to assess the University’s food environment and its ability to<br />

allow people on campus to meet Food Guide Pyramid recommendations. The<br />

campus food environment was defined as (1) sources of food for staff and<br />

faculty, (2) sources of food for students, (3) staff and faculty food intake, and<br />

(4) student food intake. Demographic, food practices, nutrition knowledge<br />

and food frequency data were collected by the students. Diet Analysis+,<br />

Version 4 (1) was used and modified using the Food Composition Table for<br />

Use in Africa (2), the Composition of Foods Commonly Eaten in East Africa<br />

(3), Nutritive Value of Foods of Zimbabwe (4) and Indigenous and Traditional<br />

Foods in Zimbabwe (5). This project allowed the students to see for the first<br />

time nutrient breakdowns of their most common foods. Actual findings from<br />

the data collected by the students and the challenging aspects of using<br />

computer hardware, nutrient analysis software and modifying it to include<br />

limited local <strong>African</strong> food composition data will be presented.<br />

1. Diet Analysis Plus. Version 4.0 for Windows. Wadsworth Publishing<br />

Company and ESHA Research, 1999.<br />

2. FAO/US Department of Health, Education & Welfare. The Composition of<br />

Foods Commonly Eaten in East Africa. Rome: FAO, 1968.<br />

3. West CE, Pepping F, Temalilwa CR, editors. The Composition of Foods<br />

Commonly Eaten in East Africa. Wageningen, the Netherlands:<br />

Wageningen Agricultural University, 1988.<br />

4. Chitsiku IC. Nutritive Value of Foods of Zimbabwe. Harare, Zimbabwe:<br />

University of Zimbabwe Publications, 1991.<br />

5. Gomez MI. Indigenous and Traditional Foods in Zimbabwe. Harare,<br />

Zimbabwe: University of Zimbabwe Publications, 1989.

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