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Internship Portfolio
Keandra S. Diggs
Health Education Associate
Department of Public Health Education
North Carolina Central University
Table of Contents
I. Acknowledgement
II. Introduction
a. Brief descriptionof yourself (e.g. where youare from, interest,etc)
b. What has changedsince the pre-fieldinterview?
III. InternshipPlacementOverview
a. Locationof the agency
b. Healtheducationorhealthservicesprovided
c. Organizational chartof placementagency
d. Describe the department/sectionyourinternship washoused
e. Overviewof yourpreceptor
IV. Contents
a. Brief summaryof the contentsof the portfolio(itemsb – m)
b. DailyLogs
c. WeeklyReports
d. NeedsAssessmentReport
i. MeetingMinutes
e. Special ProjectPlanningGuide
f. Special ProjectPoster(notapplicable foreveryone)
g. PowerPoint(if applicable)
h. Evaluationquestionnaire forspecial project
i. Conference documentation(certificatesof attendanceorcopyprogram bookcover,etc)
j. Mediayou produced(e.g.brochure,flier,handbills,etc)
k. Lettersor agreements(if applicable)
l. Other(materialsyouwanttoinclude)
V. Summaryof Activities
a. Major healtheducationactivitiesaccomplished(youmayputthemina listformat – not
paragraph)
b. Special Projectdescription
VI. Reflection
a. How didthisinternshipexperience impactyour professional growthanddevelopment
and academictraining?
b. ChallengesandBarriers
c. LessonsLearned
d. Acknowledgements
Acknowledgement
First, I will like to acknowledge the North Carolina Central University Department of Public
Health Education. In 2009, I was a freshmen majoring in Biology with a minor in Spanish. There were
barriers that cause me to fail classes and developed a bad grade point average. Another fellow freshman
told me about the Department of Public Health Education. In 2012, I was enrolled in Introduction of
Health Education course. During the course, I learned that you can get varies of careers with a public
health degree. After making an A on the course, I knew that this department was right for me. There have
been barriers along the way but, I am happy that this journey is coming to a close. I would like to send a
special thank you to two professors for being my support system in the department and two professors are
Dr. David Jolly and Dr. LaVerne Reid.
I will also like to thank the class of 2015 Health Education Associate cohort. I know that I came
into this cohort as the freshmen, but throughout this final year,you all welcome me with open arms and I
really do appreciate it. I will like to send a special thank you to Niceeta Minor, Maronda Joint, and
B’Heeraw Withers-Danielfor their support and you will always be my favorites.
I will not be here if it wasn’t for my family and friends being the greatest support system during
my undergraduate career. To my parents and grandparents, thank you for the motivation, kind words and
financial support. To all my siblings, thank you for the laughs, hugs, and support that you always give. To
other family members, thank you for the phone calls, text messages,late night visits, and gifts that you
sent. To the friends I have made during my undergraduate career,thank you so much for the love and
support and I hope that our friendship will continue to blossom.
Finally, I would like dedicate the completion of my undergraduate career to two people. The first
person is my late best friend, David “Ralph” Harman. Ralph and I made a promise to attend any college
together. Unfortunately, he was murdered in 2008 at a house party. At his funeral, I stated that I promise
to attend college and complete operation graduation. The final person is my daughter, Armani Isabella
Gibson. She has been my biggest cheerleader throughout my undergrad career. I hope that she learns from
my experience that no matter what obstacles or barriers you face,always believe in yourself and you will
get through it.
Thank you all for the support.
Keandra ShernealDiggs, Health Education Associate
Introduction
My name is Keandra ShernealDiggs. I am twenty-four years old from Greensboro, North
Carolina. I am the daughter of Guna and Valarie Pruitt Diggs and the mother of Armani Isabella Gibson. I
grew up in Long Beach,California with multiple siblings. At the age of three, my biological parents made
a hard decision to separate my family into different states due to unsafe conditions and lack of money.
After two years of living with different families and traveling to different states,I was sent to North
Carolina at the age of five. Since that day, I had to fight a lot of trials and tribulations in my life.
However,without overcoming those obstacles, I would not be the woman that I am today.
. After I graduate from North Carolina Central University, I want to take the Certified Health Education
Specialist (CHES) Exam. Having a certification like this one can let agencies know that I have knowledge
of the seven roles of responsibilities of being a health educator.
My next goal is to start working with a profit or non-profit agency that involves obesity-related
diseases,such as cardiovascular disease and diabetes. This will give me more experience to get more use
to planning and implementing health promotion programs involving obesity-related diseases. Some
agencies I would love to work with are the American Diabetes Association, Juvenile Diabetes Research
Foundation, International Diabetes Federation, American Heart Association, Local Health Departments,
and any other agencies.
After five to ten years of gain work experience, I would like to go back to school and obtain a
Master’s degree in Public Health or Nutrition. While I am in school, I want to create a health prevention
program in terms of obesity and nutrition for female college students or female high school students.
After I receive my Master’s degree,I want to work for a federalagency like Centers for Disease Control
and Prevention and Department of Health and Human Services.
Location of the Agency
Grocers on Wheels, located at Healing with CAARE, Inc. on 214 Broadway Street
Durham, N.C 27701, is a premier service that delivers fresh produce right in your community. In
2006, Mr. Demetrius Hunter established the 501 (c) 3 South East Raleigh Vicinity Emerging
(S.E.R.V.E) Communities. He currently brings sustainable practices through his SERVE non-
profit organization, focusing on sustainable education and 21st century careers for low wealth
citizens. In 2013, Mr. Hunter officially started S.E.R.V.E’s second umbrella project, Grocers on
Wheels, a mobile fresh produce unit that’s a solution to the prevalent “Food Deserts” throughout
his community. By transporting fresh produce into neighborhoods that lack access to healthy
food choices, Mr. Hunter is continuing his 80 year family tradition started by his father Zelb
Hunter.
Grocers on Wheel takes pride in delivery of fresh and healthy products, delivered by kind
and courteous professionals in a prompt manor. Their priority population is seniors and disabled,
ages 65 and older, in Southeast Raleigh in the areas considered food deserts. The vision of
Grocers on Wheels is to supply convenience and delivery of fresh local fruits, vegetables, dairy
and meats to seniors, disabled, churches, communities, businesses, and agencies with low
income citizens in the Triangle of North Carolina who are experiencing food insecurities. The
mission is to provide access to the freshest produce conveniently within North Carolina's
Triangle communities experiencing food insecurities.
The general function for Grocers on Wheels includes purchasing/delivering fresh fruits,
vegetables, and meats into Southeast Raleigh/Wake County communities and businesses at
affordable prices. The customers hand select their items themselves from our wide selection of
produce and get educational tips on how to prepare healthy, nutritious meals. Customers can
afford fruits and vegetables with cash, debit and credit cards, EBT (Food Stamps) and SNAP
Benefits.
Health Education or Health Services
Provided
The health education programs or health services are provided by Grocers on Wheels
(GOW) includes nutritional education through non-traditional theatrical performances on sites
and collaborations with health organizations, schools, and faith-based organizations.
List of Past Grocers on Wheels Health Related Highlights:
- 2014 GOW spoke before the North Carolina House of Representatives Food Deserts
Zone Committee on policy rules regulations and the importance of the mobile markets in
Food Deserts
- 2014: GOW Presents to North Carolina Central University’s Center for Translational
Health and Research on Food Deserts
- 2014: GOW partners with NCCU’s CTHER Department to demonstrate how
agriculture and farm fresh foods system works with Spaulding Elementary students
- 2014 GOW partners with Anita Woodley Productions to promote healthy eating while
students learn in the Durham Public School System (youth ambassador childhood hunger
no more program begins)
- 2015 GOW brings theater and food at the Durham Arts Council every fourth Tuesday for
Theater Tuesday with Food
Organizational Chart
Department/Section of Internship
In 2006, Mr. Demetrius Hunter established the 501 (c) 3 South East Raleigh Vicinity
Emerging (S.E.R.V.E) Communities. He currently brings sustainable practices through his
SERVE non-profit organization, focusing on sustainable education and 21st century careers for
low wealth citizens. Through S.E.R.V.E he actively recruited both unemployed and
underemployed residents for tech, green careers and small business start-ups. In addition, Mr.
Hunter coordinates with local colleges to recruit clients to receive an education for these careers
that prepare the city of Raleigh residents for the workforce. In 2013, Mr. Hunter officially
started S.E.R.V.E’s second umbrella project, Grocers on Wheels, a mobile fresh produce unit
that’s a solution to the prevalent “Food Deserts” throughout his community. By transporting
fresh produce into neighborhoods that lack access to healthy food choices, Mr. Hunter is
continuing his 80 year family tradition started by his father Zelb Hunter.
The goal of Grocers on Wheels is to empower citizens in low-income and insecure fresh
food areas by providing affordable, quality produce for purchase with various currencies,
including mobile EBT/SNAP food stamps. We respect both the food growers and consumers in
our community by providing fair prices for the purchase of first-run, high-quality groceries.
Their mission is to provide affordable, accessible, fresh foods to low-income areas, seniors, and
disabled.
Overview of Preceptor
As SERVE Communities Executive Director, Mr. Demetrius Hunter brings an array of
knowledge to eliminate health disparities and provide resolutions to under-served urban/rural
communities. He connects with civic, community, and faith base leaders to bring economic,
health, sustainable energy resources and outreach into the communities that need it most. The
year 2006, Mr. Hunter established the 501 (c) 3 South East Raleigh Vicinity Emerging
(S.E.R.V.E) Communities. He currently brings sustainable practices through his SERVE non-
profit organization, focusing on sustainable education and 21st century careers for low wealth
citizens. Through S.E.R.V.E he actively recruited both unemployed and underemployed
residents for tech, green careers and small business start-ups. In addition, Mr. Hunter coordinates
with local colleges to recruit clients to receive an education for these careers that prepare the city
of Raleigh residents for the workforce. Mr. Hunter has 14 years of experience as a community
organizer and worked as an operational manager post Hurricane Katrina in Gulfport, Mississippi.
His expertise in building codes, green building and weather resistant materials were invaluable
during the rebuilding process.
In 2013, Mr. Hunter officially started S.E.R.V.E’s second umbrella project, Grocers on
Wheels, a mobile fresh produce unit that’s a solution to the prevalent “Food Deserts” throughout
his community. By transporting fresh produce into neighborhoods that lack access to healthy
food choices, Mr. Hunter is continuing his 80 year family tradition started by his father Zelb
Hunter. Mr. Hunter combines education in industrial labor, green building design and
organizational management to operate the non-profit since 2006. Mr. Hunter graduated from
Cornell University Certified in Human Resources/ Industrial Labor.
In 2008 he became certified in Green Building Technology at North Carolina State University
School of Engineering. Additionally Mr. Hunter is an Equal Employment Opportunity certified
Specialist from North Carolina State University.
Summary of Contents
The next part of the portfolio is the contents I created during the internship experience.
The daily and weekly logs focuses on the activities I performed during the internship experience.
One of the requirements of the internship is conducting a community needs assessment, which
includes literature reviews, meeting minutes, and interviews. The special project planning guide
shows the procedures of the special project. There is a PowerPoint presentation handout that
focuses on my special project. One of the major requirements in the internship is evaluation. I
created a post-test evaluation tool for the special project. More content in this portfolio includes
conference documents, deliverables, and other materials created during the internship
experience.
NCCU/Department of Public Health Education
Internship Program
Daily Log
Week 1:
Name: Keandra S. Diggs Date: 03/03/15
Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly
Placement: Grocers on Wheels
Monday
Time Activities
5:30pm – 7:30pm Meet with Field Supervisor for Orientation
Tuesday
Time Activities
9:00 am – 12:00 pm Research potential clients for Grocers on Wheels Mobile Market
12:00pm – 1:00pm Lunch
1:00pm – 5:00pm Research national statistics about food deserts/food access
Wednesday
Time Activities
9:00 am – 10:00 am Send emails to potential clients for Grocers on Wheels Mobile Market
10:00am – 11:20pm Research potential clients for Grocers on Wheels Mobile Market
11:20am – 1:00pm Research state statistics about food deserts/food access
Thursday
Time Activities
8:40 am – 12:00 pm Research potential clients for Grocers on Wheels Mobile Market
12:00pm – 1:00pm Lunch
1:00pm – 5:00pm Research state/ localstatistics and literature review about food deserts/food
access
Friday
Time Activities
9:00 am – 11:00 am Research potential clients for Grocers on Wheels Mobile Market
12:00pm – 1:00pm Lunch
1:00pm – 4:30pm Research state/ localstatistics and literature review about food deserts/food
access
4:30 pm – 6:00pm Meeting with Field Supervisor and Preceptor of Record about first week of
internship and preceptor’s notebook
NCCU/Department of Public Health Education
Internship Program Weekly Summary
Week 1
Name: Keandra S. Diggs Total Hours for the Week:31.20
Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly
Agency/Workplace location: Grocers on Wheels/Healing With CAARE
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Hours Worked 2 8 4 8.20 9
Learning Objectives Activities
By the end of the internship, the health education associate
will be able to explain the main purpose and functions of
the agency.
The Health Education Associate gained a further
understanding of the main purpose of Grocers on
Wheels by attending a meeting/orientation. Also, the
Health Education Associate research the agency’s
website for the mission, vision, and history of Grocers
on Wheels.
By the end of the internship, the health education associate
will demonstrate professional skills in oral or written
presentation during her internship experience.
No Activities This Week
By the end of the internship, the health education associate
will have conducted a community assessment for the target
population.
The Health Education Associate gathered literature
about food deserts and access to healthy foods for the
community assessment.
By the end of the internship, the health education associate
will engage in weekly supervisory meetings with your
supervisor to keep him or her informed of problems and
progress and to receive feedback.
The Health Education Associate met with the Field
Supervisor and Preceptor of Record to discuss the
progress of the first week and the responsibilities and
expectations of the internship.
By the end of the internship, the health education associate
will have planned, implemented, and evaluated a special
project for Durham’s Grocers on Wheels Eat Smart Move
More Healthy Track Initiative.
No Activities This Week
Areas of Responsibilities Activities
I. Assess Needs,Assets,& Capacity for Health Education
The Health Education Associate gathered national, state,
and local statistics about food deserts and access to
healthy foods for the community assessment.
II. Plan Health Education
No Activities This Week
III. Implement Health Education
No Activities This Week
IV. Conduct Evaluation & Research Related to Health
Education
The Health Education Associate gathered literature
about food deserts and access to healthy foods for the
community assessment.
V. Administer & Manage Health Education The Health Education Associate recruited potential
clients (Churches, Senior Centers,etc.) for the Grocers
on Wheels Mobile Market.
VI. Serve as a Health Education Resource Person
No Activities This Week
VII. Communicate and Advocate for Health and Health
Education No Activities This Week
Additional Activities:
No additional activities this week
Conference,Training, Workshop, Webinar or Wedcast Attended:
No activities this week
Collaboration:
No activities this week
Reflection:
Well, the first week of internship is complete. In the beginning, I was really nervous about working with Grocers on
Wheels due to the fact that I was their first college intern. In the past,the interns who worked with Grocers on Wheels
in the past were high school students. On the first day, my field supervisor and I talked about the activities that I will
be doing. Grocers on Wheels have a very good following in Southeast Raleigh and they want to increase their business
in Durham. One of the most important activities that I was assigned was to research potential clients who would be
interested in having the Grocers on Wheels Mobile Market come to their residence. Some other activities included
gathering statistics and literature for the community assessment. Overall, I enjoyed my first week and I am excited to
see what is next on this journey.
NCCU/Department of Public Health Education
Internship Program
Daily Log
Week 2:
Name: Keandra S. Diggs Date: 03/09/15
Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly
Placement: Grocers on Wheels (GOW)
Monday
Time Activities
9:00am – 12:00pm Research literature about food deserts/food access
12:00pm – 1:00pm Lunch
1:00pm – 1:30pm Made phone calls to clients to grant permission to pass out surveys about food
preferences for the GOW Mobile Market
2:00pm – 5:00pm Research potential clients for GOW Mobile Market
Tuesday
Time Activities
9:00am – 12:00pm Research literature about food desert/food access for needs assessment
12:00pm – 1:00pm Lunch
1:00pm – 3:00pm Revised food surveys to distribute three facilities in Durham and Bahama,
North Carolina
3:00pm – 5:00pm Read three journal articles about food desert/food access for needs assessment
Wednesday
Time Activities
9:00am -10:25am Meet with Field Supervisor to go over food surveys to distribute to three
facilities in Durham and Bahama,North Carolina
10:35am -10:45am Drop off food surveys to Durham Center for Senior Life
10:50am –12:00pm Arrive to W.D. Hill Recreation Center to distribute food surveys to senior
clients
12:01pm - 1:30pm Drop off food surveys to Little River Community Complex
1:30pm – 2:30pm Lunch
2:30 pm – 5:00pm Return to Healing With CAARE and tally results from completed food
surveys from W.D. Hill Recreation Center
Thursday
Time Activities
9:00am -12:00pm Research beauty shops in food desert locations on Google.com for GOW
Durham Eat Smart Move More Healthy Track
12:00pm – 1:00pm Lunch
1:00pm – 3:00pm Research beauty shops in food desert locations on Google.com for GOW
Durham Eat Smart Move More Healthy Track
3:00pm – 5:00pm Read two journal articles about food desert/food access for needs assessment
Friday
Time Activities
9:00pm – 12:00pm Research beauty shops in food desert locations on Google.com for GOW
Durham Eat Smart Move More Healthy Track
12:00pm – 1:00pm Lunch
1:00pm – 5:00pm Research beauty shops in food desert locations on Google.com for GOW
Durham Eat Smart Move More Healthy Track
NCCU/Department of Public Health Education
Internship Program Weekly Summary
Week 2
Name: Keandra S. Diggs Total Hours for the Week:40.10
Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly
Agency/Workplace location: Grocers on Wheels/Healing With CAARE
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Hours Worked 8 8 8 8 8.10
Learning Objectives Activities
By the end of the internship, the health education associate
will be able to explain the main purpose and functions of
the agency.
The Health Education Associate gained a further
understanding of the main purpose of Grocers on
Wheels. The purpose of Grocers on Wheels is to
enlighten clients in the importance of access to fresh
produce and educate clients about Urban Agriculture
Education and promote access healthier food choices for
Durham communities.
By the end of the internship, the health education associate
will demonstrate professional skills in oral or written
presentation during her internship experience.
The Health Education Associate demonstrated
professional skill in giving a small presentation to the
seniors in the W.D. Hill Recreation Center about the
Grocers on Wheels Mobile Market and the food
preference surveys.
By the end of the internship, the health education associate
will have conducted a community assessment for the target
population.
The Health Education Associate gathered literature
about food deserts and access to healthy foods for the
community assessment.
By the end of the internship, the health education associate
will engage in weekly supervisory meetings with your
supervisor to keep him or her informed of problems and
progress and to receive feedback.
The Health Education Associate met with the Field
Supervisor to discuss the food preference surveys and
the locations that the surveys will be distribute.
By the end of the internship, the health education associate
will have planned, implemented, and evaluated a special
project for Durham’s Grocers on Wheels Eat Smart Move
More Healthy Track Initiative.
The Health Education Associate recruited beauty shops
for the Durham’s Grocers on Wheels Eat Smart Move
More Healthy Track Initiative.
Areas of Responsibilities Activities
I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate distributed food
preference surveys to three facilities (Durham Center for
Senior Life, W.D. Hill Recreation Center,and Little
River Community Complex).
II. Plan Health Education
No Activities This Week
III. Implement Health Education The Health Education Associate demonstrated
professional skill in giving a small presentation to the
seniors in the W.D. Hill Recreation Center about the
Grocers on Wheels Mobile Market and the food
preference surveys.
IV. Conduct Evaluation & Research Related to Health
Education
The Health Education Associate gathered literature
about food deserts and access to healthy foods for the
community assessment.
V. Administer & Manage Health Education None This Week
VI. Serve as a Health Education Resource Person The Health Education Associate demonstrated
professional skill in giving a small presentation to the
seniors in the W.D. Hill Recreation Center about the
Grocers on Wheels Mobile Market and the food
preference surveys.
VII. Communicate and Advocate for Health and Health
Education None This Week
Additional Activities:
None This Week
Conference,Training, Workshop, Webinar or Webcast Attended:
None This Week
Collaboration:
None This Week
Reflection:
Week two of this internship experience was great. I got to travel to different locations in Durham and Bahama,North
Carolina to distribute surveys on what type of foods do the potential clients prefer. One of the highlights of this week
was spending time with the clients and helping them with the survey. One of the three locations that I went to was a
community complex in Bahama,North Carolina. The community complex was once an elementary school that was
going to be torn down. The community of Bahama took action by developing a petition to keep the building. After
years of advocacy and multiple signatures, the community of Bahama earned rights to the building and created a
community center for seniors. Overall, another great week of my internship experience.
NCCU/Department of Public Health Education
Internship Program
Daily Log
Week 3:
Name: Keandra S. Diggs Date: 03/16/15
Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly
Placement: Grocers on Wheels
Monday
Time Activities
9:00am – 12:00pm Internet research and made calls to beauty shops for Grocers on Wheels GOW
Durham Eat Smart Move More Healthy Track
12:00pm-1:00pm Lunch
2:00pm – 4:00pm Internet research and made calls to beauty shops for Grocers on Wheels GOW
Durham Eat Smart Move More Healthy Track
4:00pm – 5:00pm Update and review week two daily and weekly logs
Tuesday
Time Activities
9:00pm – 12:00pm Internet research and made calls to beauty shops for Grocers on Wheels GOW
Durham Eat Smart Move More Healthy Track
12:00pm-4:20pm Attended the debut of the Mobile Market at the lawn of Durham Arts Council,
learn the functions of the Mobile Market food weight/cashier, and Lunch
4:21pm- 6:00pm Meeting with Field Supervisor, Operations Manager, and Preceptor of Record
to talk about feedback on the second week and ideas on special project.
Wednesday
Time Activities
9:00am – 12:00pm Internet research and made calls to beauty shops for Grocers on Wheels GOW
Durham Eat Smart Move More Healthy Track
12:00pm - 1:00pm Lunch, Research current events on food deserts and childhood obesity
Internet research and made calls to beauty shops for Grocers on Wheels GOW
Durham Eat Smart Move More Healthy Track
Thursday
Time Activities
9:00am – 10:00am Internet research of beauty shops in Durham and made calls to beauty shops
for Grocers on Wheels GOW Durham Eat Smart Move More Healthy Track
10:00am – 12:00pm Conference call to Field Supervisor about progress of beauty shops, making
changes to the Grocers on Wheels GOW Durham Eat Smart Move More
Healthy Track, and information about Voices Into Action Mini-Grant Meeting
12:00pm – 1:00pm Lunch, Research current events on food deserts and childhood obesity
1:01pm – 3:59pm Research information about Voices Into Action and read handouts that were
sent from Field Supervisor
4:00pm – 5:05pm Drive from Durham, NC to Raleigh, NC (North Carolina State University) for
the Voices Into Action Mini-Grant Meeting
5:06pm – 7:00pm Attend the Voices Into Action Mini-Grant Meeting: Action Plan and Logistics
Friday
Time Activities
9:00am – 12:00pm Research statistics about childhood obesity and food deserts
12:00pm – 1:00pm Lunch, Research current events on food deserts and childhood obesity
1:00pm – 3:00pm Research statistics about childhood obesity and food deserts
3:01pm – 5:00pm Plan ideas for special project involving food deserts and childhood obesity
NCCU/Department of Public Health Education
Internship Program Weekly Summary
Week 3
Name: Keandra S. Diggs Total Hours for the Week:44.10
Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly
Agency/Workplace location: Grocers on Wheels/Healing With CAARE
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Hours Worked 8 9 8 11 8.10
Learning Objectives Activities
By the end of the internship, the health education associate
will be able to explain the main purpose and functions of
the agency.
The Health Education Associate gained a further
understanding of the main purpose of Grocers on
Wheels. The Health Education Associate had the
opportunity to learn the functions of the Mobile Market,
including weighing produces and cashier
responsibilities.
By the end of the internship, the health education associate
will demonstrate professional skills in oral or written
presentation during her internship experience.
The Health Education Associate demonstrated
professional skills in oral and written presentation by
giving a small presentation at the Voices into Action
Mini-Grant action and logistics meeting at North
Carolina State University. During the meeting, the
Health Education Associate discussed grant budget and
plans to continue the Mobile Market project in
Southeast Raleigh and Durham.
By the end of the internship, the health education associate
will have conducted a community assessment for the target
population.
The Health Education Associate attended the Voices
into Action Mini-Grant action and logistics meeting at
North Carolina State University. During the meeting, I
had the opportunity to talk to a few organizations,
which are located in Durham and Raleigh, about access
to fresh foods with children and women.
By the end of the internship, the health education associate
will engage in weekly supervisory meetings with your
supervisor to keep him or her informed of problems and
progress and to receive feedback.
Meeting with Field Supervisor, Operations Manager,
and Preceptor of Record to talk about feedback on the
second week and ideas on special project.
By the end of the internship, the health education associate
will have planned, implemented, and evaluated a special
project for Durham’s Grocers on Wheels Eat Smart Move
More Healthy Track Initiative.
The Health Education Associate planned ideas and
suggestions to the special project involving childhood
obesity and access to fresh foods and the Mobile Market
event at Healing With CAARE.
Areas of Responsibilities Activities
I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate attended the Voices into
Action Mini-Grant action and logistics meeting at North
Carolina State University. The purpose of the meeting is
to discuss action plans with various projects with the
grant provided.
II. Plan Health Education The Health Education Associate planned ideas and
suggestions to the special project involving childhood
obesity and access to fresh foods and the Mobile Market
event at Healing With CAARE.
III. Implement Health Education
No Activities This Week
IV. Conduct Evaluation & Research Related to Health
Education
After the unsuccessful attempts with the beauty shop
project, the Health Education Associate changed ideas
with the special project and gathered literature about
access to fresh foods and children.
V. Administer & Manage Health Education No Activities This Week
VI. Serve as a Health Education Resource Person No Activities This Week
VII. Communicate and Advocate for Health and Health
Education
The Health Education Associate demonstrated
professional skills in oral and written presentation by
giving a small presentation at the Voices into Action
Mini-Grant action and logistics meeting at North
Carolina State University. During the meeting, the
Health Education Associate discussed grant budget and
plans to continue the Mobile Market project in Southeast
Raleigh.
Additional Activities:
The Health Education Associate attended the debut of the Grocers on Wheels Mobile Market at the Durham Arts
Council on Tuesday, March 17th
. During the event, the Health Education Associate had the opportunity to learn the
functions of the Mobile Market, including weighing produces and cashier responsibilities. The Health Education
Associate also had the opportunity to meet people in the community.
NCCU/Department of Public Health Education
Internship Program
Daily Log
Week 4:
Name: Keandra S. Diggs Date: 03/29/15
Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly
Placement: Grocers on Wheels
Sunday
Time Activities
12:00pm – 1:59pm Arrive to Duke University for the 2015 Durham CROP Hunger Walk with
collaboration with North Carolina Central University Center of Translational
Health Equality Research (CTHER),set up materials for Kids Zone for
Healthy Decisions
2:00pm – 4:30pm Implement Kids Zone for Healthy Decisions at the 2015 Durham CROP
Hunger Walk at Duke University; educated children about healthy eating and
played a game using MyPlate.
4:31pm – 5:15pm Pack up materials for Kids Zone for Healthy Decisions at the 2015 Durham
CROP Hunger Walk at Duke University
Monday
Time Activities
9:00am – 12:00pm Research statistics about childhood obesity and food deserts
12:00pm – 1:00pm Lunch
1:00pm – 3:00pm Research statistics about childhood obesity and food deserts
3:00pm – 5:00pm Prepare and look over interview questions, conducted a phone
interview with Dr. Beverly Brennan, Diabetes Pediatric Specialist
Tuesday
Time Activities
*9:00am-11:00am Meeting to attend at North Carolina CentralUniversity
11:00pm – 1:30pm Finish literature review and statistics on childhood obesity and food deserts
for needs assessment,made phone calls to potential clients to distribute food
surveys for GOW Mobile Market.
1:35pm – 5:20pm Went out to the community to research the office of Dr. Sarah Armstrong,
Lunch.
Wednesday
Time Activities
9:00am-10:30am Unpack produce from truck to Healing with CAARE
10:31am – 2:05pm Went into the community to recruit 5 recreation and children centers for
interest in theatrical educational sessions.
2:06pm – 6:00pm Attend diabetes event at Healing With CAARE to educate the benefits of
eating fruits and vegetables, meeting with field supervisor and preceptor of
record.
6:01pm – 6:30pm Pack the produce into the Mobile Truck
Thursday
Time Activities
9:00am – 10:00pm Email Ms. Joyce Page for an interview for needs assessment and Mr. Jamaal
Bowden for more information about the nutrition event at John Avery Boys
and Girls Club
10:01am – 12:00pm Research theories and developed goals and objectives for special project
12:00pm – 1:00pm Lunch, Read “Theory at a Glance” to think about a theory for special project.
1:01pm – 3:00pm Research theories and developed goals and objectives for special project
3:01pm – 5:20pm Started on brochure for children about MyPlate and healthy eating.
Friday
Time Activities
9:00pm – 12:00pm Research theories and developed goals and objectives for special project
12:00pm – 1:00pm Lunch
1:01pm – 3:30pm Continue working on brochure for children about MyPlate and healthy eating.
3:31pm – 5:00pm Brainstorm ideas for presentation for John Avery Boys and Girls Club
NCCU/Department of Public Health Education
Internship Program Weekly Summary
Week 4
Name: Keandra S. Diggs Total Hours for the Week:45.55
Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly
Agency/Workplace location: Grocers on Wheels/Healing With CAARE
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Hours Worked 5.15 8.20 6:30 9:30 8.20 8
Learning Objectives Activities
By the end of the internship, the health education associate
will be able to explain the main purpose and functions of
the agency.
The Health Education Associate gained a further
understanding of the main purpose and functions of
Grocers on Wheels. The Health Education Associate
had the opportunity to work the Mobile Market at the
Diabetes Health Event at Healing with CAARE.
By the end of the internship, the health education associate
will demonstrate professional skills in oral or written
presentation during her internship experience.
The Health Education Associate demonstrated
professional skills in oral presentation by educating
people with Type 2 diabetes about healthy eating and
nutrition.
By the end of the internship, the health education associate
will have conducted a community assessment for the target
population.
The Health Education Associate conducted a phone
interview with a diabetic pediatric specialist and
completed literature review on childhood obesity and
food deserts.
By the end of the internship, the health education associate
will engage in weekly supervisory meetings with your
supervisor to keep him or her informed of problems and
progress and to receive feedback.
The Health Education Associate met with Field
Supervisor and Preceptor of Record during the Diabetes
Health Event at Healing with CAARE to discuss
updates on special project.
By the end of the internship, the health education associate
will have planned, implemented, and evaluated a special
project for Durham’s Grocers on Wheels Eat Smart Move
More Healthy Track Initiative.
The Health Education Associate developed goals and
objective and created a brochure for children about
MyPlate and nutrition for the special project.
Areas of Responsibilities Activities
I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate conducted a phone
interview with a diabetic pediatric specialist and
completed literature review on childhood obesity and
food deserts.
II. Plan Health Education The Health Education Associate developed goals and
objectives for the special project.
III. Implement Health Education
None This Week
IV. Conduct Evaluation & Research Related to Health The Health Education Associate completed literature
Education review on childhood obesity and food deserts.
V. Administer & Manage Health Education
The Health Education Associate went into the
community to recruit five recreation and children centers
for interest in theatrical educational sessions.
VI. Serve as a Health Education Resource Person The Health Education Associate educated people with
Type 2 diabetes about healthy eating and nutrition at the
Diabetes Health Event at Healing With CAARE.
VII. Communicate and Advocate for Health and Health
Education
The Health Education Associate created a brochure for
children about MyPlate and nutrition for the special
project.
Additional Activities:
The Health Education Associate attended the 2015 Durham CROP Hunger Walk on Sunday, March 22nd
at Duke
University on behalf of Grocers on Wheels and Centers for Translational Health Equality Research- Education Core.
CROP Hunger Walk is an annual event which combines fun and fundraising to raise money for hungry people
throughout the world. The Health Education Associate assisted with the Kids Zone for Healthy Decisions. The Kids
Zone has four stations: Germbusters, Stress Busters,Nutrition, and Water Filtration. In the nutrition station, the Health
Education Associate educated children about healthy eating by creating a game using MyPlate. The children really
enjoyed the game and they learn something about healthy eating.
Conference,Training, Workshop, Webinar or Webcast Attended:
None this Week
Collaboration:
The Health Education Associate collaborated with Centers for Translational Health Equality Research- Education Core
at the Durham CROP Hunger Walk on Sunday, March 22nd at Duke University with the Kids Zone for Healthy
Decisions. During the week,I had the opportunity to go into the community to recruit potential locations for interest
theatrical educational sessions
Reflection:
I can’t believe it’s already four weeks since I started this internship journey. On Sunday the 22nd
, I had the opportunity
to attend the Durham CROP Hunger Walk to educate children about healthy eating and MyPlate. The children had fun
with the activity and they learn something about healthy eating. As the week begins, I went out to the community to
recruit potential places for interest in theatrical educational sessions. There were a few places that were interested in
Grocers on Wheels coming to perform and bring the Mobile Market. On Wednesday the 25th
, I attend the Diabetes
Health Fair at Healing With CAARE, where I had a chance to educate people about why fruits and vegetables are
important. I had an opportunity to interview Dr. Beverly Brennan, who is a diabetes pediatric specialist. I really
enjoyed talking to her and she gave me so much information about childhood obesity and diabetes. At the week draws
to a close, I created a brochure about MyPlate for children and parents. I believe that this brochure can impact families
to eat better and make healthy choices. Overall, this was a good week.
NCCU/Department of Public Health Education
Internship Program
Daily Log
Week 5:
Name: Keandra S. Diggs Date: 03/23/15
Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly
Placement: Grocers on Wheels
Monday 03/30
Time Activities
9:20am – 11:40am Select theory and develop goals and objectives for special project; start
working on Health Belief Model constructs
11:41am – 12:29pm Continue working on brochure about MyPlate and healthy eating
12:30pm – 1:30pm Lunch
1:31pm – 4:00pm Finish working on brochure about MyPlate and healthy eating; start working
on coloring sheet.
4:01pm – 6:00pm Finish coloring sheet for program; start working on PowerPoint
Tuesday 03/31
Time Activities
9:00am-9:40pm Check email for updates on Boys and Girls Club event; call Britney Cheri,
Secretary and Graphic Designer for G3 Community Enrichment Program to
meet up
9:44pm – 11:00am Meet with Britney Cheri, Secretary and Graphic Designer for G3 Community
Enrichment Program, to talk about changes in event and future dates
11:01pm – 2:00pm Go out to the community to reach potential clients for educational sessions,
Lunch
2:01pm – 4:00pm Call schools to do the special project program
4:01pm – 6:00pm Prepare surveys for JFK Towers
Wednesday 04/01
Time Activities
9:00am – 10:29am Call Wendy Weaver,Resident Service Coordinator of JFK Towers, in
advance of arrival of the food surveys. Prepare and review food surveys for
JFK Towers.
10:30am – 2:00pm Drop off food surveys for the Grocers on Wheels Mobile Food Market to JFK
Towers,Meeting with Wendy Weaver,Resident Service Coordinator of JFK
Towers about presentation on diabetes and nutrition; Lunch
2:01pm – 3:30pm Give updates to Field Supervisor and Preceptor of Record about the changes
through email and phone
3:31pm – 6:00pm Brainstorm ideas for program for JFK Towers
Thursday 04/02
Time Activities
9:00am – 10:00am Prepare questions for interview
10:31pm – 12:00pm Interview with Justin Thomas, Manager, Programs and Community Outreach
for American Diabetes Association
12:01pm – 1:01pm Lunch
1:02pm – 3:30pm Start revised brochure for program
3:31pm – 4:30pm Brainstorm more ideas for program
4:31pm – 6:00pm Start planning ideas for program
Friday 04/03 (Easter Holiday)
Time Activities
3:00pm - 4:30pm Meet with Preceptor of Record about updates and feedback
NCCU/Department of Public Health Education
Internship Program Weekly Summary
Week 5
Name: Keandra S. Diggs Total Hours for the Week:36.50
Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly
Agency/Workplace location: Grocers on Wheels/Healing with CAARE
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Hours Worked 8.20 9 9 9 1.30
Learning Objectives Activities
By the end of the internship, the health education associate
will be able to explain the main purpose and functions of
the agency.
The Health Education Associate gained a further
understanding of the main purpose of Grocers on
Wheels. The purpose of Grocers on Wheels is to
enlighten clients in the importance of access to fresh
produce and educate clients about Urban Agriculture
Education and promote access healthier food choices for
Durham communities.
By the end of the internship, the health education associate
will demonstrate professional skills in oral or written
presentation during her internship experience.
No Activities This Week
By the end of the internship, the health education associate
will have conducted a community assessment for the target
population.
The Health Education Associate interviewed manager
of programs and community outreach for American
Diabetes Association.
By the end of the internship, the health education associate
will engage in weekly supervisory meetings with your
supervisor to keep him or her informed of problems and
progress and to receive feedback.
The Health Education Associate met with Preceptor of
Record for updates on special project and feedback.
By the end of the internship, the health education associate
will have planned, implemented, and evaluated a special
project for Durham’s Grocers on Wheels Eat Smart Move
More Healthy Track Initiative.
The Health Education Associate began planning for the
Special Project, including timeline and proposal.
Areas of Responsibilities Activities
I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate interviewed manager of
programs and community outreach for American
Diabetes Association.
II. Plan Health Education The Health Education Associate began planning for the
Special Project, including timeline and proposal.
III. Implement Health Education
No Activities This Week
IV. Conduct Evaluation & Research Related to Health
Education No Activities This Week
V. Administer & Manage Health Education No Activities This Week
VI. Serve as a Health Education Resource Person The Health Education Associate met with Residents
Service Coordinator from JFK Towers and Secretary and
Graphic Designer for G3 Community Enrichment
Program to discuss Grocers on Wheels.
VII. Communicate and Advocate for Health and Health
Education No Activities This Week
Additional Activities:
No Activities This Week
Conference,Training, Workshop, Webinar or Wedcast Attended:
No Activities This Week
Collaboration:
No Activities This Week
Reflection:
Well, week five of internship is completed. I had some barriers in terms of conducting my special project. I received
and email stating that the Boys and Girls club event was postpone in May. Therefore,I had to research different
afterschool programs to see where I can present my presentation. When I wasn’t successful, I thought that I was going
to give up. One day, I was assigned to drop off surveys to a senior apartment complex called JFK Memorial Towers. I
had a great conversation with the Residents Service Coordinator (RSC) about public health education, the internship
experience, and special project. The RSC stated that it’s rare for a health educator to come and conduct a presentation
about health topics and asked if I could come and present my presentation. I gladly accept the offer and gave her more
information about date and time. This week, I learned that it best to have back up plan because you will never know
what will happen.
NCCU/Department of Public Health Education
Internship Program
Daily Log
Week 6:
Name: Keandra S. Diggs Date: 04/06/15
Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly
Placement: Grocers on Wheels
Monday 04/06
Time Activities
9:00am – 12:00pm Finish documents and send them to Preceptor of Record
12:01pm – 1:01pm Lunch
1:02pm – 3:00pm Research more areas for potential clients for Mobile Fresh Market
3:01pm – 5:00pm Start working on portfolio
5:01pm – 7:00pm Start preparing questions for interviews
Tuesday 04/07
Time Activities
9:00am – 10:30pm Continue preparing questions for interviews
10:31pm – 1:01pm Research more areas for potential clients for educational sessions
1:02pm – 2:02pm Lunch
3:01pm – 5:00pm Revise documents for special project
5:01pm – 7:00pm Work on final portfolio
Wednesday 04/08
Time Activities
9:00am – 10:30am Continue working on document revisions for special project
10:31am – 12:00pm Go over questions for interviews at JFK Towers
12:01pm – 3:00pm Interviewed Mrs. Fannie Howard and Mrs. Laura Marlon, residents of JFK
Towers; meeting with Wendy Weaver,Residents Service Coordinator of JFK
Towers about program; return to Healing With CAARE
3:01pm – 3:10pm Email internship professor about midterm evaluation
3:11pm – 5:00pm Continue working on document revisions for special project
5:01pm – 7:00pm Work on final portfolio
Thursday 04/09
Time Activities
9:00am – 10:30pm Continue working on document revisions for special project
10:31pm – 1:01pm Research more areas for potential clients for educational sessions
1:02pm – 2:02pm Lunch
3:01pm – 5:00pm Revise documents for special project
5:01pm – 7:00pm Work on final portfolio
Friday 04/10
Time Activities
9:00am – 10:30am Finished documents for special project; sent documents to Preceptor of
Record
10:31am – 12:00pm Start develop brochure for type 2 diabetes nutrition program at JFK Towers
12:01pm – 1:01pm Lunch
1:02pm – 3:00pm Continue working on brochure for program
3:01pm – 5:00pm Start on PowerPoint for type 2 diabetes nutrition program at JFK Towers
5:01pm – 7:00pm Continue to work on final portfolio
NCCU/Department of Public Health Education
Internship Program Weekly Summary
Week 6
Name: Keandra S. Diggs Total Hours for the Week:45.00
Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly
Agency/Workplace location: Grocers on Wheels/Healing With CAARE
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Hours Worked 9 9 9 9 9
Learning Objectives Activities
By the end of the internship, the health education associate
will be able to explain the main purpose and functions of
the agency.
The Health Education Associate gained a further
understanding of the main purpose of Grocers on
Wheels. The purpose of Grocers on Wheels is to
enlighten clients in the importance of access to fresh
produce and educate clients about Urban Agriculture
Education and promote access healthier food choices for
Durham communities.
By the end of the internship, the health education associate
will demonstrate professional skills in oral or written
presentation during her internship experience.
No Activities This Week
By the end of the internship, the health education associate
will have conducted a community assessment for the target
population.
The Health Education Associate interviewed two
residents of JFK Memorial Towers and research areas
for potential clients for educational sessions.
By the end of the internship, the health education associate
will engage in weekly supervisory meetings with your
supervisor to keep him or her informed of problems and
progress and to receive feedback.
No Activities This Week
By the end of the internship, the health education associate
will have planned, implemented, and evaluated a special
project for Durham’s Grocers on Wheels Eat Smart Move
More Healthy Track Initiative.
The Health Education Associate planned activities for
special project “Seniors in Control of Healthy Living”.
Areas of Responsibilities Activities
I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate interviewed two
residents of JFK Memorial Towers.
II. Plan Health Education The Health Education Associate planned activities for
special project “Seniors in Control of Healthy Living”.
III. Implement Health Education
No Activities This Week
IV. Conduct Evaluation & Research Related to Health
Education
The Health Education Associate researched areas for
potential clients for educational sessions.
V. Administer & Manage Health Education No Activities This Week
VI. Serve as a Health Education Resource Person
No Activities This Week
VII. Communicate and Advocate for Health and Health
Education
The Health Education Associate created a plan and
brochure for special project.
Additional Activities:
None This Week
Conference,Training, Workshop, Webinar or Wedcast Attended:
None This Week
Collaboration:
None This Week
Reflection:
Week six of internship has been a crazy week. As the day of the special project presentation approaches,I have been
emotional drained with preparing brochures and other activities. I had the opportunity to interview two residents of
JFK Memorial Towers. This was one of the major highlights of my internship experience because the two residents
were very caring and informative. After the interviews, I had the opportunity to speak with the residents service
coordinator of JFK Memorial Towers about the special project, public health education, and other health topics.
Overall, this week kept me busy and I am excited about presenting my special project presentation.
NCCU/Department of Public Health Education
Internship Program
Daily Log
Week 7:
Name: Keandra S. Diggs Date: 04/14/15
Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly
Placement: Grocers on Wheels
Monday 04/13
Time Activities
9:00am – 10:30am Completed brochure; review and sent brochure to preceptor of record for
feedback
10:31pm – 12:00pm Start on PowerPoint for type 2 diabetes nutrition program at JFK Towers.
12:01pm – 1:01pm Lunch
1:02pm – 1:30pm Start creating smoothie recipe cards for program.
1:31pm – 3:40pm Meeting with Preceptor of Record about the updates on type 2 diabetes
nutrition program and deliverables.
3:45pm – 5:50pm Continue to work on PowerPoint for type 2 diabetes nutrition program for
JFK Towers residence.
5:51pm – 6:30pm Meeting with Field Supervisor about postponing the program to a later date
next week
6:30pm – 7:00pm Email Wendy Weaver,Resident Service Coordinator of JFK Towers,and
Preceptor of Record about the changes of the program.
Tuesday 04/14
Time Activities
9:00pm – 10:00pm Call Wendy Weaver,Residence Service Coordinator of JFK Towers about the
changes of the program
10:01am – 12:00pm Finish smoothie recipe cards for program; continue working on PowerPoint
for type 2 diabetes nutrition program
12:00pm – 12:10pm Call Joyce Paige, Durham Diabetes Coalition to set up an interview for
Friday, April 17th
at 1:30pm at Durham County Health Department
12:11pm – 1:11pm Lunch
1:12pm – 3:30pm Continue to work on PowerPoint for type 2 diabetes nutrition program for
JFK Towers residence.
3:31pm – 5:50pm Revise type 2 diabetes brochure for JFK Residences.
6:00pm – 7:00pm Research potential clients for theater educational sessions
Wednesday 04/15
Time Activities
9:00pm – 11:00pm Revised and complete brochure for special project program
11:01pm – 12:30 pm Continue to work on PowerPoint for type 2 diabetes nutrition program for
JFK Towers residence.
12:31pm – 1:31pm Lunch
1:32pm – 3:00pm Finish working on PowerPoint for type 2 diabetes nutrition program for JFK
Towers residence,send documents to Preceptor of Record
3:00pm – 7:00pm Revised special project proposal
Thursday 04/16
Time Activities
8:30am – 11:00am Attend meeting at Durham County Health Department; arrived at Healing
with CAARE
11:01am – 12:30pm Go out to the community and research potential clients for theater educational
sessions
12:31pm – 1:31pm Lunch
1:32pm – 4:00pm Finish special project proposal and sent it to Preceptor of Record
4:00pm – 7:00pm Midterm Evaluation with Field Supervisor and Internship professors
Friday 04/17
Time Activities
9:00am – 11:00am Create a food desert map for Grocers on Wheels portfolio
11:00pm – 1:00pm Prepare and go over questions for interview
1:01pm – 2:30pm Arrived at Durham County Health Department; Interview Joyce Paige,
Durham Diabetes Coalition; return to Healing With CAARE
2:31pm – 4:00pm Review and transcribe interview answers from all four key informants
4:01pm – 7:00pm Start revising documents for special project program
Saturday 04/18
Time Activities
6:40am – 7:30am Arrived to PNC Arena for Women’s Empowerment 2015; unpack materials
for table
7:31am – 10:00am Start working with Duke Women’s Wellness and Healing with CAARE;
women’s bingo and passing out surveys
10:00am – 12:00pm Break/ Lunch
12:00pm – 5:00pm Continue working on women’s bingo and passing out surveys
5:01pm – 7:00pm Start packing up materials and return to Durham
NCCU/Department of Public Health Education
Internship Program Weekly Summary
Week 7
Name: Keandra S. Diggs Total Hours for the Week:55.00
Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly
Agency/Workplace location: Grocers on Wheels/Healing with CAARE
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Hours Worked 9 9 9 9 9 10
Learning Objectives Activities
By the end of the internship, the health education associate
will be able to explain the main purpose and functions of
the agency.
The Health Education Associate gained a further
understanding of the main purpose of Grocers on
Wheels. The purpose of Grocers on Wheels is to
enlighten clients in the importance of access to fresh
produce and educate clients about Urban Agriculture
Education and promote access healthier food choices for
Durham communities.
By the end of the internship, the health education associate
will demonstrate professional skills in oral or written
presentation during her internship experience.
No Activities This Week
By the end of the internship, the health education associate
will have conducted a community assessment for the target
population.
The Health Education Associate interviewed a health
educator from Durham Diabetes Coalition and Durham
County Health Department.
By the end of the internship, the health education associate
will engage in weekly supervisory meetings with your
supervisor to keep him or her informed of problems and
progress and to receive feedback.
The Health Education Associate met with Field
Supervisor and Preceptor of Record to go over updates
and feedback. The Health Education Associate also met
with Field Supervisor, and internship professors for
midterm evaluation.
By the end of the internship, the health education associate
will have planned, implemented, and evaluated a special
project for Durham’s Grocers on Wheels Eat Smart Move
More Healthy Track Initiative.
The Health Education Associate planned activities for
special project, “Seniors in Control of Healthy Living”.
Areas of Responsibilities Activities
I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate interviewed a health
educator from Durham Diabetes Coalition and Durham
County Health Department.
II. Plan Health Education The Health Education Associate planned activities for
special project, “Seniors in Control of Healthy Living”.
III. Implement Health Education
No Activities This Week
IV. Conduct Evaluation & Research Related to Health
Education
The Health Education Associate research food desert
locations for a map development.
V. Administer & Manage Health Education No Activities This Week
VI. Serve as a Health Education Resource Person
No Activities This Week
VII. Communicate and Advocate for Health and Health
Education
The Health Education Associate developed brochure,
PowerPoint handout, and recipe cards for special project.
Additional Activities:
None This Activities
Conference,Training, Workshop, Webinar or Wedcast Attended:
The Health Education Associate attended the Women’s Empowerment 2015 along with the Duke Womens Wellness.
The activities implemented includes distribution of pre-test and post-test, conducted BINGO game based on breast
cancer,and distribution of prize bags.
Collaboration:
The Health Education Associate collaborated with the Duke Womens Wellness and Healing with CAARE Inc. with
the Women’s Empowerment 2015 in Raleigh, NC.
Reflection:
Week seven of internship is completed. This was one of the most stressfulweeks I had since the internship started.
There were professional and personal barriers that happen this week. The midterm evaluation did not go well. I felt
that since the internship started, my field supervisor stated that I didn’t go out to the community or go to the various
events. I felt like I didn’t do my job and I took responsibility for it. Another barrier that happens this week was that my
daughter was in the hospital due to an unknown health issue. Having something to take over your top priority is the
hardest thing to face. However,since there is one week of internship left, I will have to focus on finishing this
internship experience. But, not all this week was bad. I had the opportunity to attend the Women’s Empowerment
2015 at Raleigh, North Carolina. I’ve learned about breast cancer information and personal stories of participants.
NCCU/Department of Public Health Education
Internship Program
Daily Log
Week 8:
Name: Keandra S. Diggs Date: 03/24/15
Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly
Placement: Grocers on Wheels
Monday 04/20
Time Activities
9:00am – 12:00pm Revised documents for special project program
12:00pm – 1:30pm Go out to the community to distribute flyers for Durham Arts Council event;
return to Healing With CAARE
1:31pm – 2:00pm Prepare materials to meet with Preceptor of Record
2:00pm – 3:00pm Meet with Preceptor of Record to go over documents for special project
program
3:01pm – 5:00pm Revised documents for special project program
5:01pm – 7:00pm Prepare notes for “What’s the 411?: Diabetes Foot Care” event at Durham
County Health Department
Tuesday 04/21
Time Activities
9:00am – 9:30am Finish prepare notes for “What’s the 411?: Diabetes Foot Care” event at
Durham County Health Department
9:31am – 12:00pm Arrived at the Durham County Health Department; prepare and set table for
event; “What’s the 411?: Diabetes Foot Care” event starts; talk to people
about Grocers on Wheels and nutrition; start packing up and have lunch.
12:01pm – 2:00pm Meet Field Supervisor at Durham Arts Council to talk about the event; help
out with Durham Arts Council event
2:01pm – 4:00pm Write notes for special project program, prepare for rehearsalwith Preceptor
of Record
4:01pm – 5:30pm Rehearsalwith Preceptor of Record, return to Healing with CAARE
5:31pm – 7:00pm Start preparing materials for program
Wednesday 03/22
Time Activities
9:00am – 10:30am Finish folding brochures for special project; prepare materials for special
project program
10:31am – 12:00pm Practice reading notes in front of a few people for special project program
12:00pm – 1:59pm Pack materials for the program; drive and arrive to JFK Memorial Towers,
unpack and prepare for program
2:00pm – 3:00pm Implement “Seniors in Control for Healthy Living” includes, educational
session, Family Feud game, and smoothie demonstration.
3:01pm – 5:00pm Clean up and pack materials; talk to Residents Service Coordinator about the
program; return to Healing with CAARE
5:01pm – 7:00pm Debrief about the program; start tallying data from special project program
Thursday 03/23
Time Activities
9:00am – 10:30am Continue tallying data from special project
10:31am - 12:30pm Start analyzing data using Microsoft Excel
12:30pm – 2:00pm Meet with Preceptor of Record to debrief and go over exit interview
preparations
2:01pm – 3:30pm Recount and finish tallying data from special project
3:31pm – 5:00pm Finished analyzing data using Microsoft Excel
5:00pm – 8:00pm Start on exit interview PowerPoint Presentation
NCCU/Department of Public Health Education
Internship Program Weekly Summary
Week 8
Name: Keandra S. Diggs Total Hours for the Week:38.30
Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly
Agency/Workplace location: Grocers on Wheels/Healing With CAARE
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Hours Worked 9 9 9.30 11
Learning Objectives Activities
By the end of the internship, the health education associate
will be able to explain the main purpose and functions of
the agency.
The Health Education Associate gained a further
understanding of the main purpose of Grocers on
Wheels. The Health Education Associate had the
opportunity to learn the functions of the Mobile Market,
including weighing produces and cashier
responsibilities.
By the end of the internship, the health education associate
will demonstrate professional skills in oral or written
presentation during her internship experience.
The Health Education Associate demonstrated
professional skills in oral and written presentation by
presenting special project presentation to JFK Memorial
Towers.
By the end of the internship, the health education associate
will have conducted a community assessment for the target
population.
No Activities This Week
By the end of the internship, the health education associate
will engage in weekly supervisory meetings with your
supervisor to keep him or her informed of problems and
progress and to receive feedback.
The Health Education Associate met with Field
Supervisor and Preceptor of Record to go over the
presentation of the special project.
By the end of the internship, the health education associate
will have planned, implemented, and evaluated a special
project for Durham’s Grocers on Wheels Eat Smart Move
More Healthy Track Initiative.
The Health Education Associate implemented and
evaluated special project, “Seniors in Control of
Healthy Living”.
Areas of Responsibilities Activities
VII. Assess Needs,Assets,& Capacity for Health
Education No Activities This Week
II. Plan Health Education
No Activities This Week
III. Implement Health Education The Health Education Associate implemented special
project “Seniors in Control of Healthy Living”.
IV. Conduct Evaluation & Research Related to Health
Education
The Health Education Associate evaluated special
project, “Seniors in Control of Healthy Living”.
V. Administer & Manage Health Education
The Health Education Associate administered evaluation
tool special project, “Seniors in Control of Healthy
Living”.
VI. Serve as a Health Education Resource Person The Health Education Associate educated participants
with information about type 2 diabetes and nutrition
during my special project. The Health Education
Associate also attended the “What’s the 411?: Diabetes
Foot Care” event to promote Grocers on Wheels.
VII. Communicate and Advocate for Health and Health
Education
The Health Education Associate developed brochure and
PPT and conducted smoothie demonstration to convey
information on type 2 diabetes and nutrition.
Additional Activities:
The Health Education Associate also attended the “What’s the 411?: Diabetes Foot Care” event to promote Grocers on
Wheels. After the event, the Health Education Associate participated in the Mobile Fresh Market at the Durham Arts
Council.
Conference,Training, Workshop, Webinar or Wedcast Attended:
None This Week
Collaboration:
None This Week
Reflection:
Well, the final week of internship has come and I can’t believe how fast these eight weeks went. After having a
horrible week seven,I feel that this last week was what I needed. I attended the “What’s the 411?: Diabetes Foot Care”
event at the Durham County Health Department,where I promoted Grocers on Wheels. Since week one, it was hard
for me to say the purpose of the agency. Now, I can remember the purpose and mission by heart. I completed my
special project at JFK Towers. In the beginning, I had a lot of barriers including technical difficulties, emergencies in
the building, and tardiness and leaving early. At the end, I made changes to the program and it went well. As my
internship experience comes to an end, there were lessons learned including always have a back-up plan,
communication between intern and preceptor/supervisor is very important, and keep calm when confronted with
barriers. On the other hand, there were major accomplishments including materials development (brochure, recipe
cards,etc.),overcame technical difficulties on the day of special presentation, and increased confidence in public
speaking. Overall, the internship experience was one of the highlights of my entire undergraduate career.
Name: Keandra S. Diggs Date: 03/03/2015
Internship Site: Grocers on Wheels
Community Assessment Report Form
Directions: Insert your information for each heading in the area designated “Comments”. If you did not
have information for the heading, insert “No Information”.
1. Introduction: Give a detailed description of the catchment area for your target population (Use
national and state data,census data and other sources). Next,describe your target population:
demographics (e.g. age,gender, race,educational level, employment) and other pertinent information.
Refer to Community Health Assessment Report for the county. The Introduction needs to be 2
paragraphs in length. Each paragraph should contain at least 5 sentences.
Older adults are disproportionately affected by type 2 diabetes. These problems may be worse in
some communities in the United States because access to affordable and nutritious food is difficult.
Increased attention is being paid to the distribution of supermarkets and grocery stores offering food
products of an appropriate quality and variety to support the nutritional needs of families. A few
advocates,community leaders, and researchers are worried that these problems may be more severe in
certain poor and rural American communities because these areas have limited access to affordable and
nutritious foods. Increases in rates of obesity and related chronic diseases that are linked with poor diets,
such as diabetes and heart disease, are major public health concerns.
With age comes an increased risk for specific complications with Type 2 diabetes. The growing
issue of obesity can be slowed, if society focuses on the causes. Some of those causes include unhealthy
eating habits, lack of eating veggies and fruits, environment/access to healthy foods, lack of physical
activity, and lack of knowledge. Having a program that addresses the effects of diabetes and promotes
nutrition will have the biggest influence on the choices older adults make when selecting healthy foods to
consume. Focusing on these causes may, over time, decrease obesity and lead to a healthier society as a
whole.
International Data:
 In 2014, more than 1.9 billion adults, 18 years and older, were overweight. Of
these over 600 million were obese (World Health Organization, 2015).
 Overall, about 13% of the world’s adult population (11% of men and 15% of
women) were obese in 2014 (World Health Organization, 2015).
Federal Data:
 More than one-third (34.9% or 78.6 million) of U.S. adults are obese (Centers of
Disease Control and Prevention, 2014).
 Diabetes is the 7th leading cause of death in the United States (Centers for
Disease Control and Prevention; National Institute of Diabetes and Digestive and
Kidney Disease , 2014)
 Of all households in the United States, 2.3 million, or 2.2 percent, live more than
a mile from a supermarket and do not have access to a vehicle. (Ploeg et al., 2009)
 Approximately 25% of Americans over the age of 60 years have diabetes, and
aging of the U.S. population is widely acknowledged as one of the drivers of the
diabetes epidemic (American Diabetes Association, 2014)
State Data:
 As of 2014, North Carolina has the 25th Highest Adult Obesity Rate in Nation
(Trust for America's Health; Robert Wood Johnson Foundation, 2014)
 Food insecurity, at 16.9 percent of adults aged 60 and older, remains a major
challenge for North Carolina seniors (United Health Foundation, 2014).
 North Carolina is ranked 21st on obesity rates for seniors ages 65 and older
(United Health Foundation, 2014).
Local Data:
 In 2009, 65% of Durham County adults were overweight or obese (Durham
County Health Department, 2011).
 16.7% of the Durham County population (42,840 people) is food insecure
(Durham County Health Department, 2011)
 Diabetes is the 5th leading cause of death in Durham County and is also a
significant risk factor for heart disease and cerebrovascular disease, the second
and third leading causes of death in Durham, respectively (Durham County
Health Department, 2011).
Comments:
2. Methodology: Procedures for conducting needs assessment (what did you do to conduct the needs
assessment)
List the literature you reviewed (in bullet format). Include the citation for each literature cited (use APA
style of citation)
 Aggarwa, e. a. (2014, May). Access to Supermarkets and Fruit and Vegetable
Consumption. Retrieved March 2nd, 2015, from American Journal of Public Health:
ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301763
 Ghosh-Dastidar, P. B. (2014, November). American Journal of Preventive Medicine.
Retrieved March 2nd, 2015, from Elsevier:
http://dx.doi.org/10.1016/j.amepre.2014.07.005
 Larsen, K. G. (2009, June 22). A farmers market in a food desert: Evaluating impacts on
the price and availability of healthy food. Retrieved March 2nd, 2015, from
www.elsevier.com/locate/healthplace
 U.S. Department of Agriculture. (2008). Access to Affordable and Nutritious Food:
Measuring and Understanding Food Deserts and Their Consequences. Retrieved March
3rd, 2015, from U.S. Department of Agriculture:
ers.usda.gov/media/242675/ap036_1_.pdf
Comments:
List and describe the community meetings you attended
 Voices Into Action (March 19th
) (Meeting minutes attached to the end of needs assessment)
Voices into Action funds mini-grants and works with communities to help improve access to
healthy and affordable food and places to be active.
 Obesity and Chronic Illness Meeting (April 16th
) (Meeting minutes attached to the end of needs
assessment)
Obesity and Chronic Illness committee's intent is to provide a community- based approach to
address the growing problem of overweight and obesity, factors that contribute to the
development and complications associated with many chronic illnesses.
Comments:
Describe the process for collecting data (who did you interview) (Attach the interview script at the end of
the needs assessment report).
These are the list of key informants I interviewed for the needs assessment
 Joyce Paige, Durham Diabetes Coalition/Durham County Health Department
 Justin Thomas, Manager,Programs and Community Outreach for American Diabetes Association
 Mrs. Fannie Howard,resident of JFK Memorial Towers
 Mrs. Laura Marlon, residents of JFK Memorial Towers
Comments:
3. Findings
List the findings of the review of literature in bullet format
 The introduction of a farmers’ market improved access to healthy food items, which has a major
impact on overall price groceries. The market also provides residents with a significantly better
variety of food items. (Larsen,2009)
 Populations that live in areas with limited access to affordable and nutritious food may adjust
their food shopping behaviors and diets based on the food environment in their area. These
adjustments could be due to the lack of availability of some foods or to the relative prices of
different foods offered from different food retailers (U.S. Department of Agriculture, 2008)
 Low-income participants may also be willing to travel farther to a low-price store for better
prices. Once inside a low-price store, shoppers may be influenced by displays and marketing of
non-nutritious or junk foods (Ghosh-Dastidar, 2014)
 Physical proximity to supermarkets may not be the most salient variable to reflect access to
supermarkets and food shopping environments, particularly among people with access to a car.
(Aggarwa et al, 2014)
Comments:
List major findings of community meetings in bullet format
(See meeting minutes attached to the back of the needs assessment)
Comments:
4. Conclusions
List the top 4 to 5 social problems of the target population in bullet format
1. Difficulty coping and accepting physical changes of aging
2. Financial stresses from the loss of regular income
3. Feeling inadequate from inability to continue to work
4. Frustration with ongoing medical problems and increasing number of medications
Comments:
List the top 4 to 5 major health problems of target population in bullet format
(Based upon the interviews, community meetings, and literature)
1. Alzheimer’s Disease
2. Arthritis
3. Heart Disease
4. Cancer
5. Diabetes
Comments:
5. Assets/Resources and Capacity
List & discuss resources in the target population’s community that exist to address the health problems
1. Senior Health Support of the Triangle
Provide our Seniors such services that would enhance their Physical, Spiritual, and Mental Health
2. Durham Center for Senior Life
Enhancing the lives of older adults through education, recreation, nutrition and social services in
welcoming community settings
 Key programs at the Durham Center for Senior Life are:
1. Social and Senior Center Services
2. Congregate Nutrition
3. Adult Day Health Services.
Comments:
Briefly describe the capacity of the internship agency to conduct the special project
One of the functions of Grocers on Wheels is to provide educational tips on how to prepare healthy,
nutritious meals. This special project will not only teach seniors about eating healthy and provide
information on type 2 diabetes, but, this program will help launch the debut of Grocers on Wheels Mobile
Food Market
Comments:
Interview with Joyce Paige
Me: My first question is Where you from and what are your educational background?
Ms. Paige: I'm from Durham, NC and I have been here most of my life except for four to five
years I spent in Washington DC/ Maryland area when I worked in the department of health and
human services. I'm a North Carolina Central University Graduate in Biology. I attended UNC
School of Public Health and earned two degrees. The first one is for Public Health Policy and
Administration and the second one is for Biostatistics. I have worked at some many places from
local and small cities/towns to the national level.
Me: What made you want to work in this profession?
Ms. Paige: I love with working for the community. I wanted to learn more about this disease
from top to bottom. The more information I found, the more I became interested.
Me: Do you have type 2 diabetes? If so, how long have you been a diabetic? Are you
currently taking medications or on insulin? What are you doing to control your type 2
diabetes?
Ms. Paige: Yes, I do have type 2 diabetes. I was diagnosed about ten years ago. It was based on
taking my mother’s blood sugar and I decided to test mine and it was 138 and I called the doctor
and tested me again and I was pre-diabetic. I was doing well in terms of controlling my blood
sugars for a few years. Now, I have been stacking off due to my busy schedule. I’m only taking
Metformin at the moment. The changes I made since I was first diagnose includes eat more
vegetables and eat less sweets and butter.
Me: What do you think are some causes of type 2 diabetes?
Ms. Paige: I believe that Durham is the fast food/restaurant capital of the North Carolina. We
have more fast food places than grocery stores. Also, lack of transportation is a huge cause here
in Durham. We might be the car dealer capital in North Carolina, but our bus transportation is
very confusing. Altogether, environmental factors and financial struggles are the main cause of
type 2 diabetes and obesity.
Me: Do you believe that food deserts are an issue with type 2 diabetes in Durham?
Ms. Paige: Absolutely. Like I mention before, Durham is the fast food/restaurant capital of the
North Carolina and we have more fast food places than grocery stores. We need more grocery
stores than restaurants.
Me: Do you think that seniors 65 and older are at more at risk with type 2 diabetes than
any other age range?
Ms. Paige: Yes. Seniors have the highest prevalence of type 2 diabetes than any other age group.
Also, diabetes is the number one leading cause of blindness. It’s very important for health
educators to pay more attention to this age group.
Me: I will have a program for seniors 65 and older about type 2 diabetes and nutrition,
what would you like to see in the program?
Ms. Paige: I would like to know if I have type 2 diabetes, what I can eat that is easy to prepare.
Also, I would like to see what exercise can I do so, I can be in shape. The last I would like to see
is a table to get eyes and feet check.
Me: If you were given $1 million to correct the health problems of the community, what
would you spend it on?
Ms. Paige: I would spend the $1 million on reaching leaders and educators to conduct diabetes
education and to bring church kitchen committees to discuss changes in the meals that they
serve.
Interview with Justin Thomas
Me: My first question is Can you tell me more information about your position at the
American Diabetes Association?
Mr. Justin Thomas: Yes, I am the manager of program community and outreach. So, I conduct
health events and do screening for the Research Triangle Area. I recruit, train, overseer
volunteers, and work with other departments to promote events and workshops. Most of the time,
I’m out in the community more than my office.
Me: What made you want to work in this profession?
Mr. Thomas: I love working for the community. I feel that everyone should at least work
outside of the community just to get the experience and the vibe of connecting with others. Yes,
every day I get tired, but it’s all worth it.
Me: Do you have type 2 diabetes? If so, how long have you been a diabetic? Are you
currently taking medications or on insulin? What are you doing to control your type 2
diabetes?
Mr. Thomas: Yes, I do have type 2 diabetes and it runs in my family. I was diagnosed about 12
years ago. I am currently taking medication for the diabetes. Also, I exercise 30 minutes each
day and watch what I eat.
Me: What do you think are some causes of type 2 diabetes?
Mr. Thomas: I believe that environmental factors and financial situations play a huge role on
type 2 diabetes. Durham has a limited amount of grocery stores. Wal-Mart has taking over and
added a grocery store component and their produces are not fresh.
Me: Do you believe that food deserts are an issue with type 2 diabetes in Durham?
Mr. Thomas: Absolutely. Food deserts also play a role in type 2 diabetes. Actually, it plays a
role for all chronic health issues, such as health diseases and high blood pressure.
Me: Do you think that seniors 65 and older are at more at risk with type 2 diabetes than
any other age range?
Mr. Thomas: Yes. It’s very important for health educators to pay more attention to this age
group. That goes for all, and I mean all health issues.
Me: I will have a program for seniors 65 and older about type 2 diabetes and nutrition,
what would you like to see in the program?
Mr. Thomas: I will like to see an educational component, food demonstrations, games/prizes,
and testing/screenings. If you have those components, you will have a successful program.
Me: If you were given $1 million to correct the health problems of the community, what
would you spend it on?
Mr. Thomas: I would spend the $1 million on educators to conduct diabetes education to all
ages from children to seniors. Also, I will have a project to get more grocery stores in Durham
County.
Me: Well, that is all the questions that I have. Thank you so much for taking the time to talk to
me. I am sure what you have shared will be helpful to me as I prepare for my career.
Mr. Thomas: You are very welcome, Keandra. Good luck on the rest of your internship.
Interview with Fannie Howard
Me: My first question is: how long have you been a resident at JFK Memorial Towers?
Mrs. Fannie Howard: I have been living here for about 10 years with my husband. We had
been married for 75 years.
Me: Congratulations, Mrs., Howard. Before you moved to JFK Towers, what did you do for a
living?
Mrs. Howard: I was a school teacher at Cumberland County schools for more than 40 years,
High school math and science.
Me: Do you have diabetes? If so, how long have you been a diabetic?
Mrs. Howard: Yes, I have been diagnosed since I was 60 and it runs in the family. I have seven
children and three of them have diabetes.
Me: Are you currently taking medication or insulin?
Mrs. Howard: Yes, I am taking four medications and insulin.
Me: What are you doing to control your type 2 diabetes? Are you exercising? Are you
eating healthy?
Mrs. Howard: Yes. I am walking a few times a day. I am eating more fruits and vegetables than
any other food group.
Me: Final question, I will have a program for seniors about type 2 diabetes and nutrition,
what would you like to see in the program?
Mrs. Howard: I will like to see food demonstrations because I want to update my recipe box.
Me: Well, that is all the questions that I have. Thank you so much for taking the time to talk to
me, Mrs. Howard. I am sure what you have shared will be helpful to me as I prepare for my
career.
Mrs. Howard: You are very welcome. I wish you all the luck in your college career and I will
be attending the program.
Me: Thank you, Mrs. Howard.
Interview with Laura Marlon
Me: My first question is: how long have you been a resident at JFK Memorial Towers?
Mrs. Laura Marlon: I have been living here for 8 years.
Me: Before you moved to JFK Towers, what did you do for a living?
Mrs. Marlon: I was a midwife at Guilford County for over 40 to 50 years. I have seen lots of
babies.
Me: That is great, Mrs. Marlon. Do you have diabetes? If so, how long have you been a
diabetic?
Mrs. Marlon: Yes, I have been diagnosed for a long time. I don’t remember the age or time.
Me: Are you currently taking medication or insulin?
Mrs. Marlon: Yes, I am taking two medications and insulin. I hate taking those things every
day. But, I have to in order to control the diabetes.
Me: That is very true. Speaking of control, What are you doing to control your type 2
diabetes? Are you exercising? Are you eating healthy?
Mrs. Marlon: Mostly, I eat healthy. I used to walk once or twice a day but, I injured my knee
recently.
Me: I’m sorry to hear that. I hope you get well soon, Mrs. Marlon. Final question, I will have a
program for seniors about type 2 diabetes and nutrition, what would you like to see in the
program?
Mrs. Marlon: I will like to see food demonstrations, facts about diabetes, and games. I love to
play games.
Me: Well, that is all the questions that I have. Thank you so much for taking the time to talk to
me, Mrs. Marlon. I am sure what you have shared will be helpful to me as I prepare for my
career.
Mrs. Marlon: You are welcome and thank you for interviewing me.
Meeting Minutes
Meeting Place: North Carolina State University (Voices into Action)
Date: March 19th, 2015
Start time: 5:00pm EST End time: 7:00pm EST
Attendance (names):
Helen Herrera
Nutrition and Outreach Associate
Department of Youth, Family, and Community Sciences
North Carolina State University
Annie Hardison-Moody
Research Assistant Professor
Department of Youth, Family, and Community Sciences
North Carolina State University
These are the following organizations that are recipients of the Voices into Action’s Mini Grant:
Poe Center
North Carolina Fair Share CDC
Everyday PIONEERS
Alliance Medical Ministry
With Love From Jesus
A Safe Place Childcare Center
Passage Home
Agenda topic:
- Grant Logistics
- Action Planning
- Evaluation
Major Points of Discussion:
- Mini-Grant Logistics
 With the mini-grants, money is awarded in chunks based on benchmarks.
 Invoices will be tied in to action plans.
 If you reach benchmarks earlier, you can receive funds earlier.
- Action Planning
 Voices into Action’s action plan includes:
 Goals - A broad and simple vision statement that will give your program
direction.
 Person(s) Responsible
 Actions - Specific statements that list the programs, policies, and
environmental changes and the ways you will work to reach these goals.
 Resources Needed - List all the resources and materials you need for each
action– also include people, partnerships, and volunteers
 Dates - Anticipated completion dates for actions
 Funds needed - what do you need to use funds for these actions
 Progress - Use this as you go to note how actions are going, including
dates and person responsible.
 Evaluation
Meeting Minutes
Meeting Place: Durham County Health Department ( Obesity and Chronic Illness Meeting)
Date: April 16th, 2015
Start time: 8:30am EST End time: 10:00pm EST
Attendance (names):
Perry Whitted, Jen Isherwood, Sharon Mosley, Casey Horvitz, Farhad Modarzi, Aubrey
Delaney, Callan Hoerdemann, Debbie Royster, Kelly Warnock, Chasity Newkirk, Chelsea
Hawkins, Willa Allen, Kate Floyd, Cate Elander, Jen McDuffie, Melissa Black, Tyrone Hall,
Erin Victor, Marissa Mortiboy
Agenda topic:
- Mini – Grant Review
- Action Plan
Major Points of Discussion:
- Committee review action plan, evidence based strategies, and assessment results.
- Committee and guest voted on activities for action plan: Some of the activities selected
includes:
 Health Classes
 Eat Smart Move More
 Cooking Classes
 Expanding Double Bucks
 Healthy Mile Trails
 Complete Streets
 Guerilla Way Signs
Special Project Proposal
Title: Seniors in Control ofHealthy Living
Background:
Older adults are disproportionately affected by type 2 diabetes. These problems may be worse in
some communities in the United States because access to affordable and nutritious food is difficult.
Increased attention is being paid to the distribution of supermarkets and grocery stores offering food
products of an appropriate quality and variety to support the nutritional needs of families. A few
advocates,community leaders, and researchers are worried that these problems may be more severe in
certain poor and rural American communities because these areas have limited access to affordable and
nutritious foods. Increases in rates of obesity and related chronic diseases that are linked with poor diets,
such as diabetes and heart disease, are major public health concerns.
With age comes an increased risk for specific complications with Type 2 diabetes. The growing
issue of obesity can be slowed, if society focuses on the causes. Some of those causes include unhealthy
eating habits, lack of eating veggies and fruits, environment/access to healthy foods, lack of physical
activity, and lack of knowledge. Having a program that addresses the effects of diabetes and promotes
nutrition will have the biggest influence on the choices older adults make when selecting healthy foods to
consume. Focusing on these causes may, over time, decrease obesity and lead to a healthier society as a
whole.
Data/Statistics:
International Data:
 In 2014, more than 1.9 billion adults, 18 years and older, were overweight. Of these over
600 million were obese (World Health Organization, 2015).
 Overall, about 13% of the world’s adult population (11% of men and 15% of women)
were obese in 2014 (World Health Organization, 2015).
Federal Data:
 More than one-third (34.9% or 78.6 million) of U.S. adults are obese (Centers of Disease
Control and Prevention, 2014).
 Diabetes is the 7th
leading cause of death in the United States (Centers for Disease
Control and Prevention; National Institute of Diabetes and Digestive and Kidney Disease
, 2014)
 Of all households in the United States, 2.3 million, or 2.2 percent,live more than a mile
from a supermarket and do not have access to a vehicle. (Ploeg et al., 2009)
 Approximately 25% of Americans over the age of 60 years have diabetes, and aging of
the U.S. population is widely acknowledged as one of the drivers of the diabetes
epidemic (American Diabetes Association, 2014)
State Data:
 As of 2014, North Carolina has the 25th Highest Adult Obesity Rate in Nation (Trust for
America's Health; Robert Wood Johnson Foundation, 2014)
 Food insecurity, at 16.9 percent of adults aged 60 and older, remains a major challenge
for North Carolina seniors (United Health Foundation, 2014).
 North Carolina is ranked 21st
on obesity rates for seniors ages 65 and older (United
Health Foundation, 2014).
Local Data:
 In 2009, 65% of Durham County adults were overweight or obese (Durham County
Health Department,2011).
 16.7% of the Durham County population (42,840 people) is food insecure (Durham
County Health Department,2011)
 Diabetes is the 5th leading cause of death in Durham County and is also a significant risk
factor for heart disease and cerebrovascular disease,the second and third leading causes
of death in Durham, respectively (Durham County Health Department,2011).
Purpose:
 The purpose of this project is to enhance health outcomes related type 2 diabetes among
seniors ages 60 and older, through nutrition education programs that focus on proper
nutrition and healthy eating.
Goals and Objectives:
 Goal 1: To promote healthy lifestyles and wellness among seniors ages 65 and older in
North Durham, North Carolina
- Objective 1.1: At the end of this session, 70% of the participants will
express an increase in their motivation to eat healthier.
- Objective 1.2: At the end of the session, 70% of the participants will
express an increase in confidence in their ability to eat healthier.
Activities:
1. Icebreaker:Educational Game: Food Name Game (Participants come
up with food that starts with the first letter of their first name).
2. Educational Game: Family Feud: Food Nutrition Edition
(Participants splits into groups to answer survey questions).
3. Smoothie demonstration by using fruits and vegetables from Grocers
on Wheels Mobile Food Market
 Goal 2: To reduce the incidence of Type 2 Diabetes among seniors ages 65 and older in
East Durham, North Carolina.
- Objective 2.1: At the end of this session, 70% the participants will have
increased awareness of type 2 diabetes.
Activities:
1. Develop PowerPoint presentation about information about
diabetes and nutrition.
2. Print materials such as brochures with information regarding
diabetes and nutrition will be distributed in our session.
Methods:
o The participants are older adults ages 60 and older, who live in JFK Towers in East
Durham, NC.
o Number of participants: About 15 senior residences of JFK Towers.
o The theory selected for the project is the Health Belief Model. The Health Belief Model
determines the benefits and barriers to healthy eating and the cues to action for healthy
eating for program participants.
o Senior in Control of Healthy Living is a health promotion program which addresses the
health issues of obesity and Type 2 diabetes, among seniors ages 65 and older, through
promotional educational programs that focus on proper nutrition and healthy eating.
Week
1
Week
2
Week
3
Week
4
Week
5
Week
6
Week
7
Week
8
Activity: Flyer
Distribution
X
o Brainstorm flyer ideas X
o Figure out time, date, and
location
X
o Create flyer X
o Review flyer X
o Revise flyer (brand new
date and time)
X
o Review brand new flyer X
o Print flyers X
o Distribute flyers to JFK
Residence
X
Activity: Brochure
Distribution
o Brainstorm what to put on
brochure
X
o Create brochure X
o Revise brochure for
presentation
X X
o Review brochure X X
o Distribute brochures X
Activity: PowerPoint
Presentation
o Research information
about diabetes and
X X
nutrition
o Plan outline X X
o Create PowerPoint X
o Review PowerPoint X X
o Create Notecards X
o Review Notecards and
Practice Presentation
X
o Present PowerPoint X
Activity: Games (Food
Name Game/Family Feud)
o Brainstorm questions and
answers for Family Feud
X
o Create Family Feud
PowerPoint Game
X
o Review Family Feud
PowerPoint Game
X X
o Create Food Name
Game Sheet
X
o Review Food Name
Game Sheet
X X
o Print Sheets X
o Play Food Name Game X
o Play Family Feud X
Activity: Smoothie
Demonstration
o Write down ingredients
smoothie recipe cards
X
o Type the smoothie recipe
card
o Review smoothie card
o Test run smoothie recipe X X X
o Call in for Ingredients in
advance
X
o Prepare materials for
program
X
o Perform smoothie
demonstration
X
Evaluation: (Describe how you plan to evaluate your special project)
Use the evaluation plan below:
Evaluation Plan
Objectives Type of Evaluation Evaluation Questions Data Collection
Method
At the end of this session,
70% of the participants will
express an increase in their
motivation to eat healthier.
Impact Evaluation
(Behavioral)
To what extent did the
program motivate you to
eat healthier?
Post Test
At the end of the session,
70% of the participants will
express an increase in
confidence in their ability to
eat healthier.
Impact Evaluation
(Behavioral)
How confident are you
that you have the
knowledge you need to
eat healthy?
How confident are you
that you have the
resources you need to
eat healthy?
Post Test
At the end of this session,
70% of the participants will
have increased awareness of
type 2 diabetes.
Impact Evaluation
(Learning)
Did this program
increase your awareness
on type 2 diabetes?
How important do you
think healthy eating is
for preventing type 2
diabetes?
How important do you
think healthy eating is
for treating type 2
diabetes?
Post Test
References
AmericanDiabetesAssociation.(2014,May 5). Older Adults.RetrievedApril1,2015, fromAmerican
Diabetes Association:http://www.diabetes.org/in-my-community/awareness-programs/older-
adults/#sthash.j2F08Ir8.dpuf
CentersforDisease Control andPrevention;National Instituteof DiabetesandDigestiveandKidney
Disease .(2014). NDEPInfographics:How Diabetes AffectsSpecificPopulations.RetrievedApril
1, 2015, from National DiabetesEducationProgram:http://ndep.nih.gov/diabetes-
facts/index.aspx
Centersof Disease Control andPrevention.(2014, September4). Overweightand Obesity:AdultObesity
Facts.RetrievedApril1,2015, from CentersforDisease Control andPrevention:
http://www.cdc.gov/obesity/data/adult.html
Durham CountyHealthDepartment.(2011). 2011 DurhamCounty Community Health Assessment.
RetrievedApril1,2015, from DurhamCountyHealthDepartment:
http://dconc.gov/home/showdocument?id=1350
Ploeg,M.B. (2009, June). Accessto Affordableand NutritiousFood—Measuringand Understanding
Food Desertsand Their Consequences:Reportto Congress. RetrievedMarch2nd,2015, from
UnitedStatesDepertmentof Agriculture EconomicResearchService:
http://www.ers.usda.gov/media/242675/ap036_1_.pdf
Trust for America'sHealth;RobertWoodJohnsonFoundation.(2014). North Carolina StateObesity
Data,Ratesand Trends.RetrievedApril 1,2015, fromThe State of Obesity:
http://www.stateofobesity.org/states/nc/
UnitedHealthFoundation.(2014). NorthCarolina SeniorStateRankings.RetrievedApril1,2015, from
American'sHealthRankings:http://www.americashealthrankings.org/senior/NC
WorldHealthOrganization.(2015, January). Media Centre:Obesity and Overweight.RetrievedApril 1,
2015, fromWorldHealthOrganization: http://www.who.int/mediacentre/factsheets/fs311/en/
Klinedinst,R.M.(2005). Effectsof a NutritionEducationProgramforUrban, Low-Income,OlderAdults:
A CollaborativeProgramAmongNursesandNursingStudents.RetrievedApril1,2015, from
Journal of CommunityHealthNursing:http://www.ncbi.nlm.nih.gov/pubmed/15877538
Shreck,E. G. (2013). RiskPerceptionandSelf-ManagementinUrban,Diverse AdultswithType 2
Diabetes:The ImprovingDiabetesOutcomesStudy.RetrievedApril 1,2015, from International
Societyof Behavioral Medicine:http://www.ncbi.nlm.nih.gov/pubmed/23385488
Major Health Education Activities
The following is a list of accomplishments during my internship:
 Materials development
Brochure
PPT
Recipe cards
Flyer
 Overcame technical difficulties on the day of presentation
 Conducted special project, Seniors in Control of Healthy Living
 Increased confidence in public speaking
Internship Portfolio
Internship Portfolio
Internship Portfolio
Internship Portfolio
Internship Portfolio
Internship Portfolio

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Internship Portfolio

  • 1. Internship Portfolio Keandra S. Diggs Health Education Associate Department of Public Health Education North Carolina Central University
  • 2. Table of Contents I. Acknowledgement II. Introduction a. Brief descriptionof yourself (e.g. where youare from, interest,etc) b. What has changedsince the pre-fieldinterview? III. InternshipPlacementOverview a. Locationof the agency b. Healtheducationorhealthservicesprovided c. Organizational chartof placementagency d. Describe the department/sectionyourinternship washoused e. Overviewof yourpreceptor IV. Contents a. Brief summaryof the contentsof the portfolio(itemsb – m) b. DailyLogs c. WeeklyReports d. NeedsAssessmentReport i. MeetingMinutes e. Special ProjectPlanningGuide f. Special ProjectPoster(notapplicable foreveryone) g. PowerPoint(if applicable) h. Evaluationquestionnaire forspecial project i. Conference documentation(certificatesof attendanceorcopyprogram bookcover,etc) j. Mediayou produced(e.g.brochure,flier,handbills,etc) k. Lettersor agreements(if applicable) l. Other(materialsyouwanttoinclude) V. Summaryof Activities a. Major healtheducationactivitiesaccomplished(youmayputthemina listformat – not paragraph) b. Special Projectdescription VI. Reflection a. How didthisinternshipexperience impactyour professional growthanddevelopment and academictraining? b. ChallengesandBarriers c. LessonsLearned d. Acknowledgements
  • 3. Acknowledgement First, I will like to acknowledge the North Carolina Central University Department of Public Health Education. In 2009, I was a freshmen majoring in Biology with a minor in Spanish. There were barriers that cause me to fail classes and developed a bad grade point average. Another fellow freshman told me about the Department of Public Health Education. In 2012, I was enrolled in Introduction of Health Education course. During the course, I learned that you can get varies of careers with a public health degree. After making an A on the course, I knew that this department was right for me. There have been barriers along the way but, I am happy that this journey is coming to a close. I would like to send a special thank you to two professors for being my support system in the department and two professors are Dr. David Jolly and Dr. LaVerne Reid. I will also like to thank the class of 2015 Health Education Associate cohort. I know that I came into this cohort as the freshmen, but throughout this final year,you all welcome me with open arms and I really do appreciate it. I will like to send a special thank you to Niceeta Minor, Maronda Joint, and B’Heeraw Withers-Danielfor their support and you will always be my favorites. I will not be here if it wasn’t for my family and friends being the greatest support system during my undergraduate career. To my parents and grandparents, thank you for the motivation, kind words and financial support. To all my siblings, thank you for the laughs, hugs, and support that you always give. To other family members, thank you for the phone calls, text messages,late night visits, and gifts that you sent. To the friends I have made during my undergraduate career,thank you so much for the love and support and I hope that our friendship will continue to blossom. Finally, I would like dedicate the completion of my undergraduate career to two people. The first person is my late best friend, David “Ralph” Harman. Ralph and I made a promise to attend any college together. Unfortunately, he was murdered in 2008 at a house party. At his funeral, I stated that I promise to attend college and complete operation graduation. The final person is my daughter, Armani Isabella Gibson. She has been my biggest cheerleader throughout my undergrad career. I hope that she learns from my experience that no matter what obstacles or barriers you face,always believe in yourself and you will get through it. Thank you all for the support. Keandra ShernealDiggs, Health Education Associate
  • 4. Introduction My name is Keandra ShernealDiggs. I am twenty-four years old from Greensboro, North Carolina. I am the daughter of Guna and Valarie Pruitt Diggs and the mother of Armani Isabella Gibson. I grew up in Long Beach,California with multiple siblings. At the age of three, my biological parents made a hard decision to separate my family into different states due to unsafe conditions and lack of money. After two years of living with different families and traveling to different states,I was sent to North Carolina at the age of five. Since that day, I had to fight a lot of trials and tribulations in my life. However,without overcoming those obstacles, I would not be the woman that I am today. . After I graduate from North Carolina Central University, I want to take the Certified Health Education Specialist (CHES) Exam. Having a certification like this one can let agencies know that I have knowledge of the seven roles of responsibilities of being a health educator. My next goal is to start working with a profit or non-profit agency that involves obesity-related diseases,such as cardiovascular disease and diabetes. This will give me more experience to get more use to planning and implementing health promotion programs involving obesity-related diseases. Some agencies I would love to work with are the American Diabetes Association, Juvenile Diabetes Research Foundation, International Diabetes Federation, American Heart Association, Local Health Departments, and any other agencies. After five to ten years of gain work experience, I would like to go back to school and obtain a Master’s degree in Public Health or Nutrition. While I am in school, I want to create a health prevention program in terms of obesity and nutrition for female college students or female high school students. After I receive my Master’s degree,I want to work for a federalagency like Centers for Disease Control and Prevention and Department of Health and Human Services.
  • 5. Location of the Agency Grocers on Wheels, located at Healing with CAARE, Inc. on 214 Broadway Street Durham, N.C 27701, is a premier service that delivers fresh produce right in your community. In 2006, Mr. Demetrius Hunter established the 501 (c) 3 South East Raleigh Vicinity Emerging (S.E.R.V.E) Communities. He currently brings sustainable practices through his SERVE non- profit organization, focusing on sustainable education and 21st century careers for low wealth citizens. In 2013, Mr. Hunter officially started S.E.R.V.E’s second umbrella project, Grocers on Wheels, a mobile fresh produce unit that’s a solution to the prevalent “Food Deserts” throughout his community. By transporting fresh produce into neighborhoods that lack access to healthy food choices, Mr. Hunter is continuing his 80 year family tradition started by his father Zelb Hunter. Grocers on Wheel takes pride in delivery of fresh and healthy products, delivered by kind and courteous professionals in a prompt manor. Their priority population is seniors and disabled, ages 65 and older, in Southeast Raleigh in the areas considered food deserts. The vision of Grocers on Wheels is to supply convenience and delivery of fresh local fruits, vegetables, dairy and meats to seniors, disabled, churches, communities, businesses, and agencies with low income citizens in the Triangle of North Carolina who are experiencing food insecurities. The mission is to provide access to the freshest produce conveniently within North Carolina's Triangle communities experiencing food insecurities. The general function for Grocers on Wheels includes purchasing/delivering fresh fruits, vegetables, and meats into Southeast Raleigh/Wake County communities and businesses at affordable prices. The customers hand select their items themselves from our wide selection of produce and get educational tips on how to prepare healthy, nutritious meals. Customers can afford fruits and vegetables with cash, debit and credit cards, EBT (Food Stamps) and SNAP Benefits.
  • 6. Health Education or Health Services Provided The health education programs or health services are provided by Grocers on Wheels (GOW) includes nutritional education through non-traditional theatrical performances on sites and collaborations with health organizations, schools, and faith-based organizations. List of Past Grocers on Wheels Health Related Highlights: - 2014 GOW spoke before the North Carolina House of Representatives Food Deserts Zone Committee on policy rules regulations and the importance of the mobile markets in Food Deserts - 2014: GOW Presents to North Carolina Central University’s Center for Translational Health and Research on Food Deserts - 2014: GOW partners with NCCU’s CTHER Department to demonstrate how agriculture and farm fresh foods system works with Spaulding Elementary students - 2014 GOW partners with Anita Woodley Productions to promote healthy eating while students learn in the Durham Public School System (youth ambassador childhood hunger no more program begins) - 2015 GOW brings theater and food at the Durham Arts Council every fourth Tuesday for Theater Tuesday with Food
  • 8. Department/Section of Internship In 2006, Mr. Demetrius Hunter established the 501 (c) 3 South East Raleigh Vicinity Emerging (S.E.R.V.E) Communities. He currently brings sustainable practices through his SERVE non-profit organization, focusing on sustainable education and 21st century careers for low wealth citizens. Through S.E.R.V.E he actively recruited both unemployed and underemployed residents for tech, green careers and small business start-ups. In addition, Mr. Hunter coordinates with local colleges to recruit clients to receive an education for these careers that prepare the city of Raleigh residents for the workforce. In 2013, Mr. Hunter officially started S.E.R.V.E’s second umbrella project, Grocers on Wheels, a mobile fresh produce unit that’s a solution to the prevalent “Food Deserts” throughout his community. By transporting fresh produce into neighborhoods that lack access to healthy food choices, Mr. Hunter is continuing his 80 year family tradition started by his father Zelb Hunter. The goal of Grocers on Wheels is to empower citizens in low-income and insecure fresh food areas by providing affordable, quality produce for purchase with various currencies, including mobile EBT/SNAP food stamps. We respect both the food growers and consumers in our community by providing fair prices for the purchase of first-run, high-quality groceries. Their mission is to provide affordable, accessible, fresh foods to low-income areas, seniors, and disabled.
  • 9. Overview of Preceptor As SERVE Communities Executive Director, Mr. Demetrius Hunter brings an array of knowledge to eliminate health disparities and provide resolutions to under-served urban/rural communities. He connects with civic, community, and faith base leaders to bring economic, health, sustainable energy resources and outreach into the communities that need it most. The year 2006, Mr. Hunter established the 501 (c) 3 South East Raleigh Vicinity Emerging (S.E.R.V.E) Communities. He currently brings sustainable practices through his SERVE non- profit organization, focusing on sustainable education and 21st century careers for low wealth citizens. Through S.E.R.V.E he actively recruited both unemployed and underemployed residents for tech, green careers and small business start-ups. In addition, Mr. Hunter coordinates with local colleges to recruit clients to receive an education for these careers that prepare the city of Raleigh residents for the workforce. Mr. Hunter has 14 years of experience as a community organizer and worked as an operational manager post Hurricane Katrina in Gulfport, Mississippi. His expertise in building codes, green building and weather resistant materials were invaluable during the rebuilding process. In 2013, Mr. Hunter officially started S.E.R.V.E’s second umbrella project, Grocers on Wheels, a mobile fresh produce unit that’s a solution to the prevalent “Food Deserts” throughout his community. By transporting fresh produce into neighborhoods that lack access to healthy food choices, Mr. Hunter is continuing his 80 year family tradition started by his father Zelb Hunter. Mr. Hunter combines education in industrial labor, green building design and organizational management to operate the non-profit since 2006. Mr. Hunter graduated from Cornell University Certified in Human Resources/ Industrial Labor.
  • 10. In 2008 he became certified in Green Building Technology at North Carolina State University School of Engineering. Additionally Mr. Hunter is an Equal Employment Opportunity certified Specialist from North Carolina State University.
  • 11. Summary of Contents The next part of the portfolio is the contents I created during the internship experience. The daily and weekly logs focuses on the activities I performed during the internship experience. One of the requirements of the internship is conducting a community needs assessment, which includes literature reviews, meeting minutes, and interviews. The special project planning guide shows the procedures of the special project. There is a PowerPoint presentation handout that focuses on my special project. One of the major requirements in the internship is evaluation. I created a post-test evaluation tool for the special project. More content in this portfolio includes conference documents, deliverables, and other materials created during the internship experience.
  • 12. NCCU/Department of Public Health Education Internship Program Daily Log Week 1: Name: Keandra S. Diggs Date: 03/03/15 Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly Placement: Grocers on Wheels Monday Time Activities 5:30pm – 7:30pm Meet with Field Supervisor for Orientation Tuesday Time Activities 9:00 am – 12:00 pm Research potential clients for Grocers on Wheels Mobile Market 12:00pm – 1:00pm Lunch 1:00pm – 5:00pm Research national statistics about food deserts/food access Wednesday Time Activities 9:00 am – 10:00 am Send emails to potential clients for Grocers on Wheels Mobile Market 10:00am – 11:20pm Research potential clients for Grocers on Wheels Mobile Market 11:20am – 1:00pm Research state statistics about food deserts/food access Thursday Time Activities 8:40 am – 12:00 pm Research potential clients for Grocers on Wheels Mobile Market 12:00pm – 1:00pm Lunch 1:00pm – 5:00pm Research state/ localstatistics and literature review about food deserts/food access Friday Time Activities 9:00 am – 11:00 am Research potential clients for Grocers on Wheels Mobile Market 12:00pm – 1:00pm Lunch 1:00pm – 4:30pm Research state/ localstatistics and literature review about food deserts/food access 4:30 pm – 6:00pm Meeting with Field Supervisor and Preceptor of Record about first week of internship and preceptor’s notebook
  • 13. NCCU/Department of Public Health Education Internship Program Weekly Summary Week 1 Name: Keandra S. Diggs Total Hours for the Week:31.20 Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly Agency/Workplace location: Grocers on Wheels/Healing With CAARE Sunday Monday Tuesday Wednesday Thursday Friday Saturday Hours Worked 2 8 4 8.20 9 Learning Objectives Activities By the end of the internship, the health education associate will be able to explain the main purpose and functions of the agency. The Health Education Associate gained a further understanding of the main purpose of Grocers on Wheels by attending a meeting/orientation. Also, the Health Education Associate research the agency’s website for the mission, vision, and history of Grocers on Wheels. By the end of the internship, the health education associate will demonstrate professional skills in oral or written presentation during her internship experience. No Activities This Week By the end of the internship, the health education associate will have conducted a community assessment for the target population. The Health Education Associate gathered literature about food deserts and access to healthy foods for the community assessment. By the end of the internship, the health education associate will engage in weekly supervisory meetings with your supervisor to keep him or her informed of problems and progress and to receive feedback. The Health Education Associate met with the Field Supervisor and Preceptor of Record to discuss the progress of the first week and the responsibilities and expectations of the internship. By the end of the internship, the health education associate will have planned, implemented, and evaluated a special project for Durham’s Grocers on Wheels Eat Smart Move More Healthy Track Initiative. No Activities This Week Areas of Responsibilities Activities I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate gathered national, state, and local statistics about food deserts and access to healthy foods for the community assessment. II. Plan Health Education No Activities This Week III. Implement Health Education No Activities This Week IV. Conduct Evaluation & Research Related to Health Education The Health Education Associate gathered literature about food deserts and access to healthy foods for the
  • 14. community assessment. V. Administer & Manage Health Education The Health Education Associate recruited potential clients (Churches, Senior Centers,etc.) for the Grocers on Wheels Mobile Market. VI. Serve as a Health Education Resource Person No Activities This Week VII. Communicate and Advocate for Health and Health Education No Activities This Week Additional Activities: No additional activities this week Conference,Training, Workshop, Webinar or Wedcast Attended: No activities this week Collaboration: No activities this week Reflection: Well, the first week of internship is complete. In the beginning, I was really nervous about working with Grocers on Wheels due to the fact that I was their first college intern. In the past,the interns who worked with Grocers on Wheels in the past were high school students. On the first day, my field supervisor and I talked about the activities that I will be doing. Grocers on Wheels have a very good following in Southeast Raleigh and they want to increase their business in Durham. One of the most important activities that I was assigned was to research potential clients who would be interested in having the Grocers on Wheels Mobile Market come to their residence. Some other activities included gathering statistics and literature for the community assessment. Overall, I enjoyed my first week and I am excited to see what is next on this journey.
  • 15. NCCU/Department of Public Health Education Internship Program Daily Log Week 2: Name: Keandra S. Diggs Date: 03/09/15 Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly Placement: Grocers on Wheels (GOW) Monday Time Activities 9:00am – 12:00pm Research literature about food deserts/food access 12:00pm – 1:00pm Lunch 1:00pm – 1:30pm Made phone calls to clients to grant permission to pass out surveys about food preferences for the GOW Mobile Market 2:00pm – 5:00pm Research potential clients for GOW Mobile Market Tuesday Time Activities 9:00am – 12:00pm Research literature about food desert/food access for needs assessment 12:00pm – 1:00pm Lunch 1:00pm – 3:00pm Revised food surveys to distribute three facilities in Durham and Bahama, North Carolina 3:00pm – 5:00pm Read three journal articles about food desert/food access for needs assessment Wednesday Time Activities 9:00am -10:25am Meet with Field Supervisor to go over food surveys to distribute to three facilities in Durham and Bahama,North Carolina 10:35am -10:45am Drop off food surveys to Durham Center for Senior Life 10:50am –12:00pm Arrive to W.D. Hill Recreation Center to distribute food surveys to senior clients 12:01pm - 1:30pm Drop off food surveys to Little River Community Complex 1:30pm – 2:30pm Lunch 2:30 pm – 5:00pm Return to Healing With CAARE and tally results from completed food surveys from W.D. Hill Recreation Center Thursday Time Activities 9:00am -12:00pm Research beauty shops in food desert locations on Google.com for GOW Durham Eat Smart Move More Healthy Track 12:00pm – 1:00pm Lunch 1:00pm – 3:00pm Research beauty shops in food desert locations on Google.com for GOW Durham Eat Smart Move More Healthy Track 3:00pm – 5:00pm Read two journal articles about food desert/food access for needs assessment
  • 16. Friday Time Activities 9:00pm – 12:00pm Research beauty shops in food desert locations on Google.com for GOW Durham Eat Smart Move More Healthy Track 12:00pm – 1:00pm Lunch 1:00pm – 5:00pm Research beauty shops in food desert locations on Google.com for GOW Durham Eat Smart Move More Healthy Track
  • 17. NCCU/Department of Public Health Education Internship Program Weekly Summary Week 2 Name: Keandra S. Diggs Total Hours for the Week:40.10 Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly Agency/Workplace location: Grocers on Wheels/Healing With CAARE Sunday Monday Tuesday Wednesday Thursday Friday Saturday Hours Worked 8 8 8 8 8.10 Learning Objectives Activities By the end of the internship, the health education associate will be able to explain the main purpose and functions of the agency. The Health Education Associate gained a further understanding of the main purpose of Grocers on Wheels. The purpose of Grocers on Wheels is to enlighten clients in the importance of access to fresh produce and educate clients about Urban Agriculture Education and promote access healthier food choices for Durham communities. By the end of the internship, the health education associate will demonstrate professional skills in oral or written presentation during her internship experience. The Health Education Associate demonstrated professional skill in giving a small presentation to the seniors in the W.D. Hill Recreation Center about the Grocers on Wheels Mobile Market and the food preference surveys. By the end of the internship, the health education associate will have conducted a community assessment for the target population. The Health Education Associate gathered literature about food deserts and access to healthy foods for the community assessment. By the end of the internship, the health education associate will engage in weekly supervisory meetings with your supervisor to keep him or her informed of problems and progress and to receive feedback. The Health Education Associate met with the Field Supervisor to discuss the food preference surveys and the locations that the surveys will be distribute. By the end of the internship, the health education associate will have planned, implemented, and evaluated a special project for Durham’s Grocers on Wheels Eat Smart Move More Healthy Track Initiative. The Health Education Associate recruited beauty shops for the Durham’s Grocers on Wheels Eat Smart Move More Healthy Track Initiative. Areas of Responsibilities Activities I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate distributed food preference surveys to three facilities (Durham Center for Senior Life, W.D. Hill Recreation Center,and Little River Community Complex). II. Plan Health Education No Activities This Week
  • 18. III. Implement Health Education The Health Education Associate demonstrated professional skill in giving a small presentation to the seniors in the W.D. Hill Recreation Center about the Grocers on Wheels Mobile Market and the food preference surveys. IV. Conduct Evaluation & Research Related to Health Education The Health Education Associate gathered literature about food deserts and access to healthy foods for the community assessment. V. Administer & Manage Health Education None This Week VI. Serve as a Health Education Resource Person The Health Education Associate demonstrated professional skill in giving a small presentation to the seniors in the W.D. Hill Recreation Center about the Grocers on Wheels Mobile Market and the food preference surveys. VII. Communicate and Advocate for Health and Health Education None This Week Additional Activities: None This Week Conference,Training, Workshop, Webinar or Webcast Attended: None This Week Collaboration: None This Week Reflection: Week two of this internship experience was great. I got to travel to different locations in Durham and Bahama,North Carolina to distribute surveys on what type of foods do the potential clients prefer. One of the highlights of this week was spending time with the clients and helping them with the survey. One of the three locations that I went to was a community complex in Bahama,North Carolina. The community complex was once an elementary school that was going to be torn down. The community of Bahama took action by developing a petition to keep the building. After years of advocacy and multiple signatures, the community of Bahama earned rights to the building and created a community center for seniors. Overall, another great week of my internship experience.
  • 19. NCCU/Department of Public Health Education Internship Program Daily Log Week 3: Name: Keandra S. Diggs Date: 03/16/15 Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly Placement: Grocers on Wheels Monday Time Activities 9:00am – 12:00pm Internet research and made calls to beauty shops for Grocers on Wheels GOW Durham Eat Smart Move More Healthy Track 12:00pm-1:00pm Lunch 2:00pm – 4:00pm Internet research and made calls to beauty shops for Grocers on Wheels GOW Durham Eat Smart Move More Healthy Track 4:00pm – 5:00pm Update and review week two daily and weekly logs Tuesday Time Activities 9:00pm – 12:00pm Internet research and made calls to beauty shops for Grocers on Wheels GOW Durham Eat Smart Move More Healthy Track 12:00pm-4:20pm Attended the debut of the Mobile Market at the lawn of Durham Arts Council, learn the functions of the Mobile Market food weight/cashier, and Lunch 4:21pm- 6:00pm Meeting with Field Supervisor, Operations Manager, and Preceptor of Record to talk about feedback on the second week and ideas on special project. Wednesday Time Activities 9:00am – 12:00pm Internet research and made calls to beauty shops for Grocers on Wheels GOW Durham Eat Smart Move More Healthy Track 12:00pm - 1:00pm Lunch, Research current events on food deserts and childhood obesity Internet research and made calls to beauty shops for Grocers on Wheels GOW Durham Eat Smart Move More Healthy Track Thursday Time Activities 9:00am – 10:00am Internet research of beauty shops in Durham and made calls to beauty shops for Grocers on Wheels GOW Durham Eat Smart Move More Healthy Track 10:00am – 12:00pm Conference call to Field Supervisor about progress of beauty shops, making changes to the Grocers on Wheels GOW Durham Eat Smart Move More Healthy Track, and information about Voices Into Action Mini-Grant Meeting 12:00pm – 1:00pm Lunch, Research current events on food deserts and childhood obesity 1:01pm – 3:59pm Research information about Voices Into Action and read handouts that were sent from Field Supervisor 4:00pm – 5:05pm Drive from Durham, NC to Raleigh, NC (North Carolina State University) for the Voices Into Action Mini-Grant Meeting
  • 20. 5:06pm – 7:00pm Attend the Voices Into Action Mini-Grant Meeting: Action Plan and Logistics Friday Time Activities 9:00am – 12:00pm Research statistics about childhood obesity and food deserts 12:00pm – 1:00pm Lunch, Research current events on food deserts and childhood obesity 1:00pm – 3:00pm Research statistics about childhood obesity and food deserts 3:01pm – 5:00pm Plan ideas for special project involving food deserts and childhood obesity
  • 21. NCCU/Department of Public Health Education Internship Program Weekly Summary Week 3 Name: Keandra S. Diggs Total Hours for the Week:44.10 Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly Agency/Workplace location: Grocers on Wheels/Healing With CAARE Sunday Monday Tuesday Wednesday Thursday Friday Saturday Hours Worked 8 9 8 11 8.10 Learning Objectives Activities By the end of the internship, the health education associate will be able to explain the main purpose and functions of the agency. The Health Education Associate gained a further understanding of the main purpose of Grocers on Wheels. The Health Education Associate had the opportunity to learn the functions of the Mobile Market, including weighing produces and cashier responsibilities. By the end of the internship, the health education associate will demonstrate professional skills in oral or written presentation during her internship experience. The Health Education Associate demonstrated professional skills in oral and written presentation by giving a small presentation at the Voices into Action Mini-Grant action and logistics meeting at North Carolina State University. During the meeting, the Health Education Associate discussed grant budget and plans to continue the Mobile Market project in Southeast Raleigh and Durham. By the end of the internship, the health education associate will have conducted a community assessment for the target population. The Health Education Associate attended the Voices into Action Mini-Grant action and logistics meeting at North Carolina State University. During the meeting, I had the opportunity to talk to a few organizations, which are located in Durham and Raleigh, about access to fresh foods with children and women. By the end of the internship, the health education associate will engage in weekly supervisory meetings with your supervisor to keep him or her informed of problems and progress and to receive feedback. Meeting with Field Supervisor, Operations Manager, and Preceptor of Record to talk about feedback on the second week and ideas on special project. By the end of the internship, the health education associate will have planned, implemented, and evaluated a special project for Durham’s Grocers on Wheels Eat Smart Move More Healthy Track Initiative. The Health Education Associate planned ideas and suggestions to the special project involving childhood obesity and access to fresh foods and the Mobile Market event at Healing With CAARE.
  • 22. Areas of Responsibilities Activities I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate attended the Voices into Action Mini-Grant action and logistics meeting at North Carolina State University. The purpose of the meeting is to discuss action plans with various projects with the grant provided. II. Plan Health Education The Health Education Associate planned ideas and suggestions to the special project involving childhood obesity and access to fresh foods and the Mobile Market event at Healing With CAARE. III. Implement Health Education No Activities This Week IV. Conduct Evaluation & Research Related to Health Education After the unsuccessful attempts with the beauty shop project, the Health Education Associate changed ideas with the special project and gathered literature about access to fresh foods and children. V. Administer & Manage Health Education No Activities This Week VI. Serve as a Health Education Resource Person No Activities This Week VII. Communicate and Advocate for Health and Health Education The Health Education Associate demonstrated professional skills in oral and written presentation by giving a small presentation at the Voices into Action Mini-Grant action and logistics meeting at North Carolina State University. During the meeting, the Health Education Associate discussed grant budget and plans to continue the Mobile Market project in Southeast Raleigh. Additional Activities: The Health Education Associate attended the debut of the Grocers on Wheels Mobile Market at the Durham Arts Council on Tuesday, March 17th . During the event, the Health Education Associate had the opportunity to learn the functions of the Mobile Market, including weighing produces and cashier responsibilities. The Health Education Associate also had the opportunity to meet people in the community.
  • 23. NCCU/Department of Public Health Education Internship Program Daily Log Week 4: Name: Keandra S. Diggs Date: 03/29/15 Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly Placement: Grocers on Wheels Sunday Time Activities 12:00pm – 1:59pm Arrive to Duke University for the 2015 Durham CROP Hunger Walk with collaboration with North Carolina Central University Center of Translational Health Equality Research (CTHER),set up materials for Kids Zone for Healthy Decisions 2:00pm – 4:30pm Implement Kids Zone for Healthy Decisions at the 2015 Durham CROP Hunger Walk at Duke University; educated children about healthy eating and played a game using MyPlate. 4:31pm – 5:15pm Pack up materials for Kids Zone for Healthy Decisions at the 2015 Durham CROP Hunger Walk at Duke University Monday Time Activities 9:00am – 12:00pm Research statistics about childhood obesity and food deserts 12:00pm – 1:00pm Lunch 1:00pm – 3:00pm Research statistics about childhood obesity and food deserts 3:00pm – 5:00pm Prepare and look over interview questions, conducted a phone interview with Dr. Beverly Brennan, Diabetes Pediatric Specialist Tuesday Time Activities *9:00am-11:00am Meeting to attend at North Carolina CentralUniversity 11:00pm – 1:30pm Finish literature review and statistics on childhood obesity and food deserts for needs assessment,made phone calls to potential clients to distribute food surveys for GOW Mobile Market. 1:35pm – 5:20pm Went out to the community to research the office of Dr. Sarah Armstrong, Lunch. Wednesday Time Activities 9:00am-10:30am Unpack produce from truck to Healing with CAARE 10:31am – 2:05pm Went into the community to recruit 5 recreation and children centers for interest in theatrical educational sessions. 2:06pm – 6:00pm Attend diabetes event at Healing With CAARE to educate the benefits of
  • 24. eating fruits and vegetables, meeting with field supervisor and preceptor of record. 6:01pm – 6:30pm Pack the produce into the Mobile Truck Thursday Time Activities 9:00am – 10:00pm Email Ms. Joyce Page for an interview for needs assessment and Mr. Jamaal Bowden for more information about the nutrition event at John Avery Boys and Girls Club 10:01am – 12:00pm Research theories and developed goals and objectives for special project 12:00pm – 1:00pm Lunch, Read “Theory at a Glance” to think about a theory for special project. 1:01pm – 3:00pm Research theories and developed goals and objectives for special project 3:01pm – 5:20pm Started on brochure for children about MyPlate and healthy eating. Friday Time Activities 9:00pm – 12:00pm Research theories and developed goals and objectives for special project 12:00pm – 1:00pm Lunch 1:01pm – 3:30pm Continue working on brochure for children about MyPlate and healthy eating. 3:31pm – 5:00pm Brainstorm ideas for presentation for John Avery Boys and Girls Club
  • 25. NCCU/Department of Public Health Education Internship Program Weekly Summary Week 4 Name: Keandra S. Diggs Total Hours for the Week:45.55 Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly Agency/Workplace location: Grocers on Wheels/Healing With CAARE Sunday Monday Tuesday Wednesday Thursday Friday Saturday Hours Worked 5.15 8.20 6:30 9:30 8.20 8 Learning Objectives Activities By the end of the internship, the health education associate will be able to explain the main purpose and functions of the agency. The Health Education Associate gained a further understanding of the main purpose and functions of Grocers on Wheels. The Health Education Associate had the opportunity to work the Mobile Market at the Diabetes Health Event at Healing with CAARE. By the end of the internship, the health education associate will demonstrate professional skills in oral or written presentation during her internship experience. The Health Education Associate demonstrated professional skills in oral presentation by educating people with Type 2 diabetes about healthy eating and nutrition. By the end of the internship, the health education associate will have conducted a community assessment for the target population. The Health Education Associate conducted a phone interview with a diabetic pediatric specialist and completed literature review on childhood obesity and food deserts. By the end of the internship, the health education associate will engage in weekly supervisory meetings with your supervisor to keep him or her informed of problems and progress and to receive feedback. The Health Education Associate met with Field Supervisor and Preceptor of Record during the Diabetes Health Event at Healing with CAARE to discuss updates on special project. By the end of the internship, the health education associate will have planned, implemented, and evaluated a special project for Durham’s Grocers on Wheels Eat Smart Move More Healthy Track Initiative. The Health Education Associate developed goals and objective and created a brochure for children about MyPlate and nutrition for the special project. Areas of Responsibilities Activities I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate conducted a phone interview with a diabetic pediatric specialist and completed literature review on childhood obesity and food deserts. II. Plan Health Education The Health Education Associate developed goals and objectives for the special project. III. Implement Health Education None This Week IV. Conduct Evaluation & Research Related to Health The Health Education Associate completed literature
  • 26. Education review on childhood obesity and food deserts. V. Administer & Manage Health Education The Health Education Associate went into the community to recruit five recreation and children centers for interest in theatrical educational sessions. VI. Serve as a Health Education Resource Person The Health Education Associate educated people with Type 2 diabetes about healthy eating and nutrition at the Diabetes Health Event at Healing With CAARE. VII. Communicate and Advocate for Health and Health Education The Health Education Associate created a brochure for children about MyPlate and nutrition for the special project. Additional Activities: The Health Education Associate attended the 2015 Durham CROP Hunger Walk on Sunday, March 22nd at Duke University on behalf of Grocers on Wheels and Centers for Translational Health Equality Research- Education Core. CROP Hunger Walk is an annual event which combines fun and fundraising to raise money for hungry people throughout the world. The Health Education Associate assisted with the Kids Zone for Healthy Decisions. The Kids Zone has four stations: Germbusters, Stress Busters,Nutrition, and Water Filtration. In the nutrition station, the Health Education Associate educated children about healthy eating by creating a game using MyPlate. The children really enjoyed the game and they learn something about healthy eating. Conference,Training, Workshop, Webinar or Webcast Attended: None this Week Collaboration: The Health Education Associate collaborated with Centers for Translational Health Equality Research- Education Core at the Durham CROP Hunger Walk on Sunday, March 22nd at Duke University with the Kids Zone for Healthy Decisions. During the week,I had the opportunity to go into the community to recruit potential locations for interest theatrical educational sessions Reflection: I can’t believe it’s already four weeks since I started this internship journey. On Sunday the 22nd , I had the opportunity to attend the Durham CROP Hunger Walk to educate children about healthy eating and MyPlate. The children had fun with the activity and they learn something about healthy eating. As the week begins, I went out to the community to recruit potential places for interest in theatrical educational sessions. There were a few places that were interested in Grocers on Wheels coming to perform and bring the Mobile Market. On Wednesday the 25th , I attend the Diabetes Health Fair at Healing With CAARE, where I had a chance to educate people about why fruits and vegetables are important. I had an opportunity to interview Dr. Beverly Brennan, who is a diabetes pediatric specialist. I really enjoyed talking to her and she gave me so much information about childhood obesity and diabetes. At the week draws
  • 27. to a close, I created a brochure about MyPlate for children and parents. I believe that this brochure can impact families to eat better and make healthy choices. Overall, this was a good week.
  • 28. NCCU/Department of Public Health Education Internship Program Daily Log Week 5: Name: Keandra S. Diggs Date: 03/23/15 Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly Placement: Grocers on Wheels Monday 03/30 Time Activities 9:20am – 11:40am Select theory and develop goals and objectives for special project; start working on Health Belief Model constructs 11:41am – 12:29pm Continue working on brochure about MyPlate and healthy eating 12:30pm – 1:30pm Lunch 1:31pm – 4:00pm Finish working on brochure about MyPlate and healthy eating; start working on coloring sheet. 4:01pm – 6:00pm Finish coloring sheet for program; start working on PowerPoint Tuesday 03/31 Time Activities 9:00am-9:40pm Check email for updates on Boys and Girls Club event; call Britney Cheri, Secretary and Graphic Designer for G3 Community Enrichment Program to meet up 9:44pm – 11:00am Meet with Britney Cheri, Secretary and Graphic Designer for G3 Community Enrichment Program, to talk about changes in event and future dates 11:01pm – 2:00pm Go out to the community to reach potential clients for educational sessions, Lunch 2:01pm – 4:00pm Call schools to do the special project program 4:01pm – 6:00pm Prepare surveys for JFK Towers Wednesday 04/01 Time Activities 9:00am – 10:29am Call Wendy Weaver,Resident Service Coordinator of JFK Towers, in advance of arrival of the food surveys. Prepare and review food surveys for JFK Towers. 10:30am – 2:00pm Drop off food surveys for the Grocers on Wheels Mobile Food Market to JFK Towers,Meeting with Wendy Weaver,Resident Service Coordinator of JFK Towers about presentation on diabetes and nutrition; Lunch 2:01pm – 3:30pm Give updates to Field Supervisor and Preceptor of Record about the changes through email and phone 3:31pm – 6:00pm Brainstorm ideas for program for JFK Towers Thursday 04/02 Time Activities 9:00am – 10:00am Prepare questions for interview 10:31pm – 12:00pm Interview with Justin Thomas, Manager, Programs and Community Outreach
  • 29. for American Diabetes Association 12:01pm – 1:01pm Lunch 1:02pm – 3:30pm Start revised brochure for program 3:31pm – 4:30pm Brainstorm more ideas for program 4:31pm – 6:00pm Start planning ideas for program Friday 04/03 (Easter Holiday) Time Activities 3:00pm - 4:30pm Meet with Preceptor of Record about updates and feedback
  • 30. NCCU/Department of Public Health Education Internship Program Weekly Summary Week 5 Name: Keandra S. Diggs Total Hours for the Week:36.50 Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly Agency/Workplace location: Grocers on Wheels/Healing with CAARE Sunday Monday Tuesday Wednesday Thursday Friday Saturday Hours Worked 8.20 9 9 9 1.30 Learning Objectives Activities By the end of the internship, the health education associate will be able to explain the main purpose and functions of the agency. The Health Education Associate gained a further understanding of the main purpose of Grocers on Wheels. The purpose of Grocers on Wheels is to enlighten clients in the importance of access to fresh produce and educate clients about Urban Agriculture Education and promote access healthier food choices for Durham communities. By the end of the internship, the health education associate will demonstrate professional skills in oral or written presentation during her internship experience. No Activities This Week By the end of the internship, the health education associate will have conducted a community assessment for the target population. The Health Education Associate interviewed manager of programs and community outreach for American Diabetes Association. By the end of the internship, the health education associate will engage in weekly supervisory meetings with your supervisor to keep him or her informed of problems and progress and to receive feedback. The Health Education Associate met with Preceptor of Record for updates on special project and feedback. By the end of the internship, the health education associate will have planned, implemented, and evaluated a special project for Durham’s Grocers on Wheels Eat Smart Move More Healthy Track Initiative. The Health Education Associate began planning for the Special Project, including timeline and proposal. Areas of Responsibilities Activities I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate interviewed manager of programs and community outreach for American Diabetes Association. II. Plan Health Education The Health Education Associate began planning for the Special Project, including timeline and proposal. III. Implement Health Education No Activities This Week IV. Conduct Evaluation & Research Related to Health Education No Activities This Week
  • 31. V. Administer & Manage Health Education No Activities This Week VI. Serve as a Health Education Resource Person The Health Education Associate met with Residents Service Coordinator from JFK Towers and Secretary and Graphic Designer for G3 Community Enrichment Program to discuss Grocers on Wheels. VII. Communicate and Advocate for Health and Health Education No Activities This Week Additional Activities: No Activities This Week Conference,Training, Workshop, Webinar or Wedcast Attended: No Activities This Week Collaboration: No Activities This Week Reflection: Well, week five of internship is completed. I had some barriers in terms of conducting my special project. I received and email stating that the Boys and Girls club event was postpone in May. Therefore,I had to research different afterschool programs to see where I can present my presentation. When I wasn’t successful, I thought that I was going to give up. One day, I was assigned to drop off surveys to a senior apartment complex called JFK Memorial Towers. I had a great conversation with the Residents Service Coordinator (RSC) about public health education, the internship experience, and special project. The RSC stated that it’s rare for a health educator to come and conduct a presentation about health topics and asked if I could come and present my presentation. I gladly accept the offer and gave her more information about date and time. This week, I learned that it best to have back up plan because you will never know what will happen.
  • 32. NCCU/Department of Public Health Education Internship Program Daily Log Week 6: Name: Keandra S. Diggs Date: 04/06/15 Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly Placement: Grocers on Wheels Monday 04/06 Time Activities 9:00am – 12:00pm Finish documents and send them to Preceptor of Record 12:01pm – 1:01pm Lunch 1:02pm – 3:00pm Research more areas for potential clients for Mobile Fresh Market 3:01pm – 5:00pm Start working on portfolio 5:01pm – 7:00pm Start preparing questions for interviews Tuesday 04/07 Time Activities 9:00am – 10:30pm Continue preparing questions for interviews 10:31pm – 1:01pm Research more areas for potential clients for educational sessions 1:02pm – 2:02pm Lunch 3:01pm – 5:00pm Revise documents for special project 5:01pm – 7:00pm Work on final portfolio Wednesday 04/08 Time Activities 9:00am – 10:30am Continue working on document revisions for special project 10:31am – 12:00pm Go over questions for interviews at JFK Towers 12:01pm – 3:00pm Interviewed Mrs. Fannie Howard and Mrs. Laura Marlon, residents of JFK Towers; meeting with Wendy Weaver,Residents Service Coordinator of JFK Towers about program; return to Healing With CAARE 3:01pm – 3:10pm Email internship professor about midterm evaluation 3:11pm – 5:00pm Continue working on document revisions for special project 5:01pm – 7:00pm Work on final portfolio Thursday 04/09 Time Activities 9:00am – 10:30pm Continue working on document revisions for special project 10:31pm – 1:01pm Research more areas for potential clients for educational sessions 1:02pm – 2:02pm Lunch 3:01pm – 5:00pm Revise documents for special project 5:01pm – 7:00pm Work on final portfolio
  • 33. Friday 04/10 Time Activities 9:00am – 10:30am Finished documents for special project; sent documents to Preceptor of Record 10:31am – 12:00pm Start develop brochure for type 2 diabetes nutrition program at JFK Towers 12:01pm – 1:01pm Lunch 1:02pm – 3:00pm Continue working on brochure for program 3:01pm – 5:00pm Start on PowerPoint for type 2 diabetes nutrition program at JFK Towers 5:01pm – 7:00pm Continue to work on final portfolio
  • 34. NCCU/Department of Public Health Education Internship Program Weekly Summary Week 6 Name: Keandra S. Diggs Total Hours for the Week:45.00 Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly Agency/Workplace location: Grocers on Wheels/Healing With CAARE Sunday Monday Tuesday Wednesday Thursday Friday Saturday Hours Worked 9 9 9 9 9 Learning Objectives Activities By the end of the internship, the health education associate will be able to explain the main purpose and functions of the agency. The Health Education Associate gained a further understanding of the main purpose of Grocers on Wheels. The purpose of Grocers on Wheels is to enlighten clients in the importance of access to fresh produce and educate clients about Urban Agriculture Education and promote access healthier food choices for Durham communities. By the end of the internship, the health education associate will demonstrate professional skills in oral or written presentation during her internship experience. No Activities This Week By the end of the internship, the health education associate will have conducted a community assessment for the target population. The Health Education Associate interviewed two residents of JFK Memorial Towers and research areas for potential clients for educational sessions. By the end of the internship, the health education associate will engage in weekly supervisory meetings with your supervisor to keep him or her informed of problems and progress and to receive feedback. No Activities This Week By the end of the internship, the health education associate will have planned, implemented, and evaluated a special project for Durham’s Grocers on Wheels Eat Smart Move More Healthy Track Initiative. The Health Education Associate planned activities for special project “Seniors in Control of Healthy Living”. Areas of Responsibilities Activities I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate interviewed two residents of JFK Memorial Towers. II. Plan Health Education The Health Education Associate planned activities for special project “Seniors in Control of Healthy Living”. III. Implement Health Education No Activities This Week IV. Conduct Evaluation & Research Related to Health Education The Health Education Associate researched areas for potential clients for educational sessions. V. Administer & Manage Health Education No Activities This Week
  • 35. VI. Serve as a Health Education Resource Person No Activities This Week VII. Communicate and Advocate for Health and Health Education The Health Education Associate created a plan and brochure for special project. Additional Activities: None This Week Conference,Training, Workshop, Webinar or Wedcast Attended: None This Week Collaboration: None This Week Reflection: Week six of internship has been a crazy week. As the day of the special project presentation approaches,I have been emotional drained with preparing brochures and other activities. I had the opportunity to interview two residents of JFK Memorial Towers. This was one of the major highlights of my internship experience because the two residents were very caring and informative. After the interviews, I had the opportunity to speak with the residents service coordinator of JFK Memorial Towers about the special project, public health education, and other health topics. Overall, this week kept me busy and I am excited about presenting my special project presentation.
  • 36. NCCU/Department of Public Health Education Internship Program Daily Log Week 7: Name: Keandra S. Diggs Date: 04/14/15 Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly Placement: Grocers on Wheels Monday 04/13 Time Activities 9:00am – 10:30am Completed brochure; review and sent brochure to preceptor of record for feedback 10:31pm – 12:00pm Start on PowerPoint for type 2 diabetes nutrition program at JFK Towers. 12:01pm – 1:01pm Lunch 1:02pm – 1:30pm Start creating smoothie recipe cards for program. 1:31pm – 3:40pm Meeting with Preceptor of Record about the updates on type 2 diabetes nutrition program and deliverables. 3:45pm – 5:50pm Continue to work on PowerPoint for type 2 diabetes nutrition program for JFK Towers residence. 5:51pm – 6:30pm Meeting with Field Supervisor about postponing the program to a later date next week 6:30pm – 7:00pm Email Wendy Weaver,Resident Service Coordinator of JFK Towers,and Preceptor of Record about the changes of the program. Tuesday 04/14 Time Activities 9:00pm – 10:00pm Call Wendy Weaver,Residence Service Coordinator of JFK Towers about the changes of the program 10:01am – 12:00pm Finish smoothie recipe cards for program; continue working on PowerPoint for type 2 diabetes nutrition program 12:00pm – 12:10pm Call Joyce Paige, Durham Diabetes Coalition to set up an interview for Friday, April 17th at 1:30pm at Durham County Health Department 12:11pm – 1:11pm Lunch 1:12pm – 3:30pm Continue to work on PowerPoint for type 2 diabetes nutrition program for JFK Towers residence. 3:31pm – 5:50pm Revise type 2 diabetes brochure for JFK Residences. 6:00pm – 7:00pm Research potential clients for theater educational sessions Wednesday 04/15 Time Activities 9:00pm – 11:00pm Revised and complete brochure for special project program 11:01pm – 12:30 pm Continue to work on PowerPoint for type 2 diabetes nutrition program for JFK Towers residence. 12:31pm – 1:31pm Lunch 1:32pm – 3:00pm Finish working on PowerPoint for type 2 diabetes nutrition program for JFK Towers residence,send documents to Preceptor of Record
  • 37. 3:00pm – 7:00pm Revised special project proposal Thursday 04/16 Time Activities 8:30am – 11:00am Attend meeting at Durham County Health Department; arrived at Healing with CAARE 11:01am – 12:30pm Go out to the community and research potential clients for theater educational sessions 12:31pm – 1:31pm Lunch 1:32pm – 4:00pm Finish special project proposal and sent it to Preceptor of Record 4:00pm – 7:00pm Midterm Evaluation with Field Supervisor and Internship professors Friday 04/17 Time Activities 9:00am – 11:00am Create a food desert map for Grocers on Wheels portfolio 11:00pm – 1:00pm Prepare and go over questions for interview 1:01pm – 2:30pm Arrived at Durham County Health Department; Interview Joyce Paige, Durham Diabetes Coalition; return to Healing With CAARE 2:31pm – 4:00pm Review and transcribe interview answers from all four key informants 4:01pm – 7:00pm Start revising documents for special project program Saturday 04/18 Time Activities 6:40am – 7:30am Arrived to PNC Arena for Women’s Empowerment 2015; unpack materials for table 7:31am – 10:00am Start working with Duke Women’s Wellness and Healing with CAARE; women’s bingo and passing out surveys 10:00am – 12:00pm Break/ Lunch 12:00pm – 5:00pm Continue working on women’s bingo and passing out surveys 5:01pm – 7:00pm Start packing up materials and return to Durham
  • 38. NCCU/Department of Public Health Education Internship Program Weekly Summary Week 7 Name: Keandra S. Diggs Total Hours for the Week:55.00 Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly Agency/Workplace location: Grocers on Wheels/Healing with CAARE Sunday Monday Tuesday Wednesday Thursday Friday Saturday Hours Worked 9 9 9 9 9 10 Learning Objectives Activities By the end of the internship, the health education associate will be able to explain the main purpose and functions of the agency. The Health Education Associate gained a further understanding of the main purpose of Grocers on Wheels. The purpose of Grocers on Wheels is to enlighten clients in the importance of access to fresh produce and educate clients about Urban Agriculture Education and promote access healthier food choices for Durham communities. By the end of the internship, the health education associate will demonstrate professional skills in oral or written presentation during her internship experience. No Activities This Week By the end of the internship, the health education associate will have conducted a community assessment for the target population. The Health Education Associate interviewed a health educator from Durham Diabetes Coalition and Durham County Health Department. By the end of the internship, the health education associate will engage in weekly supervisory meetings with your supervisor to keep him or her informed of problems and progress and to receive feedback. The Health Education Associate met with Field Supervisor and Preceptor of Record to go over updates and feedback. The Health Education Associate also met with Field Supervisor, and internship professors for midterm evaluation. By the end of the internship, the health education associate will have planned, implemented, and evaluated a special project for Durham’s Grocers on Wheels Eat Smart Move More Healthy Track Initiative. The Health Education Associate planned activities for special project, “Seniors in Control of Healthy Living”. Areas of Responsibilities Activities I. Assess Needs,Assets,& Capacity for Health Education The Health Education Associate interviewed a health educator from Durham Diabetes Coalition and Durham County Health Department. II. Plan Health Education The Health Education Associate planned activities for special project, “Seniors in Control of Healthy Living”. III. Implement Health Education No Activities This Week IV. Conduct Evaluation & Research Related to Health Education The Health Education Associate research food desert locations for a map development.
  • 39. V. Administer & Manage Health Education No Activities This Week VI. Serve as a Health Education Resource Person No Activities This Week VII. Communicate and Advocate for Health and Health Education The Health Education Associate developed brochure, PowerPoint handout, and recipe cards for special project. Additional Activities: None This Activities Conference,Training, Workshop, Webinar or Wedcast Attended: The Health Education Associate attended the Women’s Empowerment 2015 along with the Duke Womens Wellness. The activities implemented includes distribution of pre-test and post-test, conducted BINGO game based on breast cancer,and distribution of prize bags. Collaboration: The Health Education Associate collaborated with the Duke Womens Wellness and Healing with CAARE Inc. with the Women’s Empowerment 2015 in Raleigh, NC. Reflection: Week seven of internship is completed. This was one of the most stressfulweeks I had since the internship started. There were professional and personal barriers that happen this week. The midterm evaluation did not go well. I felt that since the internship started, my field supervisor stated that I didn’t go out to the community or go to the various events. I felt like I didn’t do my job and I took responsibility for it. Another barrier that happens this week was that my daughter was in the hospital due to an unknown health issue. Having something to take over your top priority is the hardest thing to face. However,since there is one week of internship left, I will have to focus on finishing this internship experience. But, not all this week was bad. I had the opportunity to attend the Women’s Empowerment 2015 at Raleigh, North Carolina. I’ve learned about breast cancer information and personal stories of participants.
  • 40. NCCU/Department of Public Health Education Internship Program Daily Log Week 8: Name: Keandra S. Diggs Date: 03/24/15 Field Supervisor: Demetrius Hunter Preceptor: Dr. David Jolly Placement: Grocers on Wheels Monday 04/20 Time Activities 9:00am – 12:00pm Revised documents for special project program 12:00pm – 1:30pm Go out to the community to distribute flyers for Durham Arts Council event; return to Healing With CAARE 1:31pm – 2:00pm Prepare materials to meet with Preceptor of Record 2:00pm – 3:00pm Meet with Preceptor of Record to go over documents for special project program 3:01pm – 5:00pm Revised documents for special project program 5:01pm – 7:00pm Prepare notes for “What’s the 411?: Diabetes Foot Care” event at Durham County Health Department Tuesday 04/21 Time Activities 9:00am – 9:30am Finish prepare notes for “What’s the 411?: Diabetes Foot Care” event at Durham County Health Department 9:31am – 12:00pm Arrived at the Durham County Health Department; prepare and set table for event; “What’s the 411?: Diabetes Foot Care” event starts; talk to people about Grocers on Wheels and nutrition; start packing up and have lunch. 12:01pm – 2:00pm Meet Field Supervisor at Durham Arts Council to talk about the event; help out with Durham Arts Council event 2:01pm – 4:00pm Write notes for special project program, prepare for rehearsalwith Preceptor of Record 4:01pm – 5:30pm Rehearsalwith Preceptor of Record, return to Healing with CAARE 5:31pm – 7:00pm Start preparing materials for program Wednesday 03/22 Time Activities 9:00am – 10:30am Finish folding brochures for special project; prepare materials for special project program 10:31am – 12:00pm Practice reading notes in front of a few people for special project program 12:00pm – 1:59pm Pack materials for the program; drive and arrive to JFK Memorial Towers, unpack and prepare for program 2:00pm – 3:00pm Implement “Seniors in Control for Healthy Living” includes, educational session, Family Feud game, and smoothie demonstration. 3:01pm – 5:00pm Clean up and pack materials; talk to Residents Service Coordinator about the program; return to Healing with CAARE 5:01pm – 7:00pm Debrief about the program; start tallying data from special project program
  • 41. Thursday 03/23 Time Activities 9:00am – 10:30am Continue tallying data from special project 10:31am - 12:30pm Start analyzing data using Microsoft Excel 12:30pm – 2:00pm Meet with Preceptor of Record to debrief and go over exit interview preparations 2:01pm – 3:30pm Recount and finish tallying data from special project 3:31pm – 5:00pm Finished analyzing data using Microsoft Excel 5:00pm – 8:00pm Start on exit interview PowerPoint Presentation
  • 42. NCCU/Department of Public Health Education Internship Program Weekly Summary Week 8 Name: Keandra S. Diggs Total Hours for the Week:38.30 Field Supervisor: Demetrius Hunter Preceptor ofRecord: Dr. David Jolly Agency/Workplace location: Grocers on Wheels/Healing With CAARE Sunday Monday Tuesday Wednesday Thursday Friday Saturday Hours Worked 9 9 9.30 11 Learning Objectives Activities By the end of the internship, the health education associate will be able to explain the main purpose and functions of the agency. The Health Education Associate gained a further understanding of the main purpose of Grocers on Wheels. The Health Education Associate had the opportunity to learn the functions of the Mobile Market, including weighing produces and cashier responsibilities. By the end of the internship, the health education associate will demonstrate professional skills in oral or written presentation during her internship experience. The Health Education Associate demonstrated professional skills in oral and written presentation by presenting special project presentation to JFK Memorial Towers. By the end of the internship, the health education associate will have conducted a community assessment for the target population. No Activities This Week By the end of the internship, the health education associate will engage in weekly supervisory meetings with your supervisor to keep him or her informed of problems and progress and to receive feedback. The Health Education Associate met with Field Supervisor and Preceptor of Record to go over the presentation of the special project. By the end of the internship, the health education associate will have planned, implemented, and evaluated a special project for Durham’s Grocers on Wheels Eat Smart Move More Healthy Track Initiative. The Health Education Associate implemented and evaluated special project, “Seniors in Control of Healthy Living”. Areas of Responsibilities Activities VII. Assess Needs,Assets,& Capacity for Health Education No Activities This Week II. Plan Health Education No Activities This Week III. Implement Health Education The Health Education Associate implemented special project “Seniors in Control of Healthy Living”. IV. Conduct Evaluation & Research Related to Health Education The Health Education Associate evaluated special project, “Seniors in Control of Healthy Living”.
  • 43. V. Administer & Manage Health Education The Health Education Associate administered evaluation tool special project, “Seniors in Control of Healthy Living”. VI. Serve as a Health Education Resource Person The Health Education Associate educated participants with information about type 2 diabetes and nutrition during my special project. The Health Education Associate also attended the “What’s the 411?: Diabetes Foot Care” event to promote Grocers on Wheels. VII. Communicate and Advocate for Health and Health Education The Health Education Associate developed brochure and PPT and conducted smoothie demonstration to convey information on type 2 diabetes and nutrition. Additional Activities: The Health Education Associate also attended the “What’s the 411?: Diabetes Foot Care” event to promote Grocers on Wheels. After the event, the Health Education Associate participated in the Mobile Fresh Market at the Durham Arts Council. Conference,Training, Workshop, Webinar or Wedcast Attended: None This Week Collaboration: None This Week Reflection: Well, the final week of internship has come and I can’t believe how fast these eight weeks went. After having a horrible week seven,I feel that this last week was what I needed. I attended the “What’s the 411?: Diabetes Foot Care” event at the Durham County Health Department,where I promoted Grocers on Wheels. Since week one, it was hard for me to say the purpose of the agency. Now, I can remember the purpose and mission by heart. I completed my special project at JFK Towers. In the beginning, I had a lot of barriers including technical difficulties, emergencies in the building, and tardiness and leaving early. At the end, I made changes to the program and it went well. As my internship experience comes to an end, there were lessons learned including always have a back-up plan, communication between intern and preceptor/supervisor is very important, and keep calm when confronted with barriers. On the other hand, there were major accomplishments including materials development (brochure, recipe cards,etc.),overcame technical difficulties on the day of special presentation, and increased confidence in public speaking. Overall, the internship experience was one of the highlights of my entire undergraduate career.
  • 44. Name: Keandra S. Diggs Date: 03/03/2015 Internship Site: Grocers on Wheels Community Assessment Report Form Directions: Insert your information for each heading in the area designated “Comments”. If you did not have information for the heading, insert “No Information”. 1. Introduction: Give a detailed description of the catchment area for your target population (Use national and state data,census data and other sources). Next,describe your target population: demographics (e.g. age,gender, race,educational level, employment) and other pertinent information. Refer to Community Health Assessment Report for the county. The Introduction needs to be 2 paragraphs in length. Each paragraph should contain at least 5 sentences. Older adults are disproportionately affected by type 2 diabetes. These problems may be worse in some communities in the United States because access to affordable and nutritious food is difficult. Increased attention is being paid to the distribution of supermarkets and grocery stores offering food products of an appropriate quality and variety to support the nutritional needs of families. A few advocates,community leaders, and researchers are worried that these problems may be more severe in certain poor and rural American communities because these areas have limited access to affordable and nutritious foods. Increases in rates of obesity and related chronic diseases that are linked with poor diets, such as diabetes and heart disease, are major public health concerns. With age comes an increased risk for specific complications with Type 2 diabetes. The growing issue of obesity can be slowed, if society focuses on the causes. Some of those causes include unhealthy eating habits, lack of eating veggies and fruits, environment/access to healthy foods, lack of physical activity, and lack of knowledge. Having a program that addresses the effects of diabetes and promotes nutrition will have the biggest influence on the choices older adults make when selecting healthy foods to consume. Focusing on these causes may, over time, decrease obesity and lead to a healthier society as a whole. International Data:  In 2014, more than 1.9 billion adults, 18 years and older, were overweight. Of these over 600 million were obese (World Health Organization, 2015).  Overall, about 13% of the world’s adult population (11% of men and 15% of women) were obese in 2014 (World Health Organization, 2015).
  • 45. Federal Data:  More than one-third (34.9% or 78.6 million) of U.S. adults are obese (Centers of Disease Control and Prevention, 2014).  Diabetes is the 7th leading cause of death in the United States (Centers for Disease Control and Prevention; National Institute of Diabetes and Digestive and Kidney Disease , 2014)  Of all households in the United States, 2.3 million, or 2.2 percent, live more than a mile from a supermarket and do not have access to a vehicle. (Ploeg et al., 2009)  Approximately 25% of Americans over the age of 60 years have diabetes, and aging of the U.S. population is widely acknowledged as one of the drivers of the diabetes epidemic (American Diabetes Association, 2014) State Data:  As of 2014, North Carolina has the 25th Highest Adult Obesity Rate in Nation (Trust for America's Health; Robert Wood Johnson Foundation, 2014)  Food insecurity, at 16.9 percent of adults aged 60 and older, remains a major challenge for North Carolina seniors (United Health Foundation, 2014).  North Carolina is ranked 21st on obesity rates for seniors ages 65 and older (United Health Foundation, 2014). Local Data:  In 2009, 65% of Durham County adults were overweight or obese (Durham County Health Department, 2011).  16.7% of the Durham County population (42,840 people) is food insecure (Durham County Health Department, 2011)  Diabetes is the 5th leading cause of death in Durham County and is also a significant risk factor for heart disease and cerebrovascular disease, the second and third leading causes of death in Durham, respectively (Durham County Health Department, 2011). Comments:
  • 46. 2. Methodology: Procedures for conducting needs assessment (what did you do to conduct the needs assessment) List the literature you reviewed (in bullet format). Include the citation for each literature cited (use APA style of citation)  Aggarwa, e. a. (2014, May). Access to Supermarkets and Fruit and Vegetable Consumption. Retrieved March 2nd, 2015, from American Journal of Public Health: ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301763  Ghosh-Dastidar, P. B. (2014, November). American Journal of Preventive Medicine. Retrieved March 2nd, 2015, from Elsevier: http://dx.doi.org/10.1016/j.amepre.2014.07.005  Larsen, K. G. (2009, June 22). A farmers market in a food desert: Evaluating impacts on the price and availability of healthy food. Retrieved March 2nd, 2015, from www.elsevier.com/locate/healthplace  U.S. Department of Agriculture. (2008). Access to Affordable and Nutritious Food: Measuring and Understanding Food Deserts and Their Consequences. Retrieved March 3rd, 2015, from U.S. Department of Agriculture: ers.usda.gov/media/242675/ap036_1_.pdf Comments: List and describe the community meetings you attended  Voices Into Action (March 19th ) (Meeting minutes attached to the end of needs assessment) Voices into Action funds mini-grants and works with communities to help improve access to healthy and affordable food and places to be active.  Obesity and Chronic Illness Meeting (April 16th ) (Meeting minutes attached to the end of needs assessment) Obesity and Chronic Illness committee's intent is to provide a community- based approach to address the growing problem of overweight and obesity, factors that contribute to the development and complications associated with many chronic illnesses. Comments:
  • 47. Describe the process for collecting data (who did you interview) (Attach the interview script at the end of the needs assessment report). These are the list of key informants I interviewed for the needs assessment  Joyce Paige, Durham Diabetes Coalition/Durham County Health Department  Justin Thomas, Manager,Programs and Community Outreach for American Diabetes Association  Mrs. Fannie Howard,resident of JFK Memorial Towers  Mrs. Laura Marlon, residents of JFK Memorial Towers Comments: 3. Findings List the findings of the review of literature in bullet format  The introduction of a farmers’ market improved access to healthy food items, which has a major impact on overall price groceries. The market also provides residents with a significantly better variety of food items. (Larsen,2009)  Populations that live in areas with limited access to affordable and nutritious food may adjust their food shopping behaviors and diets based on the food environment in their area. These adjustments could be due to the lack of availability of some foods or to the relative prices of different foods offered from different food retailers (U.S. Department of Agriculture, 2008)  Low-income participants may also be willing to travel farther to a low-price store for better prices. Once inside a low-price store, shoppers may be influenced by displays and marketing of non-nutritious or junk foods (Ghosh-Dastidar, 2014)  Physical proximity to supermarkets may not be the most salient variable to reflect access to supermarkets and food shopping environments, particularly among people with access to a car. (Aggarwa et al, 2014) Comments: List major findings of community meetings in bullet format (See meeting minutes attached to the back of the needs assessment) Comments:
  • 48. 4. Conclusions List the top 4 to 5 social problems of the target population in bullet format 1. Difficulty coping and accepting physical changes of aging 2. Financial stresses from the loss of regular income 3. Feeling inadequate from inability to continue to work 4. Frustration with ongoing medical problems and increasing number of medications Comments: List the top 4 to 5 major health problems of target population in bullet format (Based upon the interviews, community meetings, and literature) 1. Alzheimer’s Disease 2. Arthritis 3. Heart Disease 4. Cancer 5. Diabetes Comments: 5. Assets/Resources and Capacity List & discuss resources in the target population’s community that exist to address the health problems 1. Senior Health Support of the Triangle Provide our Seniors such services that would enhance their Physical, Spiritual, and Mental Health 2. Durham Center for Senior Life Enhancing the lives of older adults through education, recreation, nutrition and social services in welcoming community settings  Key programs at the Durham Center for Senior Life are: 1. Social and Senior Center Services 2. Congregate Nutrition 3. Adult Day Health Services. Comments:
  • 49. Briefly describe the capacity of the internship agency to conduct the special project One of the functions of Grocers on Wheels is to provide educational tips on how to prepare healthy, nutritious meals. This special project will not only teach seniors about eating healthy and provide information on type 2 diabetes, but, this program will help launch the debut of Grocers on Wheels Mobile Food Market Comments:
  • 50. Interview with Joyce Paige Me: My first question is Where you from and what are your educational background? Ms. Paige: I'm from Durham, NC and I have been here most of my life except for four to five years I spent in Washington DC/ Maryland area when I worked in the department of health and human services. I'm a North Carolina Central University Graduate in Biology. I attended UNC School of Public Health and earned two degrees. The first one is for Public Health Policy and Administration and the second one is for Biostatistics. I have worked at some many places from local and small cities/towns to the national level. Me: What made you want to work in this profession? Ms. Paige: I love with working for the community. I wanted to learn more about this disease from top to bottom. The more information I found, the more I became interested. Me: Do you have type 2 diabetes? If so, how long have you been a diabetic? Are you currently taking medications or on insulin? What are you doing to control your type 2 diabetes? Ms. Paige: Yes, I do have type 2 diabetes. I was diagnosed about ten years ago. It was based on taking my mother’s blood sugar and I decided to test mine and it was 138 and I called the doctor and tested me again and I was pre-diabetic. I was doing well in terms of controlling my blood sugars for a few years. Now, I have been stacking off due to my busy schedule. I’m only taking Metformin at the moment. The changes I made since I was first diagnose includes eat more vegetables and eat less sweets and butter. Me: What do you think are some causes of type 2 diabetes? Ms. Paige: I believe that Durham is the fast food/restaurant capital of the North Carolina. We have more fast food places than grocery stores. Also, lack of transportation is a huge cause here in Durham. We might be the car dealer capital in North Carolina, but our bus transportation is very confusing. Altogether, environmental factors and financial struggles are the main cause of type 2 diabetes and obesity. Me: Do you believe that food deserts are an issue with type 2 diabetes in Durham? Ms. Paige: Absolutely. Like I mention before, Durham is the fast food/restaurant capital of the North Carolina and we have more fast food places than grocery stores. We need more grocery stores than restaurants. Me: Do you think that seniors 65 and older are at more at risk with type 2 diabetes than any other age range?
  • 51. Ms. Paige: Yes. Seniors have the highest prevalence of type 2 diabetes than any other age group. Also, diabetes is the number one leading cause of blindness. It’s very important for health educators to pay more attention to this age group. Me: I will have a program for seniors 65 and older about type 2 diabetes and nutrition, what would you like to see in the program? Ms. Paige: I would like to know if I have type 2 diabetes, what I can eat that is easy to prepare. Also, I would like to see what exercise can I do so, I can be in shape. The last I would like to see is a table to get eyes and feet check. Me: If you were given $1 million to correct the health problems of the community, what would you spend it on? Ms. Paige: I would spend the $1 million on reaching leaders and educators to conduct diabetes education and to bring church kitchen committees to discuss changes in the meals that they serve.
  • 52. Interview with Justin Thomas Me: My first question is Can you tell me more information about your position at the American Diabetes Association? Mr. Justin Thomas: Yes, I am the manager of program community and outreach. So, I conduct health events and do screening for the Research Triangle Area. I recruit, train, overseer volunteers, and work with other departments to promote events and workshops. Most of the time, I’m out in the community more than my office. Me: What made you want to work in this profession? Mr. Thomas: I love working for the community. I feel that everyone should at least work outside of the community just to get the experience and the vibe of connecting with others. Yes, every day I get tired, but it’s all worth it. Me: Do you have type 2 diabetes? If so, how long have you been a diabetic? Are you currently taking medications or on insulin? What are you doing to control your type 2 diabetes? Mr. Thomas: Yes, I do have type 2 diabetes and it runs in my family. I was diagnosed about 12 years ago. I am currently taking medication for the diabetes. Also, I exercise 30 minutes each day and watch what I eat. Me: What do you think are some causes of type 2 diabetes? Mr. Thomas: I believe that environmental factors and financial situations play a huge role on type 2 diabetes. Durham has a limited amount of grocery stores. Wal-Mart has taking over and added a grocery store component and their produces are not fresh. Me: Do you believe that food deserts are an issue with type 2 diabetes in Durham? Mr. Thomas: Absolutely. Food deserts also play a role in type 2 diabetes. Actually, it plays a role for all chronic health issues, such as health diseases and high blood pressure. Me: Do you think that seniors 65 and older are at more at risk with type 2 diabetes than any other age range? Mr. Thomas: Yes. It’s very important for health educators to pay more attention to this age group. That goes for all, and I mean all health issues.
  • 53. Me: I will have a program for seniors 65 and older about type 2 diabetes and nutrition, what would you like to see in the program? Mr. Thomas: I will like to see an educational component, food demonstrations, games/prizes, and testing/screenings. If you have those components, you will have a successful program. Me: If you were given $1 million to correct the health problems of the community, what would you spend it on? Mr. Thomas: I would spend the $1 million on educators to conduct diabetes education to all ages from children to seniors. Also, I will have a project to get more grocery stores in Durham County. Me: Well, that is all the questions that I have. Thank you so much for taking the time to talk to me. I am sure what you have shared will be helpful to me as I prepare for my career. Mr. Thomas: You are very welcome, Keandra. Good luck on the rest of your internship.
  • 54. Interview with Fannie Howard Me: My first question is: how long have you been a resident at JFK Memorial Towers? Mrs. Fannie Howard: I have been living here for about 10 years with my husband. We had been married for 75 years. Me: Congratulations, Mrs., Howard. Before you moved to JFK Towers, what did you do for a living? Mrs. Howard: I was a school teacher at Cumberland County schools for more than 40 years, High school math and science. Me: Do you have diabetes? If so, how long have you been a diabetic? Mrs. Howard: Yes, I have been diagnosed since I was 60 and it runs in the family. I have seven children and three of them have diabetes. Me: Are you currently taking medication or insulin? Mrs. Howard: Yes, I am taking four medications and insulin. Me: What are you doing to control your type 2 diabetes? Are you exercising? Are you eating healthy? Mrs. Howard: Yes. I am walking a few times a day. I am eating more fruits and vegetables than any other food group. Me: Final question, I will have a program for seniors about type 2 diabetes and nutrition, what would you like to see in the program? Mrs. Howard: I will like to see food demonstrations because I want to update my recipe box. Me: Well, that is all the questions that I have. Thank you so much for taking the time to talk to me, Mrs. Howard. I am sure what you have shared will be helpful to me as I prepare for my career. Mrs. Howard: You are very welcome. I wish you all the luck in your college career and I will be attending the program. Me: Thank you, Mrs. Howard.
  • 55. Interview with Laura Marlon Me: My first question is: how long have you been a resident at JFK Memorial Towers? Mrs. Laura Marlon: I have been living here for 8 years. Me: Before you moved to JFK Towers, what did you do for a living? Mrs. Marlon: I was a midwife at Guilford County for over 40 to 50 years. I have seen lots of babies. Me: That is great, Mrs. Marlon. Do you have diabetes? If so, how long have you been a diabetic? Mrs. Marlon: Yes, I have been diagnosed for a long time. I don’t remember the age or time. Me: Are you currently taking medication or insulin? Mrs. Marlon: Yes, I am taking two medications and insulin. I hate taking those things every day. But, I have to in order to control the diabetes. Me: That is very true. Speaking of control, What are you doing to control your type 2 diabetes? Are you exercising? Are you eating healthy? Mrs. Marlon: Mostly, I eat healthy. I used to walk once or twice a day but, I injured my knee recently. Me: I’m sorry to hear that. I hope you get well soon, Mrs. Marlon. Final question, I will have a program for seniors about type 2 diabetes and nutrition, what would you like to see in the program? Mrs. Marlon: I will like to see food demonstrations, facts about diabetes, and games. I love to play games. Me: Well, that is all the questions that I have. Thank you so much for taking the time to talk to me, Mrs. Marlon. I am sure what you have shared will be helpful to me as I prepare for my career. Mrs. Marlon: You are welcome and thank you for interviewing me.
  • 56. Meeting Minutes Meeting Place: North Carolina State University (Voices into Action) Date: March 19th, 2015 Start time: 5:00pm EST End time: 7:00pm EST Attendance (names): Helen Herrera Nutrition and Outreach Associate Department of Youth, Family, and Community Sciences North Carolina State University Annie Hardison-Moody Research Assistant Professor Department of Youth, Family, and Community Sciences North Carolina State University These are the following organizations that are recipients of the Voices into Action’s Mini Grant: Poe Center North Carolina Fair Share CDC Everyday PIONEERS Alliance Medical Ministry With Love From Jesus A Safe Place Childcare Center Passage Home Agenda topic: - Grant Logistics - Action Planning - Evaluation
  • 57. Major Points of Discussion: - Mini-Grant Logistics  With the mini-grants, money is awarded in chunks based on benchmarks.  Invoices will be tied in to action plans.  If you reach benchmarks earlier, you can receive funds earlier. - Action Planning  Voices into Action’s action plan includes:  Goals - A broad and simple vision statement that will give your program direction.  Person(s) Responsible  Actions - Specific statements that list the programs, policies, and environmental changes and the ways you will work to reach these goals.  Resources Needed - List all the resources and materials you need for each action– also include people, partnerships, and volunteers  Dates - Anticipated completion dates for actions  Funds needed - what do you need to use funds for these actions  Progress - Use this as you go to note how actions are going, including dates and person responsible.  Evaluation
  • 58. Meeting Minutes Meeting Place: Durham County Health Department ( Obesity and Chronic Illness Meeting) Date: April 16th, 2015 Start time: 8:30am EST End time: 10:00pm EST Attendance (names): Perry Whitted, Jen Isherwood, Sharon Mosley, Casey Horvitz, Farhad Modarzi, Aubrey Delaney, Callan Hoerdemann, Debbie Royster, Kelly Warnock, Chasity Newkirk, Chelsea Hawkins, Willa Allen, Kate Floyd, Cate Elander, Jen McDuffie, Melissa Black, Tyrone Hall, Erin Victor, Marissa Mortiboy Agenda topic: - Mini – Grant Review - Action Plan Major Points of Discussion: - Committee review action plan, evidence based strategies, and assessment results. - Committee and guest voted on activities for action plan: Some of the activities selected includes:  Health Classes  Eat Smart Move More  Cooking Classes  Expanding Double Bucks  Healthy Mile Trails  Complete Streets  Guerilla Way Signs
  • 59. Special Project Proposal Title: Seniors in Control ofHealthy Living Background: Older adults are disproportionately affected by type 2 diabetes. These problems may be worse in some communities in the United States because access to affordable and nutritious food is difficult. Increased attention is being paid to the distribution of supermarkets and grocery stores offering food products of an appropriate quality and variety to support the nutritional needs of families. A few advocates,community leaders, and researchers are worried that these problems may be more severe in certain poor and rural American communities because these areas have limited access to affordable and nutritious foods. Increases in rates of obesity and related chronic diseases that are linked with poor diets, such as diabetes and heart disease, are major public health concerns. With age comes an increased risk for specific complications with Type 2 diabetes. The growing issue of obesity can be slowed, if society focuses on the causes. Some of those causes include unhealthy eating habits, lack of eating veggies and fruits, environment/access to healthy foods, lack of physical activity, and lack of knowledge. Having a program that addresses the effects of diabetes and promotes nutrition will have the biggest influence on the choices older adults make when selecting healthy foods to consume. Focusing on these causes may, over time, decrease obesity and lead to a healthier society as a whole. Data/Statistics: International Data:  In 2014, more than 1.9 billion adults, 18 years and older, were overweight. Of these over 600 million were obese (World Health Organization, 2015).  Overall, about 13% of the world’s adult population (11% of men and 15% of women) were obese in 2014 (World Health Organization, 2015). Federal Data:  More than one-third (34.9% or 78.6 million) of U.S. adults are obese (Centers of Disease Control and Prevention, 2014).  Diabetes is the 7th leading cause of death in the United States (Centers for Disease Control and Prevention; National Institute of Diabetes and Digestive and Kidney Disease , 2014)  Of all households in the United States, 2.3 million, or 2.2 percent,live more than a mile from a supermarket and do not have access to a vehicle. (Ploeg et al., 2009)  Approximately 25% of Americans over the age of 60 years have diabetes, and aging of the U.S. population is widely acknowledged as one of the drivers of the diabetes epidemic (American Diabetes Association, 2014) State Data:  As of 2014, North Carolina has the 25th Highest Adult Obesity Rate in Nation (Trust for America's Health; Robert Wood Johnson Foundation, 2014)  Food insecurity, at 16.9 percent of adults aged 60 and older, remains a major challenge for North Carolina seniors (United Health Foundation, 2014).  North Carolina is ranked 21st on obesity rates for seniors ages 65 and older (United Health Foundation, 2014).
  • 60. Local Data:  In 2009, 65% of Durham County adults were overweight or obese (Durham County Health Department,2011).  16.7% of the Durham County population (42,840 people) is food insecure (Durham County Health Department,2011)  Diabetes is the 5th leading cause of death in Durham County and is also a significant risk factor for heart disease and cerebrovascular disease,the second and third leading causes of death in Durham, respectively (Durham County Health Department,2011). Purpose:  The purpose of this project is to enhance health outcomes related type 2 diabetes among seniors ages 60 and older, through nutrition education programs that focus on proper nutrition and healthy eating. Goals and Objectives:  Goal 1: To promote healthy lifestyles and wellness among seniors ages 65 and older in North Durham, North Carolina - Objective 1.1: At the end of this session, 70% of the participants will express an increase in their motivation to eat healthier. - Objective 1.2: At the end of the session, 70% of the participants will express an increase in confidence in their ability to eat healthier. Activities: 1. Icebreaker:Educational Game: Food Name Game (Participants come up with food that starts with the first letter of their first name). 2. Educational Game: Family Feud: Food Nutrition Edition (Participants splits into groups to answer survey questions). 3. Smoothie demonstration by using fruits and vegetables from Grocers on Wheels Mobile Food Market  Goal 2: To reduce the incidence of Type 2 Diabetes among seniors ages 65 and older in East Durham, North Carolina. - Objective 2.1: At the end of this session, 70% the participants will have increased awareness of type 2 diabetes. Activities: 1. Develop PowerPoint presentation about information about diabetes and nutrition. 2. Print materials such as brochures with information regarding diabetes and nutrition will be distributed in our session.
  • 61. Methods: o The participants are older adults ages 60 and older, who live in JFK Towers in East Durham, NC. o Number of participants: About 15 senior residences of JFK Towers. o The theory selected for the project is the Health Belief Model. The Health Belief Model determines the benefits and barriers to healthy eating and the cues to action for healthy eating for program participants. o Senior in Control of Healthy Living is a health promotion program which addresses the health issues of obesity and Type 2 diabetes, among seniors ages 65 and older, through promotional educational programs that focus on proper nutrition and healthy eating. Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Activity: Flyer Distribution X o Brainstorm flyer ideas X o Figure out time, date, and location X o Create flyer X o Review flyer X o Revise flyer (brand new date and time) X o Review brand new flyer X o Print flyers X o Distribute flyers to JFK Residence X Activity: Brochure Distribution o Brainstorm what to put on brochure X o Create brochure X o Revise brochure for presentation X X o Review brochure X X o Distribute brochures X Activity: PowerPoint Presentation o Research information about diabetes and X X
  • 62. nutrition o Plan outline X X o Create PowerPoint X o Review PowerPoint X X o Create Notecards X o Review Notecards and Practice Presentation X o Present PowerPoint X Activity: Games (Food Name Game/Family Feud) o Brainstorm questions and answers for Family Feud X o Create Family Feud PowerPoint Game X o Review Family Feud PowerPoint Game X X o Create Food Name Game Sheet X o Review Food Name Game Sheet X X o Print Sheets X o Play Food Name Game X o Play Family Feud X Activity: Smoothie Demonstration o Write down ingredients smoothie recipe cards X o Type the smoothie recipe card o Review smoothie card o Test run smoothie recipe X X X o Call in for Ingredients in advance X o Prepare materials for program X o Perform smoothie demonstration X
  • 63. Evaluation: (Describe how you plan to evaluate your special project) Use the evaluation plan below: Evaluation Plan Objectives Type of Evaluation Evaluation Questions Data Collection Method At the end of this session, 70% of the participants will express an increase in their motivation to eat healthier. Impact Evaluation (Behavioral) To what extent did the program motivate you to eat healthier? Post Test At the end of the session, 70% of the participants will express an increase in confidence in their ability to eat healthier. Impact Evaluation (Behavioral) How confident are you that you have the knowledge you need to eat healthy? How confident are you that you have the resources you need to eat healthy? Post Test At the end of this session, 70% of the participants will have increased awareness of type 2 diabetes. Impact Evaluation (Learning) Did this program increase your awareness on type 2 diabetes? How important do you think healthy eating is for preventing type 2 diabetes? How important do you think healthy eating is for treating type 2 diabetes? Post Test
  • 64. References AmericanDiabetesAssociation.(2014,May 5). Older Adults.RetrievedApril1,2015, fromAmerican Diabetes Association:http://www.diabetes.org/in-my-community/awareness-programs/older- adults/#sthash.j2F08Ir8.dpuf CentersforDisease Control andPrevention;National Instituteof DiabetesandDigestiveandKidney Disease .(2014). NDEPInfographics:How Diabetes AffectsSpecificPopulations.RetrievedApril 1, 2015, from National DiabetesEducationProgram:http://ndep.nih.gov/diabetes- facts/index.aspx Centersof Disease Control andPrevention.(2014, September4). Overweightand Obesity:AdultObesity Facts.RetrievedApril1,2015, from CentersforDisease Control andPrevention: http://www.cdc.gov/obesity/data/adult.html Durham CountyHealthDepartment.(2011). 2011 DurhamCounty Community Health Assessment. RetrievedApril1,2015, from DurhamCountyHealthDepartment: http://dconc.gov/home/showdocument?id=1350 Ploeg,M.B. (2009, June). Accessto Affordableand NutritiousFood—Measuringand Understanding Food Desertsand Their Consequences:Reportto Congress. RetrievedMarch2nd,2015, from UnitedStatesDepertmentof Agriculture EconomicResearchService: http://www.ers.usda.gov/media/242675/ap036_1_.pdf Trust for America'sHealth;RobertWoodJohnsonFoundation.(2014). North Carolina StateObesity Data,Ratesand Trends.RetrievedApril 1,2015, fromThe State of Obesity: http://www.stateofobesity.org/states/nc/ UnitedHealthFoundation.(2014). NorthCarolina SeniorStateRankings.RetrievedApril1,2015, from American'sHealthRankings:http://www.americashealthrankings.org/senior/NC WorldHealthOrganization.(2015, January). Media Centre:Obesity and Overweight.RetrievedApril 1, 2015, fromWorldHealthOrganization: http://www.who.int/mediacentre/factsheets/fs311/en/ Klinedinst,R.M.(2005). Effectsof a NutritionEducationProgramforUrban, Low-Income,OlderAdults: A CollaborativeProgramAmongNursesandNursingStudents.RetrievedApril1,2015, from Journal of CommunityHealthNursing:http://www.ncbi.nlm.nih.gov/pubmed/15877538 Shreck,E. G. (2013). RiskPerceptionandSelf-ManagementinUrban,Diverse AdultswithType 2 Diabetes:The ImprovingDiabetesOutcomesStudy.RetrievedApril 1,2015, from International Societyof Behavioral Medicine:http://www.ncbi.nlm.nih.gov/pubmed/23385488
  • 65. Major Health Education Activities The following is a list of accomplishments during my internship:  Materials development Brochure PPT Recipe cards Flyer  Overcame technical difficulties on the day of presentation  Conducted special project, Seniors in Control of Healthy Living  Increased confidence in public speaking