Dietary change through African American churches: baseline results and program description of the eat for life trial.
Dietary change through African American churches: baseline results and program description of the eat for life trial.
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通过非裔美国教会进行的饮食改变：“终身饮食”试验的基线结果和计划描述。
DOI：
10.1080/08858190009528685
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Baranowski,T
中科院分区：
文献类型：
--
作者：
Resnicow,K;Wallace,DC;Jackson,A;Digirolamo,A;Odom,E;Wang,T;Dudley,WN;Davis,M;Mitchell,D;Baranowski,T
背景。“为生命而吃”是一项多成分干预计划，旨在增加非裔美国人的水果和蔬菜（f&v）消费，该计划通过非裔美国人教会进行。14个教堂被随机分配到三种治疗条件中的一种：1)比较；2)一个电话的文化敏感多成分干预；3)四个电话的文化敏感性多成分干预。干预措施包括一段18分钟的视频、一本项目食谱、印刷的健康教育材料，以及一些印有项目标志和“每天5点”信息的“提示”。电话干预的一个关键要素是动机性访谈的使用，这是一种最初为成瘾行为开发的咨询技术。试验的主要结果包括通过食物频率问卷（FFQs）和24小时召回来评估的总F和V摄入量，以及血清类胡萝卜素。被评估的社会心理变量包括结果预期、摄入油炸食品的障碍、对肉类食物的偏好、新恐惧症、多吃油炸食品的社会支持、多吃油炸食品的自我效能感和营养知识。结果。三个ffq的基线平均F和V摄入量从每天3.45到4.28份不等。基于单一24小时回忆的摄入量为3.0份。与食糖摄入量正相关的变量包括自我效能、结果预期和对食糖含有维生素的信念。与摄入负相关的因素包括感知障碍、肉类偏好、新事物恐惧症和高脂肪烹饪习惯。第一次电话咨询的完成率为90%。其余三个电话的完成率从79%到86%不等。“为生命而吃”研究的招募和干预方法似乎很有前景。基于动机性访谈的电话干预对提供饮食咨询可能有用。
Background. Eat for Life, a multicomponent intervention to increase fruit and vegetable (F & V) consumption among African Americans, is delivered through African American churches.Methods. Fourteen churches were randomly assigned to one of three treatment conditions: 1) comparison; 2) culturally‐sensitive multicomponent intervention with one phone call; and 3) culturally‐sensitive multicomponent intervention with four phone calls. The intervention included an 18‐minute video, a project cookbook, printed health education materials, and several “cues” imprinted with the project logo and a 5 A Day message. A key element of the telephone intervention was the use of motivational interviewing, a counseling technique originally developed for addictive behaviors. Major outcomes for the trial included total F & V intake, assessed by food‐frequency questionnaires (FFQs) and 24‐hour recalls, and serum carotenoids. Psychosocial’ variables assessed included outcome expectations, barriers to F & V intake, preference for meat meals, neophobia, social support to eat more F & V, self‐efficacy to eat more F & V, and nutrition knowledge. Results. Baseline mean F & V intakes across the three FFQs ranged from 3.45 to 4.28 servings per day. Intake based on a single 24‐hour recall was 3.0 servings. Variables positively correlated with F & V intake included self‐efficacy, outcome expectations, and a belief that F & V contain vitamins. Factors negatively correlated with intake include perceived barriers, meat preference, neophobia, and high‐fat cooking practices. The completion rate for the first telephone counseling call was 90%. Completion rates for the remaining three calls ranged from 79% to 86%.Conclusion. The recruitment and intervention methods of the Eat for Life study appear promising. The telephone intervention based on motivational interviewing is potentially useful for delivering dietary counseling.
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