The Stanford Nutrition Action Program: A dietary fat intervention for low-literacy adults
The Stanford Nutrition Action Program: A dietary fat intervention for low-literacy adults
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DOI：
10.2105/ajph.87.12.1971
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发表时间：
1997-12-01
影响因子：
12.7
通讯作者：
Fortmann, SP
中科院分区：
文献类型：
--
作者：
Howard-Pitney, B;Winkleby, MA;Fortmann, SP
Objectives. This study was undertaken to test the effectiveness : of the Stanford Nutrition Action Program, an experimental trial to reduce dietary fat intake among low-literacy low-income adults.Methods. Twenty-four paired adult education classes (351 participants, 85% women, mean age = 31 years) were randomly assigned to receive a newly developed dietary fat curriculum (the Stanford Nutrition Action Program) or an existing general nutrition curriculum. Food frequency and nutrition-related data, body mass index, and capillary blood cholesterol were collected at baseline and at two postintervention follow-ups.Results. The Stanford Nutrition Action Program classes showed significantly greater net improvements in nutrition knowledge (+7.7), attitudes (+0.2), and self-efficacy (+0.2) than the general nutrition classes; they also showed significantly greater reductions in the percentage of calories from total (-2.3%) and saturated (-0.9%) fat. There were no significant differences in body mass index or blood cholesterol. All positive intervention effects were maintained for 3 months postintervention.Conclusions. The Stanford Nutrition Action Program curriculum, tailored to the cultural, economic, and learning needs of low-literacy, low-income adults, was significantly more effective in achieving fat-related nutritional changes than the general nutrition curriculum.
