A tailored multimedia nutrition education pilot program for low-income women receiving food assistance
A tailored multimedia nutrition education pilot program for low-income women receiving food assistance
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DOI：
10.1093/her/14.2.257
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发表时间：
1999-04-01
影响因子：
2.4
通讯作者：
Brasure, M
中科院分区：
文献类型：
--
作者：
Campbell, MK;Honess-Morreale, L;Brasure, M
本文描述了一个量身定制的多媒体程序，以改善饮食行为的378名低收入妇女参加了食品券计划在达勒姆，北卡罗来纳州，随机干预或对照组后，参与者完成了基线调查，并在干预后1-3个月重新调查。测量方法包括使用简短的食物频率问卷评估饮食脂肪摄入量、变化阶段、低脂食品知识、自我效能和饮食行为问题。基于计算机的干预包括量身定制的肥皂剧和交互式“信息商品”，提供有关膳食脂肪摄入量的个性化反馈，知识和基于变化阶段的降脂策略。随访时，干预组参与者在知识（P < 0.001）、变化阶段（P < 0.05）和某些饮食行为（P < 0.05）方面与对照组相比均有显著改善。两个研究组在随访时报告的脂肪摄入量均显著降低（P < 0.001），但彼此之间无显著差异。大多数参与者认为该计划非常有帮助，并有兴趣在未来使用类似的计划，这项试点研究的结果表明，计算机定制的自助健康促进计划可能是低收入和少数民族人口的有效教育干预措施。
This article describes the development and pilot evaluation of a tailored multimedia program to improve dietary behavior among 378 low-income women enrolled in the Food Stamp program in Durham, North Carolina, After randomization to intervention or control groups, participants completed a baseline survey and were resurveyed 1-3 months post-intervention. Measures included dietary fat intake assessed using a brief food-frequency questionnaire, stage of change, knowledge of low-fat foods, self-efficacy and eating behavior questions. The computer-based intervention consisted of a tailored soap opera and interactive 'info-mercials' that provided individualized feedback about dietary fat intake, knowledge and strategies for lowering fat based on stage of change. At followup, intervention group participants had improved significantly in knowledge (P < 0.001), stage of change (P < 0.05) and certain eating behaviors (P < 0.05) compared to the control group, Both study groups had lowered their reported fat intake markedly at follow-up (P < 0.001), but did not differ significantly from each other. A majority of participants rated the program as very helpful and were interested in using a similar program in the future, The findings of this pilot study suggest that computerized tailored self-help health promotion programs may be effective educational interventions for lower income and minority populations.