ShopSmart 4 Health: results of a randomized controlled trial of a behavioral intervention promoting fruit and vegetable consumption among socioeconomically disadvantaged women
ShopSmart 4 Health: results of a randomized controlled trial of a behavioral intervention promoting fruit and vegetable consumption among socioeconomically disadvantaged women
复制标题
DOI：
10.3945/ajcn.116.133173
复制
发表时间：
2016-08-01
影响因子：
7.1
通讯作者：
Crawford, David A.
中科院分区：
文献类型：
--
作者：
Ball, Kylie;McNaughton, Sarah A.;Crawford, David A.
背景：行为干预显示出促进普通人群增加水果和蔬菜消费的潜力。然而，很少有人知道他们的有效性或成本效益的社会经济弱势群体，谁是不太可能消费足够的水果和蔬菜。目的：本研究调查的影响和成本的行为改变干预增加水果和蔬菜的购买和消费的社会经济弱势妇女。设计：ShopSmart 4 Health是一项随机对照试验，包括3个月回顾性基线数据收集期[时间（T）0]、6个月干预（T1-T2）和6个月无干预随访（T3）。在澳大利亚的墨尔本，社会经济上处于不利地位的妇女是主要的家庭购物者，她们被随机分配到行为改变干预组（n = 124）或对照组（n = 124）。超市交易（销售）的数据和调查测量的主要成果：水果和蔬菜的购买和自我报告的水果和蔬菜consumption.Results：超市交易数据的分析表明，没有显着的干预效果，蔬菜或水果购买在T2或T3。行为改变干预组的参与者报告说，在干预期间（T2）比对照组消耗了更多的蔬菜，干预后6个月（T3）的干预效果较小。与对照组相比，蔬菜消费量增加了0.5份（-1）。d（-1），在接受干预的患者中，T3时仍比基线高0.28份/d。对报告的水果消费量没有干预作用。行为改变干预费用为3.10澳元（澳元）。增加蔬菜的供应量（-1）。d（-1）.结论：这种行为干预增加了社会经济弱势妇女的蔬菜消费。然而，缺乏观察到的影响，水果消费和水果和蔬菜的购买在干预商店表明，需要进一步调查有效的营养促进方法，这一关键目标群体。
Background: Behavioral interventions show potential for promoting increased fruit and vegetable consumption in the general population. However, little is known about their effectiveness or cost-effectiveness among socioeconomically disadvantaged groups, who are less likely to consume adequate fruit and vegetables.Objective: This study investigated the effects and costs of a behavior change intervention for increasing fruit and vegetable purchasing and consumption among socioeconomically disadvantaged women.Design: ShopSmart 4 Health was a randomized controlled trial involving a 3-mo retrospective baseline data collection phase [ time (T) 0], a 6-mo intervention (T1-T2), and a 6-mo no-intervention follow-up (T3). Socioeconomically disadvantaged women who were primary household shoppers in Melbourne, Australia, were randomly assigned to either a behavior change intervention arm (n = 124) or a control arm (n = 124). Supermarket transaction (sales) data and surveys measured the main outcomes: fruit and vegetable purchases and self-reported fruit and vegetable consumption.Results: An analysis of supermarket transaction data showed no significant intervention effects on vegetable or fruit purchasing at T2 or T3. Participants in the behavior change intervention arm reported consumption of significantly more vegetables during the intervention (T2) than did controls, with smaller intervention effects sustained at 6 mo postintervention (T3). Relative to controls, vegetable consumption increased by similar to 0.5 serving.participant(-1) . d(-1) from baseline to T2 and remained 0.28 servings/d higher than baseline at T3 among those who received the intervention. There was no intervention effect on reported fruit consumption. The behavior change intervention cost A$3.10 (in Australian dollars) . increased serving of vegetables(-1) . d(-1).Conclusions: This behavioral intervention increased vegetable consumption among socioeconomically disadvantaged women. However, the lack of observed effects on fruit consumption and on both fruit and vegetable purchasing at intervention stores suggests that further investigation of effective nutrition promotion approaches for this key target group is required.