HEALTHY EATING FOR A LIFETIME PROGRAM

这项竞争性更新研究的目的是扩大 成功制定社区一级营养干预方案 特别补充营养方案中的低收入妇女 马里兰州的妇女、婴儿和儿童方案。 这 这项研究建立在与这一人群合作的广泛经验基础上 根据一项由国家癌症研究所资助的研究，--马里兰州WIC每日5次促销活动 该计划的重点是增加水果消费， 蔬菜. 马里兰州WIC健康饮食终身计划 将重点关注减少与营养有关的癌症风险， 两个新的组成部分：1）减少膳食脂肪和2）增加 膳食纤维 这项研究将扩大高效的 在过去的四年里，研究人员在 马里兰州大学以及位于巴尔的摩和学院公园的校园， 马里兰州卫生和心理卫生部，以及当地 马里兰州的卫生部门。 大学的研究人员 马里兰州巴尔的摩县和加州大学 伯克利也将在这个项目上合作。这项研究将 包括妇女、儿童和青少年入学的妇女和入学儿童的母亲 在WIC。 研究人员还将扩大他们目前的研究， 评估2到4岁儿童的变化。 约60 研究中的参与者中有20%是少数民族， 都是黑人 经过初步规划阶段，调查人员将 在一个干预点和一个对照点进行试点测试。后 进行任何必要的修改后， 实施，使用12个WIC站点的随机交叉设计 位于巴尔的摩市和马里兰州的四个县。这 多方面的干预计划将利用同伴教育者， 教育事业的基石另一个重要 将采用直接邮寄的方式，提供有针对性的信息。所有 干预策略已经成功地测试， WIC参与者作为研究者当前研究的一部分或将 根据他们与这一群体合作的经验来制定。 这些干预措施将提供足够的知名度、教育， 环境支持和激励措施，以鼓励和促进 知识、态度、自我效能感、感知障碍的变化 变化，变化阶段和食物消费 参与者所有干预措施都将基于广泛的 形成性研究，并将严格预先测试之前， 方案实施。

The purpose of this competing renewal study is to expand upon the successful community-level nutrition intervention program developed for low-income women who are in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Maryland. This study builds on extensive experience working with this population under an NCI-funded study, -the Maryland WIC 5 A Day Promotion Program - which focused on increasing consumption of fruits and vegetables. The Maryland WIC Healthy Eating for a Lifetime Program will focus on reducing nutrition-related risks for cancer by adding two new components: 1) decreasing dietary fat and 2) increasing dietary fiber. The study will extend the highly effective collaboration over the past four years among researchers at the University of Maryland and campuses at Baltimore and College Park, the Maryland Department of Health and Mental Hygiene, and local health departments in Maryland. Researchers from the University of Maryland Baltimore County and the University of California at Berkeley will also collaborate on this project. The study will consist of women enrolled in WIC and mothers of children enrolled in WIC. The investigators will also expand their current study to assess changes in children, age two to four. Approximately 60 percent of participants in the study will be minorities most of whom are black. After an initial planning phase, the investigators will conduct a pilot test in one intervention and one control site. After making any necessary revisions, the will proceed to full-scale implementation, using a randomized crossover design for 12 WIC sites located in Baltimore City, and four counties in Maryland. This multi-faceted intervention program will utilize peer educators as the cornerstone of its educational efforts. Another important modality will be direct mail with tailored messages. All of the intervention strategies have either been successfully tested with WIC participants as part of the investigators' current study or will be developed based on their experience working with this population. The interventions will provide sufficient visibility, education, environmental supports, and incentives to encourage and facilitate changes in knowledge, attitudes, self-efficacy, perceived barriers to change, stage of change, and food consumption in the participants. All interventions will be based upon extensive formative research and will be rigorously pre-tested prior to program implementation.