REACHING RURAL RESIDENTS WITH NURTITION STRATEGIES

通过营养战略惠及农村居民

• 批准号: 2748860
• 负责人: ELIZABETH A FRIES
• 金额: $ 11.33万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-08-01 至 2002-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2748860
• 关键词: African American; behavior modification; behavioral /social science research tag; cancer prevention; clinical research; diet therapy; dietary fiber; dietary lipid; handbook; health behavior; human subject; longitudinal human study; low socioeconomic status; motivation; nutrition aspect of cancer; nutrition education; nutrition related tag; questionnaires; rural area; self help; telecommunications

DESCRIPTION: Addressing cancer among rural, African American, and low-income Americans is a high priority for cancer prevention in the U.S. Cancer mortality rates among these groups are often disproportionately high compared to urban, Caucasian, and high-income populations. Some of the high cancer mortality rates in these groups can be slowed by changing the foods Americans eat. Specifically, government agencies, including the National Cancer Institute, recommend that Americans consume at least 20 grams of fiber per day and no more than 30 percent of their daily calories from fat. We are far from reaching these goals, and rural, low-income individuals are especially disadvantaged when it comes to dietary programs and knowledge. These groups are often less ready to change their diets, and in need of both reading level appropriate material and extra motivation to make changes. Yet, our educational materials and techniques for changing diet in the underserved are clearly inadequate. The investigators propose testing a theoretically guided intervention package designed to decrease fat and increase fiber consumption in rural, low-income, low-literacy level individuals in southern Virginia. This intervention will adapt an effective dietary change booklet entitled "Help yourself: A Guide to Healthful Eating" to this population. Personalized dietary feedback and recommendations, and personal physician letters will be provided for additional motivation for dietary modification. One thousand and fifty individuals recruited through rural primary care practices in southern Virginia will participate in this five year study. Subjects will be randomly assigned to intervention and control conditions. The revised self-help booklets and motivational materials will be delivered in the mail to the home of patients. All intervention information will be provided with the personal rural primary care physician's endorsement. Study participants will be followed up by telephone at one, six, and twelve month intervals. Primary outcomes of dietary fat and fiber behavior will be measured using the Fat and Fiber Behavior Questionnaire (FFB). A sub-study in the intervention participants will test three different strategies for presenting personalized dietary feedback based on prior research. This project will provide new information on motivating this underserved population toward dietary change. The combined strategies will form a self-help intervention package that is maximally effective while retaining the long term, desirable qualities of low intensity and cost.

描述：解决农村，非洲裔美国人和 低收入美国人是美国癌症预防的重中之重。 这些群体的癌症死亡率往往高得不成比例 与城市、高加索和高收入人群相比。 一些长的很高 这些人群的癌症死亡率可以通过改变食物来降低 美国人吃。 具体来说，包括国家在内的政府机构 癌症研究所建议，美国人每天至少摄入20克 每天摄入的纤维不超过30%的热量来自脂肪。 我们离实现这些目标还很远，农村低收入者 尤其是在饮食计划和知识方面处于不利地位。 这些群体通常不太愿意改变他们的饮食，而且两者都需要 阅读水平适当的材料和额外的动机作出改变。 然而，我们的教育材料和改变饮食的技术， 服务不足显然是不够的。 研究人员建议测试一种理论指导的干预措施 包装设计，以减少脂肪和增加纤维消费在农村， 低收入低文化水平的人。 这 干预将采用一个有效的饮食改变小册子，题为“帮助 你自己：健康饮食指南”。 个性化 饮食反馈和建议，以及私人医生的信件将被 为饮食调整提供了额外的动机。 通过农村初级保健招募了1 050人 弗吉尼亚州南部的实践将参与这项为期五年的研究。 将受试者随机分配至干预和对照条件。 修订后的自助小册子和激励材料将在 邮寄到患者家中。 所有干预信息将 提供个人农村初级保健医生的认可。 研究参与者将在1点、6点和12点通过电话进行随访 月间隔。 膳食脂肪和纤维行为的主要结果将是 使用脂肪和纤维行为问卷（FFB）测量。 一项子研究 参与者将测试三种不同的策略， 根据先前的研究提供个性化的饮食反馈。 这 该项目将提供有关激励这一服务不足的新信息 人口向饮食改变。 综合战略将形成一个 自助干预一揽子计划，最大限度地发挥作用，同时保留 低强度和低成本的长期理想品质。