CVD NUTRITION EDUCATION FOR LOW LITERACY ESL STUDENTS

针对文化水平较低的 ESL 学生的 CVD 营养教育

• 批准号: 3365929
• 负责人: JOHN P. ELDER
• 金额: $ 61.85万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-08-01 至 1996-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3365929
• 关键词: blood pressure; body height; body weight; cardiopulmonary resuscitation; cardiovascular disorder education; cholesterol; cognition; dietary lipid; educationally disadvantaged; food processing /preparation; health behavior; human population study; human subject; interview; nonEnglish language; nutrition education; nutrition related tag; role; social psychology

We propose to promote cardiovascular health through nutritional education to a low literacy Population enrolled in English as a Second Language (ESL) courses in San Diego Community College District. 1,800 students in 90 different classes will be randomly assigned to the special nutritional intervention or an attention-control condition where a certification course in cardiopulmonary resuscitation (CPR) will be taught. Specially trained ESL teachers will actually lead the intervention classes, which will be designed in accordance with NHLBI and American Red Cross guidelines, respectively. Specific educational content for the intervention group will include sources of dietary fat and cholesterol nutrients affecting blood pressure, basic shopping skills, food preparation skills , and dealing with special occasions, i.e., potlucks. A booster session will be held to monitor progress, provide reinforcement for success or additional problem solving for difficulties, review materials, and plan maintenance. Consistent with a Social Learning (Cognitive) Theory (SLT) framework, all sessions will include modeling*, role playing, corrective feedback and social reinforcement, homework, and confidence building activities. With attention to the specific needs of this population which is low in literacy (at least in English), the smallest amount of information necessary will be presented, each point will be made as vividly as possible, participants will restate and otherwise demonstrate their mastery of the material, and frequent repetition will be used. A substantial period of formative research will emphasize specific adaptations of existing material to make' it appropriate for this population. Measurement will occur at baseline, at 3 months and at a 6 months follow up. Measures will include blood pressure, total cholesterol, height/weight, waist and hip circumference, 24-hour dietary recall, SLT-based knowledge, attitude and behavior variables, the Comprehensive Adult Student Assessment System (CASAS) Life Skills Reading Test and Spanish literacy through the Cloze technique. All self-report measurement except the CASAS will be conducted in English or Spanish, primarily through oral interview. SLT knowledge, attitude, and behavioral measures of instructors in study and non-study classes will also be assessed.

我们建议通过营养教育促进心血管健康 以英语作为第二语言入学的人口 (ESL)圣地亚哥社区学院区（San Diego Community College District）1,800名学生 90个不同的班级将被随机分配到特殊的营养 干预或注意力控制条件，其中认证 将教授心肺复苏术课程。 专门 受过培训的ESL教师将实际上领导干预班， 将按照NHLBI和美国红十字会的要求进行设计 分别指导。 具体的教育内容， 干预组将包括膳食脂肪和胆固醇来源 影响血压的营养素、基本购物技巧、食物 准备技能，以及处理特殊场合，即，家常便饭 将举行一次助推会议，以监测进展情况， 对于成功或其他问题解决困难，请回顾 材料和计划维护。 与社会学习相一致 （认知）理论（认知）框架，所有会议将包括建模 *， 角色扮演，纠正反馈和社会强化，家庭作业， 建立信任的活动。 注意到以下方面的具体需要： 这一人口识字率低（至少在英语方面）， 将提供最少量的必要信息，每个点 将尽可能生动地进行，与会者将重申， 以其他方式展示他们对材料的掌握，并经常 将使用重复。 一段时间的形成性研究将 强调对现有材料的具体修改，使其成为 适合这个人群。 将在基线、3个月和6个月随访时进行测量 起来 测量指标包括血压，总胆固醇， 身高/体重，腰围和臀围，24小时饮食回忆， 基于SLT的知识、态度和行为变量， 成人学生评估系统（CASAS）生活技能阅读测试和 通过完形填空技术来学习西班牙语。 所有自我报告 除CASAS外，测量将以英语或西班牙语进行， 主要是通过口头采访。 知识、态度和 研究班和非研究班教师的行为测量将 也要评估。