MODIFYING DIETARY PATTERNS BY EMPOWERING BLACK WOMEN

本研究的目的是描述 社区组织和赋权战略， 有非胰岛素风险的非裔美国妇女的模式 2型糖尿病的治疗 第二个重点是比较 标准饮食咨询干预的干预策略 由健康专业人士提供。 社区组织和 授权（实验）干预涉及利用 非正式和正式网络，以增加与饮食有关的信息， 技能，提高自我掌握，并改变非洲人饮食模式 美国女人 干预由8名训练有素的邻居提供 （营养邻居）谁是在一个健康课程的毕业生给予 由一个完善的，可信的社会服务机构在拟议的 目标社区。 社会服务机构将作为 主办方或“牵头机构”的方案。 通过各种 教育和技能建设活动（视频讨论， 开发和利用购物小贴士，健康食品的选择 培训，高脂肪食谱的修改，健康的发展 邻居食谱），实验条件鼓励积极的公民 参与、社区所有权和社区一体化 规范和价值观融入节目的信息和材料。 样本将包括80名居住在美国的非洲裔成年妇女， 由领导机构服务的低收入社区， 超重 受试者将被随机分配至 实验（授权）条件或控制（标准咨询） 条件 为了评估这两个条件的相对有效性， 评估面试将在术前、术后和术后2个月进行 随访 这些评估面谈将包括：身体数据、食物 频率和24小时食物清单，以及自我控制。 家庭 环境变量，如家庭资源和压力，以及 作为社会人口因素，将用于描述样本的特征。

The purpose of this study is to characterize the potential utility of community organization and empowerment strategies to modify dietary patterns of African American women who are at risk for Non Insulin Dependent Diabetes Mellitus (NIDDM). A second focus is to compare this intervention strategy with a standard dietary counseling intervention delivered by a health professional. The community organization and empowerment (experimental) intervention involves the utilization of informal and formal networks to increase diet-related information and skills, enhance self-mastery, and modify dietary patterns among African American women. The intervention is delivered by 8 trained neighbors (Nutrition Neighbors) who are among graduates of a Wellness Course given by a well-established, credible social service agency in the proposed target community. The social service organization will serve as the sponsor or "lead agency" for the program. Through a variety of educational and skill building activities (discussion of video, development and utilization of shopping tip sheets, healthy food choice training, modification of high fat recipes, development of a Healthy Neighbors Cookbook), the experimental condition encourages active citizen participation, community ownership, and the integration of community norms and values into the program's messages and materials. The sample will consist of 80 African American adult women who reside in low income neighborhoods serviced by the lead agency, and who are overweight. The subjects will be randomly assigned to either the experimental (empowerment) condition or the control (standard counseling) condition. To evaluate the relative effectiveness of the two conditions, assessment interviews will be performed pre-, post, and 2 month follow-up. These assessment interviews will include: physical data, food frequencies and 24-hour food checklists, and self-mastery. Family environmental variables such as family resources and stressors, as well as socio-demographic factors, will be used to characterize the sample.