TAILORING NUTRITION EDUCATION FOR LOW INCOME AUDIENCES

描述（改编自申请人摘要）：国家膳食指南 建议减少总脂肪消耗量。有必要减少 昂贵和更有效的营养教育技术， 和不同的人群。计算机定制的营养教育， 个性化的信息，以满足个人的学习需求， 是一种很有前途的方式，刺激人们做出健康的饮食改变，但 需要进行更多的研究。特别缺乏的是低收入、低收入和低收入的研究， 来自各个少数族裔群体的识字观众。此外，本发明还提供了一种方法， 需要关于最具成本效益的渠道和方法的信息， 提供量身定制的营养教育方案。建议的目的 研究是发展文化和语言上合适的定制 适合识字率低的受众的营养教育干预措施 并将这些干预措施作为随机对照试验的一部分进行测试， 低收入诊所患者，包括西班牙裔，以确定哪些组成部分 在减少脂肪摄入方面最具成本效益。一个为期4年半的研究项目 本文提出01年，研究者将进行形成性评价 完成干预措施设计的技术，包括英语和 西班牙语版的激励/教学视频，量身定制 反馈包和电话咨询协议。为了测试这些干预措施， 我们会进行一项五组随机干预试验。 来自公共卫生诊所的讲英语和西班牙语的与会者将 招募参加。在诊所，他们将完成一个知情的 同意，基本的人口统计表和一个率你的盘子饮食模式 考核这些信息将被扫描到数据库中。那么， 将要求患者接受基线电话干预，以收集 其他信息，即变革阶段、障碍和促进因素 调整干预措施所需的饮食变化、自我效能等， 完成膳食评估评估调查。然后他们将被随机分组 五个实验条件之一。其中一组将获得定制的 反馈营养包作为一个报告（ST），另一个将收到此 信息在IO-周期间（MT）分4次较小的分期付款邮寄。的 MTI集团还将分四期收到定制信息，但他们 将能够通过邮寄后续评估进行互动， “重新定制”他们在以后的分期付款中收到的信息。MTIP集团 还将分四期接受量身定制的营养教育， 3次由同伴教育者打电话设定目标/解决问题。他们将 在以后的分期付款中也接受“调整”教育。这四 干预小组还将收到一个激励/指导视频。一 第五个对照组将只收到非定制的书面材料。的 这些干预措施的有效性将使用两种饮食进行比较。 评估工具--一份饮食习惯问卷和两次24小时召回。在 此外，研究人员将比较不同的成本， 干预措施。

DESCRIPTION (Adapted from applicant's abstract): National dietary guidelines recommend a decrease in total fat consumption. There is a need for less expensive and more effective nutrition education techniques that reach large and varied segments of the population. Computer-tailored nutrition education, which personalizes messages to meet an individual's learning needs appears to be a promising way to stimulate people to make healthful dietary changes, but more research is necessary. Especially lacking are studies with low income, low literate audiences from various ethnic minority groups. In addition, information is needed on the most cost-effective channels and methods for delivering tailored nutrition education programs. The purpose of the proposed study is to develop culturally and linguistically appropriate tailored nutrition education interventions that are suitable for low literate audiences and to test these interventions as part of a randomized controlled trial with low income clinic patients, including Hispanics, to determine which components are most cost-effective in decreasing fat intake. A 4 1/2 year research project is proposed. In Year 01, the investigators will conduct formative evaluation techniques to finalize design of the interventions which include English and Spanish versions of motivational/instructional videos, written tailored feedback kits and telephone counseling protocols. To test these interventions, we will conduct a randomized intervention trial using a five group design. English and Spanish-speaking participants from public health clinics will be recruited to participate. At the clinic, they will complete an informed consent, basic demographics form and a Rate Your Plate eating pattern assessment. This information will be scanned into the database. Then, eligible patients will be called for a baseline telephone intervention to collect additional information, i.e. stage of change, barriers and facilitators for dietary change, self-efficacy, etc. needed for tailoring the intervention and complete dietary assessment evaluation surveys. They will then be randomized into one of 5 experimental conditions. One group will receive a tailored feedback nutrition kit as one report (ST), and another will receive this information mailed in 4 smaller installments over a IO- week period (MT). The MTI group will also receive tailored information in four installments, but they will be able to interact by mailing in follow-up assessments which can "retailor" the information they receive in later installments. The MTIP group will also receive tailored nutrition education in four installments as well as three goal-setting/problem-solving telephone calls by peer educators. They will also receive "retailored" education in later installments. These four intervention groups will also receive a motivational/ instructional video. A fifth comparison group will receive nontailored written materials only. The effectiveness of these interventions will be compared using two dietary assessment tools--a Food Habits Questionnaire and two 24 hour recalls. In addition, the investigators will compare the costs of the different interventions.