FIVE-A-DAY WIC PROMOTION PROGRAM

本研究的目的是开发一个社区级的5-A-Day 特别补充方案中针对低收入妇女的干预方案 马里兰州的妇女、婴儿和儿童食品计划。 一 将实施多方面的干预计划， 在马里兰州的五个县和一个城市的16个WIC项目点， 具有临床专业知识的跨学科卫生专业人员团队 预防医学，公共卫生，营养，流行病学，健康 教育、卫生传播和生物统计。 该项目将 由包括两个机构在内的机构和机构联合开展， 马里兰州合作推广大学校园 服务，马里兰州卫生和心理卫生部， 马里兰州农业部、六个地方卫生部门和 美国癌症协会。 研究人群将包括妊娠、产后和 在干预和对照地点的哺乳妇女。 约70% 研究的参与者是少数民族妇女，其中大多数是黑人。 本研究将采用随机交叉设计，有16个WIC研究中心 作为分析的单位。 干预战略将进行 严格的预测试和广泛的形成性研究将在 规划阶段，以确保干预组成部分的兼容性 目标人群。 建议的干预策略包括1） 营养咨询/教育，包括WIC准专业咨询， 合作推广处教育会议和小组讨论 由经过培训的同行领导人领导，2）补充印刷材料，如 海报、日历和提示表，以及3）以家庭和社区为基础的 通过配方征集、加强农贸市场 优惠券计划和超市计划。 知识，态度，自我效能，行为意图，和阶段 改变行为的准备将在 干预，以及消费率的结果衡量。 将在6个月、1年、 每两年通过书面和电话调查进行一次。

The purpose of this study is to develop a community-level 5-A-Day intervention program for low-income women in the special Supplemental Food program for Women, Infants, and Children (WIC) in Maryland. A multi-faceted intervention program will be implemented and evaluated in 16 WIC program sites in five counties and one city in Maryland by an interdisciplinary team of health professionals with expertise in clinical preventive medicine, public health, nutrition, epidemiology, health education, health communication, and biostatistics. The project will be carried out by a coalition of agencies and institutions including two campuses of the University of Maryland, the Cooperative Extension Service, the Maryland Department of Health and Mental Hygiene, the Maryland Department of Agriculture, six local health departments, and the American Cancer Society. The study population will consist of pregnant, postpartum, and breastfeeding women in intervention and control sites. Approximately 70% of participants in the study are minority women, most of whom are black. The study will use a randomized crossover design, with 16 WIC sites serving as the units of analysis. Intervention strategies will undergo rigorous pre-testing and extensive formative research will take place in the planning phase to ensure compatibility of intervention components with the target population. Proposed intervention strategies include 1) nutrition counseling/education including WIC paraprofessional counseling, Cooperative Extension Service educational sessions, and group discussions led by trained peer leaders, 2) supplemental print materials such as posters, calendars, and tip sheets, and 3) family and community-based interventions through recipe solicitations, enhanced Farmer's Market Coupon Program, and supermarket programs. Knowledge, attitudes, self-efficacy, behavioral intent, and stage of readiness to change behavior will be evaluated pre- and post- intervention, as well as the outcome measure of consumption rates. Evaluation of these parameters will be conducted at six month, one-year, and two year intervals through written as well as telephone surveys.