FIVE-A-DAY WIC PROMOTION PROGRAM

这项研究的目的是在社区层面制定一项每天5天的活动 特别补充资料中的低收入妇女干预方案 马里兰州妇女、婴儿和儿童食品计划(WIC)。一个 多方面的干预计划将在#年实施和评估 马里兰州五个县和一个市的16个WIC计划地点 由具有临床专业知识的卫生专业人员组成的跨学科团队 预防医学、公共卫生、营养学、流行病学、健康 教育、健康传播和生物统计学。该项目将是 由机构和机构联盟执行，其中包括两个 马里兰大学合作分校校区 服务，马里兰州卫生和精神卫生部门， 马里兰州农业部，六个地方卫生部门，以及 美国癌症协会。 研究人群将包括孕妇、产后和 在干预和控制点哺乳妇女。约70% 这项研究的参与者是少数族裔女性，其中大多数是黑人。 这项研究将使用随机交叉设计，有16个WIC站点 作为分析单位的。干预策略将经历 严格的预测试和广泛的形成性研究将在 规划阶段，以确保干预组件的兼容性 与目标人群的关系。建议的干预策略包括1) 营养咨询/教育，包括WIC准专业咨询， 合作推广服务教育会议和小组讨论 由训练有素的同行领导领导，2)补充印刷材料，如 海报、日历和小费，以及3)以家庭和社区为基础 通过食谱征集进行干预，增强农贸市场 优惠券计划和超市计划。 知识、态度、自我效能感、行为意图和发展阶段 改变行为的准备情况将在实施前和实施后进行评估 干预措施以及消费率的结果衡量标准。 这些参数的评估将在六个月、一年、 每隔两年通过书面和电话调查。

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.