CVD NUTRITION EDUCATION FOR LOW LITERACY ESL STUDENTS

我们建议通过营养教育促进心血管健康 将英语作为第二语言注册的低识字率人群 (ESL)课程在圣地亚哥社区学院区。中国有1800名学生 90个不同的班级将被随机分配到特殊营养 干预或注意控制条件，其中认证 将教授心肺复苏(CPR)课程。特别是 训练有素的ESL教师将实际领导干预课程，这 将根据NHLBI和美国红十字会进行设计 指导方针分别为。提供特定的教育内容 干预组将包括膳食脂肪和胆固醇的来源 影响血压、基本购物技巧、食物的营养素 准备技能，以及处理特殊场合，即家常便饭。 将举行增援会议，以监测进展情况，提供增援 要获得成功或解决其他困难的问题，请查看 材料和计划维护。与社交学习保持一致 (认知)理论(SLT)框架，所有课程都将包括建模*， 角色扮演，纠正反馈和社会强化，家庭作业，以及 建立信任活动。关注……的具体需求 这群识字率低(至少是英语)的人， 将提供最少量的必要信息，每一点 将尽可能生动地制作，与会者将重申并 否则证明自己对材料的掌握程度，并经常 将使用重复。一段相当长的形成期研究将 强调对现有材料的具体改编，以使其成为 适合这一人群。 测量将在基线、3个月和6个月后进行 向上。测量方法包括血压、总胆固醇、 身高/体重，腰围和臀围，24小时饮食回忆， 基于二语习得的知识、态度和行为变量 成人学生评估系统(CAAS)生活技能阅读测试和 通过完形填空技术读写西班牙语。所有自我报告 除CASA外的测量将用英语或西班牙语进行， 主要是通过口头采访。SLT知识、态度和 教师在学习和非学习课程中的行为测量将 也要接受评估。

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.