Eat Right for Long Life

描述（由申请人提供）：影响智障成年人饮食习惯的负面因素有很多：家庭、工作、社区、电视上的不良榜样；鼓励不健康饮食习惯的环境；在食物准备和自我宣传方面技能有限；也没有动力去改变不健康的饮食习惯。我们建议开发一系列的教学模块，以提高这些人在以下方面的行为能力、自我效能和结果预期：在家多吃水果、果汁、蔬菜和低脂食品（主要是零食），增加低脂食品的可得性和可及性，增加他们对低脂食品的营养知识，扩大他们对这些食品的偏好，提高他们制作健康零食的技能，增加他们在快餐店和便利店购买低脂食品的数量。在第一阶段，我们成功地完成了课程的第一个模块“水果彩虹”。用户评价的结果清楚地表明，我们所有的目标消费群体（家长、直接支持人员和患有MR的成年人）都对这款产品非常满意。他们一致认为这些材料具有刺激性，引人入胜，对目标人群来说做得很好，并且具有很强的激励性。后续电话的结果支持了这些评分，许多参与者继续使用视频和练习簿。我们还完成了一份访谈工具和随附材料，用于与目标成人和举报人进行面对面访谈。II期的主要目标是进行一项随机试验，以一种基于理论的干预措施来增加智力迟钝成人的FJV&LFF摄入量。研究环境将是这些人居住的住宅设施。我们的样本将包括110名患有轻度至中度核磁共振的成年人（目标成年人[TA]）和110名没有核磁共振的成年人，他们将作为学习伙伴（LP）参与。为了评估轻度至中度MR患者是否会因为使用“健康饮食长寿”课程而增加FJV/LFF的摄入量，我们将采用两组（干预/替代治疗对照）设计，并在四个时间点（基线、基线+1个月、基线+ 2个月和退出）进行测量。干预组的参与者将接受“健康饮食长寿”课程。由于没有针对智力迟钝成人的可比营养课程来测试“健康饮食”产品，因此控制组的参与者将收到来自农产品促进健康基金会的精选材料。

DESCRIPTION (provided by applicant): Many negative factors influence the eating habits of adults with mental retardation: poor role models at home, work, in the community, and on TV; environments that encourage unhealthy eating habits; limited skills in food preparation and self-advocacy; and little incentive to change unhealthy eating behaviors. We propose to develop a series of instructional modules to increase behavioral capability, self-efficacy, and outcome expectations for these individuals in the following areas: eating more fruits, juice, vegetables and low fat foods (FJV&LFF) at home (primarily snacks), increasing FJV&LFF availability and accessibility, increasing their nutritional knowledge about FJV&LFF, expanding their preferences for these foods, increasing their skills in preparing healthy snacks, and increasing their purchases of FJV&LFF in fast food restaurants and convenience stores. In Phase I, we successfully completed the first module of the curriculum, "Fruit Rainbow." The results from the user evaluations clearly indicate that this product was very well received by all our targeted consumer groups (parents, direct support staff and adults with MR). They uniformly rated the materials as stimulating, engaging, well done for the target population, and highly motivational. Results from the follow up phone call support these ratings, with many of the participants continuing to use the video and workbook. We also completed an interview instrument and accompanying materials to be used for a face-to-face interview with the target adult and an informant. The primary goal of Phase II is to conduct a randomized trial of a theory-based intervention to increase consumption of FJV&LFF among adults with mental retardation. The research settings will be residential facilities where these individuals live. Our sample will consist of 110 adults with mild to moderate MR (Target Adults [TA]) and 110 adults without MR, who will participate as Learning Partners (LP). To evaluate whether adults with mild to moderate MR will increase their consumption of FJV/LFF as a result of using the "Eat Right for Long Life" curriculum, we will use a two-group (Intervention/Alternate Treatment Control) design with measurements at four time points (Baseline, Baseline +1 Month, Baseline + 2 Months and Exit). Participants in the Intervention Group will receive the "Eat Right for Long Life" curriculum. Since there is no comparable nutrition curriculum for adults with mental retardation against which to test the "Eat Right for Long Life" product, participants in the Control Group will receive selected materials from the Produce for Better Health Foundation.