BACKGROUND: Dietary behavior, specifically a low-fat, high-fiber diet, plays a role in the primary prevention of chronic diseases including cancer. DESIGN: A community-based randomized trial to assess the impact of a low-intensity, physician-endorsed, self-help dietary intervention that provided tailored dietary feedback, and was designed to promote improved fat and fiber behavior in a rural, low-education/low-literacy, partly minority population. The data were collected from 1999 to 2003. SETTING/PARTICIPANTS: A total of 754 patients from three physician practices in rural Virginia completed a baseline telephone survey assessing dietary and psychosocial information, and were then randomly assigned to the intervention or control condition. Follow-up telephone evaluation was based on 522 participants at 1 month, 470 at 6 months, and 516 participants at 12 months. INTERVENTION: A series of tailored feedback, followed by brief telephone counseling and theory-based nutritional education booklets, provided by staggered delivery to the home. MAIN OUTCOME MEASURES: Dietary fat and fiber behavior, dietary intentions to change, self-efficacy for dietary change, and fat and fiber knowledge. RESULTS: The intervention group demonstrated significant improvement in dietary fat and fiber behaviors and intentions to change fat and fiber intake (p <0.05) at 1, 6, and 12 months. CONCLUSIONS: The Rural Physician Cancer Prevention Project provides an effective model for achieving public health-level dietary health behavior changes among a rural, minority, and low-literacy/low-education population.
RCT Entities:
BACKGROUND: Dietary behavior, specifically a low-fat, high-fiber diet, plays a role in the primary prevention of chronic diseases including cancer. DESIGN: A community-based randomized trial to assess the impact of a low-intensity, physician-endorsed, self-help dietary intervention that provided tailored dietary feedback, and was designed to promote improved fat and fiber behavior in a rural, low-education/low-literacy, partly minority population. The data were collected from 1999 to 2003. SETTING/PARTICIPANTS: A total of 754 patients from three physician practices in rural Virginia completed a baseline telephone survey assessing dietary and psychosocial information, and were then randomly assigned to the intervention or control condition. Follow-up telephone evaluation was based on 522 participants at 1 month, 470 at 6 months, and 516 participants at 12 months. INTERVENTION: A series of tailored feedback, followed by brief telephone counseling and theory-based nutritional education booklets, provided by staggered delivery to the home. MAIN OUTCOME MEASURES: Dietary fat and fiber behavior, dietary intentions to change, self-efficacy for dietary change, and fat and fiber knowledge. RESULTS: The intervention group demonstrated significant improvement in dietary fat and fiber behaviors and intentions to change fat and fiber intake (p <0.05) at 1, 6, and 12 months. CONCLUSIONS: The Rural Physician Cancer Prevention Project provides an effective model for achieving public health-level dietary health behavior changes among a rural, minority, and low-literacy/low-education population.
Authors: Nancy T Artinian; Gerald F Fletcher; Dariush Mozaffarian; Penny Kris-Etherton; Linda Van Horn; Alice H Lichtenstein; Shiriki Kumanyika; William E Kraus; Jerome L Fleg; Nancy S Redeker; Janet C Meininger; Joanne Banks; Eileen M Stuart-Shor; Barbara J Fletcher; Todd D Miller; Suzanne Hughes; Lynne T Braun; Laurie A Kopin; Kathy Berra; Laura L Hayman; Linda J Ewing; Philip A Ades; J Larry Durstine; Nancy Houston-Miller; Lora E Burke Journal: Circulation Date: 2010-07-12 Impact factor: 29.690
Authors: Cathy L Melvin; Melanie S Jefferson; LaShanta J Rice; Lynne S Nemeth; Andrea M Wessell; Paul J Nietert; Chanita Hughes-Halbert Journal: Prev Med Date: 2017-03-23 Impact factor: 4.018
Authors: Sarah Dennis; Anna Williams; Jane Taggart; Anthony Newall; Elizabeth Denney-Wilson; Nicholas Zwar; Tim Shortus; Mark F Harris Journal: BMC Fam Pract Date: 2012-05-28 Impact factor: 2.497
Authors: Jamile Ashmore; Rennie Russo; Jennifer Peoples; John Sloan; Bradford E Jackson; Sejong Bae; Karan P Singh; Steven N Blair; David Coultas Journal: Contemp Clin Trials Date: 2013-05-13 Impact factor: 2.226
Authors: Sarah J Hardcastle; Adrian H Taylor; Martin P Bailey; Robert A Harley; Martin S Hagger Journal: Int J Behav Nutr Phys Act Date: 2013-03-28 Impact factor: 6.457