OBJECTIVES: This study was undertaken to test the effectiveness of the Stanford Nutrition Action Program, an experimental trial to reduce dietary fat intake among low-literacy, low-income adults. METHODS:Twenty-four paired adult education classes (351 participants, 85% women, mean age = 31 years) were randomly assigned to receive a newly developed dietary fat curriculum (the Stanford Nutrition Action Program) or an existing general nutrition curriculum. Food frequency and nutrition-related data, body mass index, and capillary blood cholesterol were collected at baseline and at two postintervention follow-ups. RESULTS: The Stanford Nutrition Action Program classes showed significantly greater net improvements in nutrition knowledge (+7.7), attitudes (/0.2), and self-efficacy (-0.2) than the general nutrition classes; they also showed significantly greater reductions in the percentage of calories from total (-2.3%) and saturated (-0.9%) fat. There were no significant differences in body mass index or blood cholesterol. All positive intervention effects were maintained for 3 months postintervention. CONCLUSIONS: The Stanford Nutrition Action Program curriculum, tailored to the cultural, economic, and learning needs of low-literacy, low-income adults, was significantly more effective in achieving fat-related nutritional changes than the general nutrition curriculum.
RCT Entities:
OBJECTIVES: This study was undertaken to test the effectiveness of the Stanford Nutrition Action Program, an experimental trial to reduce dietary fat intake among low-literacy, low-income adults. METHODS: Twenty-four paired adult education classes (351 participants, 85% women, mean age = 31 years) were randomly assigned to receive a newly developed dietary fat curriculum (the Stanford Nutrition Action Program) or an existing general nutrition curriculum. Food frequency and nutrition-related data, body mass index, and capillary blood cholesterol were collected at baseline and at two postintervention follow-ups. RESULTS: The Stanford Nutrition Action Program classes showed significantly greater net improvements in nutrition knowledge (+7.7), attitudes (/0.2), and self-efficacy (-0.2) than the general nutrition classes; they also showed significantly greater reductions in the percentage of calories from total (-2.3%) and saturated (-0.9%) fat. There were no significant differences in body mass index or blood cholesterol. All positive intervention effects were maintained for 3 months postintervention. CONCLUSIONS: The Stanford Nutrition Action Program curriculum, tailored to the cultural, economic, and learning needs of low-literacy, low-income adults, was significantly more effective in achieving fat-related nutritional changes than the general nutrition curriculum.
Authors: J D Fortenberry; M M McFarlane; M Hennessy; S S Bull; D M Grimley; J St Lawrence; B P Stoner; N VanDevanter Journal: Sex Transm Infect Date: 2001-06 Impact factor: 3.519
Authors: Lee Hooper; Carolyn D Summerbell; Rachel Thompson; Deirdre Sills; Felicia G Roberts; Helen J Moore; George Davey Smith Journal: Cochrane Database Syst Rev Date: 2012-05-16
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: Poorni G Otilingam; Margaret Gatz; Elizabeth Tello; Antonio Jose Escobar; Aviva Goldstein; Mina Torres; Rohit Varma Journal: J Aging Health Date: 2014-09-17
Authors: Michael K Paasche-Orlow; Kristin A Riekert; Andrew Bilderback; Arjun Chanmugam; Peter Hill; Cynthia S Rand; Fred L Brancati; Jerry A Krishnan Journal: Am J Respir Crit Care Med Date: 2005-08-04 Impact factor: 21.405
Authors: Michael Pignone; Darren A DeWalt; Stacey Sheridan; Nancy Berkman; Kathleen N Lohr Journal: J Gen Intern Med Date: 2005-02 Impact factor: 5.128