title: A tailored multimedia nutrition education pilot program for low-income women receiving food assistance.
abstract: This article describes the development and pilot evaluation of a tailored multimedia program to improve dietary behavior among 378 low-income women enrolled in the Food Stamp program in Durham, North Carolina. After randomization to intervention or control groups, participants completed a baseline survey and were resurveyed 1-3 months post-intervention. Measures included dietary fat intake assessed using a brief food-frequency questionnaire, stage of change, knowledge of low-fat foods, self-efficacy and eating behavior questions. The computer-based intervention consisted of a tailored soap opera and interactive 'info-mercials' that provided individualized feedback about dietary fat intake, knowledge and strategies for lowering fat based on stage of change. At follow-up, intervention group participants had improved significantly in knowledge (P < 0.001), stage of change (P < 0.05) and certain eating behaviors (P < 0.05) compared to the control group. Both study groups had lowered their reported fat intake markedly at follow-up (P < 0.001), but did not differ significantly from each other. A majority of participants rated the program as very helpful and were interested in using a similar program in the future. The findings of this pilot study suggest that computerized tailored self-help health promotion programs may be effective educational interventions for lower income and minority populations.
authors.affiliation: Department of Nutrition, University of North Carolina, Chapel Hill 27599, USA.
authors.forename: M K
authors.initials: MK
authors.lastname: Campbell
authors.forename: L
authors.initials: L
authors.lastname: Honess-Morreale
authors.forename: D
authors.initials: D
authors.lastname: Farrell
authors.forename: E
authors.initials: E
authors.lastname: Carbone
authors.forename: M
authors.initials: M
authors.lastname: Brasure
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D004041:Dietary Fats; D005247:Feeding Behavior; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D019212:Multimedia; D009657:North Carolina; D010865:Pilot Projects; D011203:Poverty
chemical_list: D004041:Dietary Fats