title: Randomized trial of a tailored nutrition education CD-ROM program for women receiving food assistance.
abstract: OBJECTIVE
  This article describes the development and randomized evaluation of a tailored nutrition education CD-ROM program for participants in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) in North Carolina.
  
  
  METHODS
  After randomization to intervention or control groups, participants completed a baseline survey and were resurveyed immediately after program use and 1 to 2 months postintervention.
  
  
  METHODS
  Two WIC clinics in central North Carolina.
  
  
  METHODS
  A total of 307 respondents to the follow-up survey (response rate 74.8%) comprised the study sample. Participants were female (96%), 20% were pregnant, and 50% were minorities (African American and other).
  
  
  METHODS
  The interactive CD-ROM consisted of a targeted video soap opera, dietary assessment, and individually tailored dietary feedback and strategies for change.
  
  
  METHODS
  Measures included total fat and fruit and vegetable intake, knowledge of low-fat and infant feeding choices, self-efficacy, and stages of change.
  
  
  METHODS
  Descriptive statistics assessed baseline comparability of study groups; analysis of covariance and F tests were used to assess program effects at follow-up.
  
  
  RESULTS
  INTERVENTION group members increased self-efficacy (P <.01) and scored significantly higher (P <.05) on both low-fat and infant feeding knowledge compared with controls. No differential effect was observed for dietary intake variables.
  
  
  CONCLUSIONS
  The findings suggest that one dose of an interactive CD-ROM program can impact mediators of dietary change but may be insufficient to change behavior.
authors.affiliation: Department of Nutrition, University of North Carolina, Chapel Hill, North Carolina 27599, USA. marci_campbell@unc.edu
authors.forename: Marci K
authors.initials: MK
authors.lastname: Campbell
authors.forename: Elena
authors.initials: E
authors.lastname: Carbone
authors.forename: Lauren
authors.initials: L
authors.lastname: Honess-Morreale
authors.forename: Jennifer
authors.initials: J
authors.lastname: Heisler-Mackinnon
authors.forename: Seleshi
authors.initials: S
authors.lastname: Demissie
authors.forename: David
authors.initials: D
authors.lastname: Farrell
mesh_terms: D000328:Adult; D016251:CD-ROM; D005247:Feeding Behavior; D005260:Female; D005638:Fruit; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D039382:Maternal Nutritional Physiological Phenomena / Q000208:ethnology; D009035:Mothers / Q000193:education*; D009657:North Carolina; D052756:Nutritional Sciences / Q000193:education* / Q000208:ethnology; D011247:Pregnancy; D015397:Program Evaluation; D020377:Self Efficacy; D012946:Social Welfare / Q000208:ethnology; D014675:Vegetables