Interpersonal and print nutrition communication for a Spanish-dominant Latino population: Secretos de la Buena Vida.
Participants (N=357) were randomly assigned to 1 of 3 conditions: lay health advisor (promotora) plus tailored print materials, tailored print materials only (tailored), or off-the-shelf print materials (control). The primary outcomes were calories from fat and daily grams of fiber. Secondary outcomes included total energy intake, total and saturated fat intake, and total carbohydrates. Adjusted for baseline values, calories from fat were 29%, 30%, and 30% for the promotora, tailored, and control conditions, respectively, and grams of fiber consumed were 16 g, 17 g, and 16 g. Significant Condition X Time interactions were not observed between baseline and 12-weeks postintervention. The LHA condition achieved significantly lower levels of energy intake, total fat and saturated fat, and total carbohydrates. The relative superiority of the promotora condition may derive from the personal touch achieved in the face-to-face interactions or from the women's use of print materials under the promotora's guidance.
Elder
John P
JP
Center for Behavioral and Community Health Studies, Graduate School of Public Health, San Diego State University, San Diego, CA 92123, USA. jelder@projects.sdsu.edu
Ayala
Guadalupe X
GX
Campbell
Nadia R
NR
Slymen
Donald
D
Lopez-Madurga
Eva T
ET
Engelberg
Moshe
M
Baquero
Barbara
B
D000069:Acculturation; D000328:Adult; D001835:Body Weight; D002140:California / Q000208:ethnology; D003142:Communication; D005247:Feeding Behavior; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006266:Health Education / Q000379:methods*; D006293:Health Promotion / Q000379:methods*; D006303:Health Services, Indigenous / Q000706:statistics & numerical data; D006630:Hispanic or Latino / Q000193:education* / Q000523:psychology; D006801:Humans; D007398:Interpersonal Relations; D008019:Life Style; D008519:Medicine, Traditional; D008875:Middle Aged; D009749:Nutrition Surveys; D052756:Nutritional Sciences / Q000193:education*; D010506:Periodicals as Topic / Q000706:statistics & numerical data; D013664:Teaching Materials; D000078329:Workforce