Cookin' Up Health: developing a nutrition intervention for a rural Appalachian population.
Cookin' Up Health is a culturally targeted and individualized tailored nutrition intervention using a computer-based interactive format. Using a cooking show theme, the program demonstrates step-by-step meal preparation emphasizing healthy selection and portion control. Focus groups were conducted with women in two rural counties in West Virginia to guide the development of the intervention. Women felt more susceptible to heart disease because the changing role of women creates more stress and less time; weight loss was a greater motivator for dietary change than was preventing heart disease; social support is a barrier and facilitator for dietary change; cultural heritage and the way women were raised were major barriers to making health changes as adults; convenience and the cost of eating healthier were major factors when trying to make changes in diet; and women did not feel confident in their ability to maintain dietary changes.
Department of Health Promotion and Risk Reduction, School of Nursing, West Virginia University, Morgantown, West Virginia, USA.
Irene
I
Tessaro
Sheila
S
Rye
Lindsey
L
Parker
Kristin
K
Trangsrud
Carol
C
Mangone
Susan
S
McCrone
Nan
N
Leslie
D001061:Appalachian Region; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D003197:Computer Literacy; D003194:Computer-Assisted Instruction; D003296:Cooking / Q000379:methods*; D018752:Diet, Fat-Restricted; D017144:Focus Groups; D005638:Fruit; D006266:Health Education / Q000379:methods*; D006801:Humans; D008612:Menu Planning; D008875:Middle Aged; D052756:Nutritional Sciences / Q000193:education* / Q000208:ethnology; D011203:Poverty; D012423:Rural Health; D014110:Touch; D014584:User-Computer Interface; D014675:Vegetables; D014903:West Virginia; D016387:Women's Health / Q000208:ethnology*