title: Impact of a pharmacist-directed educational program on the long-term knowledge and use of folic acid among college women: a 12-month follow-up study.
abstract: Few studies have examined the impact of educational interventions on participants' long-term knowledge and use of folic acid for prevention of neural tube defects (NTD).
  
  
  OBJECTIVE
  The objective of this pilot study was to evaluate changes in knowledge and behaviors in a sample of college women one year after such a program.
  
  
  METHODS
  Female students of a residential college campus voluntarily attended the event, which was advertised to the campus community as a women's health seminar. Participants completed a multiple-choice test assessing knowledge of folic acid and NTD and frequency of multivitamin use before and immediately after a 30-minute oral presentation. Following 3 reminder messages sent via email or mail, knowledge and multivitamin use were re-assessed 1-month and 12-months post-intervention.
  
  
  RESULTS
  Thirty-two college women participated in the educational intervention; 27 (84%) completed the 12-month post-test. At 12 months, statistically significant increases in knowledge from baseline remained for questions pertaining to food high in folic acid (p=0.023); completion of spinal column (p=0.011); and 2 questions on NTD prevention (p=0.044). Increases in knowledge regarding recommended daily allowance of folic acid (p=0.817) and difficulty in receiving adequate folic acid from diet alone (p=0.617) were not statistically significant from baseline. Regular multivitamin use (≥4 times per week) was not statistically significantly increased from baseline (p=0.592).
  
  
  CONCLUSIONS
  Although it was encouraging that the women retained much of the information learned during the program, it appears that the changes in multivitamin use seen at 1-month were not sustained at 12-months. Further study with larger groups of college women is recommended.
authors.affiliation: School of Pharmacy, Union University . Jackson, TN ( United States ).
authors.forename: Bethany L
authors.initials: BL
authors.lastname: Murphy
authors.forename: Natalie A
authors.initials: NA
authors.lastname: Dipietro
keywords: Folic Acid; Health Knowledge, Attitudes, Practice; Health promotion; Neural Tube Defects; United States