CARDIOVASCULAR DISEASE DIET EDUCATION

心血管疾病饮食教育

• 批准号: 2223209
• 负责人: SHIRIKI K KUMANYIKA
• 金额: $ 61.21万
• 依托单位: PENNSYLVANIA STATE UNIV HERSHEY MED CTR
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-08-16 至 1996-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2223209
• 关键词: African American; audiotape; behavior modification; behavioral medicine; blood pressure; cardiovascular disorder prevention; cholesterol; culture; dietary lipid; dietary sodium; disease /disorder proneness /risk; educationally disadvantaged; fats; high density lipoproteins; human subject; hypertension; information dissemination; information systems; longitudinal human study; low density lipoprotein; nutrition education; nutrition related tag; reading; salt intake; socioenvironment; triglycerides; urban area; very low density lipoprotein; videotape /videodisc

We will develop and demonstrate the efficacy of a set of original, cardiovascular (CVD) nutrition education materials designed to reduce intake of sodium (Na) fat, and cholesterol and which will be appropriate for urban black adults with 5th to 8th grade reading levels. We will design materials to accomplish the objectives of conventional nutrition education/behavior change programs, but avoiding the usual dependency of traditional programs on strategies that require a high level of reading and arithmetic. Guiding principles will be 1) the need to identify the foodrelated conceptual, cultural, and social frameworks of members of the target audience and 2) to develop a program that builds upon already-developed, alternative communication and coping skills. The core of the system will be a) a protocol for office-based patient assessment and follow up, b) an educational/motivational videotape to be viewed in the clinical setting, c) scripts and supporting materials for a 4-week minicourse to be led by a clinic staff member or volunteer, and d) a package of audiocassettes and supporting printed materials to facilitate self-directed learning over an extended time period. Printed materials will emphasize the use of cards (hence the acronym 'CARDES') that deliver single concepts about nutrition or behavior change and that permit manipulation, selection, and reorganization of information. CARDES will be developed and evaluated in cooperation with Howard University Hospital in Washington, D.C. Using a randomized two-group design and a 12-24 month follow up, serum cholesterol and blood pressure levels of persons (n = 450) counseled with the CARDES program will be compared with values for a control group (n=450) receiving usual care. Process measures will describe adherence outcomes and determinants. Secondary outcomes related to CVD risk factor status will also be evaluated. Prior to the evaluation, a pilot study will determine the best sequence for delivering the information related to dietary change (i.e., Na first, fat/cholesterol first, or concurrent). Subsequent to the evaluation and prior to development of the final system and dissemination plan, the potential utility of CARDES with other black populations with low literacy skills will be assessed. This project should lead to an improved capability for reducing risks related to hypertension and elevated cholesterol in black populations by enabling interventions to reach the subpopulations that are only marginally literate.

我们将开发并证明一组原始的功效 旨在减少的心血管（CVD）营养教育材料 摄入钠（NA）脂肪和胆固醇，它们是合适的 适用于5至8年级阅读水平的城市黑人成年人。 我们将 设计材料来实现常规营养目标 教育/行为改变计划，但避免了通常的依赖 关于需要大量阅读的策略的传统计划 和算术。 指导原则将是1）需要确定 与食品相关的概念，文化和社会框架 目标受众和2）开发一个基于的程序 已经开发的替代沟通和应对技巧。 核心 该系统将是a）基于办公室的患者评估协议 然后跟进，b）要查看的教育/励志录像带 临床环境，c）为期4周的脚本和支持材料 由诊所工作人员或志愿者领导的小型道路，d） 一包Audiocassettes和支持印刷的材料，以方便 在延长的时间段内进行自我指导的学习。 印刷材料 将强调使用卡片的使用（因此缩写为“卡”） 关于营养或行为改变的单一概念，该允许 信息的操纵，选择和重组信息。 卡会 与霍华德大学医院合作开发和评估 在华盛顿特区，使用随机的两组设计和12-24个月 跟进，血清胆固醇和人的血压水平（n = 450）将与卡计划进行咨询，将与A的值进行比较 对照组（n = 450）接受常规护理。 过程措施将 描述依从性结果和决定因素。 次要结果与之相关 CVD风险因素状态也将进行评估。 之前 评估，一项试点研究将确定交付的最佳顺序 与饮食变化有关的信息（即NA首先， 脂肪/胆固醇首先或并发）。在评估之后 在制定最终系统和传播计划之前 卡片的潜在效用与其他黑色种群低的效用 扫盲技能将被评估。 这个项目应该导致 提高了降低与高血压和高血压相关的风险的能力 通过使干预措施得以升高黑色种群的胆固醇 达到仅少数识字的亚群。