Fruit and Vegetable Dietary Behavior in Response to a Low-Intensity Dietary Intervention: The Rural Physician Cancer Prevention Project
العنوان: | Fruit and Vegetable Dietary Behavior in Response to a Low-Intensity Dietary Intervention: The Rural Physician Cancer Prevention Project |
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المؤلفون: | Donna K. McClish, Elizabeth Fries, Patricia Carcaise-Edinboro, Deborah J. Bowen, Amanda C. Kracen |
المصدر: | The Journal of Rural Health. 24:299-305 |
بيانات النشر: | Wiley, 2008. |
سنة النشر: | 2008 |
مصطلحات موضوعية: | Adult, Male, Rural Population, Gerontology, Nutrition Education, Health Promotion, law.invention, Randomized controlled trial, law, Neoplasms, Intervention (counseling), Environmental health, Vegetables, Humans, Medicine, Self-efficacy, Physician-Patient Relations, Cancer prevention, business.industry, Behavior change, Virginia, Public Health, Environmental and Occupational Health, Middle Aged, Health equity, Diet, Health promotion, Fruit, Female, business, Program Evaluation |
الوصف: | Context:Increased fruit and vegetable intake can reduce cancer risk. Information from this study contributes to research exploring health disparities in high-risk dietary behavior. Purpose: Changes in fruit and vegetable behavior were evaluated to assess the effects of a low-intensity, physician-endorsed dietary intervention in a rural population. Methods: The study was a randomized trial of 754 patients from 3 physician practices in rural Virginia. Low-literacy nutrition education materials and personalized dietary feedback were administered by mail and telephone. Mixed model analysis of variance was used to determine the effect of the intervention on fruit and vegetable intake behavior, knowledge, intentions, and self-efficacy at 1, 6, and 12 months. Findings: The intervention effect was moderated by age, race, sex, and education. Intake at 1 and 6 months was increased for older and younger participants and those with some college, and further maintained at 12 months by those who did not complete high school. African Americans in the intervention group displayed significantly greater intentions to increase fruit/vegetable intake than whites/others. Knowledge of fruit/vegetable recommendations significantly increased in the intervention group at 12 months, particularly for men. Conclusions: For the rural population, a low-intensity physician-endorsed self-help dietary intervention was successful in initiating fruit and vegetable dietary changes at 1 and 6 months post-intervention, and increasing intentions to change in African Americans. The relationship of the moderating effects of age, race, sex and education need to be further explored in relation to dietary intervention and dietary behavior change for the rural population. |
تدمد: | 1748-0361 0890-765X |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fe3c34ce6d88394222ce105f59ca2ff8 https://doi.org/10.1111/j.1748-0361.2008.00172.x |
حقوق: | CLOSED |
رقم الأكسشن: | edsair.doi.dedup.....fe3c34ce6d88394222ce105f59ca2ff8 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 17480361 0890765X |
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