Journal article
Long-Term Effects of a Communication Intervention for Spanish-Dominant Latinas
American journal of preventive medicine, Vol.31(2), pp.159-166
2006
DOI: 10.1016/j.amepre.2006.04.001
PMID: 16829333
Abstract
Few studies compare the influence of different types of dietary interventions on the dietary practices of Latinas in the short and long term. The present study examined the 1-year impact of two innovative behavior-change approaches to reduce dietary fat and increase fiber.
Three-group randomized controlled trial: (1) personalized dietary counseling via lay heath advisors (
promotoras) plus tailored print materials delivered via the mail, (2) tailored mailed print materials only, and (3) targeted mailed “off-the-shelf” materials.
A total of 357 Latinas were randomly assigned to the three aforementioned conditions.
Promotora and tailored print materials.
Fat intake (total grams of fat and percent calories from dietary fat) and number of grams of dietary fiber.
Earlier work reported that at immediate post-intervention the
promotora group achieved significantly lower levels of total fat grams, and lower levels of energy intake, total saturated fat, total carbohydrates, glucose, and fructose than the targeted group. However, the present longitudinal analyses suggest that the effects achieved by the
promotoras dissipated over the 12-month follow-up period while the effects of the tailored group concurrently improved.
The high interactivity (i.e., calls, visits) of the
promotora condition may have been the most salient reinforcer and may have led to further tailoring, making this type of intervention more effective than the comparison groups in the short term. Further research should explore whether booster sessions involving
promotoras help to maintain the impact over time.
Details
- Title: Subtitle
- Long-Term Effects of a Communication Intervention for Spanish-Dominant Latinas
- Creators
- John P. Elder - San Diego State UniversityGuadalupe X. Ayala - San Diego State UniversityNadia R. Campbell - San Diego State UniversityElva M. Arredondo - San Diego State UniversityDonald J. Slymen - San Diego State UniversityBarbara Baquero - San Diego State UniversityMichelle Zive - University of California, San DiegoTheodore G. Ganiats - University of California, San DiegoMoshe Engelberg - ResearchWorks
- Resource Type
- Journal article
- Publication Details
- American journal of preventive medicine, Vol.31(2), pp.159-166
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.amepre.2006.04.001
- PMID
- 16829333
- ISSN
- 0749-3797
- eISSN
- 1873-2607
- Language
- English
- Date published
- 2006
- Academic Unit
- Community and Behavioral Health
- Record Identifier
- 9984363663902771
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