Research on Social Work Practice · 2000 · 37 citations · 0 references
Public HealthHealth PromotionNutritionHuman NutritionNutrition EducationWomen's HealthBehavior Change StrategiesBlack Women's HealthDiabetes MellitusDiabetes PreventionNutrition Program EvaluationNutrition PromotionAfrican American Women's HealthControl Group DesignCulturally Responsive Health PromotionDietary Fat ModificationDietary Pattern ChangeDietary Pattern PromotionMatched Control GroupOutcome Impact Evaluation
Objective: The purpose of this study is to describe the results of a process and outcome evaluation of a culturally specific, peer-led, dietary change program designed to reduce the risk of noninsulin-dependent diabetes mellitus (NIDDM) among low-income African American women. Method: Using an experimental, control-group design, 239 African American women completed pretest and posttest interviews that included measures of nutrition-related knowledge, attitudes, behaviors, fat intake, and weight. Results: Significant reductions in fat intake were found among women in the treatment condition. Participants significantly increased low-fat dietary patterns and showed higher levels of nutrition-related knowledge. Examination of physical data indicates that no significant weight differences were found between the treatment and control groups. Conclusions: This model of health promotion, which individually tailors the intervention content through staging and used community organization strategies, has potential for reducing the risk of diet-related diseases among African American women.