Elizabeth Fries|Patricia C. Edinboro|Donna K. McClish|Laura Manion|Deborah J. Bowen|Shirley A. A. Beresford|Jennifer S. Ripley
Randomized trial of a low-intensity dietary intervention in rural residents
Virginia Commonwealth University|Sentara Virginia Beach General Hospital|Fred Hutch Cancer Center|Virginia Commonwealth University|Sentara Virginia Beach General Hospital|Fred Hutch Cancer Center|Virginia Commonwealth University|Sentara Virginia Beach General Hospital|Fred Hutch Cancer Center|Virginia Commonwealth University|Sentara Virginia Beach General Hospital|Fred Hutch Cancer Center|University of Washington|University of Washington|Regent University
backgrounddietary behavior specifically lowfat highfiber diet plays role primary prevention chronic diseases including cancerdesigna communitybased randomized trial assess impact lowintensity physicianendorsed selfhelp dietary intervention provided tailored dietary feedback designed promote improved fat fiber behavior rural loweducationlowliteracy partly minority population data collected 1999 2003settingparticipantsa total 754 patients three physician practices rural virginia completed baseline telephone survey assessing dietary psychosocial information randomly assigned intervention control condition followup telephone evaluation based 522 participants 1 month 470 6 months 516 participants 12 monthsinterventiona series tailored feedback followed brief telephone counseling theorybased nutritional education booklets provided staggered delivery homemain outcome measuresdietary fat fiber behavior dietary intentions change selfefficacy dietary change fat fiber knowledgeresultsthe intervention group demonstrated significant improvement dietary fat fiber behaviors intentions change fat fiber intake p 005 1 6 12 monthsconclusionsthe rural physician cancer prevention project provides effective model achieving public healthlevel dietary health behavior changes among rural minority lowliteracyloweducation population dietary behavior specifically lowfat highfiber diet plays role primary prevention chronic diseases including cancer communitybased randomized trial assess impact lowintensity physicianendorsed selfhelp dietary intervention provided tailored dietary feedback designed promote improved fat fiber behavior rural loweducationlowliteracy partly minority population data collected 1999 2003 total 754 patients three physician practices rural virginia completed baseline telephone survey assessing dietary psychosocial information randomly assigned intervention control condition followup telephone evaluation based 522 participants 1 month 470 6 months 516 participants 12 months series tailored feedback followed brief telephone counseling theorybased nutritional education booklets provided staggered delivery home dietary fat fiber behavior dietary intentions change selfefficacy dietary change fat fiber knowledge intervention group demonstrated significant improvement dietary fat fiber behaviors intentions change fat fiber intake p 005 1 6 12 months rural physician cancer prevention project provides effective model achieving public healthlevel dietary health behavior changes among rural minority lowliteracyloweducation population