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The Stanford Nutrition Action Program: A dietary fat intervention for low-literacy adults

Author

Listed:
  • Howard-Pitney, B.
  • Winkleby, M.A.
  • Albright, C.L.
  • Bruce, B.
  • Fortmann, S.P.

Abstract

Objective. This study was undertaken to test the effectiveness of the Stanford Nutrition Action Program, an experimental trial to reduce dietary fat intake among low-literacy, low-income adults. Methods. Twenty-four paired adult education classes (351 participants, 85% women, mean age = 31 years) were randomly assigned to receive a newly developed dietary fat curriculum (the Stanford Nutrition Action Program) or an existing general nutrition curriculum. Food frequency and nutrition-related data, body mass index, and capillary blood cholesterol were collected at baseline and at baseline and at two postintervention follow-ups. Results. The Stanford Nutrition Action Program classes showed significantly greater net improvements in nutrition knowledge (+7.7), attitudes (+0.2), and self-efficacy (+0.2) than the general nutrition classes, they also showed significantly greater reductions in the percentage of calories from total (-2.3%) and saturated (-0.9%) fat. There were no significant differences in body mass index or blood cholesterol. All positive intervention effects were maintained for 3 months postintervention. Conclusions. The Stanford Nutrition Action Program curriculum, tailored to the cultural, economic, and learning needs of low-literacy, low-income adults, was significantly more effective in achieving, fat-related nutritional changes than the general nutrition curriculum.

Suggested Citation

  • Howard-Pitney, B. & Winkleby, M.A. & Albright, C.L. & Bruce, B. & Fortmann, S.P., 1997. "The Stanford Nutrition Action Program: A dietary fat intervention for low-literacy adults," American Journal of Public Health, American Public Health Association, vol. 87(12), pages 1971-1976.
    • Handle: RePEc:aph:ajpbhl:1997:87:12:1971-1976_1
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    Cited by:

    1. Wong-Parodi, Gabrielle & Bruine de Bruin, Wändi & Canfield, Casey, 2013. "Effects of simplifying outreach materials for energy conservation programs that target low-income consumers," Energy Policy, Elsevier, vol. 62(C), pages 1157-1164.
    2. Ragsdale, Cliff T. & Plane, Donald R., 2000. "On modeling time series data using spreadsheets," Omega, Elsevier, vol. 28(2), pages 215-221, April.

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