TY - JOUR
T1 - Educational interventions to promote healthy nutrition and physical activity among older Chinese Americans
T2 - A cluster-randomized trial
AU - Jih, Jane
AU - Le, Gem
AU - Woo, Kent
AU - Tsoh, Janice Y.
AU - Stewart, Susan L
AU - Gildengorin, Ginny
AU - Burke, Adam
AU - Wong, Ching
AU - Chan, Elaine
AU - Fung, Lei Chun
AU - Yu, Filmer
AU - Pasick, Rena
AU - McPhee, Stephen J.
AU - Nguyen, Tung T.
PY - 2016/6/1
Y1 - 2016/6/1
N2 - Objectives. To evaluate the efficacy of an in-language intervention of 2 lectures plus printed materials versus printed materials alone on knowledge and adherence to nutrition and physical activity guidelines among older Chinese Americans in San Francisco, California. Methods. From August 2010 to September 2013, we randomized 756 Chinese Americans aged 50 to 75 years to either lectures plus print (n = 361) or print (n = 357). Clusters were the participants recruited by each lay health worker. Intervention outcomes were changes in knowledge of recommended vegetable intake, fruit intake, and physical activity level and adherence to those recommendations from pre- to 6 months postintervention. Results. The retention rate was 99%. At baseline, knowledge and adherence to recommendations were low. Print yielded increases in knowledge of recommended vegetable intake and physical activity level and adherence to fruit intake and physical activity recommendations. Lectures plus print had significant increases in all 6 outcomes. In multivariable models, lectures plus print was superior to print for knowledge of vegetable (adjusted odds ratio [AOR] = 12.61; 95% confidence interval [CI] = 6.50, 24.45) and fruit (AOR = 16.16; 95% CI = 5.61, 46.51) intake recommendations and adherence to vegetable intake recommendations (AOR = 5.53; 95%CI = 1.96, 15.58). Conclusions. In-language print materials, alone and combined with lectures, increased nutrition and physical activity knowledge and behaviors among older Chinese Americans.
AB - Objectives. To evaluate the efficacy of an in-language intervention of 2 lectures plus printed materials versus printed materials alone on knowledge and adherence to nutrition and physical activity guidelines among older Chinese Americans in San Francisco, California. Methods. From August 2010 to September 2013, we randomized 756 Chinese Americans aged 50 to 75 years to either lectures plus print (n = 361) or print (n = 357). Clusters were the participants recruited by each lay health worker. Intervention outcomes were changes in knowledge of recommended vegetable intake, fruit intake, and physical activity level and adherence to those recommendations from pre- to 6 months postintervention. Results. The retention rate was 99%. At baseline, knowledge and adherence to recommendations were low. Print yielded increases in knowledge of recommended vegetable intake and physical activity level and adherence to fruit intake and physical activity recommendations. Lectures plus print had significant increases in all 6 outcomes. In multivariable models, lectures plus print was superior to print for knowledge of vegetable (adjusted odds ratio [AOR] = 12.61; 95% confidence interval [CI] = 6.50, 24.45) and fruit (AOR = 16.16; 95% CI = 5.61, 46.51) intake recommendations and adherence to vegetable intake recommendations (AOR = 5.53; 95%CI = 1.96, 15.58). Conclusions. In-language print materials, alone and combined with lectures, increased nutrition and physical activity knowledge and behaviors among older Chinese Americans.
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U2 - 10.2105/AJPH.2016.303111
DO - 10.2105/AJPH.2016.303111
M3 - Article
C2 - 26985605
AN - SCOPUS:84968754223
VL - 106
SP - 1092
EP - 1098
JO - American Journal of Public Health
JF - American Journal of Public Health
SN - 0090-0036
IS - 6
ER -