3187.0: Monday, October 22, 2001 - 5:30 PM

Abstract #32431

The Effectiveness of Minimal Contact Nutrition Education Approaches to Lower Fat Intake and Blood Cholesterol: Differences by Ethnicity

Kim M. Gans, PhD, MPH, LDN, Memorial Hospital of RI, Center for Primary Care and Prevention, 111 Brewster Street, Pawtucket, RI 02860, 401 792-2866, Kim_Gans@Brown.edu, Gary J. Burkholder, PhD, Institute for Community Research, Hartford, CT, Patricia M. Risica, DrPH, RD, Brown University Center for Primary Care and Prevention, and Thomas M. Lasater, PhD, Brown University Center for Primary Care and Prevention, Memorial Hospital of RI, 111 Brewster St, Pawtucket, RI 02860.

Minimal Contact Education for Cholesterol Change was funded by the National Heart Lung and Blood Institute to compare the cost-effectiveness of minimal contact nutrition education approaches at cholesterol screenings. A total of 144 sites (36 medical clinics, 36 worksites, 36 community sites and 36 religious organizations were randomized to receive one of six interventions, which increased incrementally in complexity and cost: 1. Tip sheet (TS); 2. TS + Rate Your Plate eating pattern self-assessment (RYP); 3. TS + RYP + Let's Eat self-help nutrition kit (LEK); 4. TS + RYP + LEK + audio intervention using compact disk and food picture book; 5. TS + RYP + LEK + 10-12 minutes of nutrition education/goal setting by a lay counselor; and 6. same as condition 5 but counseling was by a nutritionist. All educational interventions were developed to be culturally and linguistically appropriate for Hispanics. Blood cholesterol, body mass index, dietary habits (measured by the Food Habits Questionnaire), additional risk factors and psychosocial variables were assessed at baseline, 3 and 12 months. A total of 10,144 eligible subjects including 1425 Hispanics and 561 Blacks were recruited at baseline, with overall response rates of 81% at 3 months and 76% at 12 months. This presentation will discuss mean changes in blood cholesterol levels and dietary habits by intervention condition for Non-Hispanic Whites, Hispanics and Blacks as well as differences in the specific dietary habits changed by ethnicity. Public health implications of these findings will be discussed.

Learning Objectives: This presentation will discuss mean changes in blood cholesterol levels and dietary habits by intervention condition for Non-Hispanic Whites, Hispanics and Blacks as well as differences in the specific dietary habits changed by ethnicity. Public health implications of these findings will be discussed.

Keywords: Heart Disease, Ethnicity

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA