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Grant Details

Grant Number: 5R01CA068398-04 Interpret this number
Primary Investigator: Haire-Joshu, Debra
Organization: Saint Louis University
Project Title: Altering Dietary Patterns in African American Parents
Fiscal Year: 1999


Abstract

DESCRIPTION: This study will develop a dietary change program for African American parents that promotes adherence to NCI dietary guidelines and is implemented through Parent As Teachers (PAT), a national parent education program. This program will encourage parents to model healthy eating to their children. The dietary change program will build upon two recognized strengths of African American families; kin networks and external social support networks. The primary evaluation outcomes will be to: reduce dietary fat intake to an average of 30 percent of energy or less; increase fiber containing foods in the diets of parents to five or more daily servings of vegetables (including beans and peas) and fruits in parents. The impact of the program on intermediate outcomes will be measured by changes in dietary patterns that describe behavioral components associated with lowering fat in the diet, nutrition related knowledge, and attitudes. The investigators will train parent educators to implement the dietary change program through PAT curriculum and evaluate the impact of the training on the parent educators. Parent educators will be trained to teach parents diet-related skills through a variety of materials (nutrition workbook, newsletters), and across settings (home visits and group meetings)which promote social support (parent-kin involvement). A quasi-experimental, nested cohort design will be used to evaluate the impact of the program on 1440 African American parents for 12 PAT sites located throughout St. Louis city and county. Process evaluation will include assessment of: session content of five individual home visits, the distribution of newsletters, parent and extended kin participation and session content of five group meetings, and parent perspective of satisfaction with the program. The program will be delivered through PAT, an agency well supported and enthusiastically accepted by African American parents as demonstrated by high participation rates of its clientele. A second strength is the potential to disseminate the curriculum developed for the proposed study on a national level through 1770 PAT-affiliated sites across 45 states.



Publications

High 5 for Kids: the impact of a home visiting program on fruit and vegetable intake of parents and their preschool children.
Authors: Haire-Joshu D. , Elliott M.B. , Caito N.M. , Hessler K. , Nanney M.S. , Hale N. , Boehmer T.K. , Kreuter M. , Brownson R.C. .
Source: Preventive Medicine, 2008 Jul; 47(1), p. 77-82.
PMID: 18486203
Related Citations

The use of inappropriate feeding practices by rural parents and their effect on preschoolers' fruit and vegetable preferences and intake.
Authors: Bante H. , Elliott M. , Harrod A. , Haire-Joshu D. .
Source: Journal Of Nutrition Education And Behavior, 2008 Jan-Feb; 40(1), p. 28-33.
PMID: 18174101
Related Citations

Examination of the adherence to the "5 A Day the Color Way" campaign among parents and their preschool children.
Authors: Nanney M.S. , Schermbeck R. , Haire-Joshu D. .
Source: Journal Of Cancer Education : The Official Journal Of The American Association For Cancer Education, 2007 Fall; 22(3), p. 177-80.
PMID: 17760525
Related Citations

Frequency of eating homegrown produce is associated with higher intake among parents and their preschool-aged children in rural Missouri.
Authors: Nanney M.S. , Johnson S. , Elliott M. , Haire-Joshu D. .
Source: Journal Of The American Dietetic Association, 2007 Apr; 107(4), p. 577-84.
PMID: 17383262
Related Citations

Awareness and adoption of a nationally disseminated dietary curriculum.
Authors: Nanney M.S. , Haire-Joshu D. , Brownson R.C. , Kostelc J. , Stephen M. , Elliott M. .
Source: American Journal Of Health Behavior, 2007 Jan-Feb; 31(1), p. 64-73.
PMID: 17181463
Related Citations

Improving dietary behavior in African Americans: the Parents As Teachers High 5, Low Fat Program.
Authors: Haire-Joshu D. , Brownson R.C. , Nanney M.S. , Houston C. , Steger-May K. , Schechtman K. , Auslander W. .
Source: Preventive Medicine, 2003 Jun; 36(6), p. 684-91.
PMID: 12744911
Related Citations

The relationship between parental modeling, eating patterns, and dietary intake among African-American parents.
Authors: Tibbs T. , Haire-Joshu D. , Schechtman K.B. , Brownson R.C. , Nanney M.S. , Houston C. , Auslander W. .
Source: Journal Of The American Dietetic Association, 2001 May; 101(5), p. 535-41.
PMID: 11374346
Related Citations

A community research partnership to improve the diet of African Americans.
Authors: Haire-Joshu D. , Brownson R.C. , Schechtman K. , Nanney M.S. , Houston C. , Auslander W. .
Source: American Journal Of Health Behavior, 2001 Mar-Apr; 25(2), p. 140-6.
PMID: 11297043
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