Network for a Healthy California, California Department of Public Health and Public Health Institute, Sacramento, CA 95814, USA.
J Nutr Educ Behav. 2011 Jul-Aug;43(4 Suppl 2):S75-85. doi: 10.1016/j.jneb.2011.02.004.
Evaluate the effectiveness of the Fruit, Vegetable, and Physical Activity Toolbox for Community Educators (Toolbox), an intervention originally designed for Spanish- and English-speaking audiences, in changing knowledge, attitudes, and behavior among low-income African American women.
Quasi-experimental design with treatment and control groups.
Four community-based organizations and direct health service provider sites.
African American women ages 18-54 (156 treatment, 171 control), 75% of whom were low income.
Six 1-hour Toolbox classes.
Knowledge, attitudes, self-efficacy, empowerment, and behavior change related to fruits and vegetables and physical activity.
Dependent t tests pre- to posttest and chi-square test between control and treatment groups.
Women in the treatment group reported significant changes in 9 measures of attitude, compared to 1 measure in the control group, as well as 12 measures of confidence and 5 measures of empowerment for which the control group showed no changes. Compared to those in the control group, women in the treatment group were also more likely to make behavioral changes to meet recommendations for fruit and vegetable consumption and physical activity.
Toolbox lessons were effective in increasing participants' knowledge, attitudes, self-efficacy, empowerment, and reported fruit and vegetable- and physical activity-related behaviors.
评估针对西班牙语和英语受众设计的“水果、蔬菜和身体活动工具包（Toolbox）”对改变低收入非裔美国妇女知识、态度和行为的效果。
准实验设计，设有治疗组和对照组。
四个社区组织和直接健康服务提供点。
18-54 岁的非裔美国妇女（治疗组 156 人，对照组 171 人），其中 75%为低收入人群。
6 次 1 小时的 Toolbox 课程。
与水果、蔬菜和身体活动相关的知识、态度、自我效能、赋权和行为变化。
治疗组与对照组之间的治疗前后的 t 检验和卡方检验。
与对照组相比，治疗组女性在 9 项态度测量指标上有显著变化，而对照组只有 1 项变化，在信心的 12 项测量指标和赋权的 5 项测量指标上，对照组没有变化。与对照组相比，治疗组女性更有可能改变行为以满足水果和蔬菜消费和身体活动的推荐量。
Toolbox 课程在提高参与者的知识、态度、自我效能、赋权和报告的水果、蔬菜和身体活动相关行为方面是有效的。
