Heimendinger J
National Cancer Institute, National Institutes of Health, Bethesda, MD 20892.
Cancer. 1993 Aug 1;72(3 Suppl):1019-23. doi: 10.1002/1097-0142(19930801)72:3+<1019::aid-cncr2820721313>3.0.co;2-b.
As the accumulated evidence continues to indicate a need for Americans to modify current eating patterns and other lifestyle factors to reduce the risk of chronic diseases, the demand for community nutrition interventions will accelerate. All interventions require certain basic elements, such as measurable objectives and robust evaluation designs. However, there are other overarching strategies whose application will contribute to the research knowledge base for community interventions. This article focuses on three such strategies: use of the national health objectives, use of community channels, and development of interventions based on theories of health behavior. The application of these strategies to the National 5 A Day for Better Health Program is illustrated.
由于越来越多的证据不断表明美国人需要改变当前的饮食习惯和其他生活方式因素，以降低患慢性病的风险，对社区营养干预措施的需求将会加速增长。所有干预措施都需要某些基本要素，比如可衡量的目标和有力的评估设计。然而，还有其他一些总体策略，其应用将有助于丰富社区干预措施的研究知识库。本文重点关注其中三种策略：利用国家健康目标、利用社区渠道以及基于健康行为理论制定干预措施。文中还举例说明了这些策略在“每日五蔬果，健康更美好”全国计划中的应用。
