Theory-driven Intervention Improves Calcium Intake, Osteoporosis Knowledge, and Self-efficacy in Community-Dwelling Older Black Adults
Abstract Objective To assess the effectiveness of an osteoporosis education program to improve calcium intake, knowledge, and self-efficacy in community-dwelling older Black adults. Design Randomized repeated measures experimental design. Setting Churches and community-based organizations. Participa...
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| Veröffentlicht in: | Journal of nutrition education and behavior 2011-11, Vol.43 (6), p.434-440 |
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| creator | Babatunde, Oyinlola T., PhD, MPH, RD Himburg, Susan P., PhD, RD Newman, Frederick L., PhD Campa, Adriana, PhD, RD Dixon, Zisca, PhD, RD |
| description | Abstract Objective To assess the effectiveness of an osteoporosis education program to improve calcium intake, knowledge, and self-efficacy in community-dwelling older Black adults. Design Randomized repeated measures experimental design. Setting Churches and community-based organizations. Participants Men and women (n = 110) 50 years old and older from 3 south Florida counties. Intervention Participants randomly assigned to either of 2 groups: Group 1 (experimental group) or Group 2 (wait-list control group). Group 1 participated in 6 weekly education program sessions immediately following baseline assessment, and Group 2 started the program following Group 1’s program completion. A tested curriculum was adapted to meet the needs of the target population. Main Outcome Measures Dietary calcium intake, osteoporosis knowledge, health beliefs, and self-efficacy. Analysis Descriptive and summary statistics, repeated measures analysis of variance, and regression analysis. Results Of the total participants, 84.6% completed the study (mean age = 70.2 years). Overall, an educational program developed with a theoretical background was associated with improvement in calcium intake, knowledge, and self-efficacy, with no effect on most health belief subscales. Assigned group was the major predictor of change in calcium intake. Conclusions and Implications A theory-driven approach is valuable in improving behavior to promote bone health in this population. Health professionals should consider using more theory-driven approaches in intervention studies. |
| doi_str_mv | 10.1016/j.jneb.2010.07.004 |
| format | Article |
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Design Randomized repeated measures experimental design. Setting Churches and community-based organizations. Participants Men and women (n = 110) 50 years old and older from 3 south Florida counties. Intervention Participants randomly assigned to either of 2 groups: Group 1 (experimental group) or Group 2 (wait-list control group). Group 1 participated in 6 weekly education program sessions immediately following baseline assessment, and Group 2 started the program following Group 1’s program completion. A tested curriculum was adapted to meet the needs of the target population. Main Outcome Measures Dietary calcium intake, osteoporosis knowledge, health beliefs, and self-efficacy. Analysis Descriptive and summary statistics, repeated measures analysis of variance, and regression analysis. Results Of the total participants, 84.6% completed the study (mean age = 70.2 years). Overall, an educational program developed with a theoretical background was associated with improvement in calcium intake, knowledge, and self-efficacy, with no effect on most health belief subscales. Assigned group was the major predictor of change in calcium intake. Conclusions and Implications A theory-driven approach is valuable in improving behavior to promote bone health in this population. Health professionals should consider using more theory-driven approaches in intervention studies.</description><identifier>ISSN: 1499-4046</identifier><identifier>EISSN: 1878-2620</identifier><identifier>EISSN: 1708-8259</identifier><identifier>DOI: 10.1016/j.jneb.2010.07.004</identifier><identifier>PMID: 21531178</identifier><identifier>CODEN: JNUEBX</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>African Americans ; African Americans - psychology ; African Americans - statistics & numerical data ; Aged ; Aged, 80 and over ; Analysis of Variance ; Behavior Change ; Black people ; Blacks ; Calcium, Dietary - administration & dosage ; Clinical trials ; Community Programs ; Comparative Analysis ; educational model ; Female ; Florida ; Gastroenterology and Hepatology ; Health Education ; Health Knowledge, Attitudes, Practice ; Health Promotion ; Health Promotion - methods ; Humans ; Internal Medicine ; Intervention ; Knowledge Level ; Male ; Middle Aged ; Models, Educational ; Nutrition ; Nutrition Instruction ; Older Adults ; Osteoporosis ; Osteoporosis - diet therapy ; Osteoporosis - ethnology ; Osteoporosis - prevention & control ; Osteoporosis - therapy ; Patient Education as Topic ; Predictor Variables ; Program Effectiveness ; randomized controlled trial ; Regression Analysis ; Residential Facilities ; Self Efficacy ; Surveys and Questionnaires ; Theories</subject><ispartof>Journal of nutrition education and behavior, 2011-11, Vol.43 (6), p.434-440</ispartof><rights>Society for Nutrition Education and Behavior</rights><rights>2011 Society for Nutrition Education and Behavior</rights><rights>Copyright © 2011 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Nov/Dec 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c458t-539c52f42cdd0968e0d4f9325c6415e6c19b5dd900f35defa1b7d20e8c484c313</citedby><cites>FETCH-LOGICAL-c458t-539c52f42cdd0968e0d4f9325c6415e6c19b5dd900f35defa1b7d20e8c484c313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jneb.2010.07.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ946585$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21531178$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Babatunde, Oyinlola T., PhD, MPH, RD</creatorcontrib><creatorcontrib>Himburg, Susan P., PhD, RD</creatorcontrib><creatorcontrib>Newman, Frederick L., PhD</creatorcontrib><creatorcontrib>Campa, Adriana, PhD, RD</creatorcontrib><creatorcontrib>Dixon, Zisca, PhD, RD</creatorcontrib><title>Theory-driven Intervention Improves Calcium Intake, Osteoporosis Knowledge, and Self-efficacy in Community-Dwelling Older Black Adults</title><title>Journal of nutrition education and behavior</title><addtitle>J Nutr Educ Behav</addtitle><description>Abstract Objective To assess the effectiveness of an osteoporosis education program to improve calcium intake, knowledge, and self-efficacy in community-dwelling older Black adults. Design Randomized repeated measures experimental design. Setting Churches and community-based organizations. Participants Men and women (n = 110) 50 years old and older from 3 south Florida counties. Intervention Participants randomly assigned to either of 2 groups: Group 1 (experimental group) or Group 2 (wait-list control group). Group 1 participated in 6 weekly education program sessions immediately following baseline assessment, and Group 2 started the program following Group 1’s program completion. A tested curriculum was adapted to meet the needs of the target population. Main Outcome Measures Dietary calcium intake, osteoporosis knowledge, health beliefs, and self-efficacy. Analysis Descriptive and summary statistics, repeated measures analysis of variance, and regression analysis. Results Of the total participants, 84.6% completed the study (mean age = 70.2 years). Overall, an educational program developed with a theoretical background was associated with improvement in calcium intake, knowledge, and self-efficacy, with no effect on most health belief subscales. Assigned group was the major predictor of change in calcium intake. Conclusions and Implications A theory-driven approach is valuable in improving behavior to promote bone health in this population. Health professionals should consider using more theory-driven approaches in intervention studies.</description><subject>African Americans</subject><subject>African Americans - psychology</subject><subject>African Americans - statistics & numerical data</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Behavior Change</subject><subject>Black people</subject><subject>Blacks</subject><subject>Calcium, Dietary - administration & dosage</subject><subject>Clinical trials</subject><subject>Community Programs</subject><subject>Comparative Analysis</subject><subject>educational model</subject><subject>Female</subject><subject>Florida</subject><subject>Gastroenterology and Hepatology</subject><subject>Health Education</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Promotion</subject><subject>Health Promotion - methods</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Intervention</subject><subject>Knowledge Level</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Models, Educational</subject><subject>Nutrition</subject><subject>Nutrition Instruction</subject><subject>Older Adults</subject><subject>Osteoporosis</subject><subject>Osteoporosis - diet therapy</subject><subject>Osteoporosis - ethnology</subject><subject>Osteoporosis - prevention & control</subject><subject>Osteoporosis - therapy</subject><subject>Patient Education as Topic</subject><subject>Predictor Variables</subject><subject>Program Effectiveness</subject><subject>randomized controlled trial</subject><subject>Regression Analysis</subject><subject>Residential Facilities</subject><subject>Self Efficacy</subject><subject>Surveys and Questionnaires</subject><subject>Theories</subject><issn>1499-4046</issn><issn>1878-2620</issn><issn>1708-8259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uk1v1DAQjRCIfsAfQAhFXLiQZezYSSwhpLIUKFTaQ8vZytqT4mxiL3ayVf5AfzeOdtlDD5w8nvfm802SvCKwIECKD-2itbheUIgOKBcA7ElySqqyymhB4Wm0mRAZA1acJGchtACEUxDPkxNKeE5IWZ0mD7e_0fkp097s0KZXdkAfjcG4-Om33u0wpMu6U2bsZ7Te4Pt0FQZ0W-ddMCH9ad19h_ou-mur0xvsmgybxqhaTamx6dL1_WjNMGVf7rHrjL1LV51Gn37uarVJL_TYDeFF8qypu4AvD-958uvr5e3ye3a9-na1vLjOFOPVkPFcKE4bRpXWIIoKQbNG5JSrghGOhSJizbUWAE3ONTY1WZeaAlaKVUzlJD9P3u3zxsn-jBgG2ZugYlu1RTcGKYABYVXJIvPtI2brRm9jc1IQApQWYibRPUnFXQSPjdx609d-kgTkrJFs5ayRnDWSUMqoUQx6c8g8rnvUx5B_okTC6z0BvVFH-PKHYAWveIQ_HuC4qJ1BL4MyaBVq41ENUjvz__KfHoWrKEqUq9vghOE4JZGBSpA38xHNN0QAIBeM538BZYrBjA</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Babatunde, Oyinlola T., PhD, MPH, RD</creator><creator>Himburg, Susan P., PhD, RD</creator><creator>Newman, Frederick L., PhD</creator><creator>Campa, Adriana, PhD, RD</creator><creator>Dixon, Zisca, PhD, RD</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20111101</creationdate><title>Theory-driven Intervention Improves Calcium Intake, Osteoporosis Knowledge, and Self-efficacy in Community-Dwelling Older Black Adults</title><author>Babatunde, Oyinlola T., PhD, MPH, RD ; Himburg, Susan P., PhD, RD ; Newman, Frederick L., PhD ; Campa, Adriana, PhD, RD ; Dixon, Zisca, PhD, RD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-539c52f42cdd0968e0d4f9325c6415e6c19b5dd900f35defa1b7d20e8c484c313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>African Americans</topic><topic>African Americans - psychology</topic><topic>African Americans - statistics & numerical data</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>Behavior Change</topic><topic>Black people</topic><topic>Blacks</topic><topic>Calcium, Dietary - administration & dosage</topic><topic>Clinical trials</topic><topic>Community Programs</topic><topic>Comparative Analysis</topic><topic>educational model</topic><topic>Female</topic><topic>Florida</topic><topic>Gastroenterology and Hepatology</topic><topic>Health Education</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Promotion</topic><topic>Health Promotion - methods</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Intervention</topic><topic>Knowledge Level</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Models, Educational</topic><topic>Nutrition</topic><topic>Nutrition Instruction</topic><topic>Older Adults</topic><topic>Osteoporosis</topic><topic>Osteoporosis - diet therapy</topic><topic>Osteoporosis - ethnology</topic><topic>Osteoporosis - prevention & control</topic><topic>Osteoporosis - therapy</topic><topic>Patient Education as Topic</topic><topic>Predictor Variables</topic><topic>Program Effectiveness</topic><topic>randomized controlled trial</topic><topic>Regression Analysis</topic><topic>Residential Facilities</topic><topic>Self Efficacy</topic><topic>Surveys and Questionnaires</topic><topic>Theories</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Babatunde, Oyinlola T., PhD, MPH, RD</creatorcontrib><creatorcontrib>Himburg, Susan P., PhD, RD</creatorcontrib><creatorcontrib>Newman, Frederick L., PhD</creatorcontrib><creatorcontrib>Campa, Adriana, PhD, RD</creatorcontrib><creatorcontrib>Dixon, Zisca, PhD, RD</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nutrition education and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Babatunde, Oyinlola T., PhD, MPH, RD</au><au>Himburg, Susan P., PhD, RD</au><au>Newman, Frederick L., PhD</au><au>Campa, Adriana, PhD, RD</au><au>Dixon, Zisca, PhD, RD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ946585</ericid><atitle>Theory-driven Intervention Improves Calcium Intake, Osteoporosis Knowledge, and Self-efficacy in Community-Dwelling Older Black Adults</atitle><jtitle>Journal of nutrition education and behavior</jtitle><addtitle>J Nutr Educ Behav</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>43</volume><issue>6</issue><spage>434</spage><epage>440</epage><pages>434-440</pages><issn>1499-4046</issn><eissn>1878-2620</eissn><eissn>1708-8259</eissn><coden>JNUEBX</coden><abstract>Abstract Objective To assess the effectiveness of an osteoporosis education program to improve calcium intake, knowledge, and self-efficacy in community-dwelling older Black adults. Design Randomized repeated measures experimental design. Setting Churches and community-based organizations. Participants Men and women (n = 110) 50 years old and older from 3 south Florida counties. Intervention Participants randomly assigned to either of 2 groups: Group 1 (experimental group) or Group 2 (wait-list control group). Group 1 participated in 6 weekly education program sessions immediately following baseline assessment, and Group 2 started the program following Group 1’s program completion. A tested curriculum was adapted to meet the needs of the target population. Main Outcome Measures Dietary calcium intake, osteoporosis knowledge, health beliefs, and self-efficacy. Analysis Descriptive and summary statistics, repeated measures analysis of variance, and regression analysis. Results Of the total participants, 84.6% completed the study (mean age = 70.2 years). Overall, an educational program developed with a theoretical background was associated with improvement in calcium intake, knowledge, and self-efficacy, with no effect on most health belief subscales. Assigned group was the major predictor of change in calcium intake. Conclusions and Implications A theory-driven approach is valuable in improving behavior to promote bone health in this population. Health professionals should consider using more theory-driven approaches in intervention studies.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21531178</pmid><doi>10.1016/j.jneb.2010.07.004</doi><tpages>7</tpages></addata></record> |
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| subjects | African Americans African Americans - psychology African Americans - statistics & numerical data Aged Aged, 80 and over Analysis of Variance Behavior Change Black people Blacks Calcium, Dietary - administration & dosage Clinical trials Community Programs Comparative Analysis educational model Female Florida Gastroenterology and Hepatology Health Education Health Knowledge, Attitudes, Practice Health Promotion Health Promotion - methods Humans Internal Medicine Intervention Knowledge Level Male Middle Aged Models, Educational Nutrition Nutrition Instruction Older Adults Osteoporosis Osteoporosis - diet therapy Osteoporosis - ethnology Osteoporosis - prevention & control Osteoporosis - therapy Patient Education as Topic Predictor Variables Program Effectiveness randomized controlled trial Regression Analysis Residential Facilities Self Efficacy Surveys and Questionnaires Theories |
| title | Theory-driven Intervention Improves Calcium Intake, Osteoporosis Knowledge, and Self-efficacy in Community-Dwelling Older Black Adults |
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