Randomized Trial Testing the Effect of Peer Education at Increasing Fruit and Vegetable Intake

Buller, David B.; Morrill, Calvin; Taren, Douglas; Aickin, Mikel; Sennott‐Miller, Lee; Buller, Mary Klein; Larkey, Linda; Alatorre, Carlos; Wentzel, Thomas M.

doi:10.1093/jnci/91.17.1491

Cited by 165 publications

(137 citation statements)

References 37 publications

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“…6,[10][11][12][13][14] Lay health advisors (including peer volunteers, peer educators, and lay community workers) have been proposed as an effective means of promoting breast cancer screening and other healthy behaviors. [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] Lay health advisors are community members trained to act as links between the professional health care system and their communities. 16 Studies conducted with disadvantaged urban populations have shown that lay health advisor interventions increase mammography use among women recruited from the community.…”

Section: Interventionmentioning

confidence: 99%

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

Earp

Eng²,

O’Malley³

et al. 2002

Am J Public Health

191

172

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Objectives. A community trial was undertaken to evaluate the effectiveness of the North Carolina Breast Cancer Screening Program, a lay health advisor network intervention intended to increase screening among rural African American women 50 years and older.Methods. A stratified random sample of 801 African American women completed baseline (1993-1994) and follow-up (1996-1997) surveys.The primary outcome was self-reported mammography use in the previous 2 years.Results. The intervention was associated with an overall 6 percentage point increase (95% confidence interval [CI] = −1, 14) in communitywide mammography use. Low-income women in intervention counties showed an 11 percentage point increase (95% CI = 2, 21) in use above that exhibited by lowincome women in comparison counties. Adjustment for potentially confounding characteristics did not change the results.Conclusions. A lay health advisor intervention appears to be an effective public health approach to increasing use of screening mammography among low-income, rural populations.

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Section: Interventionmentioning

confidence: 99%

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

Earp

Eng²,

O’Malley³

et al. 2002

Am J Public Health

191

172

View full text Add to dashboard Cite

show abstract

“…Most (N=27) of them focused on tobacco control either exclusively (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21) or as part of a wider health promotion program (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34). Sixteen health promotion programs focused exclusively (35)(36)(37)(38)(39)(40)(41)(42)(43) or in part (23-27, 31, 34, 43) on diet. An increase in physical activity was the goal for 14 health promotion trials; in 3 it was the exclusive factor (44)(45)(46), and in 11 it was part of a wider health promotion program (24, 25, 29-34, 43, 47, 48).…”

Section: Characteristics Of the Trialsmentioning

confidence: 99%

Health promotion trials at worksites and risk factors for cancer

Janer¹,

Sala²,

Kogevinas³

2002

Scand J Work Environ Health

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The following articles refer to this text: 2002;28(3) Studies of worksite health promotion have frequently reported larger effects than those at the community level.Many of these studies have serious methodological problems. Forty-five worksite health promotion trials following specific quality criteria were selected and estimated for behavioral changes in cancer risk factors and the effectiveness of different intervention components. Tobacco control programs found quit rates of about 5% with relapse rates of 40% to 80% at 6 months after the intervention. Effectiveness increased with the duration of the intervention for at least 6 months, repeated contacts with the participants, continuous support, and tailored messages. There was less evidence for the long-term effectiveness of incentives. Trials on diet, alcohol, physical activity, overweight, and solar radiation showed the same positive trends. The overall evidence indicates a modest but positive effect of health promotion trials at worksites and the effect, for smoking cessation trials, is slightly larger than that of community-based trials. Many of the recommendations made to increase participation and effectiveness were not based on empirical data.

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“…3,4 The results of this current study show that peer health educators, who themselves had little knowledge about women's health issues before being trained, were successful in changing women's knowledge in the short-term, a success similar to other studies using peer health educators. [6][7][8][9] The health educators were also able to create a positive environment for the participants and present the material in such a way that there were no dropouts over the nine-week course. This supports the idea that this type of health promotion project is sustainable because it depends upon the self-motivation of the educators and participating women, rather than incentives from outsiders.…”

Section: Discussionmentioning

confidence: 99%

Raising Women’s Reproductive Health Awareness: A Community-Based Intervention Program in Jordan

et al. 2003

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Over the past 30 years, there has been a gradual shift in the way women's reproductive health issues are addressed by the international development community, as seen in maternal and child health programs, family planning efforts, and the Safe Motherhood initiative. As a continuation of this paradigm shift, ensuring women's reproductive health needs are met throughout the life cycle was named as one of the key priorities of the International Conference on Population and Development in 1994.1 However, ensuring reproductive health care services and information are available does not necessarily ensure that women make use of these services. In order for reproductive health services to be utilized, women need to know when they are in need of, and how to use this care. Health awareness programs are one way of empowering women with this knowledge about their reproductive health and available health services.The issue then arises as to where health awareness programs can most effectively occur in the local context. Primary health care relies on health awareness messages being passed between health workers at any level (from physicians to community health workers) to members of the community.2 In a developing country like Jordan where most health care services are provided to women via maternal and child health (MCH) programs, there are a number of barriers to providers' carrying out health promotion with patients. The few studies that have been conducted on health promotion in health care settings in Jordan indicate that the providers' time, knowledge, and negative attitudes towards health promotion pose barriers to health information exchange between provider and patient. 3,4 In one local study, all nurses and midwives working in a Northern Governorate's primary health care andMCHcenterswereaskedabouttheiropinionsregarding health promotion. Fifty percent of nurses and midwives participating in the study stated they do not have sufficient time to work on health promotion, despite that 78% of the respondents stated they were the most appropriate people to be involved in health promotion.3 Just over 50% of midwives and nurses went on to respond that they felt that health education was "guilt-inducing" and boring, with slightly more respondents stating that societal and cultural values influence Jordanian lifestyles to the degree that health education by a health professional cannot change local practices. 3 Previously, Al-Qutob and Mawajdeh 4 conducted a comprehensive survey in MCH facilities in a northern Jordanian city. The researchers found that although all 31 directors of the facilities stated that health education was an integral part of the MCH services they offered to women, 74% of the directors felt providers in their centers did not have enough training in health education. This lack of specific training was made apparent when more than half of the pregnant women receiving prenatal care from the centers stated they were dissatisfied with the quality of information given to them by physicians and midwives. 4 Giv...

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Randomized Trial Testing the Effect of Peer Education at Increasing Fruit and Vegetable Intake

Abstract: Peer education appears to be an effective means of achieving an increase in fruit and vegetable intake among lower socioeconomic, multicultural adult employees.

Cited by 165 publications

References 37 publications

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

Health promotion trials at worksites and risk factors for cancer

Raising Women’s Reproductive Health Awareness: A Community-Based Intervention Program in Jordan

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