Demonstration of an E-mailed Worksite Nutrition Intervention Program

Introduction Dietary fat and low fruit and vegetable intake are linked to many chronic diseases, and U.S. population intake does not meet recommendations. Interventions are needed that incorporate effective behavior-change principles and that can be delivered inexpensively to large segments of the...

Full description

Bibliographic Details
Main Authors: Gladys Block, Torin Block, Patricia Wakimoto, Clifford H. Block
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2004-10-01
Series:Preventing Chronic Disease
Subjects:
Online Access:http://www.cdc.gov/pcd/issues/2004/oct/04_0034.htm
_version_ 1827613723435466752
author Gladys Block
Torin Block
Patricia Wakimoto
Clifford H. Block
author_facet Gladys Block
Torin Block
Patricia Wakimoto
Clifford H. Block
author_sort Gladys Block
collection DOAJ
description Introduction Dietary fat and low fruit and vegetable intake are linked to many chronic diseases, and U.S. population intake does not meet recommendations. Interventions are needed that incorporate effective behavior-change principles and that can be delivered inexpensively to large segments of the population. Methods Employees at a corporate worksite were invited to participate in a program, delivered entirely by e-mail, to reduce dietary fat and increase fruit and vegetable intake. Behavior-change principles underlying the intervention included tailoring to the participants dietary lifestyle, baseline assessment and feedback about dietary intake, family participation, and goal setting. Assessment, tailoring, and delivery was fully automated. The program was delivered weekly to participants e-mail inboxes for 12 weeks. Each e-mail included information on nutrition or on the relationship between diet and health, dietary tips tailored to the individual, and small goals to try for the next week. In this nonrandomized pilot study, we assessed technical feasibility, acceptability to employees, improvement in Stage of Change, increase in fruit and vegetable consumption, and decrease in fat intake. Results Approximately one third (n = 84) of employees who were offered the 12-week program signed up for it, and satisfaction was high. There was significant improvement in Stage of Change: 74% of those not already at the top had forward movement (P < .001). In addition, results suggest significant increase in fruit and vegetable consumption (0.73 times/day, P < .001) and significant decrease in intake of fat sources (-0.39 times/day, P < .001). Conclusion This inexpensive program is feasible and appears to be effective. A randomized controlled trial is needed.
first_indexed 2024-03-09T08:43:48Z
format Article
id doaj.art-4a691cd64d714ee98adaf42e7483ae4a
institution Directory Open Access Journal
issn 1545-1151
language English
last_indexed 2024-03-09T08:43:48Z
publishDate 2004-10-01
publisher Centers for Disease Control and Prevention
record_format Article
series Preventing Chronic Disease
spelling doaj.art-4a691cd64d714ee98adaf42e7483ae4a2023-12-02T15:55:33ZengCenters for Disease Control and PreventionPreventing Chronic Disease1545-11512004-10-0114Demonstration of an E-mailed Worksite Nutrition Intervention ProgramGladys BlockTorin BlockPatricia WakimotoClifford H. BlockIntroduction Dietary fat and low fruit and vegetable intake are linked to many chronic diseases, and U.S. population intake does not meet recommendations. Interventions are needed that incorporate effective behavior-change principles and that can be delivered inexpensively to large segments of the population. Methods Employees at a corporate worksite were invited to participate in a program, delivered entirely by e-mail, to reduce dietary fat and increase fruit and vegetable intake. Behavior-change principles underlying the intervention included tailoring to the participants dietary lifestyle, baseline assessment and feedback about dietary intake, family participation, and goal setting. Assessment, tailoring, and delivery was fully automated. The program was delivered weekly to participants e-mail inboxes for 12 weeks. Each e-mail included information on nutrition or on the relationship between diet and health, dietary tips tailored to the individual, and small goals to try for the next week. In this nonrandomized pilot study, we assessed technical feasibility, acceptability to employees, improvement in Stage of Change, increase in fruit and vegetable consumption, and decrease in fat intake. Results Approximately one third (n = 84) of employees who were offered the 12-week program signed up for it, and satisfaction was high. There was significant improvement in Stage of Change: 74% of those not already at the top had forward movement (P < .001). In addition, results suggest significant increase in fruit and vegetable consumption (0.73 times/day, P < .001) and significant decrease in intake of fat sources (-0.39 times/day, P < .001). Conclusion This inexpensive program is feasible and appears to be effective. A randomized controlled trial is needed.http://www.cdc.gov/pcd/issues/2004/oct/04_0034.htmchronic diseasenutritionintervention
spellingShingle Gladys Block
Torin Block
Patricia Wakimoto
Clifford H. Block
Demonstration of an E-mailed Worksite Nutrition Intervention Program
Preventing Chronic Disease
chronic disease
nutrition
intervention
title Demonstration of an E-mailed Worksite Nutrition Intervention Program
title_full Demonstration of an E-mailed Worksite Nutrition Intervention Program
title_fullStr Demonstration of an E-mailed Worksite Nutrition Intervention Program
title_full_unstemmed Demonstration of an E-mailed Worksite Nutrition Intervention Program
title_short Demonstration of an E-mailed Worksite Nutrition Intervention Program
title_sort demonstration of an e mailed worksite nutrition intervention program
topic chronic disease
nutrition
intervention
url http://www.cdc.gov/pcd/issues/2004/oct/04_0034.htm
work_keys_str_mv AT gladysblock demonstrationofanemailedworksitenutritioninterventionprogram
AT torinblock demonstrationofanemailedworksitenutritioninterventionprogram
AT patriciawakimoto demonstrationofanemailedworksitenutritioninterventionprogram
AT cliffordhblock demonstrationofanemailedworksitenutritioninterventionprogram