ABSTRACT
This study aimed to improve dietary compliance, attitudes, morale, and self-efficacy for 58 community-residing women ages 54-83 years regarding heart healthy dietary practices using a randomized control group design in two North Carolina counties. Questionnaires administered prior to Visits 1 (Baseline) and 4 (Day 90) and three 3-day food records were completed within 1 week of Visit 1 and 28-30 days thereafter. Treatment included two individual counseling sessions using pre-tested materials: Controls received corresponding mailings. Data analyses included descriptive statistics, analysis of covariance, correlations, and paired sample t-tests. Collective (total group) and control morale improved (p ≤ 0.01). The efficacy construct "ability to choose healthy foods" improved collectively (p < 0.0001). Compliance correlated (p ≤ 0.05) with the ability to follow special dietary regimens collectively and by group. Treatment Compliance correlated (p ≤ 0.03) with the ability to choose healthy foods and morale. No significant between group differences were noted. Tailored nutrition programs empowered older women regarding their nutritional health improve morale and self-efficacy. In-home or mailed education materials with follow-up may be equally effective with similar older women in other locations.
