A randomized community intervention trial to increase awareness and knowledge of the role of periconceptional folate in women of child-bearing age.

Objectives To determine the effect of a consumer-directed information campaign to increase knowledge of folate for the prevention of neural tube defects among women of child-bearing age, and to measure women's recall of sources of information and knowledge about folate. Design A community randomized...

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Publicado en:Health Expectations Vol. 2; no. 4; pp. 255 - 266
Autores principales: Watson MJ, Watson LF, Bell RJ, Halliday JL, Burford N, Brennecke SP
Formato: clinical trial research tables/charts Journal Article
Publicado: Wiley-Blackwell Dec99
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        atl: A randomized community intervention trial to increase awareness and knowledge of the role of periconceptional folate in women of child-bearing age.
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          Watson MJ
          Watson LF
          Bell RJ
          Halliday JL
          Burford N
          Brennecke SP
        affil: Department of Perinatal Medicine, Royal Women's Hospital, Carlton, VIC 3053 Australia; e-mail: mwatson@ariel.its.unimelb.edu.au
      sug:
        subj:
          Folic Acid Pharmacodynamics
          Health Knowledge
          Neural Tube Defects Prevention and Control
          Clinical Trials
          P-Value
          Victoria
          Consumer Health Information
          Confidence Intervals
          Survey Research
          Data Analysis, Statistical
          Data Analysis Software
          Interviews
          Multiple Logistic Regression
          Odds Ratio
          Spina Bifida Prevention and Control
          Age Factors
          Socioeconomic Factors
          Adolescence
          Adult
          Female
          Funding Source
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
      ab: Objectives To determine the effect of a consumer-directed information campaign to increase knowledge of folate for the prevention of neural tube defects among women of child-bearing age, and to measure women's recall of sources of information and knowledge about folate. Design A community randomized trial. Setting Three matched pairs of geographically distinct Local Government Areas in the state of Victoria, Australia. Intervention Printed information recommending folate intake to decrease the risk of neural tube defects was disseminated to women of child-bearing age in three of the Local Government Areas selected randomly. Main outcome measure The proportion of women aware of the association between folate and spina bifida. Results Of 1197 women interviewed prior to the intervention, 12.4% (adjusted for the cluster and population sampling unit) were aware of folate and neural tube defects. After the intervention, there was not only a significant background increase of 3.4% (P=0.02) in folate awareness since the pre-intervention survey (n = 603), but also a significant additional increase of 4.0% (P=0.04) owing to the intervention itself (n = 603). Only 70% of women who were aware of folate knew the correct timing. Conclusions The provision of printed educational material can increase folate awareness among women of child-bearing age. A comprehensive, long-term and ongoing health promotion campaign including such material, together with initiatives by relevant health service providers and the food industry, could best address the current low levels of folate awareness among women of childbearing age.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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