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Health Promotion Practice, Vol. 7, No. 2, 252-257 (2006)
DOI: 10.1177/1524839905278887

Cookin’ Up Health: Developing a Nutrition Intervention for a Rural Appalachian Population

Irene Tessaro, MSN, DrPH

Department of Health Promotion and Risk Reduction, School of Nursing at West Virginia University in Morgantown, West Virginia

Sheila Rye, MS, CHES

Lindsey Parker, MS, CHES

Department of Health Promotion and Risk Reduction, School of Nursing, West Virginia University in Morgantown, West Virginia

Kristin Trangsrud, MPH

People Designs, Durham, North Carolina

Carol Mangone, PhD

Susan McCrone, PhD, RN

Nan Leslie, PhD, RN

Department of Health Promotion and Risk Reduction, School of Nursing, West Virginia University in Morgantown, West Virginia

Cookin’ Up Health is a culturally targeted and individualized tailored nutrition intervention using a computerbased interactive format. Using a cooking show theme, the program demonstrates step-by-step meal preparation emphasizing healthy selection and portion control. Focus groups were conducted with women in two rural counties in West Virginia to guide the development of the intervention. Women felt more susceptible to heart disease because the changing role of women creates more stress and less time; weight loss was a greater motivator for dietary change than was preventing heart disease; social support is a barrier and facilitator for dietary change; cultural heritage and the way women were raised were major barriers to making health changes as adults; convenience and the cost of eating healthier were major factors when trying to make changes in diet; and women did not feel confident in their ability to maintain dietary changes.

Key Words: intervention • focus groups • women's health • nutrition • rural


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