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S110 Poster Abstracts Journal of Nutrition Education and Behavior � Volume 42, Number 4S, 2010

Results: Reflected in the perceptions of individuals en-gaged in the process of diabetes care and education werethe following themes: Diet Dilemma, Don’t Know WhatWe Don’t Know, Expendable Time, Reluctance, Support/Exchange Experience, Indirect Services, Direct Services,Disrupted Care, and Fragmented Alliances.Conclusions and Implications: Data contributing tothe development of the themes reveal opportunities forimproving the process of diabetes care and education.Many avenues exist for potential implementation of alli-ances. Services currently available, coupled with introduc-tion of additional services, would facilitate a statewideeffort to reduce or control diabetes among disparate popu-lations throughout Oklahoma. By exploring these alli-ances and investigating additional avenues of action,associative factors that lead to development of the themescan be addressed.

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P61 Factors Related to Dietary PracticesAmong Cambodian Refugee WomenJerusha Nelson Peterman, PhD, RD, jpeterman@nutrition.umass.edu, Department of Nutrition, 213 ChenowethLab, University of Massachusetts, 100 Holdsworth Way,Amherst, MA 01003-9282; Linda Silka, PhD, MargaretChase Smith Policy Center, 5784 York Complex #4, Room201, The University of Maine, Orono, ME 04469-5784;Odilia Bermudez, PhD, MPH, odilia.bermudez@tufts.edu;Parke Wilde, PhD, parke.wilde@tufts.edu; Beatrice LorgeRogers, PhD, beatrice.rogers@tufts.edu, Friedman Schoolof Nutrition Science and Policy, 150 Harrison Avenue,Boston, MA 02111

Objective: To document dietary practices of a refugeecommunity and determine characteristics associated withdietary practices.Design, Setting and Participants: Cross-sectional,representative survey of Cambodian women aged 35 to60 years, and focus groups with women in Lowell, MA.A targeted food-frequency questionnaire and single24-hour dietary recall were used to determine dietarypractices.Outcome Measures and Analysis: Bivariate and multi-variate regression models were used to determine whichcharacteristics are associated with specific practices.Results: Most participants ate white rice and high-sodiumAsian sauces in the reference day. Higher acculturation wasrelated to lower consumption of Asian sauces and higherlikelihood of consuming dairy products and brown rice.Higher education was related to higher likelihood of con-suming fruits/vegetables and fish. Having attended a nutri-tion education class was related to higher likelihood ofconsuming brown rice and fish. Women in families withchildren at home were more likely to have eaten fastfood than those without children at home.Conclusions and Implications: Refugees with lowereducation levels may be less likely to eat fruits and vegeta-bles, and those who are less acculturated may be less likely

to adopt healthful eating practices in the United States.Refugee adults with children would benefit from educationabout choosing healthful foods for children. Targeted pro-grams that provide culturally relevant information in thenative language are likely to be most effective in refugeecommunities. This project is funded by Cambodian Com-munity Health 2010 program (CDC Agreement NumberU50/CCU12215), Blue Cross and Blue Shield of Massachu-setts Foundation Catalyst Fund, The Feinstein Interna-tional Center, Project Bread, and the Cambodian MutualAssistance Association of Greater Lowell, Inc.

P62 Using Social Marketing Principles asa Framework to Describe Native AmericanWomen’s Views of Type 2 DiabetesTeresa Jackson, MS, RD, LD, teresa.jackson@okstate.edu,Department of Nutritional Sciences, Oklahoma StateUniversity, 301 Human Environmental Sciences,Stillwater, OK 74078; Stephany Parker, PhD, steph.parker@okstate.edu, Department of Nutritional Sciences,Oklahoma State University, 419 Human EnvironmentalSciences, Stillwater, OK 74078; Janice Hermann, PhD,janice.hermann@okstate.edu, Department of NutritionalSciences, Oklahoma State University, 313 HumanEnvironmental Sciences, Stillwater, OK 74078;Sarah Miracle, MBA, RD, LD, sarah.miracle@chickasaw.net,Chickasaw Nation Nutrition Services, 229 West SeabrookRoad, Ada, OK 74820; Chiquita Briley, PhD, cbriley@fsnhp.msstate.edu, Food Science, Nutrition, and HealthPromotion, Mississippi State University, PO Box 9805,Mississippi State, MS 39762

Objective: The aim of this study was to identify percep-tions of type 2 diabetes among limited-income NativeAmerican women eligible to receive Supplemental Nutri-tion Assistance Program (SNAP) assistance.Design, Setting and Participants: Telephone inter-view questions were developed to address product, price,promotion, and place aspects of diabetes prevention. Par-ticipants include a convenience sample (n ¼ 21) of NativeAmerican women in Oklahoma with children living in thehome.Outcome Measures and Analysis: Telephone inter-views were conducted by trained researchers. Interviewswere audio-recorded and transcribed verbatim. Researchersperformed line-by-line content analysis to identify com-mon themes.Results: In terms of product, proactive prevention strate-gies suchas management ofweight,diet, exercise fordiabetesprevention,andthe geneticcomponentsofdiabeteswere rel-evant themes identified. Participants shared a desire to in-crease personal knowledge or teach family members aboutdiabetes and prevention strategies. As for place, participantsidentified mail or written information as preferred sources ofhealth information. Participants shared a desire to receivehealth information from health care professionals or every-day people with first-hand knowledge of diabetes. Addition-ally, discussions and word-of-mouth channels wereidentified as preferred promotional strategies.

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Journal of Nutrition Education and Behavior � Volume 42, Number 4S, 2010 Poster Abstracts S111

Conclusions and Implications: Participants valued theidea of being experts in their personal health and wantedto contribute to future generations’ knowledge about dia-betes prevention. The information learned from this studyis being used to tailor nutrition, health, and diabetes pre-vention messages for Native American SNAP-Ed partici-pants in Oklahoma. This project is funded in part by theChickasaw Nation SNAP-Ed Grant.

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P63 The Relationship of Acculturation andAssociated Factors to Glycemic Control in AsianIndian Adults With Type 2 DiabetesSumathi Venkatesh, MS, Candidate, venkate6@msu.edu;Lorraine Weatherspoon, PhD, RD, weathe43@msu.edu;Won Song, PhD, MPH, RD, song@msu.edu, Department ofFood Science and Human Nutrition, Michigan StateUniversity, G.M. Trout Building, East Lansing, MI48824-1224; Stan Kaplowitz, PhD, kaplowi1@msu.edu,Department of Sociology, Michigan State University, MI

Objective: To examine the association between accultur-ation and associated factors with glycemic control in AsianIndian adults with type 2 diabetes.Design, Setting and Participants: Cross-sectional, in-home interviews were conducted with 30 Asian Indianadults with physician-diagnosed type 2 diabetes, andwho had resided in the United States for at least 1 year.Outcome Measures and Analysis: A 2-step multiple re-gression analysis using the backward elimination proce-dure was performed to examine predictors of glycemiccontrol (hemoglobin A1c [HbA1c]). The independent vari-ables were acculturation (the Suinn-Lew Asian Self-identityInstrument), sociodemographic factors, and nutritional/health status of participants.Results: The mean HbA1c level and acculturation level ofthe participants were 7.2% (� 1.0) and 2.2 (� 0.2), respec-tively. The multivariate regression model was significantonly when the interaction terms of acculturation withcovariates (body mass index [BMI], income, and diabetesduration) were included in the model (R2 change ¼ .368;F change ¼ 4.208; P ¼ .018). Lower acculturation (b ¼–2.67; P ¼ .030) and the interaction of acculturationwith income (interaction b ¼ 7.19; P ¼ .005), duration ofdiabetes (interaction b ¼ .30; P ¼ .024), and BMI (interac-tion b ¼ 1.11; P ¼ .010) significantly predicted higherHbA1c levels.Conclusions and Implications: Consistent with otherAsian Indian studies, this first-generation sample waspredominantly bicultural and less likely to be westernoriented. Asian-Indian orientation was an indicator ofhigher HbA1c levels in this sample when controlling forBMI, income, and diabetes duration. Therefore, interven-tions that target Asian Indians with diabetes shouldaddress cultural orientation and subsequently adaptnutrition education and support appropriately. Thisproject is funded by Michigan State University GraduateSchool.

P64 Developing a Weight Loss Intervention forAppalachian Adults: A Descriptive SurveyKelly Webber, PhD, MPH, RD, LD, kelly.webber@uky.edu,University of Kentucky, Department of Nutrition and FoodScience, 212A Funkhouser Building, Lexington, KY 40506-0054; Lisa Quintiliani, PhD, RD, lisa.quintiliani@bmc.org,Boston University, School of Medicine, 801 MassachusettsAvenue, 2nd floor, MISU, Boston, MA 02118

Objective: To gather information for the design of an up-coming weight-loss and diabetes-prevention interventionfor adults in Appalachian Kentucky.Design, Setting and Participants: A random-digit di-aled telephone survey was conducted with 404 adults inAppalachian Kentucky.Outcome Measures and Analysis: Participants indi-cated their current weight, health conditions, self-efficacy,barriers, and motivators for weight loss. Participants alsoindicated their interest in joining a free weight-loss pro-gram and their preferred mode of delivery of the program.Results: Most respondents were women (71%) and over-weight or obese (69%; mean body mass index [BMI] ¼29.0 (7.3) kg/m2), with an average age of 47.2 (11.8) years.Nearly half reported a diagnosis of a chronic health condi-tion (48%), including 28% who reported having diabetes.Although two-thirds of respondents reported high self-effi-cacy for losing weight if they tried, barriers and motivatorsto weight loss were also reported. The most common bar-riers to weight loss cited were current eating habits, time,and current physical condition. The most common moti-vators for weight loss were health, appearance, and feelingbetter. Most respondents (68%) indicated interest ina weight-loss program, with 40% preferring a face-to-faceprogram and 26% preferring an Internet delivery mode.Conclusions and Implications: There is a need, basedon BMI and diabetes levels, as well as a desire, for weight-loss programs among adults in Appalachian Kentucky.Face-to-face and Internet programs are both conducive toincorporating and intervening on the common barriersand motivators reported. Further research may explorehow to optimize these delivery modes for this population.Funding provided by a UK Health Education through Ex-tension Leadership grant.

P65 Lay Nutrition Beliefs Among Low-incomeAfrican American Mothers Do Not SupportHealthy Food ChoiceElizabeth Lynch, PhD, elizabeth_lynch@rush.edu,Department of Preventive Medicine, Rush UniversityMedical Center, 1700 West Van Buren, Suite 470,Chicago, IL 60612-3244; Shane Holmes, BA, s-holmes@northwestern.edu, Department of Preventive Medicine,Feinberg Medical School, Northwestern University, 680North Lakeshore Drive, Suite 1102, Chicago, IL 60611-4402

Objective: Low-income African American women are es-pecially vulnerable to diet-related disease because of poor