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Emerging Infectious Diseases Journal
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Volume 1: No. 3, July 2004

ORIGINAL RESEARCH
A Randomized Trial of the Little by Little CD-ROM: Demonstrated Effectiveness in Increasing Fruit and Vegetable Intake in a Low-income Population

Which describes your eating habits?

Sample screen from the Little by Little CD-ROM. A text description of this screen follows.

Icon indicating a RealPlayer documentListen to the audio for this screen
Real Audio Format. You will need RealPlayer® to listen to this file.

Audio transcription:

Here we'd like to take a look at practical steps to improve what you eat. Which describe your eating habits?

Text description of screen:

This screen asks the user to describe his or her eating habits:

Option one: I usually pack lunches.
Image is of a brown-bag sandwich, an apple, and a juice box.

Option two: I usually eat out a lot.
Image is of a burger and fries, and a Chinese food take-away box.

Option three: I enjoy cooking.
Image is of a stove and a barbeque grill.


When you eat out a lot...

Sample screen from the Little by Little CD-ROM. A text description of this screen follows.

Icon indicating a RealPlayer documentListen to the audio for this screen
Real Audio Format. You will need RealPlayer® to listen to this file.

Audio transcription:

Today, with busy schedules, many of us eat out often. The problem with eating out too often is that it can be difficult to eat low-fat meals, because restaurants don't have many low-fat choices on their menus. The key is to make better choices whenever you can. If at all possible, choose a restaurant that has salads on the menu or offers a salad bar. And remember to ask for fat-free or low-fat salad dressings. It's also a good idea to know which restaurants allow you to substitute a baked potato or steamed vegetables for French fries or chips. Here are four fast-food menus. Select the tabs for each restaurant, and learn more about making better choices when you eat out.

Text description of screen:

This screen offers four restaurant options: A hamburger restaurant, a Mexican restaurant, a fried chicken restaurant, and a sandwich shop. The text reads:

Try to choose a restaurant that:

  1. Has salads on the menu. Remember to ask for low-fat salad dressings.
  2. Lets you choose a baked potato instead of French fries.

Select each tab to learn more.


When you eat out a lot...

Sample screen from the Little by Little CD-ROM. A text description of this screen follows.

Icon indicating a RealPlayer documentListen to the audio for this screen
Real Audio Format. You will need RealPlayer® to listen to this file.

Audio transcription:

Even at a fast-food burger restaurant, some choices are better than others. Select the items on the menu to learn more.

Text description of screen:

In this screen, the hamburger restaurant option has been selected, and a sample menu from the restaurant is displayed. Menu items include:

  • Hamburger
  • Cheeseburger
  • Big Big Burger
  • Grilled Chicken Sandwich
  • Fish Sandwich
  • French Fries
  • Salad
  • Onion Rings
  • Baked Potato
  • Cookies
  • Pies
  • Frozen Yogurt

The text reads: 
Select the items on the menu to learn more.


 



When you eat out a lot...

Sample screen from the Little by Little CD-ROM. A text description of this screen follows.

Icon indicating a RealPlayer documentListen to the audio for this screen
Real Audio Format. You will need RealPlayer® to listen to this file.

Audio transcription:

Cheese adds a lot of fat to your burger. To lower the fat in your meal, order your burgers without cheese.

Text description of screen:

In this screen the cheeseburger menu item has been selected. The text reads:

Try this:

  1. Order 2 regular hamburgers instead of 1 specialty sandwich
  2. Order baked potato instead of French fries
  3. Order a salad instead of French fries

When you eat out a lot...

Sample screen from the Little by Little CD-ROM. A text description of this screen follows.

Icon indicating a RealPlayer documentListen to the audio for this screen
Real Audio Format. You will need RealPlayer® to listen to this file.

Audio transcription:

When eating out at a Mexican restaurant, how can you make better menu choices? Select each item on the menu to learn more.

Text description of screen:

In this screen the Mexican restaurant option has been selected, and a sample menu from the restaurant is displayed. Menu items include:

  • Burrito
  • Taco
  • Fajitas
  • Burrito Supreme
  • Taco Supreme
  • Nachos
  • Taco Salad
  • Vegetarian Taco
  • Refried Beans
  • Chimichangas
  • Salsa
  • Sour Cream

The text reads:
Select the items on the menu to learn more.


When you eat out a lot...

Sample screen from the Little by Little CD-ROM. A text description of this screen follows.

Icon indicating a RealPlayer documentListen to the audio for this screen
Real Audio Format. You will need RealPlayer® to listen to this file.

Audio transcription:

In a Mexican restaurant, plain burritos can be a good choice. Ask for low-fat cheese or one half the normal amount of cheese.

Text description of screen:

In this screen the burrito menu item has been selected. The text reads:

Try this:

  1. Order a plain taco or burrito
  2. Order a taco salad without the shell. Use less salad dressing
  3. Avoid sour cream, guacamole, and cheese on your burritos, tacos, and nachos

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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.


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