Folate/folic acid knowledge, intake, and self-efficacy of college-aged women: impact of text messaging and availability of a folic acid–containing supplement

ABSTRACT

Objective: To evaluate the impact of educational text messages (TMs) on folate/folic acid knowledge and consumption among college-aged women, and to evaluate the impact of providing folic acid supplements on folate/folic acid intake among college-aged women. Participants: A total of 162 women (18–24 years) recruited from a university. Methods: The protocol included 3 study visits and a 6-week intervention for 4 groups: control; TM only; supplement only; and TM+supplement. Supplement groups received folic acid–containing supplements. TM groups received 18 folate-related TMs. Participants completed knowledge quizzes, supplement intake questions, a self-efficacy scale, and dietary recalls. Results: Despite receiving the same folic acid education, intake of folic acid and total folate was greater in the supplement groups compared with the non-supplement groups at mid- and post-study. TMs had no impact on any study measure. Conclusion: Provision of a folic acid–containing supplement enhanced short-term folic acid intake, supporting the provision of supplements to this population group.

KEYWORDS:

• Folate
• folic acid
• nutrition education
• supplement
• text message

Acknowledgments

The authors wish to thank our University of Florida study staff and student volunteers for their valuable time and assistance with the study.

Conflict of interest disclosure

The authors have no conflicts of interest to report. The authors confirm that the research presented in this article met the ethical guidelines, including adherence to the legal requirements, of the United States and received approval from the institutional review boards of the University of Florida and the Florida Department of Health.

Funding

This research was funded by the Florida Department of Health.