Associations of Decisional Balance, Processes of Change, and Self-Efficacy with Stages of Change for Increased Fruit and Vegetable Intake among Low-Income, African-American Mothers

2006 ◽  
Vol 106 (6) ◽  
pp. 841-849 ◽  
Author(s):  
Helen Henry ◽  
Kathy Reimer ◽  
Chery Smith ◽  
Marla Reicks
Keyword(s):  
African American ◽  
Stages Of Change ◽  
Low Income ◽  
Self Efficacy ◽  
Vegetable Intake ◽  
Decisional Balance ◽  
Fruit And Vegetable Intake ◽  
Processes Of Change ◽  
Fruit And Vegetable ◽  
African American Mothers

scholarly journals Intervention Based Exclusively on Stage-Matched Printed Educational Materials Regarding Healthy Eating Does Not Result in Changes to Adolescents’ Dietary Behavior

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Natacha Toral ◽  
Betzabeth Slater
Keyword(s):  
Stages Of Change ◽  
Healthy Eating ◽  
Self Efficacy ◽  
Vegetable Intake ◽  
Dietary Behavior ◽  
Decisional Balance ◽  
Fruit And Vegetable Intake ◽  
Fruit And Vegetable ◽  
Educational Materials ◽  
Printed Educational Materials

Purpose.To assess the impact of a six-month stage-based intervention on fruit and vegetable intake, regarding perceived benefits and barriers, and self-efficacy among adolescents.Design.Randomized treatment-control, pre-post design.Subjects/Setting.Schools were randomized between control and experimental groups. 860 adolescents from ten public schools in Brasília, Federal District, Brazil were evaluated at baseline; 771 (81%) completed the study.Intervention.Experimental group received monthly magazines and newsletters aimed at promotion of healthy eating.Measures.Self-reported fruit and vegetable intake, stages of change, self-efficacy and decisional balance scores were evaluated at baseline and post-intervention in both groups.Analysis.The effectiveness of the intervention was evaluated using the analysis of covariance model (ANCOVA) and repeated measurement analysis by means of weighted least squares. Comparison between the proportions of adolescents who advanced through the stages during the intervention was performed using the Mantel-Haenszel chi-square test.Results.After adjusting for sex and age, study variables showed no modifications through the proposed intervention. There was no statistical difference in participant mobility in the intervention and control groups between the stages of change, throughout the study.Conclusion.A nutritional intervention based exclusively on distribution of stage-matched printed educational materials was insufficient to change adolescents’ dietary behavior.

scholarly journals Associations of psychosocial factors with fruit and vegetable intake among African-Americans

2007 ◽  
Vol 10 (7) ◽  
pp. 701-711 ◽  
Author(s):  
Joanne L Watters ◽  
Jessie A Satia ◽  
Joseph A Galanko
Keyword(s):  
African American ◽  
African Americans ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Vegetable Intake ◽  
African American Men ◽  
Predisposing Factors ◽  
Fruit And Vegetable Intake ◽  
Fruit And Vegetable ◽  
Enabling Factors

AbstractObjectiveTo examine associations of various psychosocial factors with fruit and vegetable intake in African-American adults.MethodsA cross-sectional survey of a population-based sample of 658 African-Americans, aged 18–70 years, in North Carolina. Information was collected on diet-related psychosocial (predisposing, reinforcing and enabling) factors based on the PRECEDE (Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation) planning framework; demographic, lifestyle and behavioural characteristics, and fruit and vegetable intake.ResultsThe mean participant age was 43.9 years (standard deviation 11.6), 57% were female and 76% were overweight/obese. Participants expressed healthy beliefs regarding many of, but not all, the psychosocial factors. For example, although half of the respondents believed it is important to eat a diet high in fruits/vegetables, only 26% knew that ≥ 5 daily servings are recommended. The strongest associations of the psychosocial factors with fruit/vegetable intake were for predisposing factors (e.g. belief in the importance of a high fruit/vegetable diet and knowledge of fruit/vegetable recommendations) and one reinforcing factor (social support), with differences between the healthiest and least healthy responses of 0.5–1.0 servings per day. There was evidence of effect modification by gender in associations between psychosocial factors and fruit/vegetable consumption (e.g. self-efficacy was only significant in women), with higher intakes and generally healthier responses to the psychosocial variables in women than men.ConclusionsInterventions to increase fruit/vegetable intake in African-Americans may be more effective if they focus primarily on predisposing factors, such as knowledge, self-efficacy and attitudes, but not to the exclusion of reinforcing and enabling factors. The psychosocial factors that are targeted may also need to be somewhat different for African-American men and women.

scholarly journals Stages of Change for Increasing Fruit and Vegetable Intake in a Japanese Population

2019 ◽  
Vol 11 (7) ◽  
pp. 139
Author(s):  
Da-Hong Wang ◽  
Michiko Kogashiwa ◽  
Naoko Mori ◽  
Shikibu Yamashita ◽  
Wakako Fujii ◽  
...  
Keyword(s):  
Stages Of Change ◽  
Self Efficacy ◽  
Vegetable Intake ◽  
Linear Trend ◽  
Cross Sectional Study ◽  
Fruit And Vegetable Intake ◽  
Fruit Intake ◽  
Fruit And Vegetable ◽  
Cross Sectional ◽  
Maintenance Stage

OBJECTIVE: Thhis study aimed to investigate the reason why people choose to consume less vegetable and fruit through examining how the stage of change and psycho-social parameters relate to vegetable and fruit intake. METHODS: We carried out a cross-sectional study in 4 regions of Japan in which 2308 individuals (1012 men and 1296 women) aged 18 years or older who completed the questionnaires were included in the study. RESULTS: The results showed 56% of the participants were in the precontemplation stage (not thinking about consuming recommended amount of fruit and vegetable) and their average amounts of vegetable and fruit intake were far below the level of current recommendations, and subjects in the precontemplation stage showed lower scores of attitude and self efficacy. Men were more likely to be in precontemplation (67.7%) and less likely to be in action/maintenance stage (7.9%) than women (46.9%, 12.1%, respectively) (p < 0.001). We also observed the scores of attitude (p = 0.06) and self-efficacy (p < 0.01) rose as the stage went up from the precontemplation to action/maintenance for increasing vegetable and fruit intake. Moreover, a linear trend was found toward higher vegetable (p < 0.05) and fruit (p = 0.121) intake from precontemplation to action/maintenance stage. CONCLUSION: The present evidence suggests more attention should be focused on strategy for perceptions of personal need for recommended amount of vegetable and fruit intake for those who are in the precontemplation stage. Moreover, effective programs on enhancement of self-efficacy and attitude toward vegetable and fruit consumption are needed for increasing the vegetable and fruit intake.

scholarly journals Application of the Transtheoretical Model to Fruit and Vegetable Consumption among Economically Disadvantaged African-American Adolescents: Preliminary Findings

2006 ◽  
Vol 20 (5) ◽  
pp. 342-348 ◽  
Author(s):  
Jennifer Di Noia ◽  
Steven P. Schinke ◽  
James O. Prochaska ◽  
Isobel R. Contento
Keyword(s):  
African American ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Economically Disadvantaged ◽  
Vegetable Consumption ◽  
African American Adolescents ◽  
Decisional Balance ◽  
Fruit And Vegetable Consumption ◽  
Processes Of Change ◽  
Fruit And Vegetable

Purpose. To examine the application of the transtheoretical model (TTM) to fruit and vegetable consumption among economically disadvantaged African-American adolescents. Methods. Scales for measuring decisional balance, situational self-efficacy, and processes of change for fruit and vegetable consumption were developed and pretested with 57 economically disadvantaged African-American adolescents. The scales and measures for assessing stages of change, demographic variables, and fruit and vegetable consumption were administered to a separate sample of 262 participants. t-tests for independent samples and analysis of variance were used to examine differences in TTM variables and fruit and vegetable consumption across stages of change. Results. Two-factor solutions for decisional balance and processes of change and a three-factor solution for situational self-efficacy provided the best fit to the data. Alpha coefficients of reliability for the scales ranged from .77 (experiential change processes) to .91 (pros). Participants in action-maintenance stages evidenced higher pros, self-efficacy, and fruit and vegetable consumption and significantly lower cons than did participants in precontemplation and contemplation-preparation stages. Also, participants in action-maintenance stages used processes of change more frequently than did those in precontemplation-contemplation-preparation stages. The use of experiential and behavioral processes within these stages did not differ significantly, as posited. Discussion. Observed differences in TTM variables and fruit and vegetable consumption by stage of change in this sample of economically disadvantaged African-American adolescents were consistent with theory and previous applications of the model to fruit and vegetable consumption in adults. With replication studies, the TTM may be appropriate for designing interventions to increase fruit and vegetable consumption among this population.

scholarly journals Nutrition Self-Efficacy and Dietary Patterns among Older African American Women in Kansas

2020 ◽  
Vol 13 ◽  
pp. 209-213
Author(s):  
Grace Nassim ◽  
Michelle Redmond ◽  
Samuel Ofei-Dodoo ◽  
Mary Benton ◽  
Kelsey Lu
Keyword(s):  
African American ◽  
African American Women ◽  
Chronic Diseases ◽  
Self Efficacy ◽  
Vegetable Intake ◽  
Fruit And Vegetable Intake ◽  
Fruit And Vegetable ◽  
American Women ◽  
Carbohydrate Consumption ◽  
Older African American Women

Introduction. Nutrition is the key contributor to disparities in many chronic diseases. However, little is known about the dietary habits and nutrition self-efficacy beliefs of older African American women with chronic diseases. This study looked at the relationship between nutrition self-efficacy and dietary patterns among older African American women. Methods. A total of 115 African American women 55 years and older, with one or more chronic diseases such as hypertension, diabetes, and hyperlipidemia, were recruited from a midwestern city in Kansas. Participants completed a survey comprised of dietary intake items and the Physical Activity and Nutrition Self-Efficacy (PANSE) scale. Data were analyzed with descriptive statistics, Spearman correlation, and Wilcoxon rank sum test (Mann-Whitney U Test). Results. There was a 79% (91/115) participation rate. Participants were confident in their ability to maintain healthy behaviors (57.67/72; SD = 11.22). The mean dietary score for fats and carbohydrate consumption was 32.67 ± 2.48 compared to 5.89 ± 3.52 for fruit and vegetable intake. A significant positive correlation was observed between fruit and vegetable intake and nutrition self-efficacy. A higher fruit and vegetable intake were observed among married women (mean = 7.35; SD = 4.45). Conclusion. Our findings shed new light on older African American women’s perceptions of healthy eating and the confidence to eat heathy. Based on these results, older African American women met the daily fruit and vegetable recommendations; however, more work is needed to understand how to intervene to improve dietary behaviors regarding fat and carbohydrate consumption in this population. While more research is needed, the findings indicated behavioral theories such as nutrition self-efficacy may have utility in tailoring nutrition interventions in an older African American population.

Cultural tailoring for mammography and fruit and vegetable intake among low-income African-American women in urban public health centers

2005 ◽  
Vol 41 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Matthew W. Kreuter ◽  
Celette Sugg-Skinner ◽  
Cheryl L. Holt ◽  
Eddie M. Clark ◽  
Debra Haire-Joshu ◽  
...  
Keyword(s):  
Public Health ◽  
African American ◽  
African American Women ◽  
Low Income ◽  
Vegetable Intake ◽  
Health Centers ◽  
Fruit And Vegetable Intake ◽  
Fruit And Vegetable ◽  
American Women ◽  
Cultural Tailoring

Improving low‐income parents' fruit and vegetable intake and their potential to impact children's nutrition

2011 ◽  
Vol 111 (5) ◽  
pp. 391-411 ◽  
Author(s):  
Michael Prelip ◽  
Chan Le Thai ◽  
Jennifer Toller Erausquin ◽  
Wendy Slusser
Keyword(s):  
Low Income ◽  
Vegetable Intake ◽  
Fruit And Vegetable Intake ◽  
Fruit And Vegetable ◽  
Children's Nutrition
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