scholarly journals Home Availability and the Impact of Weekly Stressful Events Are Associated with Fruit and Vegetable Intake among African American and Hispanic/Latina Women

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Tracey A. Ledoux ◽  
Scherezade K. Mama ◽  
Daniel P. O'Connor ◽  
Heather Adamus ◽  
Margaret L. Fraser ◽  
...  
Keyword(s):  
African American ◽  
Vegetable Intake ◽  
Controlled Trial ◽  
Stressful Events ◽  
Neighborhood Environment ◽  
Future Research ◽  
Grocery Stores ◽  
Fruit And Vegetable ◽  
The Impact ◽  
Home Availability

Background. Mediating and moderating variables may interfere with the association between neighborhood availability of grocery stores (NAG) and supermarkets (NAS) and fruit and vegetable (FV) intake.Objective. The purpose of this study was to test mediation of home availability of FV (HAFV) and moderation of impact of weekly stressful events (IWSE) on the association between NAG and NAS with FV consumption among African American (AA) and Hispanic/Latina (HL) women.Methods. Three hundred nine AA and HL, 25–60 year old women in the Health Is Power (HIP) randomized controlled trial completed validated measures of HAFV, IWSE, and FV intake at baseline. Trained field assessors coded NAG and NAS. Institutional Review Board approval was obtained.Results. NAG and NAS were not associated with FV intake or HAFV, so HAFV was not a mediator. HAFV (std. Beta = .29,P<0.001) and IWSE (std. Beta = .17;P<0.05) were related to FV intake (R2  =0.17;P<0.001), but IWSE was not a moderator.Conclusion. Increasing HAFV and decreasing the IWSE should increase FV consumption. The extent to which the neighborhood environment is related to the home food environment and diet, and the mechanisms for the association between IWSE and diet should be examined in future research.

scholarly journals The Impact of a Community Fruit and Vegetable Voucher Program (Vouchers 4 Veggies) on Improvements in Dietary Intake and Food Security (P04-013-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Leah Jennings ◽  
Sanjana Marpadga ◽  
Cissie Bonini ◽  
Melissa Akers ◽  
Ronli Levi ◽  
...  
Keyword(s):  
Food Security ◽  
Dietary Intake ◽  
Vegetable Intake ◽  
Health Perception ◽  
Healthy Food ◽  
Fruit And Vegetable Intake ◽  
Grocery Stores ◽  
Fruit And Vegetable ◽  
Voucher Program ◽  
The Impact

Abstract Objectives Vouchers 4 Veggies (V4V) is a transformative healthy food voucher program aimed at increasing access to and affordability of healthy food in the most vulnerable communities. Between 2015–2018, over 2600 ethnically diverse low-income individuals were enrolled in the program with the goal to increase their fruit and vegetable intake, improve food security status and change health perception. Methods V4V partners with local community-based organizations and clinics that serve as voucher distribution sites as well as neighborhoods stores, grocery stores, and famer's markets where participants can redeem their vouchers. Participants receive $20-$40 worth of vouchers per month for 6 months. Data for this evaluation were collected using pre- and post- surveys (at 0 and 4–6 months) that included a validated fruit and vegetable intake screener, the USDA 7-item food security screener, demographic questions and health perception questions. Results Data from 862 matched surveys indicate that mean fruit and vegetable intake increased from 2.49 to 3.52 servings daily, corresponding to a 1.03 servings increase after six months in the program (0.89,1.77; P < .001). In addition, V4V participants’ food security scores improved, decreasing 0.88 points (−1.07, −0.71; P < 0.001) on a 6 point scale (0 being the most food secure and 6 being very food insecure), from a mean of 5.53 to 4.65 using the USDA validated 6-item scale. When stratified by race, food security improved significantly for all major racial groups except Black/African Americans. Finally, participants reported a statistically significant improvement in self-reported health status (P < 0.001), with a 14% change in status from poor/fair health to good/very good/excellent health. Conclusions This evaluation suggests that a modest supplement for fruits and vegetables may be able to improve dietary intake, support food security, and improve health perception among vulnerable residents of San Francisco. More research is needed to understand differences in maintaining long-term health and behavior changes among program participants. Funding Sources V4V received funding from the SF Department of Public Health, Hellman Foundation, AARP Foundation, and Kaiser Permanente Community Benefits Program.

scholarly journals Social Support for Changing Multiple Behaviors: Factors Associated With Seeking Support and the Impact of Offered Support

2017 ◽  
Vol 45 (2) ◽  
pp. 198-206 ◽  
Author(s):  
Mary L. Greaney ◽  
Elaine Puleo ◽  
Kim Sprunck-Harrild ◽  
Jess Haines ◽  
Serena C. Houghton ◽  
...  
Keyword(s):  
Social Support ◽  
Social Network ◽  
Risk Behaviors ◽  
Vegetable Intake ◽  
Controlled Trial ◽  
Action Planning ◽  
Future Research ◽  
Support Person ◽  
Multiple Risk ◽  
The Impact

Introduction. Social support is important for behavior change, and it may be particularly important for the complexities of changing multiple risk behaviors (MRB). Research is needed to determine if participants in an MRB intervention can be encouraged to activate their social network to aid their change efforts. Methods. Healthy Directions 2, a cluster-randomized controlled trial of an intervention conducted in two urban health centers, targeted five behaviors (physical activity, fruit and vegetable intake, red meat consumption, multivitamin use, and smoking). The self-guided intervention emphasized changing MRB simultaneously, focused on self-monitoring and action planning, and encouraged participants to seek support from social network members. An MRB score was calculated for each participant, with one point being assigned for each behavioral recommendation that was not met. Analyses were conducted to identify demographic and social contextual factors (e.g., interpersonal, neighborhood, and organizational resources) associated with seeking support and to determine if type and frequency of offered support were associated with changes in MRB score. Results. Half (49.6%) of participants identified a support person. Interpersonal resources were the only contextual factor that predicted engagement of a support person. Compared to individuals who did not seek support, those who identified one support person had 61% greater reduction in MRB score, and participants identifying multiple support persons had 100% greater reduction. Conclusion. Engagement of one’s social network leads to significantly greater change across multiple risk behaviors. Future research should explore strategies to address support need for individuals with limited interpersonal resources.

scholarly journals The Effect of Distance and Cost on Fruit and Vegetable Consumption in Rural Texas

2012 ◽  
Vol 44 (4) ◽  
pp. 491-500 ◽  
Author(s):  
Richard A. Dunn ◽  
Wesley R. Dean ◽  
Cassandra M. Johnson ◽  
Andrew Leidner ◽  
Joseph R. Sharkey
Keyword(s):  
Vegetable Intake ◽  
Vegetable Consumption ◽  
Mail Survey ◽  
Individual Characteristics ◽  
Fruit And Vegetable Consumption ◽  
Grocery Store ◽  
Grocery Stores ◽  
Fruit And Vegetable ◽  
Probit Regression ◽  
The Impact

Fruit and vegetable consumption is associated with improved health outcomes, yet there is limited understanding of the impact of cost and accessibility on fruit and vegetable intake in rural settings. This study examines the relationship between the consumption of fruits and vegetables and their cost and accessibility among blacks and non-Hispanic whites in a rural area. Individual characteristics from a 2006 mail survey (n = 1,510) were combined with store locations and price information from a 2006 ground-truthed census of retail outlets. The mail survey covered seven counties in central Texas with 38 supermarkets/grocery stores. Blacks tended to live closer to a supermarket or grocery store, but they were only slightly more likely than whites to consume two or more servings of fruit daily and much less likely to consume three or more servings of vegetables. Multivariate probit regression analysis revealed that neither access nor cost was related to fruit or vegetable consumption among white respondents. Among blacks, cost was also not associated with consumption. In contrast to whites, however, each additional mile was associated with a three percentage point decline in the probability of consuming two or more servings of fruit daily and a 1.8 percentage point decline in the probability of consuming three or more vegetable servings.

scholarly journals Impact of California Children’s Power Play! Campaign on Fruit and Vegetable Intake and Physical Activity among Fourth- and Fifth-Grade Students

2016 ◽  
Vol 31 (3) ◽  
pp. 189-191 ◽  
Author(s):  
Angie Keihner ◽  
Nila Rosen ◽  
Patricia Wakimoto ◽  
Lauren Goldstein ◽  
Sharon Sugerman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Public Schools ◽  
Low Income ◽  
Vegetable Intake ◽  
Controlled Trial ◽  
After School ◽  
Fruit And Vegetable ◽  
Dietary Recall ◽  
The Impact ◽  
Power Play

Purpose. Examine the impact of the Children’s Power Play! Campaign on fruit and vegetable (FV) intake and physical activity (PA). Design. Study design was a cluster randomized, controlled trial. Setting. Forty-four low-resource public schools in San Diego County, California, were included in the study. Subjects. Study subjects comprised a total of 3463 fourth/fifth-graders (1571 intervention, 1892 control), with an 86.9% completion rate. Intervention. Throughout 10 weeks, activities were conducted during/after school, including weekly FV/PA lessons and PA breaks; biweekly classroom promotions/taste tests; posters displayed in/around schools; and weekly nutrition materials for parents. Measures. Self-reported FV intake (cups/d) and PA (min/d) were collected at baseline and follow-up using a diary-assisted, 24-hour dietary recall and Self-Administered Physical Activity Checklist. Analysis. Multivariate regression models adjusted for demographics and cluster design effects were used, with change as the dependent variable. Results. Intervention children, compared with controls, showed gains in daily FV intake (.26 cups, p < .001) and PA time at recess/lunch (5.1 minutes, p = .003), but not total daily PA minutes. Conclusion. Power Play! can help schools and community organizations improve low-income children’s FV intake and PA during recess/lunch.

scholarly journals The introduction of new food retail opportunities in lower-income communities and the impact on fruit and vegetable intake: a systematic review

2019 ◽  
Vol 9 (5) ◽  
pp. 837-846 ◽  
Author(s):  
Kelseanna Hollis-Hansen ◽  
Leah Vermont ◽  
Michelle L Zafron ◽  
Jennifer Seidman ◽  
Lucia Leone
Keyword(s):  
Systematic Review ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable Intake ◽  
Farmers Markets ◽  
Grocery Stores ◽  
Lower Income ◽  
Fruit And Vegetable ◽  
The Impact

Introducing mobile produce markets and farmers’ markets increased fruit and vegetable consumption in lower-income communities, while opening larger retailers (e.g. grocery stores) did not improve fruit and vegetable intake.

The impact of patient narratives on medical students’ perceptions of shared decision making: A randomized controlled trial

2020 ◽  
Author(s):  
Martina Bientzle ◽  
Marie Eggeling ◽  
Simone Korger ◽  
Joachim Kimmerle
Keyword(s):  
Decision Making ◽  
Medical Students ◽  
Shared Decision Making ◽  
Medical Training ◽  
Controlled Trial ◽  
Future Research ◽  
Shared Decision ◽  
Randomized Controlled ◽  
Information Text ◽  
The Impact

BACKGROUND: Successful shared decision making (SDM) in clinical practice requires that future clinicians learn to appreciate the value of patient participation as early as in their medical training. Narratives, such as patient testimonials, have been successfully used to support patients’ decision-making process. Previous research suggests that narratives may also be used for increasing clinicians’ empathy and responsiveness in medical consultations. However, so far, no studies have investigated the benefits of narratives for conveying the relevance of SDM to medical students.METHODS: In this randomized controlled experiment, N = 167 medical students were put into a scenario where they prepared for medical consultation with a patient having Parkinson disease. After receiving general information, participants read either a narrative patient testimonial or a fact-based information text. We measured their perceptions of SDM, their control preferences (i.e., their priorities as to who should make the decision), and the time they intended to spend for the consultation.RESULTS: Participants in the narrative patient testimonial condition referred more strongly to the patient as the one who should make decisions than participants who read the information text. Participants who read the patient narrative also considered SDM in situations with more than one treatment option to be more important than participants in the information text condition. There were no group differences regarding their control preferences. Participants who read the patient testimonial indicated that they would schedule more time for the consultation.CONCLUSIONS: These findings show that narratives can potentially be useful for imparting the relevance of SDM and patient-centered values to medical students. We discuss possible causes of this effect and implications for training and future research.

scholarly journals Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women

2021 ◽  
Vol 18 (4) ◽  
pp. 2178
Author(s):  
Melissa A. Napolitano ◽  
Cherise B. Harrington ◽  
Loral Patchen ◽  
Lindsey P. Ellis ◽  
Tony Ma ◽  
...  
Keyword(s):  
Physical Activity ◽  
African American ◽  
Black Women ◽  
Vegetable Intake ◽  
Vigorous Physical Activity ◽  
Future Research ◽  
Healthy Weight ◽  
Weight Outcomes ◽  
Postpartum Weight ◽  
American Black

The study aim was to implement and evaluate the feasibility of a culturally informed (“BeFAB”) app for African American/Black women to address postpartum weight. Women (n = 136; mean age = 27.8 ± 5.4; mean BMI = 32.5 ± 4.3) were recruited from postpartum units, and randomly assigned to receive BeFAB (n = 65) or usual care (n = 71) for 12 weeks. App content included didactic lessons delivered via a virtual coach, app-based messages, goal setting and tracking, and edutainment videos. Feasibility outcomes included recruitment, retention and engagement, and self-reported acceptability. Behavioral (i.e., diet, physical activity), psychosocial (i.e., stress, coping, support, self-efficacy) and weight outcomes were also examined. Recruitment goals were met, but attrition was high, with 56% retention at 12 weeks. Approximately half of participants accessed the app and set a goal ≥one time, but <10% reported achieving a nutrition or activity goal. Among study completers, ≥60% found the app content at least somewhat helpful. Within-group changes for BeFAB among completers were found for increased moderate-to-vigorous physical activity and decreased fruit/vegetable intake and weight. Findings indicate initial feasibility of recruiting postpartum women to participate in a digital healthy body weight program but limited use, reflecting low acceptability and challenges in engagement and retention. Future research is needed on strategies to engage and retain participants in postpartum interventions.

Sign in / Sign up

Export Citation Format

Share Document