P25 Fruit and Vegetable Intake, Intention, and Healthy Food Choice Self-Efficacy Among Second and Third Grade EFNEP Youth in Guam

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.

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

Current Developments in Nutrition ◽

10.1093/cdn/nzz051.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.

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

Global Journal of Health Science ◽

10.5539/gjhs.v11n7p139 ◽

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.

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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

Journal of the American Dietetic Association ◽

10.1016/j.jada.2006.03.012 ◽

2006 ◽

Vol 106 (6) ◽

pp. 841-849 ◽

Cited By ~ 64

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

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Reliability and validity of a questionnaire to measure personal, social and environmental correlates of fruit and vegetable intake in 10–11-year-old children in five European countries

Public Health Nutrition ◽

10.1079/phn2004673 ◽

2005 ◽

Vol 8 (2) ◽

pp. 189-200 ◽

Cited By ~ 107

Author(s):

I De Bourdeaudhuij ◽

K-I Klepp ◽

P Due ◽

C Perez Rodrigo ◽

MDV de Almeida ◽

...

Keyword(s):

Predictive Validity ◽

Self Efficacy ◽

Vegetable Intake ◽

European Countries ◽

Fruit And Vegetable Intake ◽

Fruit And Vegetable ◽

Retest Reliability ◽

Environmental Correlates ◽

Test Retest Reliability ◽

General Self Efficacy

AbstractObjectivesTo investigate the internal consistency of the scales and the test–retest reliability and predictive validity of behaviour theory-based constructs measuring personal, social and environmental correlates of fruit and vegetable intake in 10–11-year-old children.DesignTest–retest with one-week interval.SettingFive European countries: Norway, Spain, Denmark, Portugal, Belgium.SubjectsThree hundred and twenty-six children completed the questionnaire during class hours.ResultsFor the total sample across all countries, the test–retest reliability was good to very good (intra-class correlation coefficient (ICC) >0.60) for 12 out of the 15 fruit constructs and also for 12 out of the 15 vegetable constructs. Acceptable ICCs, ranging between 0.50 and 0.59, were found for the remaining constructs. Test–retest reliability was comparable across countries. Only in Portugal were some significantly lower ICCs found for some constructs (knowledge and barriers related to fruit, general self-efficacy related to fruit and vegetables) compared with the other countries. Cronbach'sαvalues were moderate to high (range 0.52 to 0.89) with the exception of the general self-efficacy scale, which had a value below 0.50 for both fruit (α= 0.42) and vegetables (α= 0.49). Spearman correlations with intake ranged between -0.16 and 0.54 for personal determinants and between 0.05 and 0.38 for environmental determinants. Compared with other studies, predictive validity can be considered moderate to good.ConclusionsThe questionnaire provides a reliable, valid and easy-to-administer tool for assessing personal, social and environmental factors of potential influence on fruit and vegetable intake in 10–11-year-olds.

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Synergistic effects of social support and self-efficacy on dietary motivation predicting fruit and vegetable intake

Appetite ◽

10.1016/j.appet.2014.12.223 ◽

2015 ◽

Vol 87 ◽

pp. 330-335 ◽

Cited By ~ 10

Author(s):

Benjamín Reyes Fernández ◽

Lisa Marie Warner ◽

Nina Knoll ◽

Esteban Montenegro Montenegro ◽

Ralf Schwarzer

Keyword(s):

Social Support ◽

Self Efficacy ◽

Vegetable Intake ◽

Synergistic Effects ◽

Fruit And Vegetable Intake ◽

Fruit And Vegetable

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The impact of self-efficacy and implementation intentions-based interventions on fruit and vegetable intake among adults

Psychology and Health ◽

10.1080/08870446.2010.541910 ◽

2012 ◽

Vol 27 (1) ◽

pp. 30-50 ◽

Cited By ~ 33

Author(s):

Laurence Guillaumie ◽

Gaston Godin ◽

Jean-Claude Manderscheid ◽

Elisabeth Spitz ◽

Laurent Muller

Keyword(s):

Self Efficacy ◽

Vegetable Intake ◽

Implementation Intentions ◽

Fruit And Vegetable Intake ◽

Fruit And Vegetable ◽

The Impact

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Factors affecting food choice in relation to fruit and vegetable intake: a review

Nutrition Research Reviews ◽

10.1079/nrr200244 ◽

2002 ◽

Vol 15 (2) ◽

pp. 373-387 ◽

Cited By ~ 199

Author(s):

J Pollard ◽

S. F. L Kirk ◽

J. E Cade

Keyword(s):

Nutrition Education ◽

Food Choice ◽

Vegetable Intake ◽

Vegetable Consumption ◽

Fruit And Vegetable Consumption ◽

Fruit And Vegetables ◽

Fruit And Vegetable Intake ◽

Main Body ◽

Fruit And Vegetable ◽

Personal Ideology

AbstractThe present review provides an investigation into the food choice decisions made by individuals in relation to fruit and vegetable consumption. A comprehensive body of evidence now exists concerning the protective effect of fruit and vegetables against a number of diseases, particularly cardiovascular disease and certain forms of cancer. Current UK recommendations are to increase intakes of fruit and vegetables to 400 g/person per d. In the main body of the review the factors that affect food choice decisions of adults in relation to fruit and vegetable consumption are studied, following a suggested framework of food choice. Factors covered include sensory appeal, familiarity and habit, social interactions, cost, availability, time constraints, personal ideology, media and advertising and health. The content of the review shows just how complex the food choice process can be. Health promotion techniques can be better targeted towards certain groups of individuals, all holding similar sets of values, when making food choice decisions. Food choice, in relation to fruit and vegetable intake, needs to be studied in more depth, in order to provide effective nutrition education programmes, in particular the sets of priorities that different sub-groups of the population consider when making food choice decisions.

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