ASSESSING THE STAGES OF CHANGE FOR FRUIT AND VEGETABLE CONSUMPTION

Introduction: The World Health Organization recommended consuming at least 5 servings of fruits and vegetables (FV) per day in order to reduce the risk of non-communicable diseases (NCDs). The purpose of this study is to determine the influential factors related to intake of FV among adults in Kermanshah city based on Transtheoritical Model.Material and Methods: This is a cross-sectional study which is conducted in Kermanshah city. Participants (n=1230) are selected by multi stage sampling; 30-50 year olds people covered by health centers. In order to collect data, we used a TTM-based questionnaire. The results are analyzed using SPSS-16 and Lisrel 8, with P< 0.05 as statistically significant level.Results: The mean age of the participants is 37.75 and 65% of them are women .The mean score of knowledge is 2.4; that is, 80% of men and 78% of women in this study are in poor knowledge about FV consumption. In case of fruit and vegetable consumption behavior, 50% and 61% of participants are in pre-contemplation/contemplation stage, respectively. The average number of fruit servings is 1.42 and the average number of vegetable servings is 0.99 per day. Also, ANOVA test results showed a significant correlation between constructs of TTM and stages of change so that individuals' progress through stages of change from pre-contemplation to maintenance added on the scores of self-efficiency, processes of change, and decisional balance.Conclusion: This study indicated that, TTM constructs such as self-efficacy, processes of change, and decisional balance are good predictors for FV consumption.

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The Effect of the Maryland WIC 5-a-Day Promotion Program on Participants’ Stages of Change for Fruit and Vegetable Consumption

Health Education & Behavior ◽

10.1177/109019810002700509 ◽

2000 ◽

Vol 27 (5) ◽

pp. 649-663 ◽

Cited By ~ 22

Author(s):

Robert H. L. Feldman ◽

Dorothy Damron ◽

Jean Anliker ◽

Michael Ballesteros ◽

Patricia Langenberg ◽

...

Keyword(s):

Stages Of Change ◽

Low Income ◽

Fruits And Vegetables ◽

Vegetable Consumption ◽

Fruit And Vegetable Consumption ◽

Nutrition Intervention ◽

Fruit And Vegetable ◽

Black African ◽

Promotion Program ◽

Target Behaviors

The Maryland Women, Infants and Children (WIC) 5-A-Day Promotion Program examined the effect of a multifaceted nutrition intervention on changing the fruit and vegetable consumption of low-income women in the WIC program in Maryland. The sample consisted of 3,122 participants (1,443 intervention and 1,679 control) with a mean age of 27.2. Fifty-six percent were Black/African American. This article focuses on the effect of the intervention on the stages of change of the participants. Intervention participants showed significantly greater positive movement through the stages than control participants. Stages of change were measured for two specific target behaviors: eating five servings of fruits and vegetables a day and eating more servings of fruit and vegetables a day. Results demonstrated significant differences in the stage status of intervention and control women and in movement through the stages. The effectiveness of the intervention across groups depended on which staging measure was used.

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Stages of Change for Increasing Fruit and Vegetable Consumption among Adults and Young Adults Participating in the National 5-a-Day for Better Health Community Studies

Health Education & Behavior ◽

10.1177/109019819902600409 ◽

1999 ◽

Vol 26 (4) ◽

pp. 513-534 ◽

Cited By ~ 80

Author(s):

Marci Kramish Campbell ◽

Kim D. Reynolds ◽

Stephen Havas ◽

Susan Curry ◽

Donald Bishop ◽

...

Keyword(s):

Young Adults ◽

Stages Of Change ◽

Vegetable Consumption ◽

The United States ◽

Fruit And Vegetable Consumption ◽

Future Research ◽

Community Studies ◽

Fruit And Vegetable ◽

Health Community ◽

Study Sites

Higher fruit and vegetable consumption is associated with a reduced risk of certain cancers and chronic diseases. The 5-a-Day for Better Health community studies are evaluating population-based strategies to achieving dietary behavior change using the stages-of-change model and associated theories. The authors present baseline comparisons of stages of change for fruit and vegetable consumption among adults and young adults in eight study sites representing diverse regions of the United States and diverse populations and settings. Three dominant stages, precontemplation, preparation, and maintenance, were found across sites. Women and those with college degrees were more likely to be in action/maintenance. Fruit and vegetable consumption, self-efficacy, and knowledge of the 5-a-Day recommendation were positively associated with more advanced stages of change in all study sites. The authors discuss the findings in relation to possible limitations of this and other dietary stages-of-change measures and suggest directions for future research.

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Stages of Change Tools to Increase Fruit and Vegetable Consumption in High School Students

Journal of Nutrition Education ◽

10.1016/s1499-4046(06)60012-2 ◽

2001 ◽

Vol 33 (1) ◽

pp. 57-58 ◽

Cited By ~ 7

Author(s):

Colleen Brinley ◽

Cindie Barrar ◽

Nancy Cotugna

Keyword(s):

High School ◽

High School Students ◽

Stages Of Change ◽

Vegetable Consumption ◽

Fruit And Vegetable Consumption ◽

Fruit And Vegetable ◽

School Students

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Stages of Change for Fruit and Vegetable Consumption in Deprived Neighborhoods

Health Education & Behavior ◽

10.1177/1090198103259205 ◽

2004 ◽

Vol 31 (2) ◽

pp. 223-241 ◽

Cited By ~ 15

Author(s):

Gitte C. Kloek ◽

Frank J. van Lenthe ◽

Peter W. M. van Nierop ◽

Johan P. Mackenbach

Keyword(s):

Stages Of Change ◽

Vegetable Consumption ◽

Fruit And Vegetable Consumption ◽

Dietary Guidelines ◽

Fruit And Vegetable ◽

Future Health ◽

Target Groups ◽

Lower Stage ◽

Deprived Neighborhoods ◽

Promotion Campaigns

This article describes the association of external and psychosocial factors on the stages of change for fruit and vegetable consumption, among 2,781 inhabitants, aged 18 to 65 years, in deprived neighborhoods (response rate 60%). To identify correlates of forward stage transition, an ordinal logistic regression model, the Threshold of Change Model (TCM), was used to analyze the data. The results indicate that men, those from Dutch origin, those with (rather) low health locus of control, those displaying risk behaviors, and those without knowledge of dietary guidelines were less likely to move from one stage to another and therefore were more likely to be in a lower stage-of-change category. The results make it possible to distinguish target groups, which should receive more attention in future health promotion campaigns, and to identify factors to be addressed in those programs.

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