Uses of Process Evaluation in the Maryland WIC 5-a-Day Promotion Program

2000 ◽  
Vol 27 (2) ◽  
pp. 254-263 ◽  
Author(s):  
Stephen Havas ◽  
Jean Anliker ◽  
Dorothy Damron ◽  
Robert Feldman ◽  
Patricia Langenberg
Keyword(s):  
Process Evaluation ◽  
Transtheoretical Model ◽  
Intervention Program ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Transtheoretical Model Of Change ◽  
Change Strategies ◽  
Daily Consumption ◽  
Baltimore City ◽  
Factors Affecting

Using a crossover design, the authors conducted a 6-month intervention program aimed at increasing fruit and vegetable consumption among women served by the Women, Infants, and Children program in Baltimore City and six Maryland counties. The theoretical framework for the interventions was the Transtheoretical Model of Change. At 2 months postintervention, mean daily consumption had increased significantly more in intervention participants than in control participants. Extensive process evaluation data were collected to assess the quantity and quality of program services delivered. These included participant nutrition session evaluation forms and attendance logs, focus groups of attenders and nonattenders of sessions, information about peer educators, and postintervention surveys. Many lessons were learned about program delivery, factors affecting attendance, and the obstacles to dietary change. Strategies to increase participants’consumption of fruits and vegetables were modified based on these lessons and the process evaluations.

Nutritional value and health benefits of horticulture.

2021 ◽  
Author(s):  
Mary Taylor
Keyword(s):  
Fruits And Vegetables ◽  
Vegetable Intake ◽  
Dietary Diversity ◽  
Vegetable Consumption ◽  
Daily Intake ◽  
Micronutrient Deficiencies ◽  
Fruit And Vegetable ◽  
Daily Consumption ◽  
Bodily Function ◽  
Functional Components

Abstract Daily consumption of fruit and vegetables is encouraged as important for human health and nutrition because the vitamins, minerals, essential micronutrients, fibre, vegetable proteins and bio-functional components they provide are crucial for bodily function. The FAO/WHO expert consultation (2004) on diet, nutrition and the prevention of chronic diseases recommended a daily intake of 400 g (five portions) of fruits and vegetables (excluding potatoes and other starchy tubers) to prevent heart disease, cancer, diabetes and obesity. However, despite this recognition, world-wide per capita consumption of fruits and vegetables is estimated to be 20-50% short of the minimum recommended level. In 2013 an estimated 5.2 million deaths worldwide were attributable to inadequate fruit and vegetable consumption. Adhering to the WHO recommendations for fruit and vegetable intake can prevent morbidity and mortality caused by micronutrient deficiencies, birth defects, mental and physical retardation, weakened immune systems, blindness and even death. Improving the dietary diversity through horticulture-based food intake is an effective and sustainable approach to combating micronutrient malnutrition in both developed and developing countries (Kennedy et al., 2003).

scholarly journals Process evaluation of Healthy Bodies, Healthy Souls: a church-based health intervention program in Baltimore City

2013 ◽  
Vol 28 (3) ◽  
pp. 392-404 ◽  
Author(s):  
H. E. Wang ◽  
M. Lee ◽  
A. Hart ◽  
A. C. Summers ◽  
E. Anderson Steeves ◽  
...  
Keyword(s):  
Process Evaluation ◽  
Intervention Program ◽  
Health Intervention ◽  
Baltimore City

scholarly journals Process Evaluation of Baltimore Healthy Stores: A Pilot Health Intervention Program With Supermarkets and Corner Stores in Baltimore City

2009 ◽  
Vol 11 (5) ◽  
pp. 723-732 ◽  
Author(s):  
Joel Gittelsohn ◽  
Sonali Suratkar ◽  
Hee-Jung Song ◽  
Suzanne Sacher ◽  
Radha Rajan ◽  
...  
Keyword(s):  
Process Evaluation ◽  
Intervention Program ◽  
Health Intervention ◽  
Baltimore City ◽  
Corner Stores

Use of the Transtheoretical Model of Change to Successfully Predict Fruit and Vegetable Consumption

1998 ◽  
Vol 30 (6) ◽  
pp. 371-380 ◽  
Author(s):  
Mary Ann S. Van Duyn ◽  
Jerianne Heimendinger ◽  
Estelle Russek-Cohen ◽  
Carlo C. DlClemente ◽  
Laura S. Sims ◽  
...  
Keyword(s):  
Transtheoretical Model ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Transtheoretical Model Of Change ◽  
Fruit And Vegetable

scholarly journals Daily fruit and vegetable consumption and diabetes status in middle-aged females in the general US population

2019 ◽  
Vol 7 ◽  
pp. 205031211986511 ◽  
Author(s):  
Jennifer K Julius ◽  
Courtney K Fernandez ◽  
Amy C Grafa ◽  
Paige MC Rosa ◽  
Jessica L Hartos
Keyword(s):  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Multiple Logistic Regression Analysis ◽  
Fruit And Vegetable Consumption ◽  
Behavioral Risk ◽  
Fruit And Vegetable ◽  
Middle Aged ◽  
Daily Consumption ◽  
Cross Sectional ◽  
Diabetes Status

Objectives: Fruit and vegetable consumption may impact development of diabetes, but limited research has addressed whether daily consumption of fruits and vegetables differs by those with and without diabetes, especially within high-risk groups. Thus, the purpose of this study was to determine whether daily fruit and vegetable consumption differs by diabetes status in middle-aged females in the general US population. Methods: This cross-sectional analysis used 2017 Behavioral Risk Factor Surveillance System data for females ages 45–64 years old in Arizona (n = 2609), Florida (n = 3768), Georgia (n = 1018), and Texas (n = 2092). Multiple logistic regression analysis by state assessed the relationship between the daily consumption of fruit (fruit, 100% fruit juice) and vegetables (green leafy or lettuce salad, potatoes, other vegetables) and diabetes status, while controlling for health status, health behaviors, demographic factors, and socioeconomic status. Results: Across states, relatively similar proportions of participants with and without diabetes reported daily fruit consumption (with: 58%–63%; without: 61%–68%) and daily vegetable consumption (with: 58%–63%; without: 61%–68%). The results of adjusted analyses indicated that daily fruit and vegetable consumption did not differ by diabetes status across states. Conclusion: Across states, daily fruit and vegetable consumption did not differ by diabetes status in middle-aged females. In the primary care setting, providers should educate all females ages 45–64 on the importance of eating fresh fruits and vegetables and may consider sharing information about flavonoid-rich fruit and vegetable consumption for diabetes.

Congruence of stage-of-change for fruit, vegetables and take-out foods with consumption

2018 ◽  
Vol 48 (3) ◽  
pp. 483-497 ◽  
Author(s):  
Bahija Zeidan ◽  
Stephanie Ruth Partridge ◽  
Kate Balestracci ◽  
Margaret Allman-Farinelli
Keyword(s):  
Young Adults ◽  
Transtheoretical Model ◽  
Fruits And Vegetables ◽  
Readiness To Change ◽  
Vegetable Consumption ◽  
Variety Versus ◽  
Stage Of Change ◽  
Dietary Intakes ◽  
Content Type ◽  
Dietary Behaviours

Purpose Young adults frequently engage in sub-optimal dietary behaviours, such as inadequate intakes of fruits and vegetables and excessive consumption of take-out meals. Theory-based interventions are suggested to promote dietary change. The transtheoretical model is an example that stages an individual’s readiness to change behaviours as precontemplation, contemplation, preparation, action and maintenance, and includes a series of processes that help people move between stages. The purpose of this study is to investigate whether self-reported usual dietary intakes of fruits and vegetables and take-out foods differ by reported stage-of-change. Design/methodology/approach Cross-sectional data from 250 overweight young adults, aged 18-35 years, who enrolled in a lifestyle intervention to prevent weight gain are analysed. Participant’s stage-of-change for increasing fruit and vegetable intakes and reducing take-out foods is determined using staging algorithms. This is compared with self-reported dietary intakes over the past month using a food frequency questionnaire. Differences in intakes and variety by stage-of-change are compared for fruits, vegetables and take-out foods. Findings Take-out foods differed between stages (p < 0.0001), with lower weekly intakes in action (309 g) and maintenance (316 g) compared with preparation (573 g). Daily fruit intakes and variety scores varied by stage-of-change (p < 0.0001), being highest for action and maintenance (261 g and 263 g, respectively, and variety scores of 1 and 2) compared with precontemplation, contemplation and preparation (all = 100 g and 0 for variety). Daily vegetable consumption and variety scores differed by stage (p = 0.009 and p = 0.025, respectively) being highest for action/maintenance (204 g and 2 for variety) versus precontemplation and preparation (<110 g daily and Variety 1). Practical implications The finding of no differences in intakes between precontemplation, contemplation or preparation stages implies that the adoption of the dietary behaviours is not a continuum but a move from pre-action to actioning the target intakes. This means that for planning health promotion and dietary counselling, assigning people to the three different pre-action stages may be unnecessary. Originality/value This study is the first to examine the congruence of self-reported readiness to change behaviour with dietary intakes of take-out foods as well as variety of fruit and vegetables in overweight young adults.

scholarly journals Fruit and vegetable intake by Brazilian adults, 2003

2005 ◽  
Vol 21 (suppl 1) ◽  
pp. S19-S24 ◽  
Author(s):  
Patrícia Constante Jaime ◽  
Carlos Augusto Monteiro
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Fruits And Vegetables ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Intake ◽  
Fruit Intake ◽  
Lower Income ◽  
Fruit And Vegetable ◽  
Daily Consumption

This study estimated indicators of fruit and vegetable intake by Brazilian adults and examined the influence of demographic and socioeconomic variables on the consumption of these foods. We used the following indicators: daily fruit intake, daily vegetable intake, and daily consumption of five or more servings of fruits and vegetables per day. Only 41.0% of adults reported daily fruit intake, while 30.0% reported daily vegetable intake. Fruit and vegetable intake was more common in urban as compared to rural areas and increased in both genders with age, schooling, and number of household goods. We conclude that initiatives to promote fruit and vegetable consumption are necessary for the country as a whole, but special attention should be given to younger individuals, males, rural communities, and groups with less schooling and lower income.

scholarly journals PENDEKATAN DENGAN KOMUNIKASI EFEKTIF TERHADAP KONSUMSI BUAH DAN SAYUR ANAK PRASEKOLAH (3-6 Tahun) BERDASARKAN TRANS TEORETHICAL MODEL

2021 ◽  
Vol 6 (2) ◽  
pp. 137
Author(s):  
Yessy Nur endah Sary
Keyword(s):  
Preschool Children ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Sampling Technique ◽  
Effective Communication ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Validity And Reliability ◽  
Daily Consumption ◽  
Post Test

<p class="normal">The low consumption of fruits and vegetables in preschool children can cause chronic diseases, lower immunity and digestive disorders in preschool children. The purpose of this study was to analyze the effect of effective communication on fruit and vegetable consumption of preschool children based on the transtheoritical model. This is a research with a quasi-experimental design. The measuring instrument used in the study is a questionnaire that has been tested for validity and reliability. The questionnaire contains the daily consumption of fruits and vegetables, a checklist of effective communication steps for mothers, questionnaires for pre-countemplation, countemplation, preparation, action, maintenance stages. The sampling technique used is simple random sampling. The sample in the study was 15 people. Data analysis used the Independent Sample T Test. The results showed that the average obtained was 3.82. The pre-test post-test gain value on Equal Variences assumed obtained a significance value of 0.003 (&lt;0.05) so it can be concluded that there is a difference in the mean pre-test post-test so that there is a positive effect of the intervention on daily fruit and vegetable consumption. Table 4 above informs that all respondents (100%) entered the pre-countemplation stage, as many as 14 respondents (93.3%) went through the countemplation, preparation and action stages, and only 13 respondents (86.6%) reached the stage maintenance because 1 respondent (6.6%) had a relapse. The conclusion of this study is that effective communication affects vegetable consumption and preschool children based on the transtheoritical model.</p>

scholarly journals Mediating Variables in a Transtheoretical Model Dietary Intervention Program

2009 ◽  
Vol 37 (5) ◽  
pp. 753-762 ◽  
Author(s):  
Jennifer Di Noia ◽  
James O. Prochaska
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
Intervention Program ◽  
Dietary Intervention ◽  
Vegetable Consumption ◽  
African American Adolescents ◽  
Intervention Effect ◽  
Replication Studies ◽  
Mediating Variables ◽  
Multiple Mediator Model

This study identified mediators of a Transtheoretical Model (TTM) intervention to increase fruit and vegetable consumption among economically disadvantaged African American adolescents ( N = 549). Single-and multiple-mediator models were used to determine whether pros, cons, self-efficacy, and stages of change satisfied four conclusions necessary for establishing mediation of intervention effects on youths’ dietary behavior. All four conclusions were satisfied for stages of change and pros in the single-mediator models and for stages in the multiple-mediator model. Stages mediated 31% of the intervention effect, and pros mediated 7% of the intervention effect in the single-mediator models. In the multiple-mediator model, stages accounted for 72% of the intervention effect. Findings add to the limited data on mediating variables in TTM dietary intervention programs. Replication studies are needed before it can be concluded that stages of change and pros are consistent mediators of TTM intervention program effects.

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