1. A Stage-Tailored Multi-Modal Intervention Increases Fruit and Vegetable Intakes of Low-Income Young Adults
- Author
-
Barbara Lohse, Linda Boeckner, Sharon L. Hoerr, Adrienne A. White, Mary Jane Oakland, Tanya M. Horacek, Beatrice Phillips, Kendra Kattelmann, Susan Nitzke, Karen R. Kritsch, and Geoffrey W. Greene
- Subjects
Adult ,Male ,Gerontology ,Health (social science) ,Adolescent ,Nutritional Sciences ,Nutrition Education ,Logistic regression ,Interviews as Topic ,03 medical and health sciences ,0302 clinical medicine ,Poverty Areas ,Intervention (counseling) ,Vegetables ,Humans ,Medicine ,Postal Service ,030212 general & internal medicine ,Young adult ,Health Education ,030505 public health ,business.industry ,Public Health, Environmental and Occupational Health ,Transtheoretical model ,Repeated measures design ,Feeding Behavior ,Community-Institutional Relations ,Self Efficacy ,United States ,Diet ,Telephone ,Disadvantaged ,Nutrition Assessment ,Fruit ,Female ,Analysis of variance ,0305 other medical science ,business ,Program Evaluation ,Demography - Abstract
Purpose. Assess effectiveness of an intervention to improve fruit and vegetable consumption in economically disadvantaged young adults. Design. Randomized treatment-control, pre-post design. Setting. Ten states. Subjects. Young adults (n = 2024, ages 18–24) were recruited from noncollege venues; 1255 (62%) completed assessment interviews at baseline and at 4 and 12 months. Intervention. Treatment participants received a series of mailed materials and two educational calls in 6 months. Controls received a mailed pamphlet. Measures. Assessment calls determined two measures of fruit and vegetable intakes, demographics and stage of change at baseline, 4 and 12 months, plus treatment participants' decisional balance, processes, and self-efficacy. Analysis. Repeated measure analysis of variance, intent-to-treat, χ2, and logistic regression. Results. At follow-up, participants in the experimental group had higher intakes of fruit and vegetables than controls (perceived daily intakes of 4.90 vs. 4.60 servings per day, F = 3.49, p < .05 and 4.31 vs. 3.92 servings/day via 5-A-Day Screener, F = 4.78, p < .01) and greater progression to action or maintenance stages (66% progress in fruit for intervention vs. 55% progress in fruit for controls; 47% vs. 32% progress for vegetables, p = .0080 and .0001, respectively). Lower education, non-White ethnicity, male gender, living with children, and experimental group assignment predicted attrition (X26df = 288, p < .001, Cox R2 = .132). Conclusions. Tailored educational messages and research-extension partnerships are advantageous for improving fruit and vegetable intakes of young adults.
- Published
- 2007