Stages of change to increase fruit and vegetable intake and its relationships with fruit and vegetable intake and related psychosocial factors

被引:18
作者
Yen, Wong Chee [1 ]
Shariff, Zalilah Mohd [1 ]
Kandiah, Mirnalini [2 ]
Taib, Mohd Nasir Mohd [1 ]
机构
[1] Univ Putra Malaysia, Fac Med & Hlth Sci, Dept Nutr & Dietet, Upm Serdang 43400, Selangor Darul, Malaysia
[2] UCSI Univ, Fac Sci Appl, Dept Food Sci & Nutr, Kuala Lumpur 56000, Malaysia
关键词
Stages of change; self-efficacy; perceived barriers; perceived benefits; TRANSTHEORETICAL MODEL; SELF-EFFICACY; DECISIONAL BALANCE; PERCEIVED BENEFITS; CONSUMPTION; BEHAVIOR; ASSOCIATIONS; VALIDATION; PREDICTORS; ATTITUDES;
D O I
10.4162/nrp.2014.8.3.297
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
BACKGROUND/OBJECTIVES: Understanding individual's intention, action and maintenance to increase fruit and vegetable intake is an initial step in designing nutrition or health promotion programs. This study aimed to determine stages of change to increase fruit and vegetable intake and its relationships with fruit and vegetable intake, self-efficacy, perceived benefits and perceived barriers. SUBJECTS/METHODS: This cross-sectional study was conducted among 348 public university staff in Universiti Putra Malaysia. A pre-tested self-administered questionnaire and two days 24-hour diet recall were used. RESULTS: Half of the respondents (50%) were in preparation stage, followed by 43% in action/maintenance, 7% in pre-contemplation/contemplation stages. Respondents in action/maintenance stages had significantly higher self-efficacy (F = 9.17, P < 0.001) and perceived benefits (F = 5.07, P < 0.01) while respondents in pre-contemplation/contemplation and preparation stages had significantly higher perceived barriers (F = 4.83, P < 0.05). Perceived benefits tend to outweigh perceived barriers pre-ceding to taking action. Self-efficacy is important in motivating individuals to increase fruit and vegetable intake as self-efficacy and perceived barriers crossed over between preparation and action/maintenance. Respondents in action/maintenance stages had the highest adjusted mean serving of fruit and vegetable intake (F = 4.52, P < 0.05) but the intake did not meet recommendation. CONCLUSION: Intervention strategies should emphasize on increasing perceived benefits and building self-efficacy by providing knowledge and skills to consume a diet high in fruits and vegetables in order to promote healthy changes in having high fruit and vegetable intake.
引用
收藏
页码:297 / 303
页数:7
相关论文
共 36 条
[1]  
[Anonymous], HLTH SURVEY ENGLAND
[2]  
Blanck Heidi Michels, 2008, Prev Chronic Dis, V5, pA35
[3]   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 [J].
Campbell, MK ;
Reynolds, KD ;
Havas, S ;
Curry, S ;
Bishop, D ;
Nicklas, T ;
Palombo, R ;
Buller, D ;
Feldman, R ;
Topor, M ;
Johnson, C ;
Beresford, SAA ;
Motsinger, BMA ;
Morrill, C ;
Heimendinger, J .
HEALTH EDUCATION & BEHAVIOR, 1999, 26 (04) :513-534
[4]  
Cohen J., 1988, Statistical power analysis for the behavioral sciences, VSecond
[5]   The Transtheoretical model for fruit, vegetable and fish consumption: associations between intakes, stages of change and stage transition determinants [J].
De Vet, Emely ;
de Nooijer, Jascha ;
de Vries, Nanne K. ;
Brug, Johannes .
INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 2006, 3 (1)
[6]  
Disease Control Division, 2006, MAL NCD SURV 2005 20
[7]   Differences in psychosocial variables by stage of change for fruits and vegetables in older adults [J].
Greene, GW ;
Fey-Yensan, N ;
Padula, C ;
Rossi, S ;
Rossi, JS ;
Clark, PG .
JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 2004, 104 (08) :1236-1243
[8]   Global Variability in Fruit and Vegetable Consumption [J].
Hall, Justin N. ;
Moore, Spencer ;
Harper, Sam B. ;
Lynch, John W. .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2009, 36 (05) :402-409
[9]   Relationship between attitudes towards healthy eating and dietary behaviour, lifestyle and demographic factors in a representative sample of Irish adults [J].
Hearty, A. P. ;
McCarthy, S. N. ;
Kearney, J. M. ;
Gibney, M. J. .
APPETITE, 2007, 48 (01) :1-11
[10]   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 [J].
Henry, Helen ;
Reimer, Kathy ;
Smith, Chery ;
Reicks, Marla .
JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 2006, 106 (06) :841-849