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Background: Identifying those seniors most likely to adopt a healthy diet, the relative importance they place on certain perceived benefits associated with a healthy diet, and whether these perceived benefits are associated with selected demographic, lifestyle, and health history variables is important for directing effective dietary health promotion programs.

This study validates a questionnaire which examines the role of selected outcome expectations from physical activity on motivating regular physical activity among a group of older adults. Data were obtained from a cross-sectional survey of 675 participants in the 2002 World Senior Games. Factor analysis identified four clusters among 14 outcome expectation items, which were labeled Recreation and Social, Physical Health, Mental Health, and Self-image. The percentage agreeing that the selected items motivated physical activity were calculated and ranked from 1 (high) to 14 (low). The average ranking in each of the four factors was 4.7 for Recreation and Social, 5.8 for Physical Health, 10.5 for Self-image, and 11.7 for Mental Health. The ranks of items did not significantly differ across categories of sex, age, marital status, education, smoking, alcohol drinking, and disease history. However, the ranking did significantly differ between individuals who considered themselves to be physically active versus sedentary. Physically active individuals were most likely to agree that recreational enjoyment or fun motivated physical activity, whereas sedentary individuals were most likely to agree that improving the quality of life motivated physical activity.

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This study assessed the types of research and the statistical methods used in three representative health education journals from 1994 through 2003. Editorials, commentaries, program/practice notes, and perspectives represent 17.6% of the journals' content. The most common types of articles are cross-sectional studies (27.5%), reviews (23.2%), and analytic studies (i.e., case-control, cohort, and experimental studies) (18.4%). The estimated annual percentage change across the study period in these types of articles was 3.3, -9.3, and 5.5, respectively. A significant increase was observed in use of descriptive statistics (estimated annual percentage change = 2.4), parametric test statistics (4.4), nonparametric test statistics (3.5), epidemiologic statistics (10.3), generalized linear models (6.8), validation statistics (6.7), and other statistics (8.2). Movement toward increasing use of cross-sectional studies, analytic study designs, and statistical methods--representing greater emphasis on needs assessment for health education, health education program development, and program evaluation--indicates the need for better quantitatively trained health educators.