Acceptability of Stage-Tailored Newsletters about Fruits and Vegetables by Young Adults

Ruud, Jaime S.; Betts, Nancy M.; Kritch, Karen; Nitzke, Susan; Lohse, Barbara; Boeckner, Linda S.

doi:10.1016/j.jada.2005.08.011

Cited by 15 publications

(11 citation statements)

References 31 publications

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“…The basis for developing the newsletters was stage-based materials for promoting regular consumption of fruits and vegetables that have been used in several studies, with satisfactory results among young adults [8, 9, 19, 20]. The newsletters took into account the processes of change needed to determine the progress from one stage to another [5].…”

Section: Methodsmentioning

confidence: 99%

Intervention Based Exclusively on Stage-Matched Printed Educational Materials Regarding Healthy Eating Does Not Result in Changes to Adolescents’ Dietary Behavior

Toral

Slater

2012

The Scientific World Journal

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Purpose. To assess the impact of a six-month stage-based intervention on fruit and vegetable intake, regarding perceived benefits and barriers, and self-efficacy among adolescents. Design. Randomized treatment-control, pre-post design. Subjects/Setting. Schools were randomized between control and experimental groups. 860 adolescents from ten public schools in Brasília, Federal District, Brazil were evaluated at baseline; 771 (81%) completed the study. Intervention. Experimental group received monthly magazines and newsletters aimed at promotion of healthy eating. Measures. Self-reported fruit and vegetable intake, stages of change, self-efficacy and decisional balance scores were evaluated at baseline and post-intervention in both groups. Analysis. The effectiveness of the intervention was evaluated using the analysis of covariance model (ANCOVA) and repeated measurement analysis by means of weighted least squares. Comparison between the proportions of adolescents who advanced through the stages during the intervention was performed using the Mantel-Haenszel chi-square test. Results. After adjusting for sex and age, study variables showed no modifications through the proposed intervention. There was no statistical difference in participant mobility in the intervention and control groups between the stages of change, throughout the study. Conclusion. A nutritional intervention based exclusively on distribution of stage-matched printed educational materials was insufficient to change adolescents' dietary behavior.

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Section: Methodsmentioning

confidence: 99%

Intervention Based Exclusively on Stage-Matched Printed Educational Materials Regarding Healthy Eating Does Not Result in Changes to Adolescents’ Dietary Behavior

Toral

Slater

2012

The Scientific World Journal

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“…It shapes beliefs that in turn shape action' (23) . The transtheoretical model of behaviour change or 'stages of change' model has been used to inform the planning of many health-related interventions (24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38) . The model suggests that individuals can be categorised into different stages of readiness to change health behaviours including pre-contemplation, contemplation, preparation, action and maintenance.…”

mentioning

confidence: 99%

“…The aim of the interventions planned using this model is to help participants progress from their initial stage to action and maintenance. The stages of change model (39,40) has been applied to smoking, drug and alcohol addiction programmes (33,34) , physical activity (24) and to more complex behaviours such as diet, and in particular, fruit and vegetable consumption (7,(25)(26)(27)(28)(29)(30)(31)(32)(35)(36)(37)(38) . There has been some criticism of the stages of change model.…”

mentioning

confidence: 99%

Fruit and vegetables should be targeted separately in health promotion programmes: differences in consumption levels, barriers, knowledge and stages of readiness for change

Glasson

Chapman

James

2010

Public Health Nutr.

106

101

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Objective: The aim of the present study was to investigate whether fruit and vegetables should be treated as separate groups in health promotion programmes by examining consumption levels, barriers, knowledge and the association between stage of change and potential predictors of fruit and vegetable intake. Design: Computer-assisted telephone interview survey of the target population. Setting: Hunter and New England regions of New South Wales, Australia. Subjects: A total of 1403 parents and carers of primary-school-aged children. Results: Consumption levels and knowledge of recommended intakes and serving size were greater for fruit than for vegetables. There were some differences in the main barriers to the consumption of fruit compared with those cited for vegetables. There was little congruence between the stages of change for fruit consumption and those for vegetable consumption. For fruit, knowledge of serving size and recommended intake, perceptions of adequate consumption, changes made to family intake and educational attainment were all correlated with stage of change categorisation. For vegetables, knowledge of recommended intake, perceptions of adequate consumption and changes made to family intake were correlated with stage of change categorisation. Conclusions: Significant differences in consumption levels, barriers, knowledge and stages of readiness for change can be shown when fruit and vegetables are treated as separate groups. Health promotion planners may need to consider interventions that focus on improving vegetable consumption in preference to fruit consumption. Messages about the recommended number of servings and serving size must be simplified and this may be achieved by targeting messages towards vegetable consumption.

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“…Those articles included newsletters as education tools for diseases such as cancer, 3 hypertension, 4 heart failure, 5 diabetes mellitus, 6 and Alzheimer disease. 7 Newsletters were also tools for psychological or behavioral effects: to increase adherence to antidepressant (sertraline) regimen, 8 promote psychological well-being after divorce, 9 encourage follow-up care for mammograms, 10,11 increase motivation to perform physical activity, 12 nutrition, [13][14][15][16][17][18][19] enhance parenting techniques, [20][21][22][23][24][25][26][27][28][29] alter adolescents' behavior regarding sex and use of drugs, 30 and even facilitate health-related political activism. 31 In previous studies of adherence to medical regimens, few data were collected on why newsletters had been helpful.…”

mentioning

confidence: 99%

“…Similarly, Dickinson and Cudaback 24 found that 83% of respondents shared the newsletters with others. Information about patients' preferred length or frequency of newsletter is lacking in the literature, although Ruud et al 17 noted that young adults preferred bright colors, short length, and easy reading level.…”

mentioning

confidence: 99%

Newsletters and Adherence to a Weekly Home Spirometry Program after Lung Transplant

et al. 2010

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Context-Newsletters are a common intervention for patients in clinical trials. However, it is not clear whether newsletters are associated with increased adherence to the health regimen, and if so, which aspects of the newsletter are reported as most helpful to patients.Objective-To examine the association between patients' ratings of worthwhileness of a quarterly newsletter and adherence with a home spirometry regimen.Design-Patients (n = 48) were in a research-based spirometry program after lung transplant and had received at least 1 newsletter; 24 (50%) returned completed surveys via postal mail.Main Outcome Measures-Adherence for forced vital pulmonary function tests for respondents versus nonrespondents, number of weeks they were adherent, ratings they gave the newsletter, and which components of the newsletters were helpful to the respondents.Results-Respondents had more forced vital capacity pulmonary function tests ("blows") overall, blew more times weekly, and blew more consistently from week to week than did nonrespondents. Although it was not statistically significant, a mild correlation was found between the number of weeks that the respondents were adherent and their ratings of the newsletter (r = 0.36, P = .08). Most respondents reported that newsletter length was "about right," and 86% reported that newsletters helped encourage regular spirometer use, maintain interest in the study, educate about general health, and alert readers to seasonal health risks.Implications for Practice-High ratings for newsletters used to encourage participation among adults in our home spirometry study were associated with higher adherence.Nonadherence to health care and clinical research regimens is a barrier both to optimal health outcomes for patients and high-quality research. 1 Sending newsletters to patients and research participants as a part of patients' follow-up care is common practice in health care and clinical research. Newsletters are generally convenient, inexpensive, and easy to produce. 2

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Acceptability of Stage-Tailored Newsletters about Fruits and Vegetables by Young Adults

Cited by 15 publications

References 31 publications

Intervention Based Exclusively on Stage-Matched Printed Educational Materials Regarding Healthy Eating Does Not Result in Changes to Adolescents’ Dietary Behavior

Intervention Based Exclusively on Stage-Matched Printed Educational Materials Regarding Healthy Eating Does Not Result in Changes to Adolescents’ Dietary Behavior

Fruit and vegetables should be targeted separately in health promotion programmes: differences in consumption levels, barriers, knowledge and stages of readiness for change

Newsletters and Adherence to a Weekly Home Spirometry Program after Lung Transplant

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