Impact of a Behavioral Intervention on Diet, Eating Patterns, Self-Efficacy, and Social Support

Smith, Matthew Lee; Lee, Shinduk; Towne, Samuel D.; Han, Gang; Quinn, Cindy; Peña-Purcell, Ninfa C.; Ory, Marcia G.

doi:10.1016/j.jneb.2019.06.008

Cited by 23 publications

(32 citation statements)

References 19 publications

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“…Medium-level engagers additionally adopted a meat-free diet at 5 years. Associations were strongest in pwMS who engaged with both reading and workshop resources consistent with studies showing small group programs are effective in altering dietary behaviours [32], with interactive health promotion better for the adoption of healthy behaviours than other forms of learning [33][34][35][36].…”

Section: Discussionsupporting

confidence: 74%

Greater Engagement with Health Information Is Associated with Adoption and Maintenance of Healthy Lifestyle Behaviours in People with MS

Lin

Jelinek

et al. 2020

IJERPH

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Health communication offers an important means for patients to make informed decisions for illness self-management. We assessed how the level of engagement with selected health information at baseline is associated with the adoption and maintenance of lifestyle behaviours at a 5-year follow-up in people with multiple sclerosis (MS). Non-engagers were compared to engagers of information delivered online and print (medium), and with engagers who additionally attended a live-in workshop (high). Engagement was assessed against lifestyle behaviours by log-binomial regression. Information engagers had higher education, and were less likely to have severe disability, clinically significant fatigue, or obesity. Medium and high baseline engagement was associated with adopting healthy behaviours for omega 3 supplementation (RR = 1.70; 95%CI: 1.02–2.84), physical activity (RR = 2.16; 95%CI: 1.03–4.55), and dairy non-consumption (RR = 3.98; 95%CI: 1.85–8.56) at 5 years; associations were stronger among high engagers. Only high baseline engagement was associated with maintaining behaviours from baseline to 5 years, specifically for omega-3 (RR = 1.26; 95%CI: 1.06–1.49) and vitamin D supplementation (RR = 1.26; 95%CI: 1.04–1.54) and dairy non-consumption (RR = 1.47; 95%CI: 1.03–2.10). Health communication that includes face-to-face information delivery and practical tools for implementation in daily living may be optimal for adopting and maintaining lifestyle behaviours in people with MS.

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Section: Discussionsupporting

confidence: 74%

Greater Engagement with Health Information Is Associated with Adoption and Maintenance of Healthy Lifestyle Behaviours in People with MS

Lin

Jelinek

et al. 2020

IJERPH

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“…The programme was designed to help participants gain different behavioural skills through hands-on practice and discussions about how to overcome barriers and meet goals associated with healthy eating. The effectiveness of Texercise Select has been reported: improved fruit/ vegetable intake per week (29,30) , fast-food intake per week (30) , daily water intake (29,30) , physical activity (29,31) and sedentary behaviour (31) . Moreover, programme participants improved the level of social support for physical activity (31) and dietary intake (29,30) .…”

Section: Interventionmentioning

confidence: 99%

The role of improved social support for healthy eating in a lifestyle intervention: Texercise Select

Yoshikawa

Smith²,

Lee³

et al. 2020

Public Health Nutr.

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Objective: We examined the measurement and mediating role of social support in dietary intake among participants in Texercise Select, an intervention for improving lifestyle behaviours. Design: Quasi-experimental study. Participants reported their dietary intake, level of social support measured by the new Social Support for Healthy Eating scale, sociodemographics and disease profile. We conducted exploratory factor analysis for scale evaluation and structural equation modelling for mediation analysis to test if changes in dietary-specific social support mediate the relationship between the intervention and changes in dietary intake. Setting: Texas. Participants: Community-dwelling middle-aged and older adults completed a self-reported survey at baseline and 3-month follow-up (intervention group n 211, comparison group n 175). Results: The majority of the sample was aged ≥70 years (mean 74·30, sd 8·54), female (82·1 %) and had at least two chronic conditions (63·5 %). The acceptable levels of reliability and validity of the dietary-specific social support scale were confirmed. Compared with the comparison group, the intervention group reported improved intake of fruit/vegetables and water, and improved dietary-specific social support. Improved dietary-specific social support mediated the association between intervention and change in fruit/vegetable intake, controlling for sociodemographics, number of chronic conditions and geographic residence. About 12 % of intervention effect was mediated by social support. Conclusions: The current study confirms positive intervention effects on healthy eating, and highlights social support relating to dietary behaviours that may be helpful for healthy eating. Future research should investigate additional social support for developing healthy eating behavioural skills.

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“…Two studies evaluated the effects of the Texercise Select intervention (10-weeks of twice-weekly education, physical activity, goal setting and action planning). In the rst study, Texercise Select increased the likelihood of vegetable and fruit consumption and decreased the likelihood of fast-food intake but did not change soda or water consumption compared to a non-randomized waitlist control (moderate risk of bias) (77) ; improvements were not sustained at six month follow up. Texercise Select improved vegetable, fruit, and water consumption but not soda and fast food consumption compared to baseline in the second study (moderate risk of bias) (53) .…”

Section: Nutrition Outcomesmentioning

confidence: 92%

“…Nine studies (29%) explicitly targeted low-income or economically disadvantaged populations (47, 52, 54-56, 63, 65, 69, 71) . 77) , 2) didactic nutrition education (e.g., lectures, handouts) (n = 4, 13%) (55,56,68,74) , 3) interactive nutrition education (e.g., workshops, discussion) (n = 2, 6%)…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…1). A total of 31 studies met all eligibility criteria and were included in the analysis (Table 1), including 11 single group, pre-test/post-test studies (47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57) , 10 RCTs (58)(59)(60)(61)(62)(63)(64)(65)(66)(67) , and 10 nonrandomized, two group study designs (68)(69)(70)(71)(72)(73)(74)(75)(76)(77) . A list of excluded studies with reasons for exclusion is provided in Supplementary Appendix 1.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

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Group-Based Nutrition Interventions to Promote Health and Mobility in Community-Dwelling Older Adults: A Systematic Review

Teggart

Ganann

Sihota

et al. 2021

Preprint

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Objective: To identify the efficacy of group-based nutrition interventions to increase healthy eating, reduce nutrition risk, improve nutritional status, and improve physical mobility among community-dwelling older adults.Design: Systematic review. Electronic databases MEDLINE, CINAHL, EMBASE, PsycINFO, and Sociological Abstracts were searched on July 15, 2020, for studies published in English since January 2010. Study selection, critical appraisal (using the Joanna Briggs Institute’s critical appraisal tools), and data extraction were performed in duplicate by two independent reviewers.Setting: Nutrition interventions delivered to groups in community-based settings were eligible. Studies delivered in acute or long-term care settings were excluded.Participants: Community-dwelling older adults aged 55+ years. Studies targeting specific disease populations or promoting weight loss were excluded.Results: Thirty-one experimental and quasi-experimental studies with generally unclear-high risk of bias were included. A broad range of interventions were identified, including nutrition education with behaviour change techniques (e.g., goal setting, interactive cooking demonstrations) (n=21), didactic nutrition education (n=4), interactive nutrition education (n=2), food access (n=2), and nutrition education with behaviour change techniques and food access (n=2). Group-based nutrition education with behaviour change techniques demonstrated the most promise in improving food and fluid intake, nutritional status, and healthy eating knowledge compared to baseline or control. The impact on mobility outcomes was unclear. Conclusions: Our findings should be interpreted with caution related to generally low certainty, unclear-high risk of bias, and high heterogeneity across interventions and outcomes in this body of literature. Quality research in group-based nutrition education for older adults is needed.

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Impact of a Behavioral Intervention on Diet, Eating Patterns, Self-Efficacy, and Social Support

Cited by 23 publications

References 19 publications

Greater Engagement with Health Information Is Associated with Adoption and Maintenance of Healthy Lifestyle Behaviours in People with MS

Greater Engagement with Health Information Is Associated with Adoption and Maintenance of Healthy Lifestyle Behaviours in People with MS

The role of improved social support for healthy eating in a lifestyle intervention: Texercise Select

Group-Based Nutrition Interventions to Promote Health and Mobility in Community-Dwelling Older Adults: A Systematic Review

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