PROCESSES OF CHANGE ASSOCIATED WITH THE FRUIT AND VEGETABLE CONSUMPTION ACROSS STAGES OF CHANGE IN WOMEN- APPLICATION OF TRANSTHEORETICAL MODEL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 87
Abstract
BACKGROUND Consumption of fruits and vegetables is associated with the reduction of many chronic diseases. Transtheoretical model is one of the most common models used for studies on nutrition. The objective of this study is to evaluate the processes of change across stages of change for fruits and vegetables consumption. MATERIALS AND METHODS 600 literate women of Gilan-e-Gharb city (a west part of Iran) who were selected by random sampling method participated in this cross-sectional study. Data gathering tools was a questionnaire that consisted of 30 questions which included demographic (n= 5), stages of change (n= 5) and processes of change (n= 20) as well as 24 hours recall questionnaire for fruits and vegetables consumption. We assessed the internal consistency questions using Cronbach’s Alpha and validity by S-CVI. Statistical analysis used: Data were analysed by SPSS 19 using the T-test, ANOVA and Chi-square. RESULTS The majority of subjects (89.5%) belonged to the passive stages of change (pre-contemplation, contemplation and preparation) and only 10.5 percent were in active stages (action and maintenance). Average daily consumption of fruits and vegetables was 3.4 ± 0.96 servings, which was lowest in pre-contemplators and increased until the maintenance stage (p < .001). Mean score of cognitive and behavioural processes were higher in maintenance stage and lower in pre-contemplation stage. CONCLUSION Given the important role of the cognitive and behavioural processes in promoting people from passive stages to active stages of change, we suggest implementation of these processes by using appropriate strategies in educational intervention for promoting consumption of fruits and vegetables.
Authors and Affiliations
Mehdi Khezeli, Ali Ramezankhani, Abbas Aghaei, Arman Latifi, Hadi Darvishi, Mohammad-Reza Yousefi
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