Pilot weight control intervention among US veterans to promote diets high in fruits and vegetables

PREVENTIVE MEDICINE

卷:51

Article

Allicock, Marlyn¹  Ko, Linda²  van der Sterren, Elke³  Valle, Carmina G.¹  Campbell, Marci K.^1,2  Carr, Carol² 

[1] Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Nutr, Chapel Hill, NC 27599 USA

[2] Univ N Carolina, Lineberger Comprehens Canc Ctr, Chapel Hill, NC 27599 USA

[3] Maastricht Univ, Fac Hlth Med & Life Sci, Maastricht, Netherlands

关键词: Obesity;    Overweight;    Veterans health;    Fruit and vegetables;    Tailored print;    Motivational interviewing;   

DOI  :  10.1016/j.ypmed.2010.06.010

来源: Elsevier

【 摘 要 】

Background. Obesity is a significant problem among US veterans. Diets high in fruits and vegetables (FV) can lower obesity risk. Health communication interventions are promising strategies for promoting healthy eating. We evaluated whether an enhanced intervention with tailored newsletters and motivational interviewing calls would be more effective than the Veterans Affairs (VA) weight management program, MOVE!, at increasing FV intake among overweight/obese veterans. Methods. Using a quasi-experimental design, 195 veterans at two clinics participated at baseline and 6-month follow-up from 2005 to 2006. Measures included daily FV intake and information processing of the intervention. The control group (MOVE!) received educational information, group sessions, and standard phone calls about weight. The intervention included MOVE! components plus tailored newsletters and motivational interviewing calls. Results. The intervention group reported a statistically significant increase in FV servings compared to control (1.7 vs. 1.2: p <= 0.05). Veterans who read more of the tailored newsletters (beta = 0.15, p = 0.01) and perceived the messages as important (beta = 0.12, p < 0.01) and applicable to their lives (beta = 0.12, p < 0.01) ate more FV than those who did not. However, receiving MI calls and information processing regarding the calls were not associated with FV intake. Conclusion. A tailored intervention can impact short term FV intake for obesity prevention. (C) 2010 Elsevier Inc. All rights reserved.

【 授权许可】

Free