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Identification of psychosocial factors related to fruit and vegetable consumption by American Indians
Author(s) -
Shafer Kimberly,
Lohse Barbara,
Nitzke Susan,
Greene Geoffrey,
Kritsch Karen
Publication year - 2006
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.20.4.a173-c
Subject(s) - transtheoretical model , psychosocial , psychological intervention , behavior change , consumption (sociology) , nutrition education , gerontology , environmental health , physical activity , psychology , medicine , social psychology , physical therapy , psychiatry , sociology , social science
Awareness of psychosocial factors influencing fruit (F) and vegetable (V) consumption is important for developing nutrition education interventions. The Transtheoretical Model (TTM) is useful for identifying these factors, but documented TTM use with American Indians (AI) is lacking. A pre‐tested TTM‐based telephone survey was conducted with 26 (58% female) low‐income AI aged 18–24 years to elicit self‐reported benefits, barriers, self‐efficacy, processes of change, stages of change, and perceived F and V intakes using a 5‐A‐Day screener. Overall, 69% and 23% of AI were in post‐action stages (action, maintenance) for F and V, respectively. Daily intakes of F and V were relatively low (1.5 ± 1.1 and 1.7 ± 1.1 servings, respectively). AI were “quite” confident they could consume two servings F (3.5 ± 0.2; 1=not; 5=extremely confident) and three servings V (3.1 ± 0.2). Perceived benefits of eating F and V were also “quite” important (3.4 ± 0.2 and 3.3 ± 0.2, respectively; 1=not; 5=extremely important). Social liberation, self‐reevaluation, and counter‐conditioning were frequently reported processes of change influencing AI F and V intakes. Nutrition education interventions for AI may be strengthened by using these three processes and building on existing recognition of importance and confidence in ability to consume F and V. Funded by IFAFS Competitive Grants Program/USDA, Kansas Agricultural Experiment Station, and NC219.