文章基本信息

标题：A Motivational Interviewing Intervention to Increase Fruit and Vegetable Intake Through Black Churches: Results of the Eat for Life Trial
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作者：Ken Resnicow ; Alice Jackson ; Terry Wang 等
期刊名称：American journal of public health
印刷版ISSN：0090-0036
出版年度：2001
卷号：91
期号：10
页码：1686-1693
语种：English
出版社：American Public Health Association
摘要：Objectives . This study reports on Eat for Life, a multicomponent intervention to increase fruit and vegetable consumption among African Americans that was delivered through Black churches. Methods . Fourteen churches were randomly assigned to 3 treatment conditions: (1) comparison, (2) self-help intervention with 1 telephone cue call, and (3) self-help with 1 cue call and 3 counseling calls. The telephone counseling in group 3 was based on motivational interviewing. The primary outcome, assessed at baseline and 1-year follow-up, was fruit and vegetable intake as assessed by 3 food frequency questionnaires. Results . Change in fruit and vegetable intake was significantly greater in the motvational interviewing group than in the comparison and self-help groups. The net difference between the motivational interviewing and comparison groups was 1.38, 1.03, and 1.21 servings of fruits and vegetables per day for the 2-item, 7-item, and 36-item food frequency questionnaires, respectively. The net difference between the motivational interviewing and self-help groups was 1.14, 1.10, and 0.97 servings for the 2-item, 7-item, and 36-item food frequency questionnaires, respectively. Conclusions . Motivational interviewing appears to be a promising strategy for modifying dietary behavior, and Black churches are an excellent setting to implement and evaluate health promotion programs. Increasing Americans' intake of fruits and vegetables is a national health priority. 1– 3 Like most other Americans, African Americans consume fewer than the recommended 5 servings per day. 3– 6 Whereas data regarding Black vs White differences in mean fruit and vegetable intake are inconsistent, 3– 8 ethnic and geographic differences regarding which fruits and vegetables are consumed and how they are prepared are well established. 8– 11 The church represents a potentially effective channel for delivering health programs to African Americans. Many Black churches include health as part of their overall mission, offering health services and programs through special committees and ministries. 12– 14 Given the potential ease of participant recruitment and tracking, churches also represent an excellent research setting. Several health promotion studies—including some that have addressed dietary behavior 13– 18 and, more specifically, fruit and vegetable intake 19 —have been successfully conducted in churches. Another advantage of working in Black churches is access to African Americans of middle and upper socioeconomic levels, a group often underrepresented in health promotion studies. In this article, we report the 1-year results of the Eat for Life program, an intervention to increase fruit and vegetable intake conducted through Black churches in the metropolitan area of Atlanta, Ga.