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Stephen Havas - One of the best experts on this subject based on the ideXlab platform.

  • the effect of the maryland WIC 5 a day promotion Program on participants stages of change for fruit and vegetable consumption
    2000
    Co-Authors: Robert Feldman, Jean Anliker, Dorothy Damron, Patricia Langenberg, Michael F Ballesteros, Carlo C Diclemente, Stephen Havas
    Abstract:

    The Maryland Women, Infants and Children (WIC) 5-A-Day Promotion Program examined the effect of a multifaceted nutrition intervention on changing the fruit and vegetable consumption of low-income women in the WIC Program in Maryland. The sample consisted of 3,122 participants (1,443 intervention and 1,679 control) with a mean age of 27.2. Fifty-six percent were Black/African American. This article focuses on the effect of the intervention on the stages of change of the participants. Intervention participants showed significantly greater positive movement through the stages than control participants. Stages of change were measured for two specific target behaviors: eating five servings of fruits and vegetables a day and eating more servings of fruit and vegetables a day. Results demonstrated significant differences in the stage status of intervention and control women and in movement through the stages. The effectiveness of the intervention across groups depended on which staging measure was used.

  • psychosocial factors and intervention associated changes in those factors as correlates of change in fruit and vegetable consumption in the maryland WIC 5 a day promotion Program
    2000
    Co-Authors: Patricia Langenberg, Jean Anliker, Dorothy Damron, Michael F Ballesteros, Robert Feldman, Stephen Havas
    Abstract:

    This study sought to examine: (a) the relative effects of baseline demographic and psychosocial factors and an intensive nutritional intervention on changes in fruit and vegetable consumption in low-income, ethnically diverse women served by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program in Maryland; (b) whether this intervention, designed to modify psychosocial factors associated with fruit and vegetable consumption, was successful in changing these factors; and (c) whether changes in these factors were associated with increased consumption. The same women from 15 WIC Program sites were surveyed at baseline and postintervention 8 months later. Women randomized to the intervention group showed significantly greater mean change in self-efficacy, attitudes, social support, and knowledge of national consumption recommendations than control group women. Changes in all psychosocial factors were significantly associated with nutrition session attendance and increased consumption. In a hierarchical model, changes in these factors accounted for most of the intervention effect on increased consumption.

  • final results of the maryland WIC 5 a day promotion Program
    1998
    Co-Authors: Stephen Havas, Jean Anliker, Dorothy Damron, Patricia Langenberg, Michael F Ballesteros, Robert Feldman
    Abstract:

    OBJECTIVES: This National Cancer Institute-funded study sought to increase fruit and vegetable consumption among women served by the WIC Program in Maryland. METHODS: Over a 2-year period, a multifaceted intervention Program using a randomized crossover design sought to increase fruit and vegetable consumption at 16 WIC Program sites in Baltimore City and 6 Maryland counties. Participants were surveyed at baseline, 2 months postintervention, and 1 year later. RESULTS: Two months postintervention, mean daily consumption had increased by 0.56 +/- 0.11 servings in intervention participants and 0.13 +/- 0.07 servings in control participants (P = .002). Intervention participants also showed greater changes in stages of change, knowledge, attitudes, and self-efficacy. Changes in consumption were closely related to number of nutrition sessions attended, baseline stage of change, race, and education. One year later, mean consumption had increased by an additional 0.27 servings in both intervention and control par...

  • the maryland WIC 5 a day promotion Program pilot study rationale results and lessons learned
    1997
    Co-Authors: Stephen Havas, Jean Anliker, Patricia Langenberg, Michael F Ballesteros, Katherine Treiman, Vicki S Freimuth, Dorthy Damron, Tarek A Hammad, Robert Feldman
    Abstract:

    Abstract Although the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) serves approximately 6.5 million participants nationwide, little research has been conducted to assess the effectiveness of health promotion Programs aimed at the prevention of chronic diseases among its participants. Characteristics of the WIC Program and the population it serves present numerous challenges to successfully implementing such initiatives. This National Cancer Institute-funded study seeks to increase fruit and vegetable consumption among women enrolled in WIC and women whose children are enrolled in WIC in Maryland. Key behavioral messages, motivators, and strategies tailored to the target population were identified first. The project team then developed a multifaceted intervention Program. To assess its effectiveness and to learn about potential logistical problems prior to initiating a large-scale intervention Program, we conducted a pilot study in two intervention sites and one control site. The pilot study demonstrated problems in client recruitment and participation. Both intervention sites showed small increases in fruit and vegetable consumption that were not statistically significant. Numerous lessons were learned, demonstrating the utility of conducting such a study prior to implementing a full-scale intervention.

  • attitudes and behaviors related to fruits and vegetables among low income women in the WIC Program
    1996
    Co-Authors: Katherine Treiman, Stephen Havas, Jean Anliker, Dorothy Damron, Patricia Langenberg, Vicki S Freimuth, Anita B Lasswell, Robert Feldman
    Abstract:

    Abstract This article describes formative research conducted as part of a study aimed at increasing fruit and vegetable consumption among low-income women enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). Focus group discussions and central location intercept interviews were conducted with WIC participants to answer questions such as (1) What are their food shopping, preparation, and eating habits? (2) What perceptions do they have about fruits and vegetables? (3) What barriers do they face to increased consumption of fruits and vegetables? and (4) What motivations and messages might be effective in promoting increased consumption? Results indicated that these women, while generally responsible for food shopping and preparation, did not cook extensively.They reported many positive perceptions of fruits and vegetables, but also identified barriers to increasing consumption, including lack of availability, time and effort to prepare, and preference for other foods. Several implications for nutrition interventions were suggested. First, a key motivation for these women was being a good role model for their children, suggesting a persuasive appeal to use in interventions. Second, review of the women's current eating behaviors led to an identification of five specific behaviors that had the most potential for increasing overall consumption. Finally, the findings suggested ways in which nutrition interventions could address each of the barriers identified.

Robert Feldman - One of the best experts on this subject based on the ideXlab platform.

  • the effect of the maryland WIC 5 a day promotion Program on participants stages of change for fruit and vegetable consumption
    2000
    Co-Authors: Robert Feldman, Jean Anliker, Dorothy Damron, Patricia Langenberg, Michael F Ballesteros, Carlo C Diclemente, Stephen Havas
    Abstract:

    The Maryland Women, Infants and Children (WIC) 5-A-Day Promotion Program examined the effect of a multifaceted nutrition intervention on changing the fruit and vegetable consumption of low-income women in the WIC Program in Maryland. The sample consisted of 3,122 participants (1,443 intervention and 1,679 control) with a mean age of 27.2. Fifty-six percent were Black/African American. This article focuses on the effect of the intervention on the stages of change of the participants. Intervention participants showed significantly greater positive movement through the stages than control participants. Stages of change were measured for two specific target behaviors: eating five servings of fruits and vegetables a day and eating more servings of fruit and vegetables a day. Results demonstrated significant differences in the stage status of intervention and control women and in movement through the stages. The effectiveness of the intervention across groups depended on which staging measure was used.

  • psychosocial factors and intervention associated changes in those factors as correlates of change in fruit and vegetable consumption in the maryland WIC 5 a day promotion Program
    2000
    Co-Authors: Patricia Langenberg, Jean Anliker, Dorothy Damron, Michael F Ballesteros, Robert Feldman, Stephen Havas
    Abstract:

    This study sought to examine: (a) the relative effects of baseline demographic and psychosocial factors and an intensive nutritional intervention on changes in fruit and vegetable consumption in low-income, ethnically diverse women served by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program in Maryland; (b) whether this intervention, designed to modify psychosocial factors associated with fruit and vegetable consumption, was successful in changing these factors; and (c) whether changes in these factors were associated with increased consumption. The same women from 15 WIC Program sites were surveyed at baseline and postintervention 8 months later. Women randomized to the intervention group showed significantly greater mean change in self-efficacy, attitudes, social support, and knowledge of national consumption recommendations than control group women. Changes in all psychosocial factors were significantly associated with nutrition session attendance and increased consumption. In a hierarchical model, changes in these factors accounted for most of the intervention effect on increased consumption.

  • final results of the maryland WIC 5 a day promotion Program
    1998
    Co-Authors: Stephen Havas, Jean Anliker, Dorothy Damron, Patricia Langenberg, Michael F Ballesteros, Robert Feldman
    Abstract:

    OBJECTIVES: This National Cancer Institute-funded study sought to increase fruit and vegetable consumption among women served by the WIC Program in Maryland. METHODS: Over a 2-year period, a multifaceted intervention Program using a randomized crossover design sought to increase fruit and vegetable consumption at 16 WIC Program sites in Baltimore City and 6 Maryland counties. Participants were surveyed at baseline, 2 months postintervention, and 1 year later. RESULTS: Two months postintervention, mean daily consumption had increased by 0.56 +/- 0.11 servings in intervention participants and 0.13 +/- 0.07 servings in control participants (P = .002). Intervention participants also showed greater changes in stages of change, knowledge, attitudes, and self-efficacy. Changes in consumption were closely related to number of nutrition sessions attended, baseline stage of change, race, and education. One year later, mean consumption had increased by an additional 0.27 servings in both intervention and control par...

  • the maryland WIC 5 a day promotion Program pilot study rationale results and lessons learned
    1997
    Co-Authors: Stephen Havas, Jean Anliker, Patricia Langenberg, Michael F Ballesteros, Katherine Treiman, Vicki S Freimuth, Dorthy Damron, Tarek A Hammad, Robert Feldman
    Abstract:

    Abstract Although the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) serves approximately 6.5 million participants nationwide, little research has been conducted to assess the effectiveness of health promotion Programs aimed at the prevention of chronic diseases among its participants. Characteristics of the WIC Program and the population it serves present numerous challenges to successfully implementing such initiatives. This National Cancer Institute-funded study seeks to increase fruit and vegetable consumption among women enrolled in WIC and women whose children are enrolled in WIC in Maryland. Key behavioral messages, motivators, and strategies tailored to the target population were identified first. The project team then developed a multifaceted intervention Program. To assess its effectiveness and to learn about potential logistical problems prior to initiating a large-scale intervention Program, we conducted a pilot study in two intervention sites and one control site. The pilot study demonstrated problems in client recruitment and participation. Both intervention sites showed small increases in fruit and vegetable consumption that were not statistically significant. Numerous lessons were learned, demonstrating the utility of conducting such a study prior to implementing a full-scale intervention.

  • attitudes and behaviors related to fruits and vegetables among low income women in the WIC Program
    1996
    Co-Authors: Katherine Treiman, Stephen Havas, Jean Anliker, Dorothy Damron, Patricia Langenberg, Vicki S Freimuth, Anita B Lasswell, Robert Feldman
    Abstract:

    Abstract This article describes formative research conducted as part of a study aimed at increasing fruit and vegetable consumption among low-income women enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). Focus group discussions and central location intercept interviews were conducted with WIC participants to answer questions such as (1) What are their food shopping, preparation, and eating habits? (2) What perceptions do they have about fruits and vegetables? (3) What barriers do they face to increased consumption of fruits and vegetables? and (4) What motivations and messages might be effective in promoting increased consumption? Results indicated that these women, while generally responsible for food shopping and preparation, did not cook extensively.They reported many positive perceptions of fruits and vegetables, but also identified barriers to increasing consumption, including lack of availability, time and effort to prepare, and preference for other foods. Several implications for nutrition interventions were suggested. First, a key motivation for these women was being a good role model for their children, suggesting a persuasive appeal to use in interventions. Second, review of the women's current eating behaviors led to an identification of five specific behaviors that had the most potential for increasing overall consumption. Finally, the findings suggested ways in which nutrition interventions could address each of the barriers identified.

Patricia Langenberg - One of the best experts on this subject based on the ideXlab platform.

  • the effect of the maryland WIC 5 a day promotion Program on participants stages of change for fruit and vegetable consumption
    2000
    Co-Authors: Robert Feldman, Jean Anliker, Dorothy Damron, Patricia Langenberg, Michael F Ballesteros, Carlo C Diclemente, Stephen Havas
    Abstract:

    The Maryland Women, Infants and Children (WIC) 5-A-Day Promotion Program examined the effect of a multifaceted nutrition intervention on changing the fruit and vegetable consumption of low-income women in the WIC Program in Maryland. The sample consisted of 3,122 participants (1,443 intervention and 1,679 control) with a mean age of 27.2. Fifty-six percent were Black/African American. This article focuses on the effect of the intervention on the stages of change of the participants. Intervention participants showed significantly greater positive movement through the stages than control participants. Stages of change were measured for two specific target behaviors: eating five servings of fruits and vegetables a day and eating more servings of fruit and vegetables a day. Results demonstrated significant differences in the stage status of intervention and control women and in movement through the stages. The effectiveness of the intervention across groups depended on which staging measure was used.

  • psychosocial factors and intervention associated changes in those factors as correlates of change in fruit and vegetable consumption in the maryland WIC 5 a day promotion Program
    2000
    Co-Authors: Patricia Langenberg, Jean Anliker, Dorothy Damron, Michael F Ballesteros, Robert Feldman, Stephen Havas
    Abstract:

    This study sought to examine: (a) the relative effects of baseline demographic and psychosocial factors and an intensive nutritional intervention on changes in fruit and vegetable consumption in low-income, ethnically diverse women served by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program in Maryland; (b) whether this intervention, designed to modify psychosocial factors associated with fruit and vegetable consumption, was successful in changing these factors; and (c) whether changes in these factors were associated with increased consumption. The same women from 15 WIC Program sites were surveyed at baseline and postintervention 8 months later. Women randomized to the intervention group showed significantly greater mean change in self-efficacy, attitudes, social support, and knowledge of national consumption recommendations than control group women. Changes in all psychosocial factors were significantly associated with nutrition session attendance and increased consumption. In a hierarchical model, changes in these factors accounted for most of the intervention effect on increased consumption.

  • final results of the maryland WIC 5 a day promotion Program
    1998
    Co-Authors: Stephen Havas, Jean Anliker, Dorothy Damron, Patricia Langenberg, Michael F Ballesteros, Robert Feldman
    Abstract:

    OBJECTIVES: This National Cancer Institute-funded study sought to increase fruit and vegetable consumption among women served by the WIC Program in Maryland. METHODS: Over a 2-year period, a multifaceted intervention Program using a randomized crossover design sought to increase fruit and vegetable consumption at 16 WIC Program sites in Baltimore City and 6 Maryland counties. Participants were surveyed at baseline, 2 months postintervention, and 1 year later. RESULTS: Two months postintervention, mean daily consumption had increased by 0.56 +/- 0.11 servings in intervention participants and 0.13 +/- 0.07 servings in control participants (P = .002). Intervention participants also showed greater changes in stages of change, knowledge, attitudes, and self-efficacy. Changes in consumption were closely related to number of nutrition sessions attended, baseline stage of change, race, and education. One year later, mean consumption had increased by an additional 0.27 servings in both intervention and control par...

  • the maryland WIC 5 a day promotion Program pilot study rationale results and lessons learned
    1997
    Co-Authors: Stephen Havas, Jean Anliker, Patricia Langenberg, Michael F Ballesteros, Katherine Treiman, Vicki S Freimuth, Dorthy Damron, Tarek A Hammad, Robert Feldman
    Abstract:

    Abstract Although the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) serves approximately 6.5 million participants nationwide, little research has been conducted to assess the effectiveness of health promotion Programs aimed at the prevention of chronic diseases among its participants. Characteristics of the WIC Program and the population it serves present numerous challenges to successfully implementing such initiatives. This National Cancer Institute-funded study seeks to increase fruit and vegetable consumption among women enrolled in WIC and women whose children are enrolled in WIC in Maryland. Key behavioral messages, motivators, and strategies tailored to the target population were identified first. The project team then developed a multifaceted intervention Program. To assess its effectiveness and to learn about potential logistical problems prior to initiating a large-scale intervention Program, we conducted a pilot study in two intervention sites and one control site. The pilot study demonstrated problems in client recruitment and participation. Both intervention sites showed small increases in fruit and vegetable consumption that were not statistically significant. Numerous lessons were learned, demonstrating the utility of conducting such a study prior to implementing a full-scale intervention.

  • attitudes and behaviors related to fruits and vegetables among low income women in the WIC Program
    1996
    Co-Authors: Katherine Treiman, Stephen Havas, Jean Anliker, Dorothy Damron, Patricia Langenberg, Vicki S Freimuth, Anita B Lasswell, Robert Feldman
    Abstract:

    Abstract This article describes formative research conducted as part of a study aimed at increasing fruit and vegetable consumption among low-income women enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). Focus group discussions and central location intercept interviews were conducted with WIC participants to answer questions such as (1) What are their food shopping, preparation, and eating habits? (2) What perceptions do they have about fruits and vegetables? (3) What barriers do they face to increased consumption of fruits and vegetables? and (4) What motivations and messages might be effective in promoting increased consumption? Results indicated that these women, while generally responsible for food shopping and preparation, did not cook extensively.They reported many positive perceptions of fruits and vegetables, but also identified barriers to increasing consumption, including lack of availability, time and effort to prepare, and preference for other foods. Several implications for nutrition interventions were suggested. First, a key motivation for these women was being a good role model for their children, suggesting a persuasive appeal to use in interventions. Second, review of the women's current eating behaviors led to an identification of five specific behaviors that had the most potential for increasing overall consumption. Finally, the findings suggested ways in which nutrition interventions could address each of the barriers identified.

Jean Anliker - One of the best experts on this subject based on the ideXlab platform.

  • the effect of the maryland WIC 5 a day promotion Program on participants stages of change for fruit and vegetable consumption
    2000
    Co-Authors: Robert Feldman, Jean Anliker, Dorothy Damron, Patricia Langenberg, Michael F Ballesteros, Carlo C Diclemente, Stephen Havas
    Abstract:

    The Maryland Women, Infants and Children (WIC) 5-A-Day Promotion Program examined the effect of a multifaceted nutrition intervention on changing the fruit and vegetable consumption of low-income women in the WIC Program in Maryland. The sample consisted of 3,122 participants (1,443 intervention and 1,679 control) with a mean age of 27.2. Fifty-six percent were Black/African American. This article focuses on the effect of the intervention on the stages of change of the participants. Intervention participants showed significantly greater positive movement through the stages than control participants. Stages of change were measured for two specific target behaviors: eating five servings of fruits and vegetables a day and eating more servings of fruit and vegetables a day. Results demonstrated significant differences in the stage status of intervention and control women and in movement through the stages. The effectiveness of the intervention across groups depended on which staging measure was used.

  • psychosocial factors and intervention associated changes in those factors as correlates of change in fruit and vegetable consumption in the maryland WIC 5 a day promotion Program
    2000
    Co-Authors: Patricia Langenberg, Jean Anliker, Dorothy Damron, Michael F Ballesteros, Robert Feldman, Stephen Havas
    Abstract:

    This study sought to examine: (a) the relative effects of baseline demographic and psychosocial factors and an intensive nutritional intervention on changes in fruit and vegetable consumption in low-income, ethnically diverse women served by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program in Maryland; (b) whether this intervention, designed to modify psychosocial factors associated with fruit and vegetable consumption, was successful in changing these factors; and (c) whether changes in these factors were associated with increased consumption. The same women from 15 WIC Program sites were surveyed at baseline and postintervention 8 months later. Women randomized to the intervention group showed significantly greater mean change in self-efficacy, attitudes, social support, and knowledge of national consumption recommendations than control group women. Changes in all psychosocial factors were significantly associated with nutrition session attendance and increased consumption. In a hierarchical model, changes in these factors accounted for most of the intervention effect on increased consumption.

  • final results of the maryland WIC 5 a day promotion Program
    1998
    Co-Authors: Stephen Havas, Jean Anliker, Dorothy Damron, Patricia Langenberg, Michael F Ballesteros, Robert Feldman
    Abstract:

    OBJECTIVES: This National Cancer Institute-funded study sought to increase fruit and vegetable consumption among women served by the WIC Program in Maryland. METHODS: Over a 2-year period, a multifaceted intervention Program using a randomized crossover design sought to increase fruit and vegetable consumption at 16 WIC Program sites in Baltimore City and 6 Maryland counties. Participants were surveyed at baseline, 2 months postintervention, and 1 year later. RESULTS: Two months postintervention, mean daily consumption had increased by 0.56 +/- 0.11 servings in intervention participants and 0.13 +/- 0.07 servings in control participants (P = .002). Intervention participants also showed greater changes in stages of change, knowledge, attitudes, and self-efficacy. Changes in consumption were closely related to number of nutrition sessions attended, baseline stage of change, race, and education. One year later, mean consumption had increased by an additional 0.27 servings in both intervention and control par...

  • the maryland WIC 5 a day promotion Program pilot study rationale results and lessons learned
    1997
    Co-Authors: Stephen Havas, Jean Anliker, Patricia Langenberg, Michael F Ballesteros, Katherine Treiman, Vicki S Freimuth, Dorthy Damron, Tarek A Hammad, Robert Feldman
    Abstract:

    Abstract Although the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) serves approximately 6.5 million participants nationwide, little research has been conducted to assess the effectiveness of health promotion Programs aimed at the prevention of chronic diseases among its participants. Characteristics of the WIC Program and the population it serves present numerous challenges to successfully implementing such initiatives. This National Cancer Institute-funded study seeks to increase fruit and vegetable consumption among women enrolled in WIC and women whose children are enrolled in WIC in Maryland. Key behavioral messages, motivators, and strategies tailored to the target population were identified first. The project team then developed a multifaceted intervention Program. To assess its effectiveness and to learn about potential logistical problems prior to initiating a large-scale intervention Program, we conducted a pilot study in two intervention sites and one control site. The pilot study demonstrated problems in client recruitment and participation. Both intervention sites showed small increases in fruit and vegetable consumption that were not statistically significant. Numerous lessons were learned, demonstrating the utility of conducting such a study prior to implementing a full-scale intervention.

  • attitudes and behaviors related to fruits and vegetables among low income women in the WIC Program
    1996
    Co-Authors: Katherine Treiman, Stephen Havas, Jean Anliker, Dorothy Damron, Patricia Langenberg, Vicki S Freimuth, Anita B Lasswell, Robert Feldman
    Abstract:

    Abstract This article describes formative research conducted as part of a study aimed at increasing fruit and vegetable consumption among low-income women enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). Focus group discussions and central location intercept interviews were conducted with WIC participants to answer questions such as (1) What are their food shopping, preparation, and eating habits? (2) What perceptions do they have about fruits and vegetables? (3) What barriers do they face to increased consumption of fruits and vegetables? and (4) What motivations and messages might be effective in promoting increased consumption? Results indicated that these women, while generally responsible for food shopping and preparation, did not cook extensively.They reported many positive perceptions of fruits and vegetables, but also identified barriers to increasing consumption, including lack of availability, time and effort to prepare, and preference for other foods. Several implications for nutrition interventions were suggested. First, a key motivation for these women was being a good role model for their children, suggesting a persuasive appeal to use in interventions. Second, review of the women's current eating behaviors led to an identification of five specific behaviors that had the most potential for increasing overall consumption. Finally, the findings suggested ways in which nutrition interventions could address each of the barriers identified.

Dorothy Damron - One of the best experts on this subject based on the ideXlab platform.

  • the effect of the maryland WIC 5 a day promotion Program on participants stages of change for fruit and vegetable consumption
    2000
    Co-Authors: Robert Feldman, Jean Anliker, Dorothy Damron, Patricia Langenberg, Michael F Ballesteros, Carlo C Diclemente, Stephen Havas
    Abstract:

    The Maryland Women, Infants and Children (WIC) 5-A-Day Promotion Program examined the effect of a multifaceted nutrition intervention on changing the fruit and vegetable consumption of low-income women in the WIC Program in Maryland. The sample consisted of 3,122 participants (1,443 intervention and 1,679 control) with a mean age of 27.2. Fifty-six percent were Black/African American. This article focuses on the effect of the intervention on the stages of change of the participants. Intervention participants showed significantly greater positive movement through the stages than control participants. Stages of change were measured for two specific target behaviors: eating five servings of fruits and vegetables a day and eating more servings of fruit and vegetables a day. Results demonstrated significant differences in the stage status of intervention and control women and in movement through the stages. The effectiveness of the intervention across groups depended on which staging measure was used.

  • psychosocial factors and intervention associated changes in those factors as correlates of change in fruit and vegetable consumption in the maryland WIC 5 a day promotion Program
    2000
    Co-Authors: Patricia Langenberg, Jean Anliker, Dorothy Damron, Michael F Ballesteros, Robert Feldman, Stephen Havas
    Abstract:

    This study sought to examine: (a) the relative effects of baseline demographic and psychosocial factors and an intensive nutritional intervention on changes in fruit and vegetable consumption in low-income, ethnically diverse women served by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program in Maryland; (b) whether this intervention, designed to modify psychosocial factors associated with fruit and vegetable consumption, was successful in changing these factors; and (c) whether changes in these factors were associated with increased consumption. The same women from 15 WIC Program sites were surveyed at baseline and postintervention 8 months later. Women randomized to the intervention group showed significantly greater mean change in self-efficacy, attitudes, social support, and knowledge of national consumption recommendations than control group women. Changes in all psychosocial factors were significantly associated with nutrition session attendance and increased consumption. In a hierarchical model, changes in these factors accounted for most of the intervention effect on increased consumption.

  • final results of the maryland WIC 5 a day promotion Program
    1998
    Co-Authors: Stephen Havas, Jean Anliker, Dorothy Damron, Patricia Langenberg, Michael F Ballesteros, Robert Feldman
    Abstract:

    OBJECTIVES: This National Cancer Institute-funded study sought to increase fruit and vegetable consumption among women served by the WIC Program in Maryland. METHODS: Over a 2-year period, a multifaceted intervention Program using a randomized crossover design sought to increase fruit and vegetable consumption at 16 WIC Program sites in Baltimore City and 6 Maryland counties. Participants were surveyed at baseline, 2 months postintervention, and 1 year later. RESULTS: Two months postintervention, mean daily consumption had increased by 0.56 +/- 0.11 servings in intervention participants and 0.13 +/- 0.07 servings in control participants (P = .002). Intervention participants also showed greater changes in stages of change, knowledge, attitudes, and self-efficacy. Changes in consumption were closely related to number of nutrition sessions attended, baseline stage of change, race, and education. One year later, mean consumption had increased by an additional 0.27 servings in both intervention and control par...

  • attitudes and behaviors related to fruits and vegetables among low income women in the WIC Program
    1996
    Co-Authors: Katherine Treiman, Stephen Havas, Jean Anliker, Dorothy Damron, Patricia Langenberg, Vicki S Freimuth, Anita B Lasswell, Robert Feldman
    Abstract:

    Abstract This article describes formative research conducted as part of a study aimed at increasing fruit and vegetable consumption among low-income women enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). Focus group discussions and central location intercept interviews were conducted with WIC participants to answer questions such as (1) What are their food shopping, preparation, and eating habits? (2) What perceptions do they have about fruits and vegetables? (3) What barriers do they face to increased consumption of fruits and vegetables? and (4) What motivations and messages might be effective in promoting increased consumption? Results indicated that these women, while generally responsible for food shopping and preparation, did not cook extensively.They reported many positive perceptions of fruits and vegetables, but also identified barriers to increasing consumption, including lack of availability, time and effort to prepare, and preference for other foods. Several implications for nutrition interventions were suggested. First, a key motivation for these women was being a good role model for their children, suggesting a persuasive appeal to use in interventions. Second, review of the women's current eating behaviors led to an identification of five specific behaviors that had the most potential for increasing overall consumption. Finally, the findings suggested ways in which nutrition interventions could address each of the barriers identified.