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Am J Public Health. 2001 Oct;91(10):1686-93.

A motivational interviewing intervention to increase fruit and vegetable intake through Black churches: results of the Eat for Life trial.

Author information

  • 1Rollins School of Public Health, Emory University, 1520 Clifton Road, Atlanta, GA 30322, USA. kresnic@sph.emory.edu

Abstract

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 motivational 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.

Comment in

  • Diet and cardiovascular disease. [Am J Public Health. 2002]
PMID:
11574336
[PubMed - indexed for MEDLINE]
PMCID:
PMC1446855
Free PMC Article
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