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J Pediatr Nurs. 2003 Feb;18(1):36-45.

Stage-based interventions for low-fat diet with middle school students.

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  • 1College of Nursing and Department of Math and Statistics, Marquette University, Milwaukee, WI 53201, USA.


Preventing obesity and cardiovascular disease at early ages is important; however, few effective interventions for early adolescents have been reported. In this study, low-income, culturally diverse students from an urban middle school (n = 60) received four classroom interventions with the use of a combined Health Promotion/Transtheoretical Model to control fat in diet and increase physical activity. A control group (n = 57) received the usual classroom education. Pretest percentage fat in diet was regressed on demographics, access to low-fat foods, perceived self-efficacy, benefits/barriers, and stage of change with results as proposed by the model [F(9,64) = 5.77; p =.000; adjusted R(2) = 0.35]. Posttest percentage fat in food was significantly less for the intervention group as compared with the control group (t = 2.06; df, 115; p =.04).

Copyright 2003, Elsevier Science (USA). All rights reserved.

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