Stages of change and psychosocial correlates of fruit and vegetable consumption among rural African-American church members

Am J Health Promot. 1998 Jan-Feb;12(3):185-91. doi: 10.4278/0890-1171-12.3.185.


Purpose: This study examined the relationship between stages of change, other psychosocial factors, and fruit and vegetable (F&V) consumption among rural African-Americans participating in a 5 a Day study.

Design: The cross-sectional design assessed associations between F&V intake, stage of change, self-efficacy, beliefs, barriers, and social support.

Setting: Participants were surveyed by telephone.

Subjects: Subjects were 3557 adult church members (response rate, 79.1%), aged 18 and over from 10 North Carolina counties.

Measures: A seven-item food frequency measured F&V intake. Stage of change was measured using four items; other psychosocial variables were measured using Likert scales. Chi-square tests and analysis of variance were used in statistical analyses.

Results: The majority of participants (65%) were in the preparation stage of change. Individuals in action/maintenance consumed an average of 6.5 daily F&V servings compared to 3.3 to 3.5 servings for those in precontemplation, contemplation, and preparation. Self-efficacy, social support, and belief about how many daily F&V servings are needed, were positively associated with stage. Barriers were most prevalent among precontemplators.

Conclusions: The findings support the applicability of the stages-of-change model to dietary change among rural African-Americans. The relationship between stage, self-efficacy, social support, and barriers supports using a multicomponent intervention strategy.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Black or African American / psychology*
  • Cross-Sectional Studies
  • Diet Surveys
  • Feeding Behavior / ethnology*
  • Feeding Behavior / psychology
  • Female
  • Fruit*
  • Health Promotion
  • Humans
  • Male
  • Middle Aged
  • North Carolina
  • Random Allocation
  • Religion
  • Rural Population
  • Social Support
  • Telephone
  • Vegetables*