Investigating Fruit and Vegetable Consumption Using the Transtheoretical Model

Horwath, Caroline C.; Nigg, Claudio R.; Motl, Rob W.; Wong, Kristen T.; Dishman, Rod K. (2010). Investigating Fruit and Vegetable Consumption Using the Transtheoretical Model. American journal of health promotion, 24(5), pp. 324-333. Sage 10.4278/ajhp.071218138

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Purpose: Test the applicability of the transtheoretical model (TTM) to adult fruit/vegetable consumption.

Design: Cross-sectional random-digit dial survey.

Setting: Hawaii.

Subjects: 700 (62.6% female; age [mean +/- SD], 47 +/- 17.1 years; education [mean +/- SD], 14.6 +/- 2.8 years; 35.0% white, 31.1% Asian, 22.1% native Hawaiian/Pacific Islander, 11.8% other).

Measures: Stages, processes, self-efficacy, decisional balance, and self-reported fruit/vegetable consumption.

Analysis: Confirmatory factor analysis tested the factor structure. Analyses of variance were used to explore stage differences in constructs.

Results: Stage distribution was precontemplation (33%), contemplation (4%), preparation (37%), action (3%), and maintenance (23%). A 10-factor process model with two higher-order correlated factors (experiential and behavioral) provided the best data fit (chi2 = 1446.12; df = 366; p < .0001; comparative fit index [CFI] = .89; standardized root mean square residual [SRMR] = .05). The self-efficacy structure fit the data well (chi 2 = 81.86; df = 9; p < .0001; CFI = .94; SRMR = .04), as did the decisional balance structure (chi2 = 37.42; df = 19; p = .007; CFI = .99; SRMR = .02). Processes, self-efficacy, decisional balance, and fruit/vegetable consumption behavior differed significantly by stage, with medium effect sizes for most variables.

Conclusion: The variables revealed adequate fit to the theorized measurement models. TTM predictions regarding stage differences in self-efficacy, pros and cons, and fruit/vegetable consumption were confirmed; however, most experiential and behavioral processes increased in the early stages and then leveled off.

Item Type:

Journal Article (Review Article)

Division/Institute:

07 Faculty of Human Sciences > Institute of Sport Science (ISPW)

UniBE Contributor:

Nigg, Claudio Renato

Subjects:

700 Arts > 790 Sports, games & entertainment

ISSN:

0890-1171

Publisher:

Sage

Language:

English

Submitter:

Marceline Brodmann

Date Deposited:

06 Mar 2024 14:16

Last Modified:

06 Mar 2024 14:16

Publisher DOI:

10.4278/ajhp.071218138

PubMed ID:

20465146

URI:

https://boris.unibe.ch/id/eprint/193362

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