Résumé :
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[BDSP. Notice produite par INIST-CNRS RRlMR0xa. Diffusion soumise à autorisation]. 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) selt-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 motvational 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.
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