A Motivational Interviewing Intervention to Increase Fruit and Vegetable Intake Through Black Churches: Results of the Eat for Life Trial
Ken Resnicow, PhD,
Alice Jackson, LPN,
Terry Wang, MSPH,
Anindya K. De, PhD,
Frances McCarty, MEd,
William N. Dudley, PhD and
Tom Baranowski, PhD
Ken Resnicow, Alice Jackson, Terry Wang, Anindya K. De, and Frances McCarty are, and at the time of study William N. Dudley was, with the Rollins School of Public Health, Emory University, Atlanta, Ga. Tom Baranowski is with the Baylor University School of Medicine, Houston, Tex.
Correspondence: Requests for reprints should be sent to Ken Resnicow, PhD, Rollins School of Public Health, Emory University, 1520 Clifton Rd, Atlanta, GA 30322 (e-mail: kresnic{at}sph.emory.edu).
Objectives. This study reports on Eat for Life, a multicomponentintervention to increase fruit and vegetable consumption amongAfrican Americans that was delivered through Black churches.
Methods. Fourteen churches were randomly assigned to 3 treatmentconditions: (1) comparison, (2) self-help intervention with1 telephone cue call, and (3) self-help with 1 cue call and3 counseling calls. The telephone counseling in group 3 wasbased on motivational interviewing. The primary outcome, assessedat baseline and 1-year follow-up, was fruit and vegetable intakeas assessed by 3 food frequency questionnaires.
Results. Change in fruit and vegetable intake was significantlygreater in the motvational interviewing group than in the comparisonand self-help groups. The net difference between the motivationalinterviewing and comparison groups was 1.38, 1.03, and 1.21servings of fruits and vegetables per day for the 2-item, 7-item,and 36-item food frequency questionnaires, respectively. Thenet difference between the motivational interviewing and self-helpgroups 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 promisingstrategy for modifying dietary behavior, and Black churchesare an excellent setting to implement and evaluate health promotionprograms.
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