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Theses and Dissertations

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Browsing Theses and Dissertations by Subject "Behavior modification"

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    Examining the application of the transtheoretical model of change for fruit and vegetable consumption among college students
    (Colorado State University. Libraries, 2002) de Oliveira, Maria do Carmo Fontes, author; Jennifer Anderson, advisor; Kendall, Patricia, committee member; Auld, Garry, committee member; Morgan, George, committee member
    Nutrition education messages about the adequate amount of fruits and vegetables in the diet have the potential to disseminate information the optimum level of fruit and vegetable intake to the population. However, this potential will be effective, only if the audience incorporates these messages. To facilitate the acceptance of nutrition education messages, we need to understand the process of behavior change across different behaviors and cultural/ethnic groups. The main purpose of this study was to examine the applicability of the Transtheoretical Model for fruit and vegetable eating behavior in male North American, Latino and Asian college students at Colorado State University. First, a 40-item scale was developed to measure the processes of change. Second, stages of change for eating five fruits and vegetables a day were assessed. Third, the relationship between stages of change and processes of change constructs for fruit and vegetable consumption was examined. Results showed that the developed scale was reliable and valid for the target population. Most of the participants were classified as in the preparation or contemplation stages of change, and the stage classification was significantly related to the participant's cultural/ethnic background. North American and Latino participants were predominantly in preparation while Asian participants were in precontemplation. In addition, the North American and Latino groups used less processes of change (stimulus control, dramatic relief and environment reevaluation) than the Asian group. The relationship between stages of change and processes of change indicated that generally the processes of change scores for fruit and vegetable intake were lower in early stages of change than in later stages of change. The finding that each cognitive/experiential composite score was higher than behavioral composite scores across stages of change did not agree with most studies in smoking, but agreed with some studies on diet and exercise. Although more research needs to focus on the applicability of the stages of change and processes of change constructs, the present study provides partial evidence of the value of the Transtheoretical Model in fruit and vegetable eating behavior in the nutrition education arena.
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    The effectiveness of an Internet-based nutrition and fitness education program for senior military officers
    (Colorado State University. Libraries, 2004) Sigrist, Lori D., author; Jennifer Anderson, advisor; DeVoe, Dale, committee member; Kennedy, Cathy, committee member; Auld, Garry, committee member
    A six-month Internet-based nutrition and fitness education program, entitled Taking Command of Your Health, to improve diet and fitness behaviors and physiological measures in a group of senior military officers enrolled in the Distance Education course at the U.S. Army War College. The intervention was based on the Transtheoretical Model (TTM) for behavior change and was delivered via the Internet. A needs assessment survey assessed senior military officers' health concerns, educational preferences for nutrition and health topics, eating habits, and motivators and barriers for eating healthfully and exercising regularly. Survey results determined the content of the intervention. Participants were randomly assigned to either a control group that did not have access to the website intervention or to the treatment group that had access to the program. The program was designed in a monthly newsletter format which combined nutrition and fitness information. Staging algorithm surveys determined stage of change for diet and exercise for participants each month. Participants were provided with stage-matched education based on the diet algorithm and all participants received identical fitness information regardless of stage for exercise. To evaluate the program, treatment participants completed exit surveys at the end of the intervention. Results of the study indicate that an intervention based on the TTM did not result in statistically significant improvement in behavioral and physiological measures between treatment and control groups. The program was effective in significantly progressing treatment participants through the stages for diet behavior, but not for exercise behavior. Unfortunately, dietary behavior change was not maintained as participants regressed to earlier stages after the intervention. In the exit survey, participants reported that they liked receiving health information over the Internet and they would recommend a similar program to others in the military. Future research on the implementation of a theory-based intervention should focus on an individual's cognitive and behavioral processes that determine one's success and failure with behavior change, factors that determine participation and regular usage of a website program, and the impact of program duration and content on other military populations.