Does stage of change modify the effectiveness of an educational intervention to improve diet among family members of hospitalized cardiovascular disease patients?

Journal of the American Dietetic Association
Heidi Mochari-GreenbergerLori Mosca

Abstract

The purpose of this study was to evaluate whether effectiveness of a special intervention to improve diet vs a control intervention differs by readiness to reduce dietary saturated fat based on the Transtheoretical Model Stages of Change among family members of hospitalized cardiovascular disease patients. Stages of change (ie, precontemplation, contemplation, preparation, action, maintenance) were assessed by standardized questionnaire. Diet was measured by Block 98 Food Frequency Questionnaire at baseline and 1 year in participants in the Family Intervention Trial for Heart Health (n=501; 36% racial/ethnic minorities; 66% female). Therapeutic Lifestyle Change diet education was provided to each special intervention subject tailored to baseline stage of change. Multivariable linear regression was used to examine whether the effect of the intervention was modified by stage of change. Baseline saturated fat and cholesterol intakes were lower among those in maintenance stage vs others (9.9% vs 11.2% kcal; P<0.0001 and 112.2 vs 129.7 mg/1,000 kcal; P=0.0003, respectively). Overall, change in the percentage of calories from saturated fat from baseline to 1 year was -0.7 in the special intervention vs -0.4 in the control interventio...Continue Reading

References

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Apr 30, 2008·Journal of the American Dietetic Association·Heidi MochariLori Mosca
Mar 31, 2009·Clinical Psychology Review·Renata K Martins, Daniel W McNeil
Dec 25, 2009·Circulation. Cardiovascular Quality and Outcomes·Lori MoscaMehmet C Oz

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Citations

Nov 2, 2012·American Journal of Health Promotion : AJHP·Heidi Mochari-Greenberger, Lori Mosca
Mar 13, 2014·Nutrition Research and Practice·Mirey KaravetianNanne de Vries
Mar 2, 2013·The Cochrane Database of Systematic Reviews·Sophie DesrochesStéphane Turcotte
Aug 15, 2015·The Cochrane Database of Systematic Reviews·Olalekan A UthmanAileen Clarke
Jun 13, 2015·The Cochrane Database of Systematic Reviews·Lee HooperGeorge Davey Smith
Jul 10, 2019·The Journal of Nursing Research : JNR·Nidal F Eshah
May 20, 2020·The Cochrane Database of Systematic Reviews·Lee HooperAsmaa S Abdelhamid
Aug 23, 2020·The Cochrane Database of Systematic Reviews·Lee HooperAsmaa S Abdelhamid
Sep 19, 2017·BMC Nutrition·Mariana Carvalho de MenezesAline Cristine Souza Lopes

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