Stages of change and psychosocial correlates of fruit and vegetable consumption among rural African-American church members

Academic Article


  • Purpose. This study examined the relationship between stages of change, other psychosocial factors, and fruit and vegetable (F and V) consumption among rural African-Americans participating in a 5 a Day study. Design. The cross-sectional design assessed associations between F and V intake, stage of change, self-efficacy, beliefs, barriers, and social support. Setting. Participants were surveyed by telephone. Subjects. Subjects were 3557 adult church members (response rate, 79.1%), aged 18 and over from 10 North Carolina counties. Measures. A seven-item food frequency measured F and V intake. Stage of change was measured using four items; other psychosocial variables were measured using Likert scales. Chi-square tests and analysis of variance were used in statistical analyses. Results. The majority of participants (65%) were in the preparation stage of change. Individuals in action/maintenance consumed an average of 6.5 daily F and V servings compared to 3.3 to 3.5 servings for those in precontemplation, contemplation, and preparation. Self-efficacy, social support, and belief about how many daily F and V servings are needed, were positively associated with stage. Barriers were most prevalent among precontemplators. Conclusions. The findings support the applicability of the stages-of-change model to dietary change among rural African-Americans. The relationship between stage, self-efficacy, social support, and barriers supports using a multicomponent intervention strategy.
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    Digital Object Identifier (doi)

    Author List

  • Campbell MK; Symons M; Demark-Wahnefried W; Polhamus B; Bernhardt JM; McClelland JW; Washington C
  • Start Page

  • 185
  • End Page

  • 191
  • Volume

  • 12
  • Issue

  • 3