Journal
HEALTH PSYCHOLOGY
Volume 27, Issue 5, Pages 539-547Publisher
AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/0278-6133.27.5.539
Keywords
behavior change; diet intervention; social-cognitive theory; cluster analysis; tailoring
Categories
Funding
- Walton Family Foundation
- NCI [CA 69375, CA 72092]
- General Clinical Research Centers
- NIH [M01-RR00070, M01-RR00827, M01-RR00079]
Ask authors/readers for more resources
Objective: Little is known about temporal patterns of diet change within interventions, nor about predictors of early and sustained successful change. Social-cognitive theory asserts that early successes in achieving behavior change increase self-efficacy, leading to longer-term success. Design: The authors conducted exploratory cluster analyses using dietary data from the first month of the telephone counseling intervention of the Women's Healthy Eating and Living (WHEL) Study. Main Outcome Measure: Change in dietary pattern at three early intervention timepoints. Results: Three clusters were identified: Cluster 1 (25%) was close to meeting study goals at baseline, but still made major changes; Cluster 2 (49%) and Cluster 3 (26%) were not achieving study goals at baseline, but Cluster 2 made substantial immediate changes, while Cluster 3 changed their diet more gradually. Baseline demographic and behavioral variables were associated with cluster membership; however, the strongest predictors of cluster were self-efficacy, motivation, and approaches to study goals. Cluster membership predicted dietary pattern at 12 months. Conclusion: These data suggest that a one-on-one telephone counseling intervention that is intensive in the early weeks may maximize the level of change achieved in a study.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available